HomeMy WebLinkAbout2633 SUTTER ST; ; CB081159; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-18-2008 Plumbing Permit Permit No: CBOB 1159
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference#:
PC#:
Project Title:
Applicant:
2633 SUTTER ST CBAD
PLUM
1675112500 Loi#: 0
Construction Type: NEW
TUFTS RES-REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ARS
STE 100
TUFTS JOHN C&LORRAINE J
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
2633 SUTTER ST
CARLSBAD CA 92010
ISSUED
06/18/2008
RMA
06/18/2008
06/18/2008
$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: $27.00 Balance Due:
Inspector: 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~iexactions. 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 requirec: information with the City Manager tor
processing in accordance with Carlsbad Municipal Code Section 3.32.030. failure to timely follow that procedure will be>:· 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 wate1 and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seivice lees in connection with this pro:,d. NOR DOES IT APPLY to any
f x i n f whi h h v revi I b Tl E imil r h f limi . n !.1.!lllZ-lo:!..lcv~io:.w.,JJI ~hll<!.ll=.-=..__--.1
City of Carlsbad
1635 FaradatAve., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
T/PROJECT# PHASE#
DESCRIPTION
EXISTING US~, PROPOSED USE
CONTACT NAME (If Dffrerent Fom App/leant)
ADDRESS
Plan Check No. CJ10 r __11. :5 ~
Est. Value
SUJTE#/SPACE#/UNIT#
# OF UNI
GARAGE (SF} PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#~ NO □ YES O NO □ YES □ NO 0
ZIP
PROPERTY OWNER NAME ·T ~ .:::T\Jtt,..) CONTRACTOR BUS. N~5
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE l.lC. H
flee. 70JU Boiioe1.1 and Profmion, Cod,: Any City Of Couoty which require, a permir t• ronllrnc~ alteri improve, demofi,h or "P.•ir any 1tructu,e, prior to iu isiuana, also Rquirei the applicant for ,uch pormil to filt a si~n~ itnemenl !hat he ii rtcensedJwriuanc ro the provnions of the (on1ractor's Licme Law {Chapier 9, commendrng wirh le<lion 000 of Divi,io, 3 of the Businlls and Proreuioni Cad,} or that he ~ mmpt lheretrom. and the bam for 1ht allegod 11,mplion. A»y violalio, of Smion 7031.5 by aoy applicant for a permit ,ubjecll the applicant to a civil penalty of iwt more than fNe hundred dollari {SlOO} ).
Wortcere' Compensation Declaration: I heroliy affirm under penalty of perjury one of the following daclarations:
□ I have and will milntaln a certificate of COIISent to self-insure for workers' compensation as provided by Secfion 3700 of the Labor Code, for the performance of the work for whidl tt,is permit is issued. "PI-. f have and will maintain wortcere' co enllltion, as required by Section 3700 of the Labor Code, for the perform~ lje ~ for which t~is PJ!rmit is issjled My workers' compen~on insurrce ~er and policy
numberare:lnsuranceCo.~J.d~~'.£;~~=------------PoflcyNo. ✓y lSD!b.?IDJ b ExpirationDate~nv, O:?;.
I
This section need not be completed if the permit is foi e hundred dol!ars ($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 lo become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wo mpensation 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, da vlded for In Section 3Wf}'C\'~bor cod&, intemt and attorney's fees.
25 CONTRACTOR SIGNATURE // f ~
•
I hllreby affirm that I am exempt from Contractor's license Law for the following reason:
□ 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 lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvem81lls are not intended or offered for
sale. If, however, the building or improvement is sold within one year of complefion, the owner-builder will have the burden of proving lhal he did not build or improve for the purpose of sale).
□ I, as owner of the iro perty, am exdusively contracting with r1censed contractors to conslruct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of
property who builds or imPf0ves 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:
t. I personally plan to provide the maja labor and materials forconstrucfion of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building permit tor the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coortlinate, supervise and provide the major work (include name/ address I phone I contractors' license number):
5. I will provide some of tile work, but I have confl'ac:ted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE DATE
~~ -~"""';'T -,-c,;'.'.f'Y-"c "t'v~-. ~ ~~ ~-~w<,n, =~ ,v =~~ ,,,.~~ "':£'~'4,_cf.cW ,.;"<-.,_,,:{!fl)~~,;, ~ A'""'"'-"'~ "C',
COMPLETE TH Is· SECT r ON F o'R NON -RES ID£ NT I AL BU I l O ING PE ll MIT S ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention proi,am under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future· building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facK'ty to be constructed within 1.000 feet 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 cel1lfy that I have read the application and s1ate tt,at the abowe lnfonnatlon Is oonect and that the Information on the plans is accurate. I agree to oomplywllh all Cit}rollllnances and State laws ielatlng ID building construction.
I hereby authorize representative of the City of Cin;bad lo enter upoo the abave mentioned propelly for ilspeciion J)tJll)DreS. I ALSO AGREE TO SA VE, INOEM'-IIFY AND KEEP HARM.ESS THE CrrY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'M-IICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT".
OSHA'. An OSHA pemit is requioo fa' excc!f<iliicii!,over5'0' deep and demolition or construclion of structures over 3 stooes in height
EXPlRA TION: Every permit issued by 1119 • under lhe prtMSions of lhis Code sllal expire by inilalion and ~ nt.ci 111d void if Ille builcfng or work ailhaized by sucti pemil is not aimmenaid IMlhi1 1:::::::: u~ orwork · by ~or~M~n•111e-:::-1M/fJ6~(~100.4.4Unbm9Ji~Code).
City of Carlsbad Bldg Inspection Request
For: 11/04/2008
Permit# CB081159
Title: TUFTS RES-REPLACE WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2633 SUTTER ST
Suite: Lot: 0
Location:
APPLICANT ARS
Owner: TUFTS JOHN C&LORRAINE J
Remarks:
Total Time:
CD Description
Water HeaterNents
f't,-.l,Ai...
----·------·----
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7604348918
Inspector: Ml..,
Requested By: JOHN
Entered By: CHRISTNE