HomeMy WebLinkAbout1769 NERINE WAY; ; CB062983; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-16-2006 Plumbing Permit Permit No: CB062983
Building Inspection Request Line (760) 602-2725
Job Address: I769NERINEWYCBAD - •
Permit Type: PLUM ' ' - ' Status: ISSUED
Parcel No: 2158812615 Lot #: 0 Applied: 10/16/2006
Construction Type: NEW Entered By: KG
Reference #: Plan Approved: 10/16/2006
Issued: 10/16/2006
Project Title: LEE RES REPLACE WTR HTR
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Inspect Area:
Applicant: Owner: -
AFFORDABLE WATER HEATER - •- LEE K&S TRUST 03-29-05
24707 SAN FRANANDO RD ,-- 1769 NERINE WAY... N SANTA CLARITA, CA 91321 - CARLSBAD CA 9201.1
661 259-7131 . -" "• • -: -' "j'
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I I . .
Plumbing Issue Fee / " / ,
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' •. 'S5' ' $20:00
Fixture or Trap $000
Building Sewer / - 0 ] $0,00
Roof Drain J .' 0 k •:---, ' $0.00
Install/Repair Water Line 0 . $0.00
Water Heater and/or Vent , - -'- .1. . . - - -. 7 '- $7.00 k
Gas Piping System / 0 , \ /$0 00
Vacuum Breaker . 0 '-' - - -' $0.00
Other Plumbing Fees
Master Drainage Fee , - - $0 00
Sewer Fee ' 'I ',
., .. 7 1 $0.00
Additional Fees . ." / j r ' ,
* $0.00
• .• . . . TOTAL PERMIT FEES, -.. . - 5.. . . ,-' $27.00 ,1
Total Fees: $27.90 otIPayments To Date: 2 $27.00 .Balance Due:
,
; $0.00
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Inspector:
FINAL APPROVAL '
Date: /10'Z4" Clearance:
'NOTICE: Please take NOTICE that approval of your project includes the "Impositiorf of fees, dedications, reservations, 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, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
PERMIT APPLICATION .. • •:'
CITY 0F CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 '4.
PLAN CHECK
EST. VAL. ...
Plan Ck. Depo
Validated By________________________
Date
Address (1hclue Bldg/Suite #) - ( Business Name (at this aaaressi
Legal Description . Lot No. Subdivision Name/Number - Unit No. Phase No. Total # of units
Aessor's Parcel # . Existinj Use ••- . Proposed Use
Le,Lac.L -IA) c±J\ atA ) (,w1J (A•) cad-i '&
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
11 LIKE
Name , Address City. . State/Zip Telephone # Fax #
NO ffic !I _t_JWA07kn'vw W. [317 Rwtffix
me Address City .- State/Zip Telephone #:
Name . - Address . f City State/Zip Telephone # -
(Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, dmolish Zr 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
applicantcivil Oth5fl five 4 do500
Name . .. / , Address - •1
City State/ZipS Telephone # c' 32— J
State License # I &P 't License Class (i 72 I.. City Business License # I 'i-i 7 2-11
Designer Name . . Address - City - State/Zip Telephone
State License #
22 J
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
i havO 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
of the work for which this permit is issued.
I have and will maintain worker compensation, as required by Section 3700 of the Labor Code, for the performance of the work for 'which this permit is
is ad. My worker's compensation (ance car er and p yr olicy number are:
, , .
Insurance Company Policy No. I T - I- I ( Expiration Date I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS).
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: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE . DATE
MOVE
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112
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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 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. It, 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). -
1,-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). . . . . . .
I am exempt under Section Business end Professions Code for this reason:
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
I (have I have not) signed an application for a building permit for the proposed work. -
I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number I contractors license number):
• I plan to provide portions of the work, but! have hired the following person to coordinate, supervise and provide the majoi work (include name / address I phone
number / contractors license number):-
I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address I phone number / type
of work): - -
PROPERTY OWNER SIGNATURE ' DATE
Is the applichni or future building occupant reqcired 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 0 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 0 NO
Is the facility to be"constructed-within 1'.000 feet of the outer boundary of a school site? 0 YES 0 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. . .-
34 '4
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME - - LENDER'S ADDRESS '
'OANZ 0.2000
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. 1 agree to comply with all
City ordinances and State laws relating to building construction. 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,
JUDGMENTS, COSTS AND 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- Issue by the bui ing 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 co nced w thin 1 days from the date of such perm!t or If the building or work authorized by such permi Is suspended or abandoned
at any time after the work is comri ad for e of 80 days (Section 106.4.4 UnIform Building Code).
APPLICANT S SIGNATURE -_-
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DATE
'WHITE: File YELLOW: Applicant PINK: Finance - -
City of Carlsbad Bldg Inspection Request
For 11/16/2006
Permit#, CB062983 Inspector Assignment:
Title: LEE RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:'
Phone: 7609299557
Job Address: 1769 NERINE WY
Suite: Lot 0
Location: Inspector:
OWNER LEE K&S TRUST 03-29-05
Owner: LEE K&S TRUST 03-29-05
Remarks: P M PLEASE - WEST GATE CODE 4673
Total Time: Requested By: K. LEE
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.• Entered By: CHRISTINE
CD Description Act Comment •
25 Water Heater/Vents A0111 ,
Comments/Notices/Holds •
Associated PCRs/CVs Original PC#
Inspection History •
Date Description Act Insp Comrnents
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