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HomeMy WebLinkAbout2204 RECODO CT; ; CB050601; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-28-2005 Plumbing Permit Permit No: CB050601 Job Address: Permit Type: Parcel No: Reference#: Project Title: :,-----._ ,/ . / Applicant: Building Inspection Request Line (760) 602-2725 2204 RECODO CT CBAD PLUM 2164930700 Lot#: 0 Construction Type: NEW MANLEY RES REPLACE H2O HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/28/2005 KG 02/28/2005 02/28/2005 ~ER HEATERS & PLUMBING MANLEY EMILIE F LIVING TRUST 04-25-00 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2204 RECODO CT CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 2756 EXPIRED PERMIT 02/28/05 0002 01 CGP Inspector: PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C._~·CJ,04,030 DATE 2 h:z rw SIGNATURE Qw FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection wlth this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been riven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exr ired. 02 27-00 \ I 1 -ii j '1 ~ FOR OFFICE USE ONLY ~ PLAN CHECK NoC &J5Z>wo 1 PERMIT ~PP~CATION EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Depo~s· Validated By -1--~/~---------- Date • ;)-J... fr-~ ~~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # ·w.exw H '=dTW c,/o Existing Use Proposed Use Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax # 3 Name Name L§.. C (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to ,ts issuance. also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending w,th Section 7000 of Division 3 of the' Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). t;ll..L-$7.-,'i2. w,111102 tit;ATE:!t-i:> Of:11( LA~ 1-foU Lv\..~s ,~'-'t: G,A ql.J{)o Boo? '2-)c..:?177 ~;a:e License# <nrl.Wl ~ Addre:~cense Class e,3 " City City Bu~~~:~z~~cense # _____ T_el_e_p_ho_n_e_# __ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 6. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. _,,,zr-I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: /), I Insurance Company 3Tl"r'TT=::-,?.;..JO Policy No. 17, / ~ L/ l CJ°'{ Expiration Date "'/,-( -CJ lo (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 11 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand .,, I, as owner of the property or my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed wor1\. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (inciude name / address / phone number I /ontractors license number): ----------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (inciude name/ address / phone number/ type of work). PROPERTY OWNER SIGNATURE _________________________ _ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 C Is the applicant or future building occupant required to submit a business plan, acutely hazardoua materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act'/ □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. a. CONSTR UN I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS ___________________ _ • I certify that I have read the appticaUon and state that the above information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for 1nspec11on purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITlES, JUDGEMENTS, COSTS AND CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. nd demolition or construction of structures over 3 stories in height r e provisions of this Code shall expire by limitation and become null and void if the building or work authonzed • of such permit or if the building or worll authorized by such permit Is suspended or abandoned at any ume after .. 4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance