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HomeMy WebLinkAbout1732 EAST POINTE AVE; ; CB052287; Permit06-21-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB052287 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1732 EAST POINTE AV CBAD PLUM 2073812300 Lot#: 0 Construction Type: NEW RAILSON RES REPLACE H20 HEATER Status: ISSUED Applied: 06/21/2005 Entered By: Plan Approved: Issued: Inspect Area: KG 06/21/2005 06/21/2005 Applicant: CALIFORNIA DELTA MECHANICAL Owner: RAILSON SIMONE L TRUST 10-28-04 SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 29065 N68TH WAY SCOTTSDALE AZ 85262 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $o.m Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Paiffnents To pate: $0.00 BalanceDue: $27.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WTH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE J|Jj^4Q(>SIGNATUREi244£:l FINAL APPROVAL •^^00 '36/21./05 00O2 01 CGP Inspector: Date: Clearance: NOTICE: Please take NOTICE ttiat approval of your project Includes tlie "Imposition' of fees, dedications, lesen/ations, or other exactions tiereafter collectively referred to as fees/exactions.' You tiave 90 days from the ciate this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procectures set forth In Govemment Code Section 66020(a), and file the protest and any other requiied 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 askle, void, or annul their liTipositk)n. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exacttons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sewice fees in connectton with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has orevtouslv othenwise expired, 02 27 ..00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK N EST. VAL. Plan Ck. Deposit Validated By . Date (f " "ZA Address (include BIdg/Sulte #) Business Name (at this address) Legal Description Lot No. Subdivision Na(ne/Numt)er Unit No. Phase No. Total # of units Assessor's Parcel # - - ExjstingUse . fj /) sscriptibn of Work SQ. Fr MIA Stories # of Proposed Use Descripl Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from appiicant) , ^ ^ in ^ » Name 3. APPUCANT fcontradbr ;': • Agent for Contractor Name 4. PR( Address • Ovmer City • Agent fc)r Owner State/Zip Telephone # ' AHHraee City State/Zip Telephone # Name ' ' ' w - p^^^^^ CONTRACTOR-COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pemiit to constaict, 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. Any violation of Section 7031.5 by any applicantfor a permit subjects ftte/applicant to a dvil penalty of not more than five hundred dollars [SSOO]). < ^ Name state License # Address License Class City Telephone ne#T State/Zip , City Business License # f X f 8^ / Address City State/Zip Telephone # Designer Name State License # | \ \ 6.. W Woricers' 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 perfomiance of the work for which this permit is issued. jSL, I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which tliis pemiit is issued. My wori(er's compensation iijsurajce carrier and policy,number^e: i y / rTi c>'0 *2. ri I /i» , Policy No. qb^T'Q^^ Expiration Dale ift' ^-^ Insurance Company. LET^O IF as. (THIS SECTION NEED NOT BE COMPLETED IF THE PERIfllT IS FOR ONE HUNDRED DOLLARS UIOO] OR LESS) • CERTIFICATE OF EXEMPTION: I certify that in the performance of the wortc for whioh this permit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation iWs of Califomia. WARNING: Failure to sedure workpr^^gmpensBtion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($10a,000). In adiltnnVto^rte c|^^OT):Qmpw damages are provided for In Section 3706 ofthe Labor Code, interest and attomey's fees. SIGNATURE (JT^^V^—' — DATE_ 7, pWNER-BUILDmp^^ ^~ ~~~ I hereby affirm thayfamNsjiempt frcni the Contractor's Ucense Law for the following reason: • I, as owner of the properfy pr my employees with wages as their sole compensation, will d the woric and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Tne 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). • I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an ovmer of property «rtio builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's Ucense Law). • 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. • YES • NO 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 constmction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the woric, but I have hired the following person to coordinate, supenrise and provide the major work (indude name / address / phone number / tontradors license number): 5. I will provide some of the work, but I have contraded (hired) the following persons to provide the vroric indicated (indude name / address / phone number / type of woric): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazaidous matenals registration for or nsk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES • NO Is the applicant or future building occupant required to obtain a pemiit from the air pollution control distrid or air quality management district? • YES • NO Is the fadlity to be construded within 1,000 feet of the outer boundary of a school site? • YES DNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFHCE OF EMERGENCY SERVICES AND THE AIR P0U.UT10N CONTROL DISTRICT. I hereby affinn that there is a construciion lending agency for tiie performance of the woric for whicli this LENDER'S NAME LENDER'S ADDRESS. I certify that I have read the application and state that the above Infonnation is correct and that the informafeon on the plans is accurate. I agree to comply with all City onjinances and State laws relating to building constmdion. I hereby authorize representatives of the City of Carisbad to enter upon the above mentioned property for inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TNE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THtS PERMIT. OSHA: An OSHA pennit is required for excavations of S'O* deep and demolition or constmdion of stmdures over 3 stories in height. EXPIRATION: Every permit issued by the building Offidal und^he provisions of this Code shall expire by limitation and become null and void if the building or woric authorized " • ' • sdatelpf such pemiit or if thebuilding or woric authorized by such permit il 4,4kjniform Building C^e). DATE by such pennit is not commenced within 80 days the woric is commenced for a penod c APPLICANT'S SIGNATURE ! suspended or abandoned at any time after WHITE: File YELLOW: Applicant PINK: Finance