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HomeMy WebLinkAbout2445 STEVEN CIR; ; CB033149; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 . ' 11-18-2003 Plumbing Permit Permit No: CB033149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2445 STEVEN CR CBAD PLUM Status: Parcel No: 1671510500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: POLLOCK RES NEW H20 HEATER Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 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 0 0 0 0 1 0 0 Owner: POLLOCK FAMILY TRUST 11-05-01 2445 STEVENS CIR CARLSBAD CA 92008 ISSUED 11/18/2003 SB 11/18/2003 11/18/2003 $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 8972 1V18/03 0002 01 CGP Inspector: FINAL APPRQVAL Date: ;2-/2-/•3 Clearance: t approval of your project includes the "lmpositionff of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exact ns." 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 with this project. NOR DOES IT APPLY to any I i i i • FOR OFFICE USE ONLY / : PLAN CHECK NO. 05 5 lf L PERMIT APPLICATION EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Address (include Bldg/Suite #) 2.~ SZEV&--) Clg Business Name (al this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use Description of Work SQ. FT. fl of Stories Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms .. W .. ·/p6#ffe.icffiiW4dB&i«ex: .;;;1re~,:::ri.Ei~>: .. ;,2:;;:,1t.~-~t•I:1.k2}::··; :<t<( ;:\'70 :. ·;_~:;~~v:.~ .... ::...:r.~.v==•A•=r~:».~-~¼w~i~L<a,.~❖ • .:::~.-~<:.~:~wxw::v.~•llA,.~ (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 pursuanl 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 Seciion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Sc::io 7z::7 AL-I..-::i1A1l '6/+rc-tt.. HE:4tE12.s: 1~6, LAb£,£ttaafr: Li,<..€-(-5/-u~ 04 '9 z...rzo c9z"? Name Address / City State/Zip Telephone# State License# 8 l-z$9y1' License Class e,_ 5 C:, City Business License# /?do((<;, :Z Designer Name Address City State/Zip Telephone# State License# _____ _ YfJ}:;;rWff.tlB{fo'fl#J@:1(CJt::; .. < ,~:~. Jfff~(.p ... \:.;+ :::;::.;.::* >: X;, ,:,\:; X:/ '•:;P:){:/~/=:*> >.,(1:~r ❖~f :::.(: X· x.::l:~:~ X (::: :r_x::,::1:~:~:1t:1:/.~:::/:~(o'.:~~ :,::~:~:~~~:1:1:;~;~:1;~:~~=~:~:~:~<~::?:r·:/ .-=x:~:;:~:~:;;~: '::-::: .. :~:~:~:~: ~/ (;: ~(: .. Workers' Compensation Declaration: I hereby affinm under penalty of perjury one of the following declarations: D t 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 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 earner and policy number are: /. -, Insurance Company ST4Jfi= /-.J Q _ Polley No. I 7'f7C'i_7._ _____ Expiration Date __ ~-9-~------ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXE I certify that in the performance of the work tor which this permit is issued, I shall not employ any person in any manner so as to tion Laws of California. compensation coverage Is unlawful, and shall subject an employer to criminal penaltle• and civil flneo up to one hundred thousand __ :•' of componsation, damages aro provided for In Section 3706 of the Labor Code, interes~~i:;;ttor/ ,z:..:z:_--Q __ _ fr('./3/t~--· :,:.,.,,:··,.,@R• v~l•mt/\/id./Utt<V t;<; x'ttJ;?u:nqp,,,/U:./.r/,:\\.:/%F1\)lfI'<%Vtf:,rnwt?'f:>z,:;A}\ I hereby a I am exempt from the Contractor's License Law tor the following reason: O I, ner 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 contraciors 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 tor 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 penmlt tor 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 / /ontraciors license number): ------------------------------------------------- 5. I will provide some of the wort<, but I have contracted (hired) the following persons to provide lhe wor1< indicated (include name I address I phone number/ type of work): PROPERlY 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 ::lWfA1:mJ~ft:if:M#!WMlff.~iMF.t«:(RfffA'.(1(ij_jJjl!'lf):~~l·•~ww)h:,pf?9#~:~~:rM@)::§l",ff.d)::;:~pwrHfa:\f:fmp:i'i:%:%~'Wrn{M:f::;::::,7;::'h:y Is the applicant or future 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 Hazan:lous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a pennit 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 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. 'Jlt¼> :MRPOll¥NMto/J.~f/\·:/~P.·d</·:-:;y;;;:-r-::-zs,};tr{/t;f;f.(:;\/(1~:;-:(;::':~/~.t}:r:~:~,:-: ... ~::❖zr"{2" .. ):·:;::,-.,_: .. /(X::<;:::))(>~··~:1::.-:~X:::·•~·r.(•zt8·:··/;-·~·.':','":'/Y I hereby affinn 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 NAME __________________ _ LENDER'S ADDRESS ___________________ _ :lf'.':;,,;tiPfti§M't'f(UlffiflCA:'l'JtjJf:H:Ui'<V"'.;i.~:n:c,,':·;;nm·<v:~\>'°'.!:1r.u7):;?;:.:·,·,,.?',.S/',.:'V/L:/'.i/1:<'n,/'•:··<+f'i}::.§::::;:,:,~<:,:7,();.:/(Aii,:',%;\''.>i}:~~ I certify that I have read the application and state that the above Information is correct and that the infonnation 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 SAVE, INDEMNIFY AND 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. p and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the buildil) Offi · er 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 dayi fro e ate of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days 6.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance ~--------------....:.:..:..:,;,;.;:;.;_; City of Carlsbad Bldg Inspection Request For: 12/02/2003 Permit# CB033149 Title: POLLOCK RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2445 STEVEN CR Suite: Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: POLLOCK FAMILY TRUST 11-05-01 Remarks: PM PLEASE Total Time: Phone: 7607296843 Inspector: ---- Requested By: POLLOCK RESIDENCE Entered By: ROBIN CD Description 25 Water HeaterNents ~ommenE~a[ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments