HomeMy WebLinkAbout2807 RANCHO DIAMONTE; ; CB092087; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-10-2009 Plumbing Permit Permit No: CB092087
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2807 RANCHO DIAMONTE CBAD
PLUM Status:
Parcel No: 2218110400 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: BOSE: REPLACE WTR. HTR. Inspect Area:
Applicant:
ARS
STEA
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
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
0
0
0
0
0
1
0
Owner:
BOSE K THOMAS&LINDA M
2807 RANCHO DIAMONTE
CARLSBAD CA 92009
ISSUED
12/10/2009
JMA
12/10/2009
12/10/2009
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: flt-~
FINAL APPROVAL
Date ajti.j b~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must
foJJow 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 with this project. NOR DOES IT APPLY to any
f x in f hi h h ve revi u n iv n N T! i ii r hi r hi h flimi · n h
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
DESCRIPTI
Plan Check No. Cf3o'=t ZO 8-
Est. Value
Plan Ck. Deposit
Date ( z.. (O 0
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BU IN S NAME UP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
AIR CONDITIONING
YES O NO 0
FIRE SPRINKLERS
YES O NOD
CONTACT NAME (If O/tl'erent Fom App/leant) APPLICANT NAME' Ui),.J \l,A f/)A,1(;,_£
CONTRACTOR BUS. E
; ---~W Sh::._ A
~;nIPJ ZIP STATE IP/
FAX FAX 7-5c..f1Cj
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
/!et 70) I.S Businm and Professions Code: Any City or Counir. which requires a permit to construcl aher1 improve. demolish or reP,air any structure, prior to iu issuance, also requires the appliant for such permit to file a signed statement that he is ficemed _11unuant to th, provisions of the ContraClor's license Law {Chapter 9, commending wi1h !ee1ion 000 of Division J of 1h, Business and Pnnessions Code) or that ht ii exempt thmfi'om. and tht bas11 for the alltgtd txtmprion. Any Yiolarion of Section 70) I.S by any applicant for a permit subjtcu tht applicant to a civ~ penalty of not more than five hundred dollan (SSDO)).
Worlters' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certlficate 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. '1t· 1 have and will maintain worlters' co enaatlon, as required by Section 3700 of the Labor Code, for the perfo'"lan~ QUI]" ~rk for which t\lis .lljlmiil is ••,•;,j "·· workers' compen•,ati_Q." Ti sulnye_µmer and policy
number are: Insurance Co. -Policy No.~, Jhtz lS:Df b.? f O_ -( _ Expiration Date'. () I f U __ _
This section need not be completed if the permit is foi e 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 become subject to lhe Workers' Compensation Laws of
California. WARNING: Failure to secure wo e compenaatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil finj?Jjp to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da •• ovlded for In Section 3~f11~bor code, Interest and attorney's fees. II
~ CONTRACTOR SIGNATURE ~~iiR~QR~/il,;/~ '~ UA..J!hi. DATE ,,
thereby affirm that I am exempt from Contractor's License Law f0< the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do 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).
□ 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).
□ 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 □ Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person {firm) to provide the proposed construction (include name address /phone/ 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 (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted {hired) the following persons to provide the work indicated {include name/ address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form 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 AND THE AJR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the alxl\le lnfonnation Is correct and that the information on the plans Is accurate. I agree to oomplywtth all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cansbad to enter upon the above mentioned property 10< inspection purposes. I ALSO AGREE TO SA VE, IN~IFY ANO KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MA.Y IN ANY WAY ACCRUE AGAINST SAID crrv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ..
OSHA: AA OSHA pennlt is required for ex~~'CNef 5'0' deep Md demofltion or COl'lS1ructioo of structures fNef 3 stories in height
EXPIRATION: Every peimit issued by . under the plO'lisions of this Code shaft expi'e by linitatioo Md become nul Md void 'the buildng or wa1( aJ1horized by such pemit is na coomenced \WM
180 da'js from the date of such pemit or wa1t by perml is suspended or midoned at~ tine a!er the wal(DisATCOIE III ienced '1 At~~ da'js (Secoon 106.4.4 Uniform Buildng Code} .
..es' APPLICANT'S SIGNATURE· (f / '.,,{J,J u-r
City of Carlsbad Bldg Inspection Request
For: 12/15/2009
Permit# CB092087
Title: BOSE: REPLACE WTR. HTR.
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
2807 RANCHO DIAMONTE
Lot: 0
Location:
APPLICANT ARS
Owner: BOSE K THOMAS&LINDA M
Remarks: AM PLEASE
Total Time:
Description Act Comments
Inspector Assignment:
Phone: 7604384800
Inspector: f\4l-
Requested By: LINDA
Entered By: CHRISTINE
CD
25 Water HeaterNents _M_ E.'>M>n+u, L,ocA-tt.o,-A '-S,6!,$t,'1tl,.~~es ,t ;,
Date Description
-----~~____b__l'-_._ __ ---_____ _a_
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Act lnsp Comments