HomeMy WebLinkAbout2425 STEVEN CIR; ; CB082160; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-03-2008 Plumbing Permit Permit No: CB082160
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2425 STEVEN CR CBAD
PLUM
1671510400 Lot#:
Construction Type:
0
NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: GERMUNDSON RES-REPLACE WASTE Inspect Area:
DRAIN PIPE (SAW CUT THROUGH SLAB) FROM HALL WAY
Applicant:
GERMUNDSON ERIC
2425 STEVENS CIR
CARLSBAD CA 92010
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
1
0
0
0
0
0
Owner:
GERMUNDSON ERIC
2425 STEVENS CIR
CARLSBAD CA 92010
ISSUED
12/03/2008
RMA
12/03/2008
12/03/2008
RB
$20.00
$0.00
$15.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due:
FINAL APPROVAL
Inspector: Date: / 2 ~ /r: .o,r 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 permit was issued to protest imposition of these fee~,·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 1:iformation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will ba, 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 ;,nd sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proJe-:-t. NOR DOES IT APPLY to any
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City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602°2717 /,2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
Building Permit Application
JOB ADDRESS 1-41.S S"te\/evi Ci. y-c,\e..
CT/PROJECT# LOT# PHASE#
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 'R CIC.e.. VVlt\.l Vfl...V\ \1v'1e..
Plan Check No.
Est. Value
Plan Ck. Deposit
Date ;t_
SUITE#/SPACE#/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
t\bo1..1 \. S 1 1 11 e\~o
DEC S (SF) Fl EPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □# __ NOD YES O NO □ YES □ NOD
CONTACT NA APPLICANT NAME
ADDRESS '2...41.5 ADDRESS
ZIP l\ l.O\ 0
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADDRESS , 241 S"leve"' C1v-(;\e..
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.# STATE UC.# CLASS CITY BUS. UC.#
(iec. 7031.S Bu1inu1 and Profeuions (ode: Any City or County: llhich requim a ptrmit to con1truct, alter/ improve, demolish or reitair any 11ructure, prior to ill i11unce, also requim the ap_plicant for 1udi permit to file a signed statement that he is ricensed _9unuant to the provisions of 1ht Contractor'1 License law {Chapter 9, commuding with Section 000 of Division 3 of tbe BusinHI and Pro1euiom Code} or that he is exempt tllut rrom, and the basis lor the alleged Hemprion. Any violation of ~ection 7031.5 by any applicant for a permit subjecu chnpp1icant to a civil penalty of not more than five hu!Hlred dollif"I {S500}).
WORKERS' COMPENSATION
Workers' Compensation Deelaratlon: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to sell-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance ol the work for which this permit is issued.
D I have and wl1I maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. _____________________ Policy No. ______________ EKpiration Date _________ _
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 become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
_,g CONTRACTOR SIGNATURE DATE
OWNl!tt•BUILDER DECt.ARATICIN
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner ot 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 lor
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).
X 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 ol
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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes _)(No
2."~/ have not) signed an application for a building permit !or the proposed work.
3.1'iM( contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number):
Dv"1i,,s ~'Pl""' b,..,
61 ~ 863 -'I 5q
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 I address/ phone/ contractors' license number): gq 2 t' g3
5. I will provide some of the work, but I have contracted (hired) the following persons to provide !he work indicated {include name/ address/ phone/ type of work):
.£5 PROPERTY OWNER SIGNATURE I DATE \'2 /3 /200?;
COMPLETE THU $1!C'rlON FOR NON;RESIDENTIAL BUILDING PERMITS ONlY ,
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? 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 □ No
Is the facility to be constructed within 1,000feet 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 AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the appHcatlon and state that the above information ls correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upoo 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 pennlt is required for excavations over 5'0' deep and demolition or constn.ction of structures over 3 stones in height.
EXPIRATION: Every pennlt issued by the Building Official under the provisions of this Code shan 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 if the building or worl( authorized by such permit ls suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
KS APPLICANrs SIGNATURE E, DATE 2ooi
/~
• m City of Carlsbad Bldg Inspection Request
For: 12/09/2008 --
Permit# CB082160 Inspector Assignment: RB ---
Title: GERMUNDSON RES-REPLACE WASTE
Description: DRAIN PIPE (SAW CUT THROUGH SLAB) FROM HALL
WAY THROUGH LIVING ROOM
Type:PLUM Sub Type:
Phone: 7607293479
Job Address: 2425 STEVEN CR
Suite: Lot: 0
Location: Inspector: ----
OWNER GERMUNDSON ERIC
Owner: GERMUNDSON ERIC
Remarks: EARLY A M PLEASE
Total Time:
CD Description Act Comments
Requested By: ERIC
Entered By: CHRISTINE
22 Sewer/Water Service flZ-__________________ _
-ti---~~ ___ fl_c __ _
----------. ------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
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