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HomeMy WebLinkAbout2861 RANCHO RIO CHICO; ; CB071849; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2007 Plumbing Permit Permit No: CB071849 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2861 RANCHO RIO CHICO CBAD PLUM 2226122400 Lot#: 0 Construction Type: NEW SUSTER-TARR RES REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/11/2007 KG 07/11/2007 07/11/2007 JUST WATER HEATERS INC. SUSTER-TARR SUZANNE SEPARATE PROPERTY TRUST 02-0 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 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 1 0 0 2861 RANCHO RIO CHICO 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 Fees: $27.00 Total Payments To Date: $27. 00 Balance Due: Inspector: V"'-{.,,~ FINAL APP OVAL Date: \-Z. o·~ o'1 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 pennit 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 wilt bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right lo 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 xinfhi hvril Tl iilr FOR OFFICE USE ONL y r'/ LJO PLAN CHECK No.C~J / '6 , L PERMIT APPLICATION EST. VAL. ___________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor"s Parcel # Existing Use 3, Phase No. Total # of units Proposed Use # of Bathrooms ~Nam~e =--~!.....L--l~~~____I::J..!~~~~µ.ll...!~~T~elep~hone~#~~~.J__ ~/ ~~ _ ..... _,...,,.. ..... ,..._...,,...,., __ ,.,,,..,.,,...,_....._,_,._ 5, - (Sec. 7031.5 Busi~ and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its 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 with 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 J~~plicant r a permit SU the appl~O a civil penal of not m vcrundr dollars ($5001). '{,()()- Name Telephone# State License# __ 59{~-(~Q~of?t~-+-City Business License# ___________ _ Designer Name Address City State/Zip Telephone # State License# ________ _ 6,.-~•· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one a the following dedarations: 0 I have and will maintain a certificate of consent to self-insure for wor1<ers' compensation as provided by Section 3700 a the Labor Code, for the performance of the wor1< for which this permit is issued. ~ I have and will maintain wor1<er's compensation, as required by Section 3700 of the labor Code, for the performance a the wor1< foruichuis permit IS issued. My wor1<er's compensation insurance carrier and policy number are: . Q '--rJOml I rv'i in t7£J . . ' / l Q tY Insurance Company );)e l co Policy No_ I.!.)~ I~~ 4,~U!lq,1ration Oate. __ '-('_;;_,1,---1,-=--]2_.1.L---- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL.l.ARS ($100] OR LESS) O CERTIFICATE OF EXEMPTlON: 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 the Wor1<ers' Compensation Laws of California. WARNING: Failure to secure wor1<ers' compenaatlon cowrage Is u,nlawful, and shall subject an employer to criminal penalties and civil fines dollars($100,000), I f SIGNATURE 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 1, as owner of the property or my employees with wages as their sole compensation, will d the wor1< 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 a property who builds or Improves thereon, and who does such wor1< 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 buHd or improve for the purpose of sale). O I, as owner of the property, am exduslvely 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). O 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. 0 YES O 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 (indude name/ address/ phone number I contractors license number) 4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (indude name / address/ phone number I /ontractors license number): ----------------------------------------------- 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name/ address / phone number/ type of wor1<). PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance ~ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 ~ lill' '<· $ 1--, ' ' \ ' , ~ ~ Is the appiicant or M ure building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 9f 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 . ... LENDER'S NAME ___________________ _ t. •. I certify that I have read the application 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 inspection purposes. I ALSO AGREE TO S~VE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or W the building or work authorized by such permit is suspended or abandon at any time after the work is commenced for a period of 180 days (Section 106.4.4 UnWorm Building Code). APPLICANT'SSIGNATURE ~ ~~~ WHITE: File YELLOW: Applicant PINK: Finance ~ ~ City of Carlsbad Bldg Inspection Request For: 12/03/2007 Permit# CB071849 Title: SUSTER-TARR RES REPLACE Description: WATER HEATER Type: PLUM Sub Type: Job Address: 2861 RANCHO RIO CHICO Suite: Lot: 0 Location: APPLICANT JUST WATER HEATERS INC. Inspector Assignment: ll"21 {..\~ 6 c;:;r,; ,Po 11\J. s..::,..-t-1' t 6 ft i;..-st,u~ Phone: 7606031227 Inspector: Mc,, Owner: SUSTER-TARR SUZANNE SEPARATE PROPERTY TRUST 02-0 Remarks: Total Time: CD Description Act Comments Requested By: SUE Entered By: CHRISTINE 25 Water HeaterNents kf' t-;><t~n~ i--0 (/4.1'1..;,.J.1 6~Mt "-"211?Af,S 6 ~ • ;z,..c, t_l_~L_ -----£ ( Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments