HomeMy WebLinkAbout2844 VIA CONQUISTADOR; ; CB111248; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-08-2011 Plumbing Permit Permit No: CB111248
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2844 VIA CONQUISTADOR CBAD
PLUM Status:
Parcel No: 2225922100 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: SUGII RES-REPLACE WTR HTR Inspect Area:
Applica nt:
ALL STAR WATER HEATERS e, PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
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:
SUGII RONALD
2844 VIA CONQUISTADOR
CARLSBAD CA 92009
ISSUED
06/08/201 1
LSM
06/08/201 1
06/08/201 1
$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: $27.00 Balance Due:
Inspector:
Fl NAL ~P.r.O(f L
Date: ,...? ____ _ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Yo,, 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 fo1th in Gover,,ment 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
Building Permit Application Plan Check No. (!_fo l 1 I:}-'-{~
'
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558
www.earlsbadca.gov Date 'to/~/ , \ jswPPP
JOB ADDRESS ~ 7'.) l-( l--/ \ 1; s._, (,/°JI'\~, ,;M+~
SUITE#/~e.-,.;t#/UNIT# IAPN k:>t----
I lCl/·nv,c~ # 1cv• # ,-~·· I# OF UNll:j/ I# HtuHWM~ I# I 'tNANT BUSINESS NAME I w~, H, net I "'-"' GROUP
DESCRIPTION OF WORK: lnclud• Squ•r• FHt or An•cted Ar••<•I
Replac.e exis.ting water heater. S.ame siz4;! and loca.tion.
EXISTING USE I PROPOSEO USE I GARAGE (SF) PATIOS (S~) . I 0ECKS (SF) FIREPLACE I AIR C0N0ITI0NING I FIRE SPRINKLERS
YES O No0 YES ONO□ YES□ NO□
CONTACT NAIYIE (If Dlfforont Fam ,t.ppllc•nt) APPLICANT NAIYIE flo bv+-i::,t ~ e,t,.:
ADDRESS ADDRESS
30300 .Pi.,erto Vallarta Way 303()0 P1,1eJto Vallarta Way
CITY STATE ZIP CITY STATE ZIP
Menifee Ca 92584 Menifee Ca 92584
PHONE IFAX PHONE I FAX 800-727-0977 800-727-0977
EMAIL EMAIL
PROPERTY OWNER NAME 1lo/\ .su ~,t CONTRACTOR BUS. NAIYIE All Star Water Heaters
ADDRESS ADDRESS V Same as Job 30300 Puerto Vallarta Way
CITY STATE 9ZIP CITY STATE ZIP
Carlsbad Ca ;>.,(:;l')&f Menifee -Ca 92584
PHONE rAX
. PHONE rAX 7,o-'iL8'4 kl 2 8.00-727-0977
EMAIL EMAIL
ARCfVDESIGNER NAME & ADDRESS . I STATE UC.# STATE LIC.t
'
CLASS . I CITY BUS. LIC.•
8ll894 C3~
(Sec. 7031.5 Business and Professions Code: Any City or County which reQulres a permit to const,uct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant ro, such permit to file a signed statement that he Is licensed pursuant to the provisions or the Contractor's License Law (Chapter 9, commendln& with Section 7000 or Division 3 or the Business and Professions Code) or that he Is exemDI therefrom, and the basis for the alle&ed exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workors' CompenuUon 0oclaratlon: / hereby affirm under penalty of perjury one of the fol/owing dec/B1Btlon.: 0 I hav• and will maintain a c1rtlflcat1 of connnt to 1tlf•ln1urt tor woncers· compensation as provided by Section 3700 of the Labor Code, tor the performance of the wor1c for ""11Ch this permll Is issued. 0 I have and wlll maintain workers' comp1n11tlon, as required by Section 3700 of tl)e Labor Code, lor lhe perfortl)ance of the wor1c for which lhis permit is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance~ :o.1.0, 1n,. • Polley No. ozoK•Muoo74u • Expiration Date ••10m•11
J!!!J.secUon need not be co,,;pleted If Iha permll 11 rorone hundred dollars ($100) or less. • LJ Ctrtlftcat• of Exemption: I certify thal In lht 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 lhe Woll<ers· ~mpensatlon Laws of
Callfomla. WARNING: Fallurs to ucuro workers' compon11Uon coverage 11 unlawful, and shall aubject en employer.to criminal penalties and civil flnt1 up to one hundrod thouu nd dollars (&100,000), In
addition to tha co1t of compen11Uon, damag , 11 for In S.ctlon 3705 of tht Lab codt, Interest and attomty's fees.
,Ji!S CONTRACTOR SIGNATURE
I hereby sfflrm that I am sxempt from Cont/'BCtor's Ucense Law for the fol/owing reason:
□
□
□
I, as owner or the property or my employees with wages as their sole compensation, will do the wor1c and the st/\JciUle Is not intended or offered for sale (Sec. 7044, Business and Piofesslons Code: The ContrllCto(s
Ucanse Law does not apply to an owner of property who bollds or lmpioves the1110n, and who does such wor1c hlmse~ or thiough his own employees, provided that such Improvements are not Intended or offered for
sale. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving lhat he did not build or Improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors lo construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of
property who builds or Improves thereon, and contracts for such projects with contractor[ s) licensed pursuant to the Contracto(s License Law).
I am exempt under Section ____ Business and Professions Code for lhls reaspn:
1. I personally plan to provide the major labor and materials for construction of the Pf posed property Improvement. 0 Yes O No
2. I (have I ha\18 nol) signed an application for a building permit ror the proposed ~-
3. I have contracted wllh the following person (Orm) to provide the proposed consl tlon (Include name address/ phone/ contractors' license number):
4. I plan to provide portions of the wor1c, bot I have hired the following person to coo lnate, supervise and provide the major wor1c (Include name/ address/ phone I contraclllrs' license number):
5. I will piovlde some of the wor1c, bot I have contracted (hired) the following persons to provide lhe wor1c Indicated (Include name/ address I phone/ type of wor1c):
,,1$ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant reQuired to submit a buslnesss, 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? O Yes WNo
Is the appllcanl or future building occupanl required to obtain a permit from the air pollution conlrol district or a~allty management district? 0Yes [Z] No
Is the facility to be constructed within 1,000 feet of the outer boundary of• school site? 0Yes l.!'..JNo
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 AJR POLLUTION CONTROL DISTRICT.
I celtlfy lhatl have read Ille application and state lhatllle atxm lrtonnlllfon Is correct and that the lnformaHon on the plans Is accurate. I agree to complylMth all City ordinances and State laws relatlngto building construction.
I hereby authorize representatil'I! of the City of Carlsbad lo enter upon the above mentioned property br lnspediln purposes, I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID aTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permil Is requlroo br excavaoons OYer 5'0' deep and demolioon OI' oonstn.dkln of strudures over 3 stories In heght.
EXPIRATION: Every permit Issued by the Building Offid~ under the prow;ons of this Code shan expire by limitation aro beccme nutt and void If the building ex work authorized by such pennlt Is oot commenced within
180 days from the dale of sud, 1)8,'Tll~ Ol'lf the building Ol'work authorized by such pennlt Is suspended OI' abandoned al anytime after the work Is commenced bra period of 180 days (Sedkln 106.4.4 Uniform Bull:ling Code),
,/ES APPLICANT'S SIGNATU DATE /;. 3 I I
City of Carlsbad Bldg Inspection Request
For: 06/30/2011
Permit# CB111248
Title: SUGII RES-REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 2844 VIA CONQUISTADOR
Suite: Lot: 0
Location:
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: SUGII RONALD
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Requested By: NA
Entered By: CHRISTINE
25 Water HeaterNents 4(------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments