HomeMy WebLinkAbout1745 EAST POINTE AVE; ; CB042312; Permit06-10-2004
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit PermitNo: CB042312
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1745 EAST POINTE AV CBAD
PLUM
2073813100 Lot#: 0
Construction Type: NEW
HEREDIA RES-COPPER RE-PIPE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/10/2004
RMA
06/10/2004
06/10/2004
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Owner:
HEREDIA EDWARD S
1745 E POINTE AVE
CARLSBAD CA 92008 4130 06/10/04 0002 01 02
CGP 57.00
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 1 $7.00
Water Heater and/or Vent 0 $0.00
Gas Piping System 0 $0.00
Vacuum Breaker 0 $0.00
Other Plumbing Fees $30.00
Master Drainage Fee $0.00
Sewer Fee $0.00
Additional Fees $0.00
TOTAL PERMIT FEES $57.00
Totai Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or otfier exactions hereafter collectively
refen'ed to as "fees/exactlons." You have 90 days from tfie 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 Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City t^/lanager for
processing in accordance with Carlsbad IVIunicipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attacic,
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 given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
n4<
FOR OFFICE USE
PLAN CHECK NO
EST. VAL.
Plan Ck. Deposit
Validated By
Date
AdtJress (include BIdg/Suite H) Business Name (at this address)
Legal Description Lot No.^^^^^_^^^^dlvlslon Name/Number Totol H of units
Assessor's Parcel 9
criptlbn'of Work "
Existing Uss Proposed Use
Descriptlbn of Work j ' ' ' SQ. FT. #of Stories * of Bedrooms ft ot Bathrooms
Name Address City Stete/Zip
\J0£<-:i~\\c^ irv^Jt^. 6^tW2. >oA^v.^ £^;bc^ 'ItZ. LOO
Telephone ff Fax ff
PpTt; ::,r.iij!H!T!l>'fcn|-,.I : : • • •
Addross '.-1 City Stata/Zip Telephone ff
State/zip TelephonB f
Name
Name ' Address ' City S.tSte/ZIp
s: ••^'x(3NtRAcfdR;^"cbi«PA^ ^^^w.siiT,,misrc|«i'fffisf^^^^ . i
(Sec. 7031.5 Busineiss 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 rectuires the applicant for such permit to file a signed stafement that he Is Iicansad pursuant to the provisions of the Contractor's!License Law
IChapter 9, comrriehdihg with Section 7000 of Division 3 of the Business and Professions Code! or that he Is exempt thetefrom, and the basis for Ihe alleged
Bxe^py^n^Any Violation of Section 7031.5 by any applicant for a permit subfects the applicant to i civil penalty of not mote than five hunjlred dollars IS500II.
Addrsss Name I
State License # License Class CLo C^'<^
City State/Zip Telephone #
city Business License #
Address City State/Zip
lpi.ipiSj|!ff:;r';F'
Telephone
(:6i«f'eisi§AffdrifB*j?«fif^^^^^^
ation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of tho Labor Code, for the: performance
wtjich this permit is issued.
maintain workers' compensation, as required by Section 3700 of tha Labor Code, for the parfarmanca of the work for which this permit is
s compensation insurance carrier and policy number are: / ,
fYVV2a4 UgA . • PolicyNo. 24>^^?i=M^ -01 Expiration Date t/l iQ^
will I
vill
NE ED NOT BE COMPLETED IF THE PERIVIIT IS FOR ONE HUNDRED DOLLARS |$ 1001 OR LESS)
OF EXEMPTION: I certify that in the performance ot the work for which this permit Is Issued, I shall not employ any person in any riianner so as
to^baWorkers' Compensation Laws of California.
re workers' compensatlj
]n addition tt) the co^i
fteraga Is unlawful, and shall aubjact an amployer to criminal penalties and civil fines up to one hundred
Nation, damages aa provided for In Section 3706 of tha/Lalibr code. Interest and attorney's fees.
Designer Name
State License H
IB; 'Wc)RKBFis
Workers' Compen^
CD I have and
of the work for
I have and
issued. My worke
Insurance Compa
(THIS SECTION
• CERTIFICATB
to become subject
WARNING: Fallur] i
thousand dollars (
SIGNATURE
bWNER-BUlL DER DECLARATlbN ' lii:¥j1*ififh'5^Pflf ^^^^
I hereby affirm thai I am exempt from the Contractor's Licansa Law for tha following reason:
n I, as owner of the property or my employees with wages as their sole compensation, will do the work and fha structure is not Intended or offered for sale
ISec. 7044, Business and Professions Code: Tha Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who dotis
such work himself ir through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvemnni is
sold within one yeer of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale).
O I, as owner of the proporty, am exclusively contracting with licensed contractors to construct tho project (Sec. 7044, Business and Prolessions Code: The
Contractor's Liceni e Law does not apply to an owner of property who builds or Improves thereon, snd contracts for such projects with contractoi(s) licensed
pursuant to the Co itractor's License Law).
0 I am exempt mder Section Business and Professions Code for this reason:
1. I personally plan to provide tho major labor and materials for construction of the proposod proporty Improvement. O YES ONO
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I havo contracted with the following porson (firm) to provide the proposed construction (include name / address / phona number / contractors license number):
DATE.
4. I plan to provi f
number / contractoi|s
5. I will provide
of work):
0 portions of the work, but I have hired the following person to coordinate, supervise and provida tho major work (include namo I address / phono
license number):
omo of tho work, but I havo contracted (hired) tho following persons to provide the work Indicatod (Include name / address / phone number / typo
PROPERTY OWNEP
CiOiVIPLETi THIS
Is the applicant or
program under Sect
Is the applicant or
Is tho facility to be
IF ANY OF THE
REQUIREMENTS OF
8i CdNStRUCTicpN
I hereby affirm that
LENDER'S NAME
9: AfiPLICANt
\ certify that I have
City ordinancos and
p'oporty for inspocl
JUDGMENTS, COS
OSHA: An OSHA
EXPIRATION: Everl-
aulhorized by such f
al nny lime aller Ihe
APPLICANT'S
SIGNATURE DATE
stctidN Pbtii'Aro/vSES/D£w ,,r.|
uturo building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pievcntion
ons 25505, 25533 or 25534 of tho Proslay-Tannar Hazardoiis Substance Account Act? • YES • NO
building occupant required to obtain a permit from the air pollution control district or air quality management district? • YES • NO
onstructed within 1,000 feet of tho outer boundary of a school sito? • YES • NO
ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TIIE
THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
LENtJINGiAiSENtJV ^' " ' " ,{• f^^^W^^^^W^f^^W'W^'^-'^-'''^^ '•''-'' ' '
hero is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENDER'S ADDRESS
Ci ;RTIFiCAf tON!;
rs,
ead the application and stato that the above Informafion Is correct and that the Information on tha plans Is accurate. I agree to comply wilh all
State laws relating to building construction. I hereby authorize reprasentativos of the CitV of Carlsbad to enter upon the above iiienlioncd
ion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL IIABILITIFS,
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories In height.
permil issued b/lhe\ullding Official under the provisions of this Code shall expire by limilatlon and become null and void 11 Ihe building oi woik
rmil is not c^nTtnenced within 180 days from the dale oL«uch permit or il Ihe builciing or work aulhorlzed^y sych permit Is suspended or ah.niidonnrl
icedJorIa period of 180 days (SB0l6n\ln6l4.4-ynlform Building Code).
SIGNATURE
City of Carlsbad BIdg Inspection Request
For: 06/18/2004
Permit# CB042312
Title: HEREDIA RES-COPPER RE-PIPE
Description:
Inspector Assignment: JM
Type: PLUM Sub Type:
Job Address: 1745 EAST POINTE AV
Suite: Lot 0
Location:
APPLICANT ARS
Owner: HEREDIA EDWARD S
Remarks:
Phone: 8586775455 EX 205
Inspector:
Total Time:
CD Description
29 Final Plumbing
Act Comment
^
Associated PCRs/CVs
Requested By: VERONICA
Entered By: CHRISTINE
Inspection Historv
Date Description Act Insp Connments
06/17/2004 24 Rough/Topout AP JM CWB OK