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HomeMy WebLinkAbout2765 VICTORIA AVE; ; CB102463; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-16-2010 Plumbing Permit Permit No: CB102463 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2765 VICTORIA AV CBAD PLUM 1674901700 Lot#: 0 Construction Type: NEW PHILLIPS: REPLACE WTR.HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/2010 JMA 12/16/2010 12/16/2010 ALL STAR WATER HEATERS & PLUMBING PHILLIPS ROGER&MARY FAMILY TRUST 01 -15-07 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 2765 VICTORIA AVE CARLSBAD CA 92010 $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 Payments To Date:. $27.00 Balance Due: Clearance: $0.00 approval of your project includes the 'Imposition· 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, gradi'19 or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any -«~~ ~ C ITY O F CARLSBAD JOBADDRES~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date Q-SWPPP APN CT/PROJECT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE CONTACT NAME /If Different Fam App/leant) ADDRESS CITY STATE ZIP FAX PROPERTY OWNER NAME ADDRESS EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL EMAIL STATE UC,# FIREPLACE YES0, AIR CONDITIONING NcQ YES □No □ STATE ZIP FAX CITY BUS. LIC.# FIRE SPRINKLERS YES□No□ (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 fCha'f.ter 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 703 .5 bY any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' ompensation Declaration: / hereby affirm under pena«y of perjury one of /he following declarations: ave 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 workers' compensation, as reQuire Sec. n 3700 of the Labor Code. for the performa~ich this pe"!'~ed. My worl<ers' compensation insurance ca,· and policy number are: Insurance Co 'fl'.> Policy No~ 2©7~ Expiration Date <:?:--r / l,!!i§, section need not be completed if the permit is for one h"nd....t'T1!111lil,•t$100) or less. LJ Certificate of Exemption: I certify that in the nee of the ich 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 ers' co s • erage is unla an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wort< 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 wort< himself or through 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 that he did not build or improve for the purpose of sale). I, as owner of the property, am exciusively 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 and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O o 2. I (have/ have not) signed an application for a building permit for the proposed wort<. 3. I have contracted with the following person (firm) to provide the proposed construction (inciude name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major wort< (include name I address/ phone / contractors' license number): 5. I will provide some of the wort<, but I have contracted (hired) the following persons to provide the wort< indicated (include name I address/ phone I type of work): J!S PROPERTY OWNER SIGNATURE □AGENT DATE .. Is the applitant or tutu~ building occupant required to submit a busine~s Ian, ely hazardous malerials registration form or risk management and preventioo program un Presley-Tanner Hazardous Substance Account Aci? D Yes o Is the applicant or future building occupant required to obtain a permit om the air pollution control district or air uali anagement district? Dves o Is the facility to be constructed within 1,000 feet of the ouler boundary of a school site? 0 Yes IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I certify that I have read the application and state that the above infonnation Is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO 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 permt is required for exca,vati,"""1r,v,,,c~'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Eveiy permrt issued b 'lding under the provisions oltlis Code shall expire bylirntation and become null arxl void ttthe bLilding orv.oo< authorized by sudl permit is notoorrvneno3d within 180 days from the date of such ortt the oold· or authori y • is susperxled or abandoned at any time after the mn< is commenced for a period ol 180 days (Section 100.4.4 Umonn Building Code). DATE City of Carlsbad Bldg Inspection Request For: 02/16/2011 Permit# CB102463 Title: PHILLIPS: REPLACE WTR.HTR Description : Type: PLUM Sub Type: Job Address: Suite: 2765 VICTORIA AV Lot: 0 Inspecto r Assignment: Phone: 7607296356 Location: Inspector: ----- OWNER PHILLIPS ROGER&MARY FAMILY TRUST 01-15-07 Owner: PHILLIPS ROGER&MARY FAMILY TRUST 01-15-07 Remarks: Total Time: CD Description 25 29 Water HeaterNents Final Plumbing Requested By: NA Entered By: CHRISTINE Act Comments ~--- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 02/14/2011 25 Water HeaterNents 02/14/2011 29 Final Plumbing Act lnsp Comments CA PD CANCELLED AND RESET FOR WEDNES CA PD