HomeMy WebLinkAbout2467 TORREJON PL; ; CB023744; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
' 12-12-2002 Plumbing Permit Permit No: CB023744
Building Inspection Request Line (760) 602-2725
Job Address: 2467 TORREJON PL CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: z.' "' ~o ;;).S'<JD Lot#: 0 Applied: 12/12/2002
Reference #:
Project Title: MUMMAN RES-
Applicant:
HANNA PLUMBING
643 S. SANTA FE
VISTA CA 92083
760-726-2002
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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
Inspector:
Construction Type: NEW Entered By: CB
Plan Approved: 12/12/2002
Issued: 12/12/2002
NEW WATER HEATE Inspect Area:
Owner:
ROSE FAMILY TRUST 03-01-91
6565 VIA BARONA
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
1
0
0
339? L2/12.
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
$27.M
EXPiRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH U BC SECTION 106.4.4 • • •
DATF tql \\IQ), C
FINAL APPROVAL
Date:
s1GNATURE _..c .... W--=---
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. !I 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, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK NO.C fbCJ?-374:f
CITY OF ~ARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By_C=· 'fk-=--------
Date ( c'. -\ "Z. -~
0
Addres (include Bldg/Suite #) Business Name (at this addressl
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name City State/Zip Fax#
State/Zip Telephone #
• 'ai-fj1fr~~~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
ption. Any violq_f!!>, of Se 'qC)n 7031.6 bv. any applicant for a per 'ts cts the a!plicant to a civil penalty of not m re than five h,YJldred dollars [$5~0]). a. I I -I . /_ -2-.
N •
State Ucense # 70579'
Designer Name
State license #
Address
City State/Zip Telephone #
City Business license# 3/-h/800
City State/Zip Telephone
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and wJII 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.
'o("" 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
ts:"-ued. My worker's compensatio==ce carrier and policy number are: JI ' / 10-I . I I
Insurance CompanvA:C!J-;; Q_ls,g Pol;cy No.Nl,J}t.J) /:3{a'1'il O . Exp;rat;on Dete / / 0 3
S SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS! r {
CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as
ecome subject to the Workers' Compensation Laws of California.
secure wor ' compensation coverage Is unlawful, and shan subject en employer to crimlnel penalties and civil fines up to one hundred
0,0001 I a ltlo t the cost of compensation, damages as provided for In Section 3706 of the La or code, nterest and attorney's fees.
DATe/Z-/2-:;;;,. SIGNATUR
k. , .. , -· .. J,
thereby affirm that I am exempt from the Contractor's license law for the following ;eason:
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 t,roving 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}.
0 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 / address / phone number I 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 I phone
number I contractors license number): ________________________________________________ _
5. I wm provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type
of work): ______________________________________________________ _
PROPERTY OWNER SIGNATURE DATE
1s 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 25606, 25533 or 25534 of the Presley•Tanner Hazardoi.Js Substance Account Act7 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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.
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I 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______________ LENDER'S ADDRESS. ________________________ _
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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 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 buildlng Official under the provisions of this Code shall expire by llmitatfon and become null and void it the building or work
authorized by such permit is not co menced within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned
at any time after the work is com nc'§d for a rio of days (Section 106.4.4 Uniform Building Code). / /
APPLICANT"S SIGNATUR :;:= DATE /2.f / z._ / oz__ 7 E: File YELLOW: Applicant PINK: Finance