HomeMy WebLinkAbout2825 VISTA MARIANA; ; CB100546; Permit... City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-27-2010 Plumbing Permit Permit No: CB100546
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2825 VISTA MARIANA CBAD
PLUM Status:
Parcel No: 2164602100 Lot#: 0
NEW
Applied:
Construction Type: Entered By:
Reference #: Plan Approved:
PC#: Issued :
Project Title: KEPPLER RES REPLACE WTR HTR Inspect Area:
Applicant:
AFFORDABLE WATER HEATER
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
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:
KEPPLER FAMILY TRUST 01-31-00
2825 VISTA MARIANA
CARLSBAD CA 92009
ISSUED
03/30/2010
KG
04/27/2010
04/27/2010
$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: ~ 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." 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 332.030. 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
·«i~
~ CITY OF
CARLSBAD
JOB ADDRESS .,
1 S-r0
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Sutll#/SPACE#/UNII#
Plan Check N
Est. Value
Date
/PROJECT# LOT# PHASE# # Of # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES□#_ NOD
AIR CONDITIONING
YES O NOD
FIRE SPRINKLERS
YES O NOD
CONTACT NAME /If Different Fom Applicant) APPLICANTNAME!>t..ot-t Lit-+ e..fTe.leJ.
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL
PROPERTY OWNER NAME
AOORESS
s~IYle_
CITY STATE ZIP
PHONE FAX
1~0
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATELIC. # CLASS CITY BUS. UC.# ~s" ,~,7~,1
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anr 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 exem_Qt therefrom, and the basis for the alleged 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)) . .. -,,. .. '" '. --:-~._-,\ ,~, ,.-·-· ~· -' '~ .......
W ~ ~-K_,~ R_~ ' __ c ~MP_ E ~-s AT ION : -~ ~-~,_:-:. i.':~1.... . -:_L , .:· ,i, __ ..,_,~.:,,,. . . ~ ,.__. ,_ .. ·,...; "_ / _
Workers' Compensation Declaration: I hereby alrlfm undel penalty of petju,y one d the folkr,,;ng dedafalions:
0 I have and will maintain a certificate of consent to sett-insure for wori<eis' compensation as provided by Section 3700 of the labor Code, for !he pelformance of the won< for which this permit is issued. ~ have and will maintain workers' compegsati<v1, as required by Section 3700 of !he Labor Code, for the pelformance of lhe ~ m, .:,llis;1l this permit is issued. My workeis' compensati~ insurance carrier and policy
number are: Insurance Co. e, h \ h Policy No. 'l.O!,j Y9'\\" 7 C> Expiration Date -., I \
This section need not be completed ij the permit is for one hoodred dollars ($100) or less. D Certificate of Exemption: I certify !hat in !he performance of the wor1< for which lhis pennil is issued, I shall nol employ any person in any manner so as lo become subject lo lhe Wori<ers' 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 vided In Section 3706 of the Labor code, Interest and attorney's fees.
.LS CONTRACTOR SIGNATURE •!i!lll911!111li!!Ri~iilii li)'AGENT
I hereby affirm Iha/ I am exempt from Conff!ICfor's License Law for the /olowing reason:
0 I, as owner of the property or my employees with wages as their sole compensalion, will do the \\00< and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License law does no! apply to an owner of propeny "'1o builds or improves !hereon, and who does such won< himself or lhroogh his own employees, provided Iha! such improvements are not intended or offered for
sale. ff, howeYe<, !he building or improvement is sold within one yea of completion, !he owner-builder wiA have the burden o/ proving lhat he did not build or improve for the purpose of sale).
D I, as owner of the propeny, am exdusively contracting with licensed oonb'aciors lo construct the project (Sec. 7044, Business and Pro/essions Code: The Contractor's license law does not apply to an owner of
property who bulds or improves thereon, and contracts for such projeclS with contractor(s) licensed pursuant to the Contractor's License law).
0 I am exempt under Section ____ Business and Professions Code for this reason:
1. I personalty plan to provide the major labor and materials for conslruction of lhe proposed property improvement. D Yes D No
2. I (have I have not) signed an application for a building perm,! for the proposed won<.
3.1 have conlracted wilh the following person (firm) to provide the proposed construction (include name address/ phone I conractors· license number):
4, I plan to provide portions of !he work, but I have hired the following person to coordinate, supervise and provide lhe major wo,k (include name I address I phone/ contractors' license number):
5. I w,U provide some of the work, but I have conlracled (hired) lhe following persons to provide lhe won< indicated (include name I address / phone I type of Wllfk):
,,€$ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program undec Sections 25505, 25533 or 25534 of the
Presley.Tanner Hazardous Substance Acrount Aci? D Yes D No
Is the applicant or future building occupant required to obtain a pennrt from the air pollution control districi or air quaity management district? D Yes D No
Is the facility to be constructed within 1,000 leet of the outer boundary o/ a school site? D Yes D No ,
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TH~APPLICANT HAS MET OR IS MEET~ WE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I cerofy that I have read the application and strte that the aboYe information is correct and that the illfonnation on the plans is aa:t1rate. I agree to comply with all Ctty ordinances and State laws relating to building construction.
I hereby autooze representative o1 the City o1 Carlsbad t> enler upon the above menooned property for i1spediJn purposes. I ALSO AGREE TO SAVE. tIDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pem,il is requi'ed klr excavations over 5'0' deep and demoli1ion or c:onstructiJn ol slrudures over 3 sbies n height
EXPIRATION: E...ery pem,i1 issued by the &ikling Olfcial I.Oder the proviso1s of this Code shall expire by linitalion and become ool and 'IOid l the buildilg or wori( authorized by such pennt is not conmenced wim
180 days from the dale of such pem,i1or ~the bui<f orwori( authorized by such permit is suspended or abandoned at any line afilrthe m isromrnenred for a period of 180 days (Secoon 106.4.41.kliklrm Buiklilg Code).
~ APPLICANT'S SIGNATURE eat1l. DATE i -J , -l u
City of Carlsbad Bldg Inspection Request
For: 06/03/2010
Permit# CB100546
Title: KEPPLER RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 2825 VISTA MARIANA
Suite: Lot: 0
Location:
APPLICANT AFFORDABLE WATER HEATER
Owner: KEPPLER FAMILY TRUST 01-31-00
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7609290116
Inspector:
t'-<Fv~-e,
Requested By: THOMAS W b '1 ~ -:;
Entered By: CHRISTINE
25 Water HeaterNents ~ f:. xl $'t},...U,, WX-A -ct o,J 1 ~,Ep\,S ~~i'-, ~T12.A-f ~
t~ ?LA~,_
rl
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments