HomeMy WebLinkAbout1032 LANDS END CT; ; CB053593; Permit10-1 a'-2oos
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB053593
Building Inspection Request Line (760) 602-2725
1032 LANDS END CT CBAD
PLUM
2145311900 Lot #: 0
Construction Type: NEW
DODDS RES REPLACE H2O HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/18/2005
KG
10/18/2005
10/18/2005
Applicant:
HANNA PLUMBING DODDS JOHN A&ANNA N REVOCABLE TRUST 12-09-91
643 S. SANTA FE
VISTA CA 92083
760-726-2002
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
Total Fees:
Inspector: /
$27.00
PO BOX9003
RANCHO SANTA FE CA 92067
0
0
0
0
1
0
0
Total Payments To Date:
FINA7{~PROV ~L
Date: (-DX
$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
$27.00 Balance Due:
Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the Mlmposition" 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 Garlsbad 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 . . . . . '
PERMIT APPLICATION
CITY O~ CARLSBAD BUILDING DEPARTMENT
163~ Faraday Ave., Ca!ls.bad~ C,\ ~2ooe. _
ffl t!'\1A&: &8 cJ
FOR OFFICE USE ONLY
PLAN CHECK Ncf!_ti:)535715
EST. VAL.------"'---
Plan Ck. Deposit 9-·
Validated fl-1--~-~~"7!-----
Data /o-/f:~ ' ~
Addreaa (Include Bldg/Suite IJ Bualnoa, Name (tt thl1 addresa)
Legal Oeactlptlon Lot No. Subdlvialon Name/NumbtJr Unit No. Phase No, Total I of unltl
Existing U11 Propqaed Uae
SQ, FT. . IOI Stories I of Bedroom• I of B1throoma
Name Addrau City State/Zip Telephone I Fax I
Dulgner N~m•
State license I
· UconH Clo11 ( -;\\q
,&\ddreu Cltv
Workara' Compenaatlon Oeclaretlon: I h.,aby affirm under penalty of perJ\MY -~ of the followlng decJeratlona:
Stato/Zip Telephone
0 I hav1 and wW malntaln I canlflcate of consent to 11lfalnaur1 for worker•' compensation 11·provld1d by Section 3700 of th• Labor Coda,· tOr the performance
of the work for which thla permit II .luued. ,
~I have and wiU _maintain worker■• compllllatJon, 11 required by Section 3700 of th• Labor Code, for the performance of the work for which thil ife,mJt ls
.~uod, Myworkor'aco ponsatJonkls ancecarriara dpollcynumberara: OOl~'"}-1-:"'~. . \
lnaurance Company _::"'2.:~~1=-~>-Ul..l~lpl-.1.l.l~J,.lu.l..W~;.,_ Poiicy No~-='-'-=~="~"-:;~..:. I-~==""-=..._ Expiration Date Q \ 2.-(j)lQ
(THIS SECTION NEED NOT BE COMPLETED IF THE ERMIT IS FOR ONE HUNDRED DOUARS I♦ 100) OR LESSJ .
□ CERTIFICATE.of ~N; .I ooi:tJfy that In the performance of the work·for which thla permit ls laauad, I thall not employ any peraon In any manna, 80 u
to b1QOffl••ubJect.totht Worker•• Compenaatlon Llwa Of CaUfomla. , . . .,
WARNING: 'Failure to NCUt'II workara• compena~tlon coverage la unlawful, 1nchhall 1ubJ1ct·111 employer 10 crlmlnll penaltlaa and civil fln11 up to one hundred
thq~and dollara (t100,000). In addition to the coat of oompenntlon. dlmag .. u provided for In Section 3708 of the Labor coda, lnteraat and attom"'y•• faN,
SIGNATURE DATE
I IIWN!RiilldffiGMGiiMiiN .◄ hefeby afflrlll that I am exempt from tha Contra.ctor'a Ucanaa Law for the following raa■on:
0 I, 11. ownar of tha property or my amployau with wagu H their aola compensation, WUI do the work •nd tha structure 11 not Intended or offered for ·aa1e
(Sac, 7044, Bualnua and ProfeuJON Coda: The Contractor'• Ucanaa Law dou not· apply to an owner of property who bullda or lmprovea thereon-, and who dou
auch work hlf!llelf or dvough hla own employaaa, provided that 1uch lmprov•mantl are not Intended or offered fo, ••••· If, however, the building Or Improvement la
•Old ~lthlll _ona year of coinplatlon, the owner-builder will h•v• the burden of -,»roving that ha did riot build or Improve for the purpose of sa_le).
0 I, 11 owner of the property, am exclualvely contracting with llcenaad contractOfll to conatruct the project (Sec, 7044, Bualnan and Profu,lona Code: Thi
Contractor's Ucanaa Law do•• not apply to an owner of property who bullda o, lmprovH tharaon, and oontrecta fo, auch projacta with contractor(aJ llcan,ad pursuant.to tha Contractot'a Ucanae Lawl,
0 I am exempt undar Section ______ B\m~ and Profauk»N Coda fer 1h11 reason:
1. I paraonally plan to provide the majo, labor and materlalt. for conatiuctJon of tha propoaad property lm.provamant. 0 YES ONO
2, I (hava / have not) algnad an ·application for a bulldlng permit for tha propoa•d work.
3. I hava contracted. with the followlng parson lflrm) to provide the propoaad conatructlon llncluda name / ·addraal / phone number / contractors license .number):
4, I plan to provlda portion, of the wo,k, but I have hired the following par1on to coordinate, 1upervlae and provide the major wo,k flnctuda name / addru, / phone numbar / C:Ontractora llc~nae nUmbarJ: · . ·
6,. I wlU provide aoma or the work, but I have contracted ·(hired) the following pwaOOI to provide the work Indicated (Include name / addrasa / phone number / type
of work).:_--------,------------------------------------'--------
. PROPERTY OWNER SIONA TURE DATE
MMddlttMDiiiidMMifflhWWMtl#MWWOliNMiiRMM#&i ii
_. la the applicant or future bu.lldlng occupant requlrad tO eubmlt e buaJn.., plan, acutely huardoua materiala regletratlon form o, rlek management and prevention
program under Sactlona 26606, 26633 or 266'34 of~ Praalay-TaMar HuardoUI Subatance Account Actl O YES O NO ·
11 the appllCant or-future building occupant raqulrad to obtain. e. s::armlt from the air p0Uution control dl1otr:ct or air. quality management district? O YES O NO
11 the facUJty to be conatructad Within 1,000 feat of the outer booode,y of a achool'aita? 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 T~E "AIR POUUTION CONTROL DISTRICT,
I hereby ~fflrm that thara ls• conati-uctlon landing agancv fot the performance of the ~ork for wNch thla permit le laaued (Sec. 309711) Civil Code}.
LENDER'S NAME LENDER'S ADDRESS
* Riifii#NMMlffiMi!MN
I certify lhat I h•v• rHd tha application alid 1tata th1t .tha above lnfoimatlon la corract and that the Information on the plans la occurate, I agree to comply with 111
City otdlnancea and State laws ralatlng to building construction. I hereby authorize raprasentatlva.a of the Cltt of. Carlabad to enter upon the above mentk>nad
.property fo, lna:pactlon purpoaaa •. I ALS.Q AGREE . TO SAVE, INDEMNlfY AND kEEP HAf\MLESS THE CITY OF CARLSBAD AGAINST ALL UAJSIU_JIES,
JUDO.~ENTS, COSTS AND ~PENSE$ WHI_CH MAY IN ANY·WAY ACCRUE AG~NST SAID CITY IN CONSEQUENCE OF THE O!'ANTING OF THIS PERMIT.
OSHA: An OSHA parmlt 11 required for excavations over 6'0" deep and damolldan o, conatructlon ot atructuru over 3 Storlaa ln_halght.
~IRATION: Every perrn!t Issued by Iha building Olflclal unctar the provlslona of thla Code ahall expire by llmltallon and become null and vokt If the building or work
authorized by •uch pennlt lo nol commenced wllhln 180 da~ from the date of ~ch permll or W lho bulldlng or work authorized by •ri permit lo ousponded or abandoned
atanytim ,1torlheworklo encedf\Jl'aperiodof18 yo(S 1 .4.4 formBulldlngCodo). l:\ ( C,\~~c:-_
APPUCA, ·s SIGNATURE -_ DATE -+~,,_L,i.,,,,_14-,->L • .,. )'}+':J_,_,, _ _j__,, ___ _
WHITE: FIio . YELLOW: Appllcan PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 1 0/28/2005
Permit# CB053593
Title: DODDS RES REPLACE H2O HEATER
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1032 LANDS END CT
Lot
APPLICANT HANNA PLUMBING
0
Inspector Assignment:
Owner: DODDS JOHN A&ANNA N REVOCABLE TRUST 12-09-91
Remarks: AM PLEASE
Total Time:
CD _D_e_s_c-rip-t-io_n _______ Xia Comment 25 Water HeaterNents _I_
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Requested By: MR DODDS
Entered By: CHRISTINE