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HomeMy WebLinkAbout1708 OAK AVE; ; CB022645; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-05-2002 Plumbing Permit Permit No: CB022645 Job Address: Permit Type: Parcel No: Reference #: · Project Title: Applicant: HANNA PLUMBING Building Inspection Request Line (760) 602-2725 1708 OAK AV CBAD PLUM 1562201400 Lot#: 0 Construction Type: NEW DAVIS RES REPLACE GAS WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: DAVIS JIMMIE D&DOROTHY J ISSUED 09/05/2002 SB 09/05/2002 09/05/2002 1708 OAK AVE CARLSBAD CA 92008 5625 09/05/02 0002 01 643 S. SANTA FE VISTA CA 92083 760-726-2002 Total Fees: $27.00 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 TOT AL PERMIT FEES Total Payments To Date: 0 0 0 0 1 0 0 $0.00 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 $27.0'0 . CGP $27.00 02 21.00 li~a.: cl-,, -oJ \ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. 1 PROJECT !fiq_'ORMATI::' 1 rt 0'6 ttJa~ FOR OFFICE USE ONLY .,.- PLAN CHECK NO. C '3<!Je._2,C:, 'f ~ EST. VAL. _________ ~ Plan Ck. Deposit--------- Validated BY.,...c.::.._..,...::,Jl;;.__ ______ _ Date ¥5/oz._ Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Telephone# ;J-f-5;;)_ 9 3 Name State/Zip Telephone# 4. . PROPERTY OWNER Sa:»10, Name Address City S.tate/Zip Telephone# 6. CONTRACTOR • COMPANY NAME ' . (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, commen.ding with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged e e ption. Any violatio f Secti 7031.5 by any1aJ?plic.'rt for a permi sub' ts the applicant to a civil penalty of not more than five hundred dollars ($5001). 1 'f..5-::::, · S l/ /! · IA. !) ',?-6 -.;J...DO 2_ Name State License # / 0 Vt/ 0 Address C License Class -=-...:3=...:&:>=------City State/Zip Telephone # City Business License # i..f fp { ~Q6 Designer Name 5? State License # JO Cf D Address City State/Zip Telephone 8. -WORKERS' COMPENSATION . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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 ,ti' the work for which this permit is issued. zy 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 red. My worker's compensa · i~surance car ier and poij y number are: " ! 0 I ! I J Insurance Company Policy No. H( /1 ) C. 0 { 3 £Alf o_-Q Expiration Date _ 6 / D 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / / IJ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallur to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll a ($ 00,000), n II dltlo to the cost of compensation, damagea as provided for In Section 3706 of the abor de,.lnterest and attorney's fees. SIGNATURE DATE ~f-~~::::"""!'~=:;:;;;_~-·=-=~,. 7. OWNER-BUILDER DECLAFjATJO I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 app(y 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). 0 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 I 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 I address I phone number I contractors license numberl: 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 I contractors license numberl:------------------------------------------------ 5. I will provide some of the work, but I have contracted (hired I the following persons to provide the work indicated (include name / address / phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ------------------------ COMPLETE THIS SECTION FOR NON-RES1DEN17AL.BUILDING PERMITS ONLY 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? 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. ,§. CONST~UCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Codel. .LENDER'S NAME--------------- \9.· APPI.ICANT CERTIFICATION 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. 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 time after the work is c m ced for a e · do 1 days (Section 106.4.4 Uniform Building Code). t;!~--J l'I -::. APPLICANT'S SIGNATUR DATE ~-~ Lf:./ c:::__ I ITE: File VFl I OW· Annf;r~nt ' Ir:,P)g)if;~ City of Carlsbad Bldg Inspection Request For: 09/11/2002 Permit# CB022645 Title: DAVIS RES REPLACE GAS WATER Description: HEATER Type:PLUM Sub Type: Job Address: 1708 OAK AV Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Owner: DAVIS JIMMIE D&DOROTHY J Remarks: Total Time: CD Description 25 Water HeaterNents ~ Comments Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7607295293 Inspector: >~ Requested By: JIM DAVIS Entered By: GIOVANNA