Loading...
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