HomeMy WebLinkAbout1173 CHESTNUT AVE; ; CB112492; Permit11-28-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB112492
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type;
Parcel No:
Reference #:
PC #:
Project Title:
1173 CHESTNUT AV CBAD
PME
2052103900 Lot#:
BAASCH RES- REPLACE WTR HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
11/28/2011
LSM
11/28/2011
11/28/2011
Applicant:
ALL STAR WATER HEATERS & PLUMBING
Owner:
BAASCH HERBERT&ANTOINETTE A TRS
17886 LAKESHORE DR 92530
1-800-727-0977
1173 CHESTNUT AVE
CARLSBAD CA 92008
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$150.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00
EXPIRED PERMIT
PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C.
SECTION 106.4.4 AS AMENDED BY C.M,C.18.04.030
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE that approval of your projecl incluties the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as lees/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 Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager tor
processing in accordance with Carlsbad Municipal Code Section 3.32,030. Failure lo timely follow thai 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/exaclions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or sen/ice fees in conneclion with this project, NOR DOES IT APPLY to any
fees/exactions ot which vou have previously been given a NOTICE similar to Ihig, pr a? to whiph the statute of Iimiiations has previously otherwise expired.
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
SWPPP
JOBADDRESS «. . . .
1173 Chestnut Avenue
SUITE#/SPACE#/UNITH APN
CT/PROJECT# LOT# PHASE*
This fa
n OF UNITS # BEDROOMS « BATHROOMS TENANT BUSINESS NAME CONSTR. TVPE OCC. GROUP
Replace existing water heater. Same size and location.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIRCONDITIONING FIRESPRINKLEF^S
YESQ* Non YESr^NOI 1 YES[^ N0| 1
CONTACT NAME fW Different Fom Applfcant) APPLICANT Nfi ME Rob ert Block
ADDRESS ADDRESS
30300 Puerto Vallarta
CITY STATE ZIP CITY
Menifee
STATE
CA
ZIP
92584
PHONE FAX PHONE
951-345-4083
FAX
EMAIL ElvlAIL
PROPERTY OWNER NAME Herbert Baasch CONTRACTOR BUS. NAME All Star Water Heaters
ADDRESS
Same as lob
ADDRESS 30300 Puerto Vallarta
CITY
Carlsbad
STATE ZIP
CA 92008
CITY
Menifee
STATE
CA
ZIP
92584
PHONE
760-729-0590
FAX PHONE
951-345-4083
FAX
ElVlAIL ElvlAIL
AHCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LlCfl
812894
CLASS
C36
CITV BUS. LlCff
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires toe applicant for sucH permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's License Law (Cnapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis forthe alleged exemption. Any violation of Section 7031.5 by any appllcantfora permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declantlon: I hereby affirm under penalty of perjury one ot the following declarations:
I I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Secfton 3700 of the labo< Code, far the perfarmance of the work for whicfi this permit Is issued.
1*^11 have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, far the perfonnance of the work far which this permit is issued. My workers' compensation insurance carrier and policy
numberaffi- InsuranceCo Orinitest«i« iniur»ne«Company Policy Nc. 1MS1M Expiration Date mmn
This section need not be compleled if the permit is for one hundred dollars ($100) or less.
I I Certificateof Exemption: I certify lhat in Ihe performanceof the work for which this pemiil is issued, I shall notemploy any person in any manner so as to become subject to the Workers' Compensalion Lavreof
Califomia. 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 (S100,000), in
addition to the co«t of cotnpengatlon, dapage^js providedj^^' In Section 17flfr«fth(i| nlT"r_rfiiiti interest and attomey's fees.
JS^ CONTRACTOR SIGNATURE • AGENT DATE IIIIS^IK
I hereby affirm that' am exempt from Contractor's Uixnse Law for the Mowing reason:
j I I, as owner of the properly or my emptoyees wth wages as their sole compensalion, will do the work and the structure is nol inlended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does nol apply to an owner of properly who builds or Improves Ihereon, and who does such work himself or through his own employees, provided that such improvemenls are not intended or offered for
sale. If, hovrever, the building or improvemeni is sold within one year of completion, the owner-builder will have the burden of proving thai he did not build or improve for the purpose of sale).
I I I, as owner of the properly, am exclusively contracling with licensed conlraclors to constnjct the projecl (Sec, 7044, Business and Professions Code: The Contractors Ucense Law does not apply to an owner of
property who builds or improves Ihereon, and contracts for such projects with contraclor(s] Icensed pursuant to the Contractor's License Law).
I [ 1 am exempi under Seclion Business and Protessions Code for this reason:
1. i personally plan to provide the major labor and materials for conslruclion of the proposed property improvement. DYes I |NO
2,1 (have / have nol) signed an applicatton lor a building pemil for the pnjposed work,
3,1 have contracted with the lollowing person (finn) lo provkle the proposed constnjction {include name address / phone / contractors' license number):
4,1 plan to provide porttons of Ihe work, but I have hired the following person lo coordinate, supervise and provide the major work {include name / address / phone / contractors' license numtier):
5.1 will provWe some of the work, but I have contracted (hired) the following persons lo provkJe the work indicated (include name / address / phone / type of work):
^PROPERTY OWNER SIGNATURE •AGENT DATE
Is the applicani or future building occupanl required lo submil a business ol^n, acutely hazardous malerials regislralion fami or risk management and prevention program under Sections 25505,25533 or 25534 ot the
Presley-Tanner Hazardous Subslance Account Act? Yes I iNo
Is the applicant or luture bultoing occupant required fa obtain a permil from the air pollution conlrol districi or air q^ualily managemenl districi? I iYes \~\ No
Is the lacility to be conslrucled within 1,000 feel of the outer boundary of a school site? QYes QNO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY 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 hereby affirm lhat there is a construction lending agency for the performance of the work this permit is issued (Sec, 3097 (i) Civil Code),
Lender's Name Lender's Address
I certify that I have read the applicalion and state that the aboveintomiation is correct and thatthe information on the plans is accurate. I agree to compty with all Cify oidinancesand State laws relatingtobuildng construction.
I hereby authorize representali« of the City of Carisbad to enter upon the above menlioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEIvlNlf^ AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGI^ENTS, COSTS AND EXPENSES WHICH IvlAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required for excavatfons over S'O* deep and demolitfon or constnjctfon ol slnjctures over 3 stories in height.
EXPIRATION: Every pernilt issued by the Building Ofiicial under the pnavisicns of this Code shall expire by limitation and become null and void if tbe building or wori< authorized by such permit is not commenced within
180 days from the date of such permit or if the building or vtork authorized by such pQTnit is suspended or abandoned al any lime after the woik is commenced for a period of 180 days (Sedfon 106,4.4 Uniform BuikJing Code).
^APPLICANT'S SIGNATURE DATE ll idll