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HomeMy WebLinkAbout2751 TIBURON AVE; ; CB030417; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-11-2003 Plumbing Permit Permit No: CB030417 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2751 TIBURON AV CBAD PLUM 1675623100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: GANGULI RES-REPLACE H2O HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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: GANGULI UDEEPTA&VICKI 2751 TIBURON AVE CARLSBAD CA 92008 ISSUED 02/11/2003 RMA 02/11/2003 02/11/2003 $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: $0.00 Balance Due: $27.00 Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ulmposition" o fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest impos·1tion of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wilt bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f f hi h h v r vi Tl E i 'I r i h u f limi i n I h rwi x ir d. FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. O'3 o'-l /J CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated Bv_S......:l_j.,_ _____ _ r1Hff::1:t~::tfRQ:J~c:r~:1N~.e:RMA11QN!ii!\i:ff:i:il1!~1~]::, 2751 Tiburon Ave Address (include Bldg/Suite #) Legal Description Lot No. Date Z-/ :Z -03 Business Name (at this address) Subdivision Name/Number SFR Unit No. Phase No. Assessor's Parcel # Existing Use Proposed Use .-00 Total # of units Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ,2.::::, ·~otJwci:!:rr •~~!,1~r::~~;~~ii~~~f•f•*fi;~~~f~~~;::m.~,:i:ri;;~1\_'i'f'~~~$ii;,;;l/'•;;~~•e½Q,!'•';,c~~~~i::)X:,,~:{f.f~~~!:!6235 Name Address City State/Zip Telephone# Fax# Name Address City State/Zip Telephone # !~t11:::~!~P,'ijQ'ij¢.'!;tfiij19·1iNgtJ ::i!!!iiii!ii1i!i!t.m!:ii!i~l!!!i:1:ilirn!im!i:!il:i:!ii\llii/Ji:!m!:iii~lIT:!l~i~~l.Wi:~;1~:rja!.~;¥r~iill\1i~~~;,ij~liiri!ii!:~~;mi~JUl1i!ilij::;J!'.tlt]~lii!!uil~11i~,fii!ii:i;J!!~!~t~\:,\1~!!1~2Iil~1~.~lti11~i!#\~l~!i'~l!il~L(i!imi:!~ff!ii!!:ii1iiit'.~fil!il:imiti!!~!ii:!:i:i1!1il1!:imii-1'i!1:1Ulii1ii1::ii:i}I · 2 08 760-434-6235 Telephone I (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500l). Name JC Foster Phimbi"']! 13706 E Hwy 8 EJJS E_J Cajon CA 92021 ( 619) 390 4477 A & ddmss C,ty State/Z;p Telephone# State License # ____ -,6,._,3~Q~JL..<2~Q.L_ License Class ----~C~,-~3~6~---City Business License # 1210836 Designer Name Address City State/Zip Telephone i::;~;.;i~~e;~;;ij~'i!f'.ifl::1i!i:!f;:i~t1!il~!i"rl~):~;::1:t:tf!iii1'.J.~1~~~1~:~15!~~~~;1;!Jiilliiii1~'.lfi,~Jf:\!tll!]~]~~:iit1~1iiZl;~J,~1fif1i:r:ilim:~ii\~}~i:!i~#~f~?ti:r;:~)'.f:ili!!lt!rn:\;:: ::;::;1:i1tf}:;:::::', ;:),jii:!:1;:: 1:'il!i\t;\: Work.era' CompanHtion Dacluation: I har•by affirm undu penalty of perjury one or th• following declaration■: 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. 0 1 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. iv worker's compensation insurance carrier and policy number are: Insurance Company State c~. Ins. Policy No. 467 OJ QQDD71 3 Expiration Date 04-01-03 ITHls SECTION NEED Nor BE COMPLETED 1fT E PERMIT 1s FOR □NE HUNDRED DOLLARS ($1001 on LEss1 0 CERTIFICATE OF EXEMPTION: 1 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. awful, and shall subject an employer to criminal penalties and civil fines up to one hundred amages as provided for in Section 370q of the Lab co e i terest and attorney's fees. DATE reason: D 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 sa!e. 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). 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), 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. 0 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 I 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_______________________ DATE _________ _ l,QQN,g4eT:.~}Jl;lfS'ii~~-¢f!9l':tJ1F,tiffliti/Qt,JJ/titiOfMt/AtifiW~Pl.N,ij:]P,~RMlf:g[QN"iff~:if!ttii~(.(§~~(§f;~[~[itflil'~liillt}:1i~j~i\ii~it~ilii~~~;:(ill!!{,~1l:1~1lrnm:1:J~1t1i1~;111i~i!*,mli:f;!ii!~ :!;ifo1:t~[\;::r:i.ii~Ji!\J:]\~jt:1J :11;:!;\if~Ji\ 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 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? D YES D 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097U) Civil Code}. LENDER'S NAME LENDER'S ADDRESS, ________________________ _ 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 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 5'0n deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Otticial under the p vi · s of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not com~en 80 d~YJl:!"'hi the d of ermll or if !he bulld!ng or work authorized by such perm_it is suspended or abandoned al any time after the work is commen a o 1-r, 7'':lf>• Uniform Building Code). _2 / } [ APPLICANT'S SIGNATURE __ _.:._ _________ ~'----------------DATE _ _ _ -----"'=e-,,L__L-1---------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/20/2003 Permit# CB030417 Title: GANGULI RES-REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2751 TIBURON AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: GANGULI UDEEPTA&VICKI Remarks: CELL 402-6235 Total Time: CD Description A,;;t Comment Inspector Assignment: Phone: 6192354100 EX 107 Inspector: ---- Requested By: VICKIE Entered By: CHRISTINE 25 Water HeaterNents ~i -------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments