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HomeMy WebLinkAbout1608 STARLING CT; ; CB052937; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-f1-2005 Plumbing Permit Permit No: CB052937 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1608 STARLING CT CBAD PLUM Status: Parcel No: 2155906400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: AAS STE 100 CAROLLO RESIDENCE WATER HEATER REPLACEMENT 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Plan Approved: Issued: Inspect Area: Owner: CAROLLO FAMILY TRUST 11-03-00 1608 STARLING CT CARLSBAD CA 92009 ISSUED 08/11/2005 MOP 08/11/2005 08/11/2005 $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: $0.00 Balance Due: $27.00 4525 08/11/05 0002 0.1. CGF" L Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Im 1sition" 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 infonnation 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. 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {:)~ ,Z"f.;,7 CITY 'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date _______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No.,S~division Name/Number Unit No. Phase No. Total # of units isting Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. Name Address City 3 ' APPCICANT . D Contractor ' , -~Age~t'fot ContlactilF'f1C] Oviri~r" (8\Ali'fn{·'fl>t OwM~r1 V@ill \ ktA--~-<l&e... le I '-1 :z.. b,){4..) l.+-'.\ ~ )¥2., l U) Name Address V City 4. Name 5. ··· CONTRACTOR ' COMPANY, NAME! State/Zip Telephone # Fax II State/Zip Telephone # 1'2. (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 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 exe p. SAny violation of tction 2031.5 by any applic nt fore permit subje\~,th\~ant to a civil penalc:;t;o more than five h~rz~ollar-55001). Name Addr City State/Zip Telephone # State License# 70, j 'p' 2-0 License Class--=----'---==---=--=-----City Business License II \1),0070) Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS''C'oMPENS'AildN':~~:• • ',.!"' n •· -:'c'._~•": -;'~• /1~'1:~:~Y:: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. ~ I have and will maintain workers' 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 ; 6 {do Insurance Company ~ ~ · Policy No. 24°3KY:b ~Q\ Expiration Date ___ /_' ____ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I cer1ify 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 Workers' Compensation Laws of California. WARNING: Fellur c ernge Is unlnwful, and shall subject nn employer to criminal penn ies and civil fines up to one hundred o ntion, damages ns provided for In Section 3706 of the La (34, er d attorney's fees. 7. OWNER-BUILDER DECLARATION DATE __ __...'f-V_/P"":=;~- I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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}. 0 I em 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 ONO 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 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 (include name/ address/ phone number/ contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated Hnclude name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ coMPLETE.THts sEcTio N i=oR NoN-FiEs,oENTiAL eu1ro1No ·,;eRilnits'crliltV'··;,}•1\'.1·, .. ,,,._. · 'T•·· • . '··: ,.. Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS A RE 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 AIR POLLUTION CONTROL DISTRICT. 8; CONSTRUCTION LENDING AGENCY ' . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS __________________________ _ 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES , JUDGMENTS, 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 over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permil issued lhe urlding Official under the provisions of this Code shall expire by limitation and become null and void 11 the buIld1ng or work authorized by such permit is not ence within 180 days from lhe of uch permit or ii the building or work authorized by suc~1tf)is uspended or ab,rndonecl al any time alter the work is com ce or a perio of 160 days (Se . n 1 6 4.~nilorm Building Code). O /4 a~ APPLICANT'S SIGNATURE -..>....=l:,~<.....<~-1....J,.£.>,::e-'-"==----1-+--'C.....C""':i....<'-'===-''--------DA TE C, WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/17/2005 Permit# CB052937 Title: CAROLLO RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: Suite: Location: 1608 STARLING CT Lot APPLICANT ARS 0 Owner: CAROLLO FAMILY TRUST 11-03-00 Remarks: Total Time: CD Description 25 Water HeaterNents :le. Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7609298012 Inspector: ---- Requested By: PAM Entered By: CHRISTINE