HomeMy WebLinkAbout1855 SOUTH VIEW DR; ; CB060993; PermitCity of Carlsbad
04-11-2006
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit' Permit No: CB060993
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1855 SOUTH VIEW DR CBAD
PLUM
2073901500 Lot#: 0
Construction Type: NEW
BEARD RES-REPLACE WATER HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/11/2006
LSM
04/11/2006
04/11/2006
ARS
STE 100
BEARD ROBERT D&DIANE L TRUST A 12-10-86
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
Total Fees:
Inspector:
$27.00
0
0
0
0
1
0
0
1855 S VIEW DR
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: $27.00 Balance Due:
FINAL APPROVAL
Date: ~l!p ~ 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 Cartsbad 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
f fw i h h I . ·1 hi r . h h fli v· I
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. ~O~Oqq_.3
CITY OF CAF;!LSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit --fL%:::",~,1----"-,~-
Validated By __ ~--~~ U/YYV,-~---
Date, ____ _,'-fc.....:...I ...:.I ..:.\-1-\-"0""/,,:,c::.._ __
Business Name (at this address)
Legal Description lot No".5~divislon Name/Number Unit No. Phase No. Total# of units
Existing Use Proposed Use
SO. FT. #of Stories I of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone# Fax#
3••· ·.,·.·• Ai>PtibANl·•·· ·•·•·o:~&rtlliptilf;")'''~iiii!;:liiff~lll!'iiila!,ill!!IDl!!Wri~'.,lljl:GJ!)l;f!lil\rcil~Wil,~•1i(1;(fl\'''''"' ,, .. , .•. ·::rI ;q :•·
V@?.,-J\\CA-rv¼t.-1&:e /,zl\,,,-t,..)/tt,.)1,a £.<¼ ):£ (lD #) c...:...<r ~>I -o(h7?--5'f-{C:::
Name Address \.J City State/Zip Telephone# WNI!~••·
City
s:
(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 tor 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 ls exempt therefrom, and the basis for the alleged
exe p ,. SAny violation of tctb 2031.5 by any appllc for a permit subjects th\~cant to civil penal~o more than five h~z~ollar-5'5001).
Name Addr City State/Zip Telephone #
State license # 7C,,, J j5' 2D License Class Clo ~k:, City Business license # l'O 'OC>1Q)
Designer Name
State License # ~----------
6. · ·· WORkERS!'cljlili'EN!fllfl<il'i'"!"i/''""1·,,
Address City
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one the followlng
State/Zip. Telephone
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 n~mber are: / {~
Insurance Company ~ ~ Policy No. ~ -a Expiration Date, __ l~/c_: 11---'-'=''l---
lTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 Workers' Compensation laws of California.
WARNING: Fallu c erage Is unlawful, and shall subject an employer to crlmlnal penaltl111 and clvll fines up to one hundred
thousand dollars I o atlon, dfimagas as provided for In Section 3708 of the L o code, I ere t and attorney's fees.
SIGNATURE DATE
7, ClWNER'BUILDtlt D~CLARATION
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 bullding or improvement is
"sofd within one year of completion, the owner-builder will have the burden of proving that ha did not build or Improve for the purpose of sale).
D 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 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 work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address/ phone number I 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 (Include name/ address/ phone number/ type of work):, _______________________________________ _,_ ___________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
1 COMPt.:ttE''TR1S:·SECtiON:·r:oR'W1:JN:,t£Sib~tt/Ali!SUl(fJIN~l!ffiYjff~~~j~~~1fiMi:~w~4;!f{f}.\:;ti:r·t.ry:,·;t:;1;':-::;i~•0t -~' ~;·":! ;; r>rr:1 · --·
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 26534 of the Presley-Tanner HazardoiJs Substance Account Act? 0 YES D NO
ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management distrlct7 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 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 DR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
s:. ' CONSTRUCTION.l.ENlllNG'AGENCYc''•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(i) Civil Code).
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 Cltt' of Carlsbad to enter upon the above mentioned
pr9perty 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 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued the ullding Official under the provisions of this Code shall expire by llmitatlon and become null and void if the building or work
authorized by such permit Is not ence within 180 days from the of ch permit or If the bullding or work authorized by~ ~mil isjsus~o/ed or abandoned
at any time after the work Is com ce or a perl of 180 days (Se n 1 6 4 nfform Bulldlng Code). _/I?{ r u~
APPLICANT'S SIGNATURE -"-:._¼,,ll:L'4LJ.<E:ILJ&"1.ec::....._J:+_J'-4i,.LLL:,.!,~_i.-----DATE _____________ _
WHITE: File YELLOW: Applicant PINK: Finance
m ' City of Carlsbad Bldg Inspection Request
For: 04/19/2006
=
Permit# CB060993
Title: BEARD RES-REPLACE WATER HTR
Description:
Type: PLUM Sub Type:
Job Address: 1855 SOUTH VIEW DR
Suite: Lot 0
Location:
APPLICANT ARS
Inspector Assignment:
Phone: 7607297145
Inspector:£_
Owner: BEARD ROBERT D&DIANE L TRUST A 12-10-86
Remarks: NOON -2PM PLEASE
Total Time:
CD Description Act Comment
Requested By: BOB BEARD
Entered By: CHRISTINE
25 Water HeaterNents A.L ______ _
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments