HomeMy WebLinkAbout2314 TERRAZA RIBERA; ; CB071027; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-17-2007 Plumbing Permit Permit No: CB071027
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2314 TERRAZA RIBERA CBAD
PLUM Status:
Parcel No: 2155811000 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: HEFFERNAN RES REPLACE WTR HTR Inspect Area:
Applicant:
ARS
STE 100
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
Owner:
HEFFERNAN KATHLEEN
2314 TERRAZA RIBERA
CARLSBAD CA 92009
ISSUED
04/17/2007
KG
04/17/2007
04/17/2007
$20.00
$0.00
$0.00
$0.00
$0.00
$700
$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: f¼ ~
FINAL APPROVAL
Date: o?,j 1°l o 'B 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 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, zonirg, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
I f hi h v r vi I T imil r hi r hi I limi i h I
PERMIT APPLICATION
FOR OFFICE USE 0~ J /,1//
PLAN CHECK No0Y lt ~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. ___ ____,,,+:-----
Plan Ck. Deposit-,~;.,<.------
Validated By _ _:~;..-;,~-c-,~f---,,'/--'',/
Date ______ _.'--<---'--~,,__
Address (include Bldg/Suite #) Business Name (at this address)
legal Description Lot No.:J~~division Name/Number Unit No. Phase No. T ota1 # of units
Proposed Use
SO. FT. #of Stories # of Bedrooms # of Bathrooms
State/Zip
Vi
State/Zip
Telephone#
Telephone #
,1c -
Fax#
(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
y violation ofe,~cti~n 7031.5 by any apP, n tor a pei' ·t bje tm applica a civil penalty ofl t ml han jve hun ~E)lars ~$500JL_t/
Name
State Licensa # _·,_7q-L1'-csk·'-'2"'°0"'---C-20 City State/Zip Telephone#
City Business License # / {) 30 7 Oo
Designer Name Address City
State License # _________ _
9i:,,, ,-,WOhlc'EAS~iCdMP'ENSAflON"'.c;t~K::~. ""~;;,-'; y;;-";tf; .1>.,;·;:±£.':,sn•7fit;,:rr1' • .,·"•~
Workers' Compensation Declaration: I hereby affirm under penalty of parjury one of the following declarations:
State/Zip Telephone
D 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 compensati~n 'nsurance carrier and policy number are: . • , C. n / -J.. IO I b . . . q I )/Alo 7
Insurance Company _!!,,IL~~""'~,L______________ Polley No.71:;;8 )c.;OD 1:7:,t _ Exp1rat1on Date,_~/~orT'_--'--~-~-
(THIS SECTION NEED NOT BE C0MPL TED 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 laws of California.
WARNING: Failure
thousand dollars ($1
nsatlon coverage Is unlawful, and shall subject an employer to criminal penalties and lvil fines up to one hundred
t compensation, damages aa provided for In Section 3706 of the r ode, Int rest and attorney's fees.
SIGNATURE
1. ,,, OWNEM1Ultoe1t•l'f~bL"llllAtlbN·1' i '' ,,
l,L DATE __ '-/-1-'9 "-fl.,,,_."1-
'.'"f<t• ')'('I
I hereby affirm that I am exempt from the Contractor's license Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, wilt 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 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).
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).
D I am exempt under Section ______ Business and 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 f 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 ________________________ _
COMPLE're,fHIS,'SECtiONFOR'NiJN4lEII/DEilf/11t llU1toll.iil'PEliMlfil'bll~V',I'/.fc'C"' ''"' '1 lJ
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 Act7 D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 AND THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING'AGENCY:, .
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ls issued (Sec. 3097(i) Civil Code).
I certify that t have read the applicatJon and state that the above Information is correct end 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 issue by th 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 mence within 180 days from the date of such permit or if the building or work authorized' sue permit is suspended or abandoned
at any tim •rer the work is co enced for a period of 180 s Section 106.4.4 Uniform Building Code). /
APPLICAr SIGNATURE \ J\,,(.:{_.t;.,{,')-,,..-, DATE 0/
. Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/06/2008
Perm it# CB071027
Title: HEFFERNAN RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 2314 TERRAZA RIBERA
Suite: Lot 0
Location:
OWNER HEFFERNAN KATHLEEN
Owner: HEFFERNAN TRUST 10-08-07
Remarks: BETWEEN 1PM AND 5PM INSPECTION
Total Time:
CD Description Act Comment
Inspector Assignment:
Phone:
Inspector: /vi {_,,
Requested By: KATHLEEN
Entered By: CHRISTINE
25 Water HeaterNents Af_ _t';.~-x_·~LS~:i--~1N~C='i~~L-!?~_c._~~'fl_o,-._/~. _,1_G~W~=l:,3,_c_~--
~ ~ -_,r'1JA.-., __ ~-. .$7J___
-----·-----------------------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
1.