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HomeMy WebLinkAbout1750 NOLINA CT; ; CB052946; PermitCity of Carlsbad -1635 Faraday Av Carlsbad, CA 92008 08-11-2005 Plumbing Permit Permit No: CB052946 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1750 NOLINA CT CBAD PLUM 2158810701 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: SAMONS RES REPLACE H2O HEATER Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: SAMONS FAMILY TRUST 1750 NOLINA CT CARLSBAD CA 92009 ISSUED 08/11/2005 KG 08/11/2005 08/11/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: EXPIRED PERMIT $27.00 PERMIT HI\S EXPIRED IN ACCORDANCE WITH ~C- SECnOH 106.4.4/l.S AMENDED SY C.M.C.18.04. -·f5.5e OB, .L.: .,:r; )002 -:J..:.. Inspector: DIITE s\wln,, s1GNIITURE'"'Or;.l:M~-----• :. FINAL APPROVAL Date: C.{Jif:,, Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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, gradirg or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any • -• ; ....... ,i.. .. ,,,..,nr-'·""''"'J,, .. ,, ...... ,.-.~ .. : ..... 11 .. ·•"•h:~ nr ............ i..;,..i..u,,., ··· -•1: ...... i ' .......... i"'"'IV"'"'""";""""";r,.,,., PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECT l'Zi2.TION /-7-50 JN,1 FOR OFFICE USER~~~>'> 2 t)J, J £ PLAN CHECK No<..'..~,,:U~_./_ · __ /_1_ .ft7 EST. VAL.--~-------- Plan Ck. Depos'li H--------- Validated By -++-r,.-,-,-;;.;;;.--<---- Date -----1-4,.C,~-"='----- Address (indude Bldg/Suite#) Business Name (at this address) legal Description lot No. Subdivision Name/Number Unit No. Phase No. T otat # of urnts Proposed Use # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from appllcantl L f -7'A - Name ress 3. APPLICANT ti.._ Contractor O Agent for Contractor 6,Ae .Kt>Lt;-"V r£ 35' Name Address Telephone# 4. PROf.ERWTY OWNER / _, A. , J , A I ". ,.,..6~&~t!:~O.~.S--,~n_rr~,C~rr=11/,(i=v>-~1~~~~N'1E:.L.N/I Cr Name Address City StateJZip (¼f!~.(Jf Telephone# 5. 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, 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 applicant or a permit subjects plicant to a civ;il penalty of not more than five hundred dollars [j500]). • . ' . ~ 5 -0 5 . ri ·/4~ e a .I:' 2.0 a Address City Telephone City Business license# ___________ _ Designer Name State License# '.?; I i I \ 4-Address City State/Zip Telephone# 6. WORKER'S COM PENSA llON Workers' Compensalion Declaration: I hereby affirm under penally of perjury one of the following declarations: D l have and will maintain a certificale of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. Ja_., 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 this permit is issued. My wol"Ker's compensation i sura ce carrier and polic~ number : '2. / / .l'1 lnsuranceCompany ~ · f\1 . , Policy No. 1{ (,qJ:8;"2._.:..:, Expiration Date :f ff (OIL (THIS SECTION NEED NOTBECOMPLE D IF THE PE ITIS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D CERTIFICATE OF EXEMPTION: 1 ce ify that in the performance of the worK for which this permit is issued, l shall not employ any person in any manner so as to WARNING: Failure to se dollars{$100,000), In ad I n SIGNATURE l hereby affirm th mpt fr D I, as owner of the property r my employees with wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: T e 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, proVlded that such improvements are not intended or offered for sale. lf, however, the building or improvement is sold within one year of completion, the owner-builder 'Nill have the burden of proving that he did not build or improve for the purpose of sale). D 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). D 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. D YES D 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 construction (include name I address/ phone number/ contractors license number): 4. I plan to provide portions of the wol"K, but I have hired the following person to coordinate, supervise and provide the major work (indude name/ address I phone number/ /ontractors license number): ---------------------------------------------- 5. I will provide some of the work., but \ have contracted (hired) the following persons to provide the work indicated (include name/ address I phone number I type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE _____ ~------ WH.ITE; File YELLOW; Applicant PINK: Finance \ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE. THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous matena\s registration for or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES O NO 1s the applicant or future building occupant required to obtain a permit from the air pollution control district or atr quality management district? □ YES □ NO Is the faciUty to be constructed within 1,000 feet of the outer bOundary of a sc~ol 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ts issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS ___________________ _ 9, -APPUCANTCERTIFICATION 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 an City ordinances and State laws relating to building construe-ti on. I hereby authorize representatives of the City 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the building Offiaa under ipf0Vls1ons of this Code shall expire by hm1tat1on and become null and void if the building or work authonzed by such permit Is not commenced within 1 BO days fro e date of uch permit or 1f the bu1ld1ng or work authonzed by such permit is suspended or ab7doned at any time after the work ,s commenced for a penod of O days S on 106 4 4 1form Bu1ldmg Code) ,, APPLICANT'S SIGNATURE • DATE---~--~------- WHITE: File YELLOW: Applicant PINK: Finance