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HomeMy WebLinkAbout1230 MARIPOSA RD; ; CB100594; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-06-2010 Plumbing Permit Permit No: CB 100594 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1230 MARIPOSA RD CBAD PLUM 2122210100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: WHITE RES REPLACE WTR HTR Applicant: ANDERSON PLUMBING INC.WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 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: WHITE NANCY L 1230 MARIPOSA RD CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 04/06/2010 KG 04/06/2010 04/06/2010 $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: 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 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 informat'lon 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. i~~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www,carlsbadca.gov SUITE#/SPACE#/UNIT# # ... Plan Check Ni.! 810()59 Est; Value Date D ""'' EXISTING USE PR ..... Al CONDITIONING FIRE SPRINKLERS YES □ NOD YES O NOD CONTACT NAME (It Different A»m ~ ADDRESS ADDRESS STATE ZIP PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME L,,,-1---e.. tA," ADDRESS I )-J C> ADOR'5S t c,TY £ / C1rz;/J CA it 6 6 EMAIL ARCH/DESIGNER NAME & -'DORESS STATE UC.# (Sec. 7031.5 Business and Professions Code: My City or Coun_ty Which requites a J)('mlit to construct. alter, improve, demoflsh °'foi:lr any structure, orior to its Issuance, also requires the applicant for such permit to file a slined statement ttiat he is licensed pursuant to the provisions of the Contractor's UCense Law I11ter 9, commending with Section 7000 of Division 3 of the ~ and Professions COde} or ht he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any appllCant for a permit subjects the applicant to a CtYil penally of not motj!I than frve hundred ctoHars {$500}). WORKERS COMPENSATION -·c-1on-,1~---at-oneatlhe--□ I have and will maintain a certllcate of conMtd to Ml-iuurl for wonc:ers' compensation as provided by Section-3700 of the Labor Code, for !tie perforNnce rJht wor1I: for which tis permit is Issued. llri haw and wil ffllifttlln womtl' l.Ollipli .UO., '!11 r by &don 3700 of the Labor Coclt, fer lie perfomlance of !ht work br wtic:h !his permi! is isltad. M-/ '#OIUtS' compenqlion lnslnnce r:; and policy m.mo,, are, Insurance Co. :Z. e. , j' Poley No. :Z o lo 'f , , ( (p 6 ( -""" ---Z -IQ need not be mmpleted If lhe permit Is k>r one hundred dollars ($100) or less. of Exemption: I certify that In lhe performanc& of lhe work forwtich this permit Is issued, I shall not employ Sll'f person In any manner so as lo become suti;ect lo the Workeis' Compenaatiar,Laws of ARNING: Fall\n lo MCUre workers' compensation cow,age ls umawful, and shall subject an employer to criminal penalties and dvfl lints up to one hundred thousand doln{&180,008), In addklon to the cost of COfflJ)llf'tlat, damag11 at vtded for in . 37 the Labor code. internt and altorney'I fen. E CONTRACTOR SIGNATIIRE ~~ii' ,:!l""I....-; .... --flfCGENT I herebyBffitm that I am exempt from Conlractot's License Law for the following reason: □ I, as owner of lhe property or my employees wilh wages as lhelr $ale compBfl88tion, will do the won( and the strooture is not inmoded or offered for sale (Sec. 7044, Business and Ptoressionl Code: The Cootactor's License law does not apply to an owner of property who builds or lmproYe5 !hereon, and who does such work hi'nself or through his own employees, provided Iha! !IUCh lmprow!fflenlS are mt intended or offer8d for sale. If, however, the building or improvement Is sold within one year of complfnorl, the O'Mlllf-builder wlM have the burden of proving that he did not tMild « ifPproYe for lhe pwpos,e of sale). □ I, as ownerol lie property, am exclusively conlrading with bnsed contradtlfS IOconstruct the profect(Sec. 7044, Busl1'18S5 and Profeislons Code: The Contractor's Liceflae law does not apply to an CMOer of properly who builds or lmproi;es thereon, and contracts for such projects wilh conractor(s) licensed l]Ol'Suanl lo lhe Conlraclor's License Law). □ I am exempt under Section __8uainess and Proklssk>nS Code tor IHs reason: 1.1-plan lo-lhemajo, obornl -la-'°""'1lelonol"'-l"'l""Y ~t. □ Vos □ No 2. I (have / have not) signed an appicallon for a building permit for the proposed wort. 3,l...,.-wflh.,,""'""'1gpen,on(firm)io_lhe,..,,.,.....,.,..,_(lndudename,_lphone/oo-·liconee ...-): •· I pla, to provide portions ofV. work. butt have hired lhe bllowing person t:> rooniioata, superviae and provil::le the major work (Include name/..,./ phone/ conncfors' license All'l'lber): 5. I will Jr(Mde liOfl'IEI d lhe work, but I have contraded (hired) the following peniona lo provide hi work lr1dil:lled {lnclYde name / ~ / phone I type of watc): E PR<l'fRTY OWNER SIGNATIIRE ClAGENT DATE COMPLETE THIS SECTION FOR NON-RESIOENl'IAl BOIi DiNG PERMITS ONLY lsfle applicant or fuue building oalJPlfll l1IQIMl9d lo submit a bWiness plan, actdely hazardous materials~ bm or risk ffllltlijii1ad. and~~ under Sectirm 25505. 25533 or 25534 rl lhe Preoley-T....,....,_ s.-Aa:oun1Ac1? 0 Y• □ No hlle_or,....""'""1goccupanl-~-•-flom'1e,.poll.<ion"°""'clslrictor,.qua1~--□Y• □No Is It. laclily lo be constnx:llld wllhin 1,000 M81 ol lhe outer boundary ct I school site? □ Yes □ No F Nf'f OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMElfTS OF THE OFFICE OF EMERGENCY SERVICES AHO TIE AR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I ~ aflinn lhat them is a construction lend,ng agency for the of the wot!< this pem,11 is issued (Seo. 3097 ~) CM! CO<le) Lender's Name Lender's Address APPLICANT CERTIFICATION IClltlf)'INIClhMadlfloapplk:atioRand .. ltlatUle ......... lsCIIR8Cl:andllatilelnlonnallonon1heplal&IIICQIAlte.l ... W~-IIQlrCNdlulalwlSl-...._r911t11CIDINIINn(QWIA dee lhelillj...--ol ... Ciyol_i> __ ,,, __ ~l:rnpocliln-. lN.J!OAGREETOSA\IE, NOEMNIFYNIDKEEl'IWM.ESST1£C/TYOFCNI.SIWl AGAINST All LIABUTIES, .A.OOMENTS, COSTS Al'll EXPENSES l\tllCH MAY IN /Wf WAY ACCRlE AGAINST SAIOCTTY INCOISl!<lJENCE OFlHEGRANT'NG OFT!ilS PERMIT. OSHA:NI OSW.pennit•IOQt.ildl:r-.,_50'deef>and-orconstrudionol-..,,-3Sbiesi1 ~ EXl'1RATKlN: Ewty pe,mit issued bylle BuldrlgOllcial <>m'1e pro,l,inollis Cocle-e,pieby lrrilaion and beo>menul and""' 11,e bJildilg or-..-by such p,nrilB notomtWad- 1110 dajstom tie d■ltof lUd!-orlllebuidi,g w--by'J"j~,._ ~,....•-or_at...,limo *lie_ is_ fora-ol 1110 ..,.(_, 106.•.• -l!uiling Coclef DATE 1./-G,- 4\ -City of Carlsbad Bldg Inspection Request For 04/27/2010 Permit# CB100594 Title: WHITE RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1230 MARIPOSA RD Lot: OWNER WHITE NANCY L Owner: WHITE NANCY L Remarks: AFTER 1 :30PM PLEASE Total Time: 0 Act Comments Inspector Assignment: Phone: 6194497646 lnspecto~ Requested By: ZACK, ANDERSON PLUMBIN Entered By: CHRISTINE CD Description 25 Water HeaterNents ttf---------~ J Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments