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HomeMy WebLinkAbout1359 CASSINS ST; ; CB061683; Permit06-14-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB061683 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1359CASSINSSTCBAD PLUM 2156914000 Lot#: 0 Construction Type: NEW PRUETT RES REPLACE H20 HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/12/2006 KG 06/12/2006 06/12/2006 Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner: PRUETT MICHAEL G&ANN F 1359 CASSINS ST CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: V tL/e <*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. 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. • Plan Ck. Deposit Validated By Date Address (include Bldg/Suita //)Business Name (at this address! L«aal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units AssessorXParcel #?k<^Existing Use Proposed Use Description of Work SO.. FT.#of Stories # of Bedrooms tf of Bathrooms Name isiiiiiicaMRliiilli^lHffllHilii (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. Anvviolation of Section 7031.5 by any applicant for a permit subjects rtie,applicant to> civil penalty of not more than five hundred dollars IS5001). Name State License # Address License Class J C^- 3 £7 City State/Zip City Business License # 1 Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 1~1 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. \ Q 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date ITHIS5E' l2rcEF :CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100J OR LESS) CERTIFICATE OF EXEMPTION: I 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10Q^)40Orjpldition tajhf cost qfcCQfl-pensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE ^^^f ^X,-. J ^\ f -^ DATE • . " ' ' 7,,, 'QWNEflreUICDEfl|DECEftWlOr«^ I hereby affirm that I am exempt from the Confrector's License Law for the following reason: [3 I, as owner of the property or my employees with wages as their sola 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). l~l 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 contractors) licensed pursuant to the Contractor's License Law). [~l 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. l~) YES C]NO 2. I (have / have not) signed an application for a building permit for the proposed work: 3. I hava contracted with the following person (firm) to provide the proposed construction (include name / 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 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [~1 YES l~] 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. 3097(i) Civil Code). LENDER'S NAME. : __ LENDER'S ADDRESS_ 9,i 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. 1 hereby authorize representatives of the CitV 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 forjexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATfON: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenceg^tMiM 80 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 commenca_Mf?rj p%«jra 1JO daAi^.ectiorfltte£.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE:, DATE YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For: 08/11/2006 Permit* CB061683 Title: PRUETT RES REPLACE H2O HEATER Description: 1359 CASSINS ST Lot Type: PLUM Sub Type: Job Address: Suite: Location: OWNER PRUETT MICHAEL G&ANN F Owner: PRUETT MICHAEL G&ANN F Remarks: DID NOT SAY WHAT WAS NEEDED Total Time: CD Description 21 Underground/Under Floor Act Comment Inspector Assignment: Phone: 7604384313 Inspector: Requested By: PRUETT RESIDENCE Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments