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HomeMy WebLinkAbout1811 VALENCIA AVE; ; CB160751; Permit02-25-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB160751 Building Inspection Request Line (760) 602-2725 1811 VALENCIAAVCBAD PME 2072506400 Lot#: 0 PALENSCAR: REPLACE WATER HEAT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/25/2016 SLE 02/25/2016 02/25/2016 ALL STAR WATER HEATERS & PLUMBING PALENSCAR KAREN C 30300 PUERTO VALLARTA WY 1811 VALENCIA AVE CARLSBAD CA 92008 MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: $98.00 Total Payments To Date: $38.00 $0.00 $0.00 $60.00 $98.00 $98.00 Balance Due: $0.00 NOTlCE: Plea5e ta<e wu,,a d ya.,r ~ed irdudes the "ln,:xmon" r:J fees, dedcaticrs, reservatia,s, or ctt-ff excaicrs rereafter cnledively n:terroo to as "fees'excdials." oo rave 00 days frcrn Ire date ths pemit v.as iss..ed to p-otest irrp:isition d trese fees'excdicrs. If >UJ p-otest them >UJ m.st foll ON the p-otest µ-oo:dres set forth in <?ovetrrra-1 Ccxle Section 60020(a), and file the p-otest a-d al"/ ctt-ff req..ired infonration wth Ire Oty t,ta,ager for ~rg in axx:rda1re wth Ca1sbad M.ridpal Ccxle Section 3.32.030. FailLre to tirrely fdloo that ~ wll ta al"/ subseq.m legal oction to attro<, re.iiew, set aside, vcid, or an.J their irrp:isition. Yoo a-e herecy FlRTl-ER NOTlREDthat ya.,r rigt to p-otest the sp:idfied fees'exacticrs OCES NOr .APPL Yto\'.0\er and sev..er wra:tion fees and ~ty cra,ges, nor plaYirg, zoing, gcdrg or ctt-ff sirrila-cqlic:ation ~rg or savice fees in oonnedion wth ths ~ed. t--rn OCES IT .APPLY to al"/ fees'exadi d wi 'OJSI a NOTlCl: sirril to ths or as to wich ut lirritcii has ·a.s cthe.'\Mse • ., «1~ Building Permit Application Plan Check No. Q.6 \ lQ_Q 7 5 I Est. Value ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 0 F 760-602-2717 I 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date C: -C:., S--f l.() lswPPP JOB AOORESS 1811 Valencia Ave. :--,IC.ff/ __ 1~ .. ---, '-1/PRvJ.v • ILUII t ·~-· I• vr v~lls 1 • --··--··-# , ,c,.N .. OVO""""-' •-c i-.. v,~. ,c ,-..v••vv• D£SCRIPT10t'I OF WORII: f,,.,llfle :,qua,. FWt of Nrected Aree(sJ Replace e,xisting water heater. Same size and location. EXISTING USE I PROPOSED USE IGARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIUNING 'FIRE SPRINKLERS YES[}, N<O YESONo □ YES□No□ CONTACT NAME (If om.rent Fom Appllc•nl/ APPLICANT NAME Sierra Sprague ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP . Menifee CA 92584 PHONE rAX PHONE rAX 951-301-0067 EMAIL EMAIL PROPERtYOWNERNAME CONTRACTOR BUS. NAME Brett Palenscar All St:u Water HeatP.rs ADDRESS ADDRESS Same a!:: iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Menifee CA 92584 PHONE IFAX PHONE IFAX 7608893515 951-301-0067 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS rTATE UC.# STATE UC.I IClASSc 36 812894 I CITY BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requlfes a permit to construct. alter, ,mp rove, demolish or repalf any structure, prior to Its Issuance, also requires the applicant for sucn pe1m1t to file a sI1111eo statement tnat ne Is licensed pursuant to the provisions of the Contractor's Ucense Law JCha'fter 9, commending wltn Section 7000 of Division 3 of the Business and Professions Code} or !hat ne IS exempt tnererrom, and the basis for the alleged e,emplion. Any violation of Section 703 .5 by any applicant for a permit subjects the applk:ant to a civil penatty or not more lhan five hundred dollars ($500)). Worllm' Compen11Uon Decl1rlllon: I helllby sfrrm under pena/t)I of perjtr/ 011e of the following decl/lfatlons: 0 I have and will malnt,Jn • certiflc1t1 of conMnl to aelf.lnsure for workers' compensation as provided by Section 3700 ol the Labor Code, for the performance of Iha wol1< for IWlich this pennit is issued. 0 I have and wlll malnt,ln workers' compensatlon, as required bv Section 3700 of the Labor Code. lot the performance ol the work for mch lhls oermit Is issued. My worke111' compensation insurance carrier and Policy numoer are: Insurance Co American Insurance Company Policy No, C4809630A EKpiratlon Date 8/01/16 J]IIJ,seclion need not be COl!"C)leled If the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance or the v.ork for which this pennit is issued, I shall not employ any person in any rnanne, so as to become subject to the Wor1<elS' Compensation Laws of California. WARNING: Failure to ncure workers' compensation covtrag, Is unlawful, and 1hall 1ubjtcl an employer to criminal p1n1ttlea and civil fines up to one hundred thousand dollars (&100,000), In addltlon to the cost of compen11llon, damages as provided for In Section 3706 of tho Labor code, inte,esl and attom•y's fees. / / HS CONTRACTOR SIGNATURE .£.-fi,,=.,,-.. QAGENT DATE ✓/.?'//tu, I hereby affirm that I am exetl¥)1 l(Oll1 Comnk1tn t.Joons. Law for the folkM{ng ,eesa,,.· D I, as owner dlhe ()l'O!l8lly 01 fff'I efl1)loyees wilh wages as lhelrsole compen$.!1jon, wll do the 1Mlli and the structure Is nol intended or offered for sale (Sec. 7044, Business and Professions Code: Tile Contracto(s □ □ l.iceoM Law does not epply lo an owner OI p-operty'\Wllo oollds or Improves thereon, and who does suet, wol1< himself or lhrough his own employees, provided that SOCh Improvements are not intended or offered for sale. If, however, IWI building 111 !inproYement IS ;old 'llithil CQ yearOI completion, the owner-builder wll have the llurden ol proving that he did not build 0t improve for the purpose of sale). I, as owner ol'lhe prope,ly, am GJ.dulivety COO(rading wfth licensed oonll'llelm ID~ the p!ojecl (Sec. 7044, Business and Professlans Code: The ContraC10!'s License Law does not apply to an owner of ~ who bl.lids or lrnproYes 1llenlon, and oontracu ror such projecl$ wltt1 c:ootracb(t) licensed pursuant to the Contracto(s License Law}. I am eXMlpl unde, Section ____ ,Susriess and Prolesslons Code for thlli reason: 1. I personaly plan lo provide lhe major labor and materials for construction or Ille proposed property impiovement. Oves Q'IO 2. I (have/ have not) Signed an application for a building permit for the proposed wol1<. 3.1 have c:ontracted with the fntloWlng per.ion (firm) to provide the proposed oonstructlon (include name address/ phone I contractOfS' lloonse number): 4. I plan to provide l)0ltlons of the WOl1<, but I have hired the fol/owing person to coonlinate, supervise and provide the major won< (ioclude name / address/ phone / c:ontractors' lieense number): 5, I will provide some of the work, but I hm contracted (h!ted) the foUowing persons to provide the wor1< Indicated (illclude name / address I phone / type of WOik): HS PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicallt or future building OCCllpant requited to submit a busillessJl!io, acutely hazardous materials registration ronn or risk management and prevention program under Sectlons 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Acoount f,d/ O Yes LJNo Is the applicant or Mure building OCCllpant required to obtain a pennit from the a~ pollution COfllrol.Jll!rlcl or a~ality management district? Des O No Is the 1.-:ility k> beC00slructecf wtlhl/11,000 feel a~ 011ter boundary of a school sits? LJVes LJNo 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 TllE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I cel1lfy th8t I hM 1811d the8Pl)lcatlon and smtalhat theabcMl lnformallon Is oonect and1hatthe lnmnatlon on the piarlS lsacnmB. I ~ to a>mptyYllth all City ordnances and State laws retat1ng10 bllltlfng c:onsout1ion. I hereby authorize representati-.e a the OtyaCal1sboo toenlerupon the above mentioned IX'()l)ertyllr ilspedi:)n purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ES$ THE CITY Cf CAAI.S8AD A~NST ALL LIABILITIES, JUDGMENTS, COOTS AND EXPENSES WHla-t W.V IN AfN WAY ACCRUE AGAINST SAID CITY IN COOSEQJENCE Cf THE GRANTING Cf THIS PERMIT. OSHA: An OSHA permit Is required b' excavatoos 0\'flt 5'CJ deep and demolition or constru:tion of strudures owr J stones in height. EXPIRATIOO: Ewry permit issued by the Bukllng Official under the iro,isioos a this Code shal expra by lirritatkln and bea:me ool and I.Qid ttthe lll.i:ling orv.ak authorized by such pennit is not IXlllJT1eOOld v.ithin 100da-Js from the date ri Sll:ti permit or ttlhe ~ or'Mlfl( aoAlorized by slJCll pennit is suspended or abandoned at arr; tirre after them is~ b' a period at 180 days (Sedioo 100.4.4 Unlllnn SJlkling Code~ ~APPLICAN1'S51GNATURE -~~~--DATE -:2/~u/ j(p . . Inspection List Permit#: CB160751 Type: PME Date Inspection Item 03/22/2016 25 Water HeaterNents 03/22/2016 25 Water HeaterNents 03/22/2016 29 Final Plumbing 03/22/2016 29 Final Plumbing 03/10/2016 25 Water HeaterNents Thursday, March 24, 2016 Inspector Act PY PY PB RI AP RI AP NR PALENSCAR: REPLACE WATER HEAT Comments PM PLEASE PM PLEASE (CA FRIDAY PB) Page 1 of 1