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HomeMy WebLinkAbout1412 TOPAZ CT; ; CB100091; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-14-2010 Plumbing Permit Permit No: CB100091 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1412 TOPAZ WY CBAD PLUM 2121915900 Lot#: Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: DEVLIN RES-REPLACE WATER HEATE SAME LOCATION Applicant: ANDERSON PLUMBING INC.WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumb'1ng 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 FEE.S 0 0 0 0 1 0 0 Owner: DEVLIN FRANCIS W 1412 TOPAZ WAY CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 01/14/2010 RMA 01/14/2010 01/14/2010 $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: FINAL APPROVAL Date: "6 /-z-3/ la • Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmposif1on" 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 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 FURTHEP. 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 fep,;/exactions of which vnu hav"' "rf'Vio11,;lv he.en r.ivP.n 1:1 NOTICE ,:;imilar to thi,;. or ,1s to which the ,;tatute of limitatinns h1:1,; nrev1ou,;lv ntherwise exnired FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.Cl}!() {JO t// EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~~~------- Validated By , . :1.d7 Date / ( f3/-+( Q Business Name (at this address) lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms Name Address City State/Zip Telephone# 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 ex8mpt therefrom, and the basis for the alleged eioarn.,~on. Any viol,:ttion_g.J j.ect.ion 7031.6 by,any applicant for a.permit subje.1\s-the a ~,!jc.ant tC? ~ civil penalty o.t notl~r~ih;. fjv? '11.lfl~'f~.d~f[E' l.$t0rJ. • 7(JJl/i _ Ano t(SC\1 s P1 L!l'Yl lo l.t'l£!..i1fr't1-1-~-ti-, .t11tz..1 ••• a -,vt__: _ .C: .,., 0109_u IJ!('.'.J LL 11-_ 1v,1 Name _A_.(J:).... '2__ tJ~~ess • . City State/Zin Telep one# -·tr • • • State License# ....:I._JJI lQ::> License Class_ C· "-o ---City Business License# --t 07 l/L/00 ( Designer Name Address City State/Zip Telephone State License # __________ _ :ai,~ttJ!,WP ,n,1;n_s;t1PQMRtNS'l~tt,oN·:f;~\\l~'.i:o,1{jNNJ¾1,tif;;::1t:iJ~~f.\'.}.'·,:e\,j~ .. , ,;,· . \-:-::_·:0:1 t'.Pt'.~·;~; .. J-:"!J!)/i 1:tJt,,t, tr;~:'.~N , iJ " ,::,:'} ftS(JJ1,;.; Workers' Compensation Declaration: I hereby affirm under penal~y of perjury one of the following declarations: 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. 'rg I have and will maintain workers' compensation, as required l.;y Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ed. My worker's_ comp~e_nsation insurance carrier and policy number are: . 'ZN rrl O .C\ \ I ""\ l . . 7 I/ I /)01 C' Insurance Company . ~"(\ t\\r) ___________ Polley No. __ V\J.J-' \._j \0 ~ j Exp1rauon Date _ _,t~fµ__-'-'')/~~~~<} {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL.LARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ls 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 crimlnal penalties and civil fines up to one hundred thousand dollars (:' .,I) • ")j,. • ... 1 , __ *" the cost of compensation, damages as provided for In Section 3706 of the L~bor code, interest and attorney's fees. S/GNA TURE~-:::::nnc er~ DATE_~------ ,, /i"•Jr~oWNER~BUltDtft;aecuARATIOr.J r ~lt: ',."'j~i;';i:' :;;nr;'' ~~t:~· 1 ,,:, r '' ' ~ / ·, • I)"/!'\~ 11: '""'1l'i -,", ,, ' J • -• j ' r ' p" ,, ' ' ' ' • • '1,; ' ' J ' 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, 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. 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 Lawl. 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 I phone number / contractors license number): 4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name / address I phone mimber / 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): ________________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardolJs Substance Account Act? registration form or risk management and prevention 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? D YES D NO /s the facllity to be constructed within 1,000 feet of the outer boundary of a school site? D 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 !s issued (Sec. 3097(i) 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. l ogree to comply with alt City ordinances and State Jaws 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 ls required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the bulld!ng Official under the provisions of this Code shall expire by limitation and become nuU and void If lhe building or work authorizer! l1y such permit is not commenced within 180 days from the date of such permit or If the buUding or work authorized by such permit fs suspended or abandoned at any tin' ,<Jer !he work is ~mm6;fed for a periodlf 180 days (Section 106.4.4 Uniform Building Code). APPLICA ·'SIGNATURE~. z'tf10 V/l'i:581'------__/ ' DATE------------ WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For 06/21/2010 Permit# CB100091 Title: DEVLIN RES-REPLACE WATER HEATE Description: SAME LOCATION Type:PLUM Sub Type: Job Address: Suite: Location: 1412 TOPAZ WY Lot: OWNER DEVLIN FRANCIS W 0 Owner: DEVLIN FRANCIS W&ERIKA Remarks: 1st inspection of the day or early as po Total Time: CD Description Act Comments Inspector Assignment: Phone: 7608046296 Inspector: IV' c., Requested By: FRANCO Entered By: CHRISTINE 25 Water Heater/Vents M t;..)((ST}J,tq 1-Dc...o.-rtoJ, $~-St--U'-'$~ ,f. _ -C:..WIS oil. F_l _ --------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments