HomeMy WebLinkAbout1021 LANDS END CT; ; CB101952; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-21-2010 Plumbing Permit Permit No: CB101952
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1021 LANDS END CT CBAD
PLUM
2145310500 Lot#: 0
Construction Type: NEW
MUNIES RES-REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/21/2010
LSM
10/21/2010
10/21/2010
AFFORDABLE WATER HEATER MUNIES RICHARD E FAMILY TRUST A 06-01-94
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
Total Fees:
Inspector:
$27.00
0
0
0
0
1
0
0
1021 LANDS END CT
CARLSBAD CA 92011
$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
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 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 x lions of which uh ve reviousl b n iven NOTICE simil r to this or as to whi h h tatute of limitation has r viousl otherwise ex ir d.
«~<~ Building Permit Application Plan Check No. es tOI q s-d
f. fl;,>
-~ ,/;/ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit ~
www.carlsbadca.gov Date IOI= I IU l I _,, -
• -
JOB ADDRESS Le-.Nl ~ Q..,,_J_
SUITE#/SPACE#/UNIT # rPN f o::l. I ---
CT/PROJECT# ILOT # I PHASE# I# OF UNITS T' BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. lYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
O.o O\~,. o 50 oc..t\o-a.c..S 1,lc..+"r I I -I ..
,J ...,
't..Mt. Io C,C).. ,1-j Or\ :: I-. IA t-tl. "-CL -
EXISTING USE I PROPOSED USE TGARAGE (SF) PATIOS (Sf) I DECKS (Sf) FIREPLACE IAlR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES □ NO □ YES O NOD
CONTACT NAME (If Different Fom Applkant) APPLICANT NAME L. I cl. Sc.ot -t , t-t e.FTe. I
ADDRESS ADDRESS ~it.••··· CITY STAT£ ZIP CITY STATE ZIP
PHONE IFAX PHONE FAA
EMAIL EMAIL 'Pe.r-MitS @AIAll\Af. C.Olr\
PROPERTY OWNER NAME L.e...e_ f\')tA" i e. ( CONT'ACT_ORBUS0NA~EI• I•'• -La~ U•-ttr<
ADDRESS ADDRESS $0\""Q_, -·· • " Ro.ii roi,,.J-,4ve.
CITY STATE ZIP CITY STATE ZIP
~t.w h"-11 I' ~. qi;~.i,
PHONE IFAX PHONE FAX ,c,o (Qo s & t.,, '-/ ,.,., · ~5'\ · 113' r, t. \ · J.S-CI• 't 5~'-
EMAIL EMAIL P~r"';t_s@ AvJ 1-1-t)-p. (c/,y-
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# ClASS I Q7i\"7~-, , ~~,~r.1'-C.SG>
(Sec. 7031.5 Busmess and ProfeSSIOOS Code: Any City OJ County which requires a permit to construct, alter, improve, demohsh or repatr any structure, pnor to Its issuance, also requires the applicant for such permit to me a siliUled 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 lhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dotla,s {$500J).
WORKERS• COMPENSATION
Workers' Compensation Declaration: I hereby a11inn under penally ol psrjuty 006 of the folo'MllQ' declarllions:
□ I have and wll maintain a certificate of consent to sell-wlsure for workers' compensation as provided by Section 3700 of the Labor Code. for lhe pefformance of the work for which this pe1m it is issued.
!!{j have and will maintain workers'~~• as niquired by Section 3700 of the Labor Code, for the performmlce of the :!!_Cl1i ~~ lhis pem,it is issued. My workeni' compensation insurance carrier aOO policy
oumbe<,,.•l"'"""'"Co. "t.C!.1\1__1'.__h Pa;cyNo. 'l.0!,')¥"'\~70 ..,.,_0,1, I -I• I\
This section need not be completed W the permit is for ooe huioed dollars {$100) or less.
□ Certificate of Exemption: I certify that in the performance of the worll for which this permit is issued, 1 shaU note~ any person in any manner so as to become suti;ect tolhe Workers' Compensation Laws of
California. WARNING: Failure to secure worke,s' compensation coverage Is unlawful, and shall sub}ecl an employer to criminal penalties and civil finn up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as pro for r Section 3706 of the labor code, interest and attorney's fees.
,I!$ CONTRACTOR SIGNATURE (!,{)Jf'[. • !'lfAGENT
I hemby affirm that I am exempt from Contnictor's License Law for Ille following mason:
□ I, as owner of the property or my employees wilh wages as their sole compensation, will do the woT1I and the slructt.e is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to a, owner of property who buids or improves thereon, and who does such work himself or lhrough his own employees, provided that such irnpnwements are not intended or offered for
sale. If, however, the building or ifl1lrovemenl is sold wilin one year of completion, the O'Mler-buikler will have the burden of proving that he cld not build or improve for the IJll1)()Se of sale).
□ I, as owner of the property, am exclusively contracting wilh licensed contractors lo construct the projecl (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of
property who builds or improves thereon, end contracts h such projects with contractor(s) licensed p1.1rsuant to lhe Conlractor'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 llllierials fcf constructiOfl of lhe proposed prwe,ty improvement. □ Yes D No
2. I (have/ have not) signed en ap~ication for a buting permit for the proposed work.
3.1 have contracted with the lolowing l)efSOl'I (fi1m) to provide the proposed conslruclion (include name address/ phone/ contractors' license number):
4.1 plan to provide portions of the work, but I have Ind the bllowing person to coordinate, supervise and provide the major worll (include name I address/ phone/ conlractors' license number):
5. I will provide some of the 'Mlrk, but l have contraded (hired) the following peoons to provide the work indicaleel (include name I address I phone/ type of work):
_L5 PROPERTY OWNER SIGNATURE IJAGENT DATE
:
!
•
Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner l-lazardous Substance Account Acl? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air potlufion control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a schoot site? O Yes □ No
F ANY 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 CONTROL DISTRICT.
I certify that I have read the application and state that the aboYe lnfonnatlon Is correct and 1hat the Information on the plans Is aa:t1rate. I agme to oomplywith all City oltlinances and State laws relating ID building construction.
l hereby authorize representative of the City of Carlsbad k:l enter upon the above menti:loed ixoperty for mpecli:ln purposes. I AL.SO AGREE TO SAVf., INDEMNIFY At-40 KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /Wf WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: kl OSHA pennil is requred b" excavations over 5'0' deep and demolioon or oonstrucoon of struct\leS OVElf" 3 mies 11 heighl
EXPIRATION: Every pefmit issued by tie Buikliog Ofli:ia! ooder lhe pf'Ollisms of this Oxle shall expi"e by linilation aOO beoome nuU and \IOid i tie buidilg or work autmzed by such pemil is not corrmenced 'Mlhin
180 days lrom lhe date of such pemil a lflhe buicf or YoaX authorized by such peimlt ii suspended or abandoned at any tine after lhe votiso::rnmencedba peood d 180 clays (Secti:>n 106.4.4 Umrm &.Jikjing Code).
.6$ APPLICANT'S SIGNATURE PJ)Jf{ . DATE /0-/1-{D
City of Carlsbad Bldg Inspection Request
For: 11/03/201 0
Permit# CB101952 Inspector Assignment:
Title: MUNIES RES-REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1021 LANDS END CT
Lot: 0
APPLICANT AFFORDABLE WATER HEATER
Owner: MUNIES RICHARD E FAMILY TRUST A0S-01-94
Remarks:
Total Time:
CD Description
25 Water HeaterNents
~ Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Phone:
lnspecto~
Requested By: HELEN
Entered By: CHRISTINE