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HomeMy WebLinkAbout2835 VISTA MARIANA; ; CB090579; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2009 Plumbing Permit Permit No: CB090579 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2835 VISTA MARIANA CBAD PLUM Status: Parcel No: 2164612800 Lot#: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: MERRITT RES-REPLACE WTR HTR Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair 'Nater 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: MERRITT MARTHA E TRUST 05-02-08 2835 VISTA MARIANA CARLSBAD CA 92009 ISSUED 04/07/2009 LSM 04/07/2009 04/07/2009 $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: FINAL l:}PPROVAL Date: b -½ --c,:; Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedic tions, 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 f \ ...___P_r_in_t_F_,o_r_m __ J ---·--- City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-502-2717 / 2718/ 2719 Fax: 7€0-602-8558 Building Permit Application JOB ADDRESS 2835 Vista Mariana Plan Check No. C-e>QCjQ '5t q Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UMU APN CT/PR JECT • LOT# PHASE# DESCRIPTION OF WORK: lncludo Squaro Ftot of Affected Area(s) Replace water heater, same size, same location. # BATHROOMS NAME I CON3TR m t I oc~-~:6u~ i I PROPOSED USE I GARAGE (SF) I CONTACT NAME (ii D/r'tertnt !'ortl'l\j)j,1/canr) r. -·-------------·----·-·-----··-· -------- PATIOS (SF) I DECKS (Si') APPU<;MT NAME IFIREPLAC[ YES□# I ; IAIR cormn;omNGl nRE s0~1~wt ,:r6 I NOC] •'tSQ,l:J □ i YE~["Jl'<•J[IJ ' Josh Keatiilg AQl)RESS ------·--··-··------·--·-· -· -·--·-· --I ADDRESS !CITY____ -------STATE ----~------+--;.:...::30300 Puerto Vallarta Way _____________________ ---Ji ZIP ('ITV ~TI\Ti: (IP 1 ! PHO~----------·------~I F~l>)~:---------- EMJII_ Menifee Ca. 92584 I PHONE 300-727-0977 --i~-,.,AX·.-----------------~ 1 951-245-636'5 ____________ _j EMAIL PROPERTY OWNER NAME Wor1wt' Cpmp9nutlon Declar,uon: I hereby allitm under penalty of perjruy one of lt.e /ollowrng (joc/Bfllti<Yls: □ I have ind will mitnt1in I certlfic1t• of consent to aelf,lnsure for \\Orl<ers' compensation as pro,ld~ by Sec lion 3700 ol the Labor Code, for lhe pertJmkl1"'8 of lh9 wort< tor wtiict, ,t,,s' pem,1t Ls is,ueJ. [xJ I h1v• ,ad will mal,,t1ln worl<ers' comperiutlo", as re<iulred by Sectk>n 3700 of the Labor Code, for the pertonnance of the \\Ori< lor wtilcn lhis pennlt Is :Ssued. My \\Qrt.e,s· (.('mpt;nsatiqn Insurance um11r and policy numllerrne. lnsuranceCo PollcyNo. 238000323508 . _ Exc,iral,onD.:e 0S,'02/09 ______ _ )1!!§,se<:WO need not be oompleted I t~e pem11t is lor one hu,~red doll~ ($1001 or less. • ' · -. . -- L J Ce,tlncate of Exemption: I cel1ily tt,at in the pertormaoce ol the wort< for \'Alic~ lhls pem,lt Is Issued, I shall nol employ any perron In any man11er so as to b,Mm& ~ubje(,t ;o !t,e Wtd,•;h' C<'<r.~~~~;l(,fl L?•,-.;of Cal,f0<iiia. WARNiNG: Failure to secure wor1c:ers• compensation coverage 11 unl1wfut; and 1h1ll 1u!ljer.t an tmplayer to criminal penalties and civil rlnin up 10 ont h1.,ndr.:d thc.u1 ..-nd·do•f111,.. {&100,u0tJ), In adahlon to tn, c.o•t of romptoutlo;;, d•magn n provide<1 for In Section 3706 of the Labor code, ln'orest and 1rtornty'v f111. • ~ CONTRACTOR SIGNATl'RE ~ • I tereby a/fi,m that/ ,r., e,em,>r from C.,nt'1/Ctor's Licer,se L8" f.;r lte fol/owing reason: D □ I, as owner of lhe property or my en,;,loyees v.ilh w.iges as u.elr sole cc.mpensallon, will do U,e W<Jrl< .,J lhe srructure is n~l lntendfld or offered 'or sa'e (Sk i0,14. ou.;n~s, ~no l'·c,·,J,~.y, Code. Yee Coni,acto-·, Ucen~ Law does nol -ipµJy tL, ~" ow,,er .uf ~'iy'Who buik1s or improVes thereon, a'ld wro does s1Jr.'1 wur1<.hi1n\brf or tnrot.gil hit own ~mployecs, provld~ in~: SI.Ith l1r.i:,ro.,,errie:1<s dl.J ,l0d.itell08''1 o< ~:fc.re..11N sa.e a, nulol/ever, Ule b1.;,,a,ny .N. i11\~o,e,nt.,)' 1! S01r'I ww,:n N'8 )ear of com~ eur>n, tit:! vff,W>'r t\iijcjt;;r v,~1 ha\d the tx.·:'11an Qf provhg that t,e c,id nut Uu;ki er [r,;>m./fs fo•·lfh: o lf'P'J:i-9 rt !H:.t~). I, -tS owner of Ille propert/, a11 e,,j,,ek,y co,;)'.~;U,11: .,;II, 11~ensed conlfa::lors tocoostf\<.t th,l p,o,e;!/nt!I;. 7044, Busin,;ss and Professhns Code: The C'.o,Jlrar.10(~ r •~se.1,r,, t',,.,s ,nt "f'Cly re ,n ~v.,er ·Jf pn:,pt.'flt who l1u!~st.r :in~ro\dS hP;l'}(,11, and contti:f .. (S !Lf Fuch ~,o,t;cts with-:untrbClor(~) •i,,;~·.sc,r; pu~,1dnt lo tt,e Contractor'r, I icense Law). I arn e)(ernpt Untt'!r Section --~ _____ 8 11~1~os-. ar.d ~r"Jfassions Code for'tt-11s reascn: ' I µersondlly P'dl, IU providu tt,? n:ajN idt.<'f aru ma!e,rhls forconslruc:Uon of the rro;,o,,ed 1)10,>tilt,' l•111rc,ernenL □Yes Oo ? , ,h~.e, h'IV~ not) sl<;-18d an ~l'Plicdtio,i lo, a bul<llnQ per:nil for lhe proposeo \\0'1<. 3. I hl'\e conrrac;ted will' the 1c,11rw109 perso,1 (~rm) I~ ;,mVlde the proposoo construction (!ndAt •,ar., address I ~hone I conlraclOrs' ficense number): 4 1 pla.1 to pMide portions of tno \'oQrt., but I havo hiroo the lollowjng person to coort'lnate, supelv!~ and pro"'1e Ille rnajor "°rt. Qnclude name I acldress / pi'O!,e / rr.ntr..:tus' ''-""'' ni1n,t,,;1): 5. 1,.1., wovide som,i oi rhe v.ort<. but I have ccntracted (hired) the fo!IOw;ng persons IO provide t'le ....i;1< ll~icated (lnciude name I adoress I phone/ lype of v,;i(,): -----------------' " ·-------------··----·-·----·---·--·----·•·•·- ,/i!S PROffRl Y /)WNEII. SKJNATURE DATE -------------------·-·-···--·--·----·- I IS the applicanl or fulure bul<ling oa:upanl required IO submit a business I , aculely hazardous materials registration form or risk management and prevenilon prog5-m under Secuons 25505. 255JJ or 25534 01 the Presley-Tanner Hazardous Substance Account At:.l? 0 Yes No ~ Is the applicant or future buldlng oa:upant required-lo obtain a pennll fr m the air pcllullon control district or a~r lly managemenl dlslricl? OYes o Is the facility to be consll\Jcled within 1,000 feel of the outer boundary of a schOOI site? OYes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED L S THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). i Lender's Name Lender's Address I certlfythatl have read the appUca11on and state that the abow !nformation Is correct and thatthelnformaUon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building const/lJC1lon I hereby autlpize representaweol the Cityol C~bad IO enter up:in the above mentioood property for lnspoc:lion purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CAR!.SS,;J 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: M OSHA perm! is required for excavaoons Ol/8r 5'0' deep and deroolllion or construction ol structures OV8/ 3 slOlies in heighl EXPIRATION: Every pem,it issued by the Building Olflcial under the provisions ol lhis Code shall expire by lirritation and become nun and .oid if the building or work authorized by such permiI is noI commenced w,,,,,., 180days from the date of suet, permit or, the building or work autrorized by soch permit Is suspended or abandoned at any lime after the work is coomerced tor a period of 180 days (Seeton 1C6.4.4 Uniform Bu,ld,ng Co..-iei Ji:S APPLICANT'S SIGNATURE ~~~ DATE City of Carlsbad Bldg Inspection Request For: 06/0 3/2009 Permit# CB090579 Title: MERRITT RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2835 VISTA MARIANA Suite: Lot: 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: MERRITT MARTHA E TRUST 05-02-08 Remarks: CALL FIRST DOG Total Time: CD Description Act Comments Inspector Assignment: RB Phone: 7606029476 Inspector: Requested By: MARTHA Entered By: JANEAN 25 Water HeaterNents -trf'_ ______ _ Comments/Notices/Holds ~ Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments