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HomeMy WebLinkAbout2355 TERRAZA RIBERA; ; CB073119; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-17-2007 Plumbing Permit Permit No: CB073119 Job Address: Permit Type Parcel No Reference #: ProJect Title: Appltcant: Building Inspection Request Line (760) 602-2725 2355 TERRAZA RIBERA CBAD PLUM 2155823100 Lot#: Construction Type: DINGER RES-REPLACE WTR HTR D NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 12/17/2007 LSM AFFORDABLE WATER HEATER DINGER FAMILY REVOCABLE TRUST 04-29-89 24 707 SAN FRANANDO RD SANTA Ct_ARITA, CA 91321 661 259-7131 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 TOT AL PERMIT FEES Total Fees Inspector $27.00 0 0 0 0 1 0 0 2355 TERRAZA RIBERA CARLSBAD CA 92009 $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: Clearance: $0.00 fJO'TICE: Please lake NOTICE that approval of your proiecl includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively relened lo as "fees/exactions., You have 90 days from the date this perm11 was issued to protest imposition of these fees/exactions. If you protest them, you must fo'lcw lhe 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, rev,ew. 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 fees/exactions of which ou have reviousl been iven a NOTICE similar lo this or a to which the statute of limitations has r viousl oth rwis ex ired, FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. a.£'07 3 J lCj CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit Validated By ~ Date ~ 2 Address (include Bldg/Suite 11) Business Name (at this address) Legal Description Lot No. Subd'1vision Name/Number Unit No. Phasi, No, Total II ol units Existing Use 0.. I /+ti-\. +tr l>\M e_ Proposed Use OC..u..f-10~:. (,C\/.J{ SO. FT. I/of Stories II of Bedrooms II of Bathrooms State/Zip Teli,phone II Fax II Name Address CitY :~1·:::;,)\.i,p~li::'11.N,1'. >. O,Co11tfactor; ~Agent to,·cont(lictor•.·· .. • □:·owner .· QAgent'for Owner B:ffo rc\,o-.b le_. Wo.±tr 1--1:eAttrs J Y 107 i°'!'\ fu::Dti\r:vfo •,f<· · l&r,,~:·,t•· q / 3¢ I 2 5'1-J I 3 I Name Address City Telephone II •4.·/1Pf!j)PE'FitfOWNEfl ;:, ' !) G'~t\. C \); f\ () t' I~ Name Address City State/Z'ip Telephone fl '6\<.':iC:C>I\ITAAOTORt"•.·coNiPA.NYNAnilE' (Sec. 7031 .6 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 permlt to fHe a signed statement that he js 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 ha Is exempt ther11from, and the basJs for the alleged exemption, Any 11iolat'1on of Section 7031. 5 by any applicant for a permit sub'acts tho applicant to a civil penaltY of not more than five hundred dollars 1•600]1. ffurc.l I uJcx:t'Lr W~+u-s· ~ <t-, o "' 12.r r,.()..(\ o f3 -5'1-f Name Address City State/Zip Telephone II State license II _ _,,[p~ef:_7_,_.3.c....:(.:,::..8'"'----License Class __ C-_3----'i., _____ _ City Business License II (c} I 7 J-7 \ Designer Name Address City State/Zip Telephone State License II _________ _ ran, i:woRkt;lisr coMPENs'A'f!oN :,J: , .. · · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fallowing declarations: O 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. )'.8l' I have and will maintain workers' compensation, as required by Section 3 700 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 /r, e_ 1'-&r-if h Policy No. l. Of.o] 1CH'" 7 0 d, Expiration Date / -/-O<f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSI O 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 aecur11 workera· compenaotlon coverage la unlawful, and shall subject an employer to crlmlnal p11nalth11 11nd civil fines up to one hundred thousand dollars ($100,000) in addition to the cost of compenutlon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees, SIGNATURE C('~J 'L DATE ; L · 1 '-!-c 7 ;t,~Mb.WftEH~bQijiij.t' :_·,, ~"' ,.,.,.,,,.,."', .. , ... , ,.,,,.,,.., · . ,;,;.,:·;~:~f·./, I heraby affirm that I am e>ci,mpt from the Contractor's License Law for the following reason: O 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 emplovees, provided that such improv11ments are not Intended or offered for sale. If, however, th11 building or Improvement is sold within one vnr of completion, the ownar-builder will have the burden of proving that he did not build or Improve for the purpose of salel. O I, as owner of the property, ■m excluaivelv 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(sl licensed pursuant to the Contractor's License Lawl. 0 I am e1<empt under Section ______ Business and Professions Code for this reason: i. I personelJv plan to provide the major labor end materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for • building permit for the proposed work. 3. I have contracted .with the following person (firm) to provide the proposed construction (include name / address I 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_______________________ DATE _________ _ 'cor.i~ti$:t.E!i!tt'/ii1Sl·$iic:'t'i'ol\l\fpft'•NO.NiffE$iDEl/.t/Ai'.t!UlkPINll'1e'ERN1iI$'·QNllY:.:\1L•,itt'·;·{:;, .;,,;;f;:.J,:;··:;:,,;: •lii'}i/;,,,):ll't\;:itt,i:l1A1:i~iii::•' ii'.li:t,?d!.if:/}\:,•••l;•::@:i{~\;,.•fri/:,tJ•;,0.t~,;fii\!(:ri:ii'.'1:, Is the applicant or future building occupant required to submit a business plan, acutely hazardous material■ registration form or risk management and prevention program under Sections 25605, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act1 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to bec:onstructed within 1,000 feet of the outer boundary of a school sita? D YES D · NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AJR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 30970) Civil Codef. LENDER'S NAME ______________ _ ,$.,:,: .. ;Appt;jcANf,'ceifr1t1·cAiioN!i. I certify that I have read tha 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 herebv authoriie representatives of the Cit)' 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 lhe provisions of this Code shall expire by limitation and become null and void If lhe buildlng or work authorized by such permit is not commenced within 180 days from the date of such permit or if lhe building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced 1., / .oerio.'.1'5'f 180 days (Section 106.4.4 Uniform Building Code). APPLIC• ·;T'S SIGNATURE . ( Ct' i DATE / L . / ~/ . {' / WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/23/2008 Permit# CB073119 Title: DINGER RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2355 TERRAZA RIBERA Suite: Lot 0 Location: OWNER DINGER FAMILY REVOCABLE TRUST 04-29-89 Owner: DINGER FAMILY REVOCABLE TRUST 04-29-89 Remarks: CALL W/ ETA Total Time: CD Description 25 Water HeaterNents 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 05/1512008 25 Water HeaterNents 05/1512008 29 Final Plumbing Act lnsp Comments CO PC NOT HOME CO PC Inspector Assignment: PC Phone: 7604310315 Inspector: ~ Requested By: FRED Entered By: JANEAN