HomeMy WebLinkAbout1515 SUNRISE CIR; ; CB031967; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-16-2003 Plumbing Permit Permit No: CB031967
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1515 SUNRISE CR CBAD
PLUM Status: ISSUED
07/16/2003
RMA
07/16/2003
07/16/2003
Parcel No: 2070213800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: LINGENFELTER RES-NEW WATER
HEATER
Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
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
Total Fees: $27.00
Inspector:
0
0
0
0
1
0
0
Owner:
LINGENFELTER ROSEMARY E
1515 SUNRISE CIR
CARLSBAD CA 92008
$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 Payments To Date: $0.00 Balance Due: $27.00
02
PEmr:·; H;lS [)(iclRED IN ACCORDANCW U.B.C.
SECTiON 106.4.4
DATE , \pl()'=' --SIGNATU~ cCv <
FINAL APPROVAL
Date: Clearance:
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 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
inn.c; nf whir.h T"Vi iv"n -~''"'Tl,...I:'. -imil::ir •-'"i-nr --•-'"'hi · · -f limi ations h---r-.. i 1 .. rwi --xnir"'n.
------····-···--···
27-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.W/f 4,-?
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit _________ _
Validated By_~---------Date_:z;..,..._.4..._7,...,_../ ~__, __ _
Address (include Bldg/Suite II) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total II of units
Assessor's Parcel II Existing Use Proposed Use
207-021-38-00
Description of Work SQ. FT. /lot Stories II of Bedrooms II of Bathrooms
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Name Address City State/Zip Telephone II Fax II
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Name Address City State/Zip Telephone #
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Lingenfe l t er , R. 1515 Sunrise Cir. Carl sbad Ca. 92008 760-729-9464
Name Address City S.tete/Zip Telephone II
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(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
IChapter 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 any applicant for a permit subjects the applicant toe civil penalty of not more than five hundred dollars [$500)).
A & ,I Easter Pi nrobi ng J 3706-B I:lwy 8 Bus Ei Caj"n CA 9202] ( 6] 9) 390 4477 Name Address 1ty State/Zip Telephone II
State License II 630120 License Class C-36 City Business License# 1210836
Designer Name Address City State/Zip Telephone
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and w.ill 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 w.ork 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:
Insurance Company State Comp Ins; Policy No. 467-0] 00007] 3 Expiration Date Q4 Ql Q4
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
0 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 Law.s of California.
e is unlawful, end shall subject an employer to criminal penalties and civil fines up to one hundred
ns ion, damages as provided for In Section 3706 of the Leb code Interest end attorney's fees.
SIGNATURE~:;;;::;J,,~~~~~~~~l:,~:2~;:~~~;_;;;;,;;;;;.,;;;;;;;;:.;:.,;;,;;;;,;;;:;;:;;;;.,-;;;;;;;;;;:,;;,;;;, DATE --'--+~"-lc_::_,,.J._ __
0 I, as owner of the property or my employees with wages as their sole compensation, will do the w.ork and the structure is not intended or offered for sale
1sec. 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 w.ith contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business end 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 ONO
2. I (have / have not) signed an application for a building permit for the proposed w.ork.
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 w.ork, but I have hired the following person to coordinate, supervise and provide the major w.ork (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 (include name / address / phone number / type of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE -::---:--:-:--:-:-=::-::---:---:--:::::-====-===-:-:-=-=--:---:---:-=. DA TE _________ _
1to~ii,il;r1::iiii1s1$e~if•l!!'fiJ,F._"e.F'Q...'Q'&Viti.t,at.1-1irlA'f/J.tiQ1Ct>jijo.t:RliIM:1:m.~tN'll."': ai1'JJr.~~~~~bl~lR,t;7Jtr~~~~m~it•r:t1¥I~~::~~~1;~1~ru&:1!i
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 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? O 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 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.
!JJt:!~i,~Q.~~1:B!J.t}fiiC?IDt.~N~):t[&J~,9.~_ij~C,~~tr~~f~lI[~~t~]illl~~~t~Al*!ll~f!tllr~!!~~"m~%;\itllr~~l;~\~i1~l!l~ii~~~~!ci~j~'..i;;::t;[~1+1~~,~t~~:'.~~~f~;~i:
I hereby affirm 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 l:)J l:)JE LENDER'S ADDRESS ________________________ _
,~~•~:r,~~iil!i.LCA'NitlC~B;tff~e'ATIQ1i::fJi'Wi$1lii~~citm'~:~:,';:fI§'Tlii'~:l'G11.i~Ui.~:i!l~~fu%1\ffJ!:!l1~~~~::ifm1~1i&T.;;'lJ~~t'.•~'!:li!Jl»~f:l]iJ;ii,'1!ll]!.f:.;[:~
I certify that I have read the application and state that the above Information Is correct end thet 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 Citt 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 ANO 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 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the bulld(ng Official under the provisions of this Code shall expire by limltallon and become null and void if lhe building or work
authorized by such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by sue permit is suspended or abandoned
al any lime afler lhe work Is commenced for f 180 da s ecllo 1 .4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
PINK: Finance