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HomeMy WebLinkAbout1552 WEATHERLY RD; ; CB090179; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2009 _.,.. Plumbing Permit Permit No: CB090179 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1552 WEATHERLY RD CBAD PLUM Status: Parcel No: 2150721200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: RIVERA RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-1131 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: . RIVERA CARLITO J&NORMA E 1552 WEATHERLY RD CARLSBAD CA 92011 ISSUED 02/02/2009 KG 02/02/2009 02/02/2009 $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: FINAL Inspector: Date:1...,-~---+-Clear2nce: $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 3.32.030. Failure to timely follow that procedure will bar ~ny 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 :,nd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this pro1e,:t. NOR DOES IT APPLY to any fe City of Carlsbad Plan Check No.C,E_Qf Q /7 f 1635 Faraday Ave., Carlsbad, CA 92008 760-60~-2717 L 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS DESCRIPTION OF WORK: i 1' oee.. SL' EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom App/leant) ADDRESS CITY STATE PHONE FAX EMAIL CITY STATE PHONE FAX t\cO · Lf1 C 1 c EMAIL ARCH/DESIGNER NAME & ADDRESS GARAGE (SF) ZIP ZIP STATE LIC. # Est. Va lue Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN NAME PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES D NO □ YES D NO 0 APPLICANT NAME 1.-t.ett i-t . I IA ADDRESS CITY STATE ZIP PHONE EMAIL Sc.ott@ tlWHltP, (OM AD STATE ti}. FAX EMAIL CLASS tJ' CITY BUS. LIC.# /)..l;J.'11 ~t<. 70315 Bu1int11 and Pro Code: Any Gty or County which requim a permit to con1truc~ llttrf impron, dtmoli1h or rtP.air any 1truc1ur,, prior 10 iu iuuanct, al10 requim the applicant for 1uch permit to file a 1ign1d 11mm1nt 1h11 he i1 tictn1td .l!Ul'luant to the p • of die Contrac10r'1 licenit Law {Chipltr 9, commtnding with Section 000 of Oov~ion 3 of tht Bu1inm and P1111mion1 (odt} or that ht ii mmpl thtrtfrom, and the ball! for the alltgtd mmption. Any violation of Stcti011 rOJ I.S by any IP nt for a ptm1il 1ubjtca tht applicant 10 a civil penalty of not mort than fin hundrtd dollan {SSOO)). Workers' Compensation Decl1r1tlon: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain • certlflc1te of conaent to 11lf-ln1ure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. li'(j' have and will maintain workers' compe~tlb, as required by Section 3700 of the Labor Code, for the performance of the work I r ich this ermit is issued. My workers' compensalion insurance carrier and policy number are: Insurance Co. f e," I Policy No. 0 Expiration Date I • / • l l1 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certlflc1te of ExempUon: I certify that in the performance of the wor1< for which this permit Is Issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensaUon coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the coat of compensation, d1m1ge II prov~ed for In Section 3706 of the Labor code, Interest and attorney's fees. 65 CONTRACTOR SIGNATURE ~[ , I hereby affirm thst I am exempt from Contractor's License Lsw for the fol/owing reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the structure is not inlended or offered for sale (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 who does such work 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 lhe purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed conlractors to conslruct the project (Sec. 7044, Business and Professions Code: The Conlraclor'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 lhe 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 malerials for construction of lhe proposed property improvement. □ Yes □ No 2. I (have I have nol) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address / phone I contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person lo coordinale, supervise and provide the major work (include name/ address / phone/ contractors· license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide lhe work indicaled (Include name I address / phone / type of work): 65 PROPERTY OWNER SIGNATURE DATE 11 the applicant or future butldlng occupanl rtQulred lo submit a buslnasa plan, acutely hazardous matarlals registration form or risk management and prevention program under Seclions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupanl required to obtain a permil from the air pollulion control district or air quality management district? □ Yes □ No Is the facility to be conslructed within 1,000 feet of the outer boundary of a school site? □ Yes D No IF ANY OF THE ANSWERS ARI! Yl!I, A FINAL CERTIFICATI! OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certffythatl have read the application and state that the aboYe lnfonnatlon Is correct and that the lnfonnation on the plans Is aocurate. 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 ALSO 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 pemilt Is requred for excavations (1,/er 5'0' deep and demolition or c:onstruction of sb'uctures (1,J8r 3 stories in height. EXPIRATION: Every pemiit issued by the Building Official under the pl'O'Jisions of this Code shall expre by Imitation and become nul and void ~ the building or wor1< authorized by such peimit is not conmenced within 180 days from the date of such permit or ff the buicf orworl< authorized by such penn~ Is suspended or abandoned at any tine after the worl< Is comnenced for a period of 180 days (Section 106.4.4 Unttoon Building Code). 65 APPLICANT'S SIGNATURE wl. DATE m ' City of Carlsbad Bldg Inspection Request For: 02/13/2009 ' Permit# CB090179 Title: RIVERA RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1552 WEATHERLY RD Lot: 0 OWNER RIVERA CARLITO J&NORMA E Owner: RIVERA CARLITO J&NORMA E Remarks: a m, please Total Time: CD Description 25 Water HeaterNents et:omments Inspector Assignment: Phone: 7604761979 Inspector: Requested By: NORMA Entered By: CHRISTINE ------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments