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HomeMy WebLinkAbout1629 BACCHARIS AVE; ; CB070379; Permit02-12-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070379 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1629 BACCHARIS AV CBAD PLUM 2156701704 Lot # Construction Type THOMAS RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/12/2007 KG 02/12/2007 02/12/2007 Applicant ANDERSON PLUMBING INC,WALTER 11 SON MARSHALL EL CAJON, CA 92020 619-449-3852 Owner THOMAS DANIEL 1629 BACCHARIS AVE 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 • $000 $000 ' - SO 00 $000 . • • $7 00 - ' * $0 00 ' $0 00 ' ; ' $0 00 $000 $0 00 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1^ 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 vou have previously been_qjve_n a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date /, X Business Name (at this address) Legal Desription Unit No Phase No Total # of units Proposed Use Name Name IDU&p Address ftyL.^SLtfay*-- /* tJajo £/f'-w?-7. ''City State/Zip Telephone # Fax* T^t Name Address City State/Zip Telephone ff i I , , . ii s, j*> , . ,Sx%*H>1«_»^tt«Kit''rf»W*WfkW (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 Divisron-3 of the Business and Professions Codel.or that he is exempt therefrom,.and the basis for the alleged ex«"n->tion Any violation of Sectiort 7031.5 by^any applicant for a permit subjects the applicant to a civil penalty of not more than fjve hundred dollars [S5Q011 Name / / /} <2State License # £•/ T^ Designer Name State License # 7 Address /y f/i- s*) f? /IU>C> License Class C "OCP Address Cfty State/Zin " City Business License 9 [O7 City State/Zip Telephone # t , - •i fi i f\ Telephone • |" ^SfifTjiii ^^f "5iL^r|t^£*>4jsSi*1?^!ffi3^i''™«l'T'''!i i3t|i'i"^t^)^'-^&?ffi'^"5*til'p^^>fj1 * ^/'^* jf!^T**i ^liS¥<f*i* Workers' Compensation Declaration I hereby affirm under penalty of perjury ona of the following declarations O 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 ihe work for which this permit is issued '"Sh"! 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 /ssued My worker's compensation insurance carrier and policy number are Insurance Company *r~)Q ifN^OV1^ V_ Policy No | p M 0 o£Lf £~-OL^^P Expiration Date Olff) I {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS) - Q CERTIFICATE OF EXEMPTION I certify that in tha performance of the woih, (or 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 ( ^ p. n'/^si,. A' /"T *", the cost pf compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURED /) (JW^ UJtAAgjfl, DATE_0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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) Q 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) [~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 O YES QNO 2 I {have / have not) signed an application for a building permit for the proposed work 3 1 have 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 •COMPLETE DATE NO bcowiiTc-mut'v^ssiit"fi !SKj™^ WE? oi'?^ ! ^WJ1' %r?*QSin^«^i*1'!rfa^i™1*1'3A*!H?^!*'vifMi*'?)H^si >«•*'* £*«I^CttlVlJ^I^^WPll*! *,fjf,!2£ * £j .Tvi" I.' $,ft:^ *& £s!,^ £.'£"3^ £& . L. ~? J> ^:iy' r & ^ ' K ..... .^'Jf ^' -' P ' ,**? * >.x' *t '.;> ? iM ^ 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 tha air pollution control district or air quality management district? C] YES Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES Q 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 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION 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 commenced 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 tirr I'terthe work is conrmenced fora period of 180 cfays {Section 106 4 4 Uniform Building Code) APPLICA SIGNATURE DATE WHUTE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/02/2007 Permit# CB070379 Title THOMAS RES REPLACE WTR HTR Description Inspector Assignment Type PLUM Sub Type Job Address 1629 BACCHARIS AV Suite • Lot 0 Location OWNER THOMAS DANIEL Owner THOMAS DANIEL Remarks Phone 6194493852 Inspector Total Time CD Description 25 Water Heater/Vents Act Comment Requested By NA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments