HomeMy WebLinkAbout1162 MARIPOSA RD; ; CB111546; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-14-2011 Plumbing Permit Permit No: CB111546
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1162 MARIPOSA RD CBAD
PLUM
2122211800 Lot#: 0
Construction Type: NEW
SCHNEEKLUTH RES-REPLACE
WATERHTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/14/2011
LSM
07/14/2011
07/14/2011
WATER HEATERS ONLY INC. VILLER NANCY L 1995 TRUST 07-27-95
400S EL CAMINO REAL
SAN MATEO, CA 94402
415-375-8751
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: $27.00
0
0
0
0
1
0
0
1008 PARK HILL PL
VISTA CA 92081
$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:
Inspector: yt,I, ~ FINAL APPR~VAL
Date: f:>'1(7, I( 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. NOA DOES IT APPLY to any
f x in fwhi h r hi r whi h Ii i i h h
-
. •
Bulldlng Permit Application
1635 Faraday Ave., Ca~sbad, CA 92008
760-602-2717 / 2718 I 2719
Fax 760-602-6558
www.ca~sbadca,gov
MS TENANT BUSJN
IPTION OF WORK:. Include aq..,. l'Mt of A AIN(a)
f ¥Jla~ 0"01 Wc,/<u-Jleqf.£
GARAGE (S PATIOS (SF) DECKS (
Plan Check No. C5 I I I 54_5,,,
Est. Value
Plan Ck. Deposit
Date 7 (4' I ( SWPPP
CON
FIREPLACE
YES[}, NO
APPLICANT NAME (Second•r1 Contact)
ADDRESS
CrTY STATE ZIP
PHONE FAX
EMAIL
UP
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
(See. 7031.5 BIJ811'18SS and Professions Code: Any City or COunfy Which requires a permit to construct. alter, improve, demollSh or repair any Wucture, Ori to ltS issuance, also requires the apP!icant f« such pennit to file a Sianed statement that he is licensed pursuant t.o the provisions of the Contractor's License Law fChapter 9, commendinll with Section 7000 of Division 3 Of the Business and Professions Code} or Diat he Is exempt therefrom, and the basis for the alleged exemption. My vlolation of Section 7031.5 by any eppllcantfor a pennlt subjects the applicant to a clvlt penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
'ComptnNllon Dtclllllioo: I ""911/ afflnn --ofpe,Juryone .,.,. lollo..,. _,
i..:.~avellld will malnllln a certfflcat• of consent lo Aff-tnsure ror v.tirllers' COITl)el'IS8ltOn as provided by Section 3700 of the Labor Code, br the perfOrmance of the m for which this permit is Issued.
I have and wW maintain worttn' compensation, as required bv Section 3700 of lhe Labor Code, for the performance of the work for 'M'llch lhls pennit Is Issued. My wortcers' compensation inSuranCe carrier and policy
number are: Insurance Co __________________ Policy No. ____________ Expiral/on oa,, _______ _
]llli,sec/Jon need not be -,.,. pem,it I& for one hundnld doll!rs ($100) or""· LJ Certificate of Exemption: I certlf'/ that In the perlonmn:e Of lhe 'M)llt for 'M'lr:11 this permit is issued, 1 shall not employ cllY person In my mM08I'" so as to become subject k> the Worl<ers' Compensali>n Laws of
Caltfomia. WARNING: Failure lo teeurt .,., compenation .. unltwful, and lhlll lUbject an employer lo crtmlnlf penattles and clvll fln11 up lo one hundred ttlOUlllld dolm (&100,000), In
lddtion to the cost cf compenatlon, for In 05 oflhe Labor code, inttmt and altomey'a fe-.
Af5 CONTRACTOR SIGNATURE
1 h6f6by altlrm th8t I am eXSflfJ[ from Contracto(s L.Jcense Law for the tilotNng l8aSOII: D i, as owner of the property or my emplrJyees with Wi¥IS as tlelr sole cornpensatk)n, will dO the work. and the strucrure Is not intended or offered for sale (Sec. 7044, Business IOI Professions Code: T1le Conlr.Etor's
License la# does notappty to an owner of property who blildsor ~ thereon, MCI who does such 'M>fk himllelf or through his own employees, provided that such lm1)1'0"811l8nts n not intended or offered for
. If, however, the building or l~ Is sold within one year of completlon, the owner-buBderwfll have the bllden of proving that he dkl not bulki or lll1)n)W for the purpose ofsale).
I, as owner of the property, am exciuslwly con1ractlng 'Mlh lk:8nsed contractors to construct the project (Sec. 7044, Business and Professkms Code: The Contra::tor's license law does not • to ill owner of
property who bullds or Improves thnen, and conuacts for soch projects with contr.dor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ____ ,Buslnes& and ProfesslOns Code brthls reason:
1.1 "'"°"'" p1an ~ plOVl(le /he ma;,-..., -mr conslru:tion o1 /he proposed"""""' mpro..,,,.t Oves 0..
2. 1 (have / have not) Signed III application for a building permit for the proposed work.
3. I have contracted with the followlng person (firm) to provkle the proposed construction Onclude nane address/ poone I contractors' lk:ense number):
4. I plan to provide portions of the work, but I haYe hired the bl1o¥Mg person to coon:llnats, supervise and provide the major 'M>l1< (lnClude name I acklress / phone I conlractors' llceose number):
5. l wtll provide some of the work, but I haw tra:;ted (hlltld) !he fo '""'"""'"'to provide the work indicated (lnclucle nan&/ add1'8SS / phone / type of work):
Af5 PROPERTY OMIER SIGNATURE AGENT DATE I
'•
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
lmtily1hllllh1M181dthe_ .... _1hlllthe--ls---• .. -ls_l_lt_llCO, _ _, ____ I __ _
lhalll>y_..,www_.J._Cllydeatmlb _______ ,.~_ IALSOAGREElOSAVE. NalNFY NOl<EEPIWMESSTIECITYOFCARLSBAO
AGAIIISf l>ULWIUTIES,JWGl,BllS,COSISNOElffl«SMIOlMAYIN/>Nf WAYAcmJEA<WNST SAIDCITYINCONSECU'NCEOFTIEGRANTINGOFTHSPERMT.
OSHA An OSHA perm! o "'llil9d """""°"<Nf!ll 5'11 deep im-or-d-°"" 3SIOriesln helitll
EXPIRATIOO E"")'pemil '1sued bylho ~ · """lho _,llt111 shall-by-Im beaime rul im ,oo Wlhoblildlng orwak-bysuch pemil o ""cxmnenoadwllhkl
180days Ian lho dale c:t S\ldl permtor llho orwa1< IIJlhorl2ed bysuch ~Iii ~l'JSl,er,iooor al>ntlned al"'f lirll afterlhowak lscxmnenoaduapellor! c:1111'.ldays (Sedlon 100.4.4 lklilam BIJll'll Corle).
A!S° APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 07/26/2011
Permit# CB111546
Title: SCHNEEKLUTH RES-REPLACE
Description: WATER HTR
Type:PLUM Sub Type:
Job Address: 1162 MARIPOSA RD
Suite: Lot: 0
Location:
APPLICANT WATER HEATERS ONLY INC.
Owner: VILLER NANCY L 1995 TRUST 07-27-95
Remarks: FIRST STOP PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment: MC ---
Phone: 8583957811
Inspector: _...jMi-:.:l,:,.._
( l ,z,;"J A-4
Requested By: KIRK
Entered By: JANEAN
25 Water HeaterNents ~ 1=sxt.s11J,.q t-oC,A.f\,o.'4 1 ~asMtc. .S-m.4:f~ u-..L f'I...A.e-e;
ft_ _____________ _ 29 Final Plumbing
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments