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HomeMy WebLinkAbout2339 TERRAZA RIBERA; ; CB011782; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/17/eU01 . Plumbing Permit Permit No:CB011782 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2339 TERRAZA RIBERA CBAD PLUM Status: ISSUED 05/17/2001 JM 05/17/2001 05/17/2001 Parcel No: 2155823500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Tille: BECK -REPLACE WTR HTR Inspect Area: Applicant: ARS STE 100 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619-677-5445 Total Fees: $27.00 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 Owner: BECK WILLIAM B&KIMBERL Y S 2339 TERRAZA RIBERA CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 1 0 0 9611 05/17/01 Balance Due: $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 0002 01 CGP $27.00 Inspector: FINA~VAL Date: • /, 1/ 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 protestprocecllres 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, vold, 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feesfexactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. 02 27 u •JO FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. l-66! /7~V . . .. ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. Business Name fat this address) Unit No. Phase No. Total# of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # ot Bathrooms 2. CONTACT PERSON '(If dlfferent·from·appllcantJ Name Address Agent for Contractor I,;:, 02. Address State/Zip Telephone# Fax# 4. ------Ull...L..l..l,J.Ll.L.L.!.J...~~~..,b..,,!::.+---']-A-l.-"'..!.L'~~..A.L.1--l.L-'-<'L...ILL....!.~~u....L~~-----..!._7.~ 5. CONTRACTOR -COMPANY NAME (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 [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 e~Yfu,.~f'f:<~19cl~'(.Jrcant f,or a v;rnit subjects theb~ant to a civil penal ~f not more t~;Jve hundred dol1arsqzor'Z-/ Name Address • City S e/Zip Telephone# ~, tc,17 State license # ~20 3'1 License Class B ,< (, ?:le:?/ C, 2..() City Business License # J Q3')7 <X) 54-'55 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 Dued. My worker's compensation insurance carrier and olicy number are: 1 \ I Insurance Company V"Y1l:::> 4, I Policy No./C>f?~ Expiration Date _ Q I 1 0 2-- {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100I 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 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~/{~~on to the cost of compensation, damages as provided for In Section 3706 of th a or co , int est and attorney's fees. SIGNATURE ~ },J... DATE -~---t''-1'-'-+_,__4---- 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following 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. ff, 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 bu·11d 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 with contractor(s) licensed pursuant to the Contractor's license Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor arid 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/ 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 ________________________ _ COMPLETE THIS SECTION FOR NON~RESIDENTJAL BUILDING PERM1rs.-0NtV' 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 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. 8. CONSTRUCTION LEND:ING AGENCY r 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). LENDER'S NAME _______________ _ 9. APPLICANT CERTIFICATION I certify that l 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 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 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 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under 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 days from the date of such permi1 or ii the building or work authorized by such perm'1t is suspended or abandoned at any time after the work is commenced for a period ol 180 days (Section 106.4.4 Uniform Building Code). DATE PINK: Finance (i). • . City of Carlsbad Bldg Inspection Request For: 05/31/2001 . Permit# CB011782 Title: BECK -REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2339 TERRAZA RIBERA Suite: Lot 0 Location: APPLICANT ARS Owner: BECK WILLIAM B&KIMBERL Y S Remarks: Total Time: Description Act Comments Inspector Assignment: Phone: 8586775455 Inspector: -~At-~-- Requested By: TIFFANY Entered By: ROBIN CD 25 w, .. , -~ .. rlV•"" -t---------------------- Associated PCRs Inspection History Date Description Act lnsp Comments