HomeMy WebLinkAbout1552 WEATHERLY RD; ; CB140548; Permit03-12-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB140548
Building Inspection Request Line (760) 602-2725
1552 WEATHERLY RD CBAD
PME
2150721200 Lot#: 0
RIVERA RES -REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/12/2014
LSM
03/12/2014
03/12/2014
ALL STAR WATER HEATERS & PLUMBING RIVERA CARLITO J&NORMA E
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1552 WEATHERLY RD
CARLSBAD CA 92011
$33.00
$0.00
$0.00
$62.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: f'.Yl· ~ 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 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to atlack,
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
THE FOLLOWING ,APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
'~Ir.._,> \,\ .. ,-
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. ffi / 4 0 Sl.f S
-~ CITY OF
Est. Value
Plan Ck. Deposit CARLSBAD Date SWPPP
JOB ADDRESS SUITl:I/SP'ACD/UNITI APN
CT/PROJEC I NAME NSTR. TYPE OCC. GR UP
EXISTING USE GARAGE (SF)
APPLICANT NAME
ADDRESS
CITY
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
CITY
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
PATIOS (SF)
0-i~ R.. O' v . (}
DECKS (SF) AIR CONDITIONING FIREPLACE
YESO NcCJ YES □No□
APPLICANT NAME (Secondary Contact)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTIIACTOR BUS. NAME
STATE Lie.# 8' }'?-. 80 ½
FIRE SPRINKLERS
YES□No□
(Sec. 7031.5 Business and Professions Code: Any City or County wh1cn requ1res a permrt to construct. alter, improve, demolish or repair anr structure, prior to its issuance, also requ1res the applrcant for such permrt to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9. commenaing with Sect,on 7D00 of Division 3 of the
Business ana Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect,on 1031.5 by any apphcant for a perm,t subjects the applicant to a
civil penalty of not more than five hundred dollars ($5001).
Wort.en' Compenullon Doclarallon: I hereby affirm urwie, penally of pe,;ur; one of the following dee/am/ions:
On,ave and will m1lntain a certificate of consent to nit-insure for WO(l(ers' compensalion as provided by Secoon 3700 of lhe labor Code, for !he per1ormaoce of the "°"' for which this pennrt is issued.
g] I h•. ve and will maintain worlcen' compensation, as reQUlred b~J?¥00 of ~ Labor Code. for the performance ff ~ f~ w~✓ '!)is permit is Issued. My worl<ers' compens:=rance earner a~ por,cy
number are Insurance Co 1,LJ._.,/..J..._ <SJ Policy No. f:/=" c:72 Yv Ex.pirallon Dale tL.....L:" :J/-~-tr;
P!!I. secuon need not be compk?te<t if the permit fs for one hundred dollar.; or fess. LJ Certincat1 of Exemption: I certify thal in lhe perlormance o rlt for h this permit is issued, I shan not employ any person in any manner so as lo become subject to lhe Workers' Compensation laws of
CalHomia. WARNING: Failure to secure wortcers' co sallon c 191 Is unlawrut, and shall subject an employer to criminal penaltln and civil fines up to on, hundred thousand dollars (& 100,000), In ~ CONTRACTOR SIGNATURE ~~~~i;;~~!;;;~::;::. QAGENT DATE 0,]..-additl0t1 to tho coll of compensation, damagn a ·on 3706 of , ntorn ttomey's fns.
□
□
I, as owner of the property or my employees with wages as their sole compensation, win do the"°"' and the structure is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contraclofs
License I.aw does nol apply to an owner of property who boilds or improves !hereon, and who does such ..ar1< himsett or lhrough his own employees, provided !hat such improvements are not mlended or ottered tor
sale. If, however. the building or iml)'Ovemenl is sold IM1hin one year of compjetion, !he owner-builder win have !he burden ol provrng that he did nol build or Improve for Ille purpose of sale).
I. as owner of the property, am exckJSM!ly contracting wrth licensed contract~ to conslruct lhe project (Sec. 7044. Business and Professioos Code: The Cootractofs l.ia!nse uiw does not apply lo an owner ot
property 1"llo builds Ol improves thereon. and contracts tor such pro,ects wiih contradOl(s) licensed pursuant lo Ille Contractor's License law).
I am exempt under Section _____ Business and Professioos Code for this reason:
1. I personally plan to provide the major labor and materials tor construction ot the proposed property improvement. 0Yes 0No
2. I (have/ have not) signed an applicallon for a boiding permit for !he proposed work
3. I have contracted wi1h lhe following person (firm) to provide 1'1e proposed construction (include name address / phOne I contractors' license number):
4. I plan lo provide pO~ions of the ..or1<. but I ha..e hired the following persoo to coordinate, supervise and provide /he major worl( (include name / address I phone I contractors' license number):
5 I wiN provide some of the work, bot I have contracted (hoed) the following persons lo provide the worl< 1ndicaled (rrdude name I address I phone / type of worl(I:
_g PROPERTY OWNER SIGNATURE DATE
Is ll1e awhcaw:, future~11ding occupant required to submit a business plan, acu1ely hazaldous ma1erials registration f0<m or risk management and prevention program under Sections 25505. 25533 or 25534 of 1he
Presley-T an11e1 Hazardous Substance Account Actl Yes No
Is ll1e applicant°' future building occupant required to obialn a pemut from the air poll\Jtlon control distric1 0< air ouality management dislrict? Yes No
Is 111e fac,ijty 10 be consllUCfed within 1,000 feet of the outer bounda.,y of a school stte? Yes No
tF AMY 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 AIR POLLUTION CONTROi. DISTRICT.
I cerllft' lhatl 1-1811d the~ and S1alB thtlt the aoo,;e inbmatlon is conect and thtlt the lrbmallon on tile plans is aa:uratB. I ag111& ID CX>ffll)lywitll all CllyOtdinances and S13'!1 laws n,latln~ ID buil<lnC cons1rUctlon.
I hefeby aulhortze representatiw, of !he City of Gat1sbad il eote< UJX)O !he al:.o'1l mentxined ~ br insp:lCOOO PJrposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS niE CITY OF CARI.SB.AD
AGA.INST PU LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGA.INST SAID CITY IN C<J-.lSEQUENCE OF THE GRANTING OF THIS PERMrT,
09-iA: kl OSHA ~~ is requred br excavam Oll!ll 5'0' deep and • i:ln Of coostrucoon of slrucb.Jres over 3 sl:Jr'es i1 heght.
EXPIRATION: E-;ery pennrt issued by tile 0Jicting Olloal uroer • i:lns of !his Code shall e~ by fmitaooo and beCXlme nul and l«l d !he ooikli,g 0t v,()tl( aulhortzed by such pemrt is not rommenc:ed 'Mlhin
100days from !he dateolsuch perrN0tlllhe~r,g0t aulhortzedby such • • al,aRy-tine aflerfhev,()tl( iscoomenc:ed bra Ploodof 100days(Slcfun 100.4.4 Un1brm 0Jildi,g Code).
~ ,&J>PLICAHT'S SIGNATURE. DATE
STOP: THIS SECTION NiOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at. final inspection.
(! '? T t r I ,-\ I ~ ') f " (_ • ; ') ", ., r:. y I ,,. "') • I fJ1 •' I ( I i I I' ( l 1 ,, , I:. iJ n I ·; l
Fax (760) 602-8560. Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad. California 92008.
I COi: (Ofnce Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB#
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSlRUCTION
MAIL/ FAX TO OTHER: CHANGE OF USE / NO CONSTRUCTION
Jt5 APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB140548 Type: PME
Date lnspection~m
04/03/2014 25
04/03/2014 25
04/03/2014 29
04/03/2014 29
Friday, April 04, 2014
Water HeaterNents
Water HeaterNents
Final Plumbing
Final Plumbing
RIVERA RES -REPLACE WTR HTR
Inspector Act Comments
RI 8-10 AM PLS
MC AP
RI
MC Fl
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