HomeMy WebLinkAbout1230 MARIPOSA RD; ; CB100594; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-06-2010 Plumbing Permit Permit No: CB 100594
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1230 MARIPOSA RD CBAD
PLUM
2122210100 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: WHITE RES REPLACE WTR HTR
Applicant:
ANDERSON PLUMBING INC.WALTER
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
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:
WHITE NANCY L
1230 MARIPOSA RD
CARLSBAD CA 92011
Issued:
Inspect Area:
ISSUED
04/06/2010
KG
04/06/2010
04/06/2010
$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:
Inspector: 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 informat'lon 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.
i~~ ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www,carlsbadca.gov
SUITE#/SPACE#/UNIT#
# ...
Plan Check Ni.! 810()59
Est; Value
Date D
""''
EXISTING USE PR ..... Al CONDITIONING FIRE SPRINKLERS
YES □ NOD YES O NOD
CONTACT NAME (It Different A»m ~
ADDRESS ADDRESS
STATE ZIP
PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME L,,,-1---e.. tA,"
ADDRESS I )-J C> ADOR'5S t
c,TY £ / C1rz;/J CA it 6 6
EMAIL
ARCH/DESIGNER NAME & -'DORESS STATE UC.#
(Sec. 7031.5 Business and Professions Code: My City or Coun_ty Which requites a J)('mlit to construct. alter, improve, demoflsh °'foi:lr any structure, orior to its Issuance, also requires the applicant for such permit to file a slined statement ttiat he is licensed pursuant to the provisions of the Contractor's UCense Law I11ter 9, commending with Section 7000 of Division 3 of the ~ and Professions COde} or ht he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any appllCant for a permit subjects the applicant to a CtYil penally of not motj!I than frve hundred ctoHars {$500}).
WORKERS COMPENSATION -·c-1on-,1~---at-oneatlhe--□ I have and will maintain a certllcate of conMtd to Ml-iuurl for wonc:ers' compensation as provided by Section-3700 of the Labor Code, for !tie perforNnce rJht wor1I: for which tis permit is Issued.
llri haw and wil ffllifttlln womtl' l.Ollipli .UO., '!11 r by &don 3700 of the Labor Coclt, fer lie perfomlance of !ht work br wtic:h !his permi! is isltad. M-/ '#OIUtS' compenqlion lnslnnce r:; and policy
m.mo,, are, Insurance Co. :Z. e. , j' Poley No. :Z o lo 'f , , ( (p 6 ( -""" ---Z -IQ
need not be mmpleted If lhe permit Is k>r one hundred dollars ($100) or less.
of Exemption: I certify that In lhe performanc& of lhe work forwtich this permit Is issued, I shall not employ Sll'f person In any manner so as lo become suti;ect lo the Workeis' Compenaatiar,Laws of
ARNING: Fall\n lo MCUre workers' compensation cow,age ls umawful, and shall subject an employer to criminal penalties and dvfl lints up to one hundred thousand doln{&180,008), In
addklon to the cost of COfflJ)llf'tlat, damag11 at vtded for in . 37 the Labor code. internt and altorney'I fen.
E CONTRACTOR SIGNATIIRE ~~ii' ,:!l""I....-; .... --flfCGENT
I herebyBffitm that I am exempt from Conlractot's License Law for the following reason:
□ I, as owner of lhe property or my employees wilh wages as lhelr $ale compBfl88tion, will do the won( and the strooture is not inmoded or offered for sale (Sec. 7044, Business and Ptoressionl Code: The Cootactor's
License law does not apply to an owner of property who builds or lmproYe5 !hereon, and who does such work hi'nself or through his own employees, provided Iha! !IUCh lmprow!fflenlS are mt intended or offer8d for
sale. If, however, the building or improvement Is sold within one year of complfnorl, the O'Mlllf-builder wlM have the burden of proving that he did not tMild « ifPproYe for lhe pwpos,e of sale).
□ I, as ownerol lie property, am exclusively conlrading with bnsed contradtlfS IOconstruct the profect(Sec. 7044, Busl1'18S5 and Profeislons Code: The Contractor's Liceflae law does not apply to an CMOer of
properly who builds or lmproi;es thereon, and contracts for such projects wilh conractor(s) licensed l]Ol'Suanl lo lhe Conlraclor's License Law).
□ I am exempt under Section __8uainess and Proklssk>nS Code tor IHs reason:
1.1-plan lo-lhemajo, obornl -la-'°""'1lelonol"'-l"'l""Y ~t. □ Vos □ No
2. I (have / have not) signed an appicallon for a building permit for the proposed wort.
3,l...,.-wflh.,,""'""'1gpen,on(firm)io_lhe,..,,.,.....,.,..,_(lndudename,_lphone/oo-·liconee ...-):
•· I pla, to provide portions ofV. work. butt have hired lhe bllowing person t:> rooniioata, superviae and provil::le the major work (Include name/..,./ phone/ conncfors' license All'l'lber):
5. I will Jr(Mde liOfl'IEI d lhe work, but I have contraded (hired) the following peniona lo provide hi work lr1dil:lled {lnclYde name / ~ / phone I type of watc):
E PR<l'fRTY OWNER SIGNATIIRE ClAGENT DATE
COMPLETE THIS SECTION FOR NON-RESIOENl'IAl BOIi DiNG PERMITS ONLY
lsfle applicant or fuue building oalJPlfll l1IQIMl9d lo submit a bWiness plan, actdely hazardous materials~ bm or risk ffllltlijii1ad. and~~ under Sectirm 25505. 25533 or 25534 rl lhe
Preoley-T....,....,_ s.-Aa:oun1Ac1? 0 Y• □ No
hlle_or,....""'""1goccupanl-~-•-flom'1e,.poll.<ion"°""'clslrictor,.qua1~--□Y• □No
Is It. laclily lo be constnx:llld wllhin 1,000 M81 ol lhe outer boundary ct I school site? □ Yes □ No
F Nf'f OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMElfTS OF THE OFFICE OF
EMERGENCY SERVICES AHO TIE AR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I ~ aflinn lhat them is a construction lend,ng agency for the of the wot!< this pem,11 is issued (Seo. 3097 ~) CM! CO<le)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
IClltlf)'INIClhMadlfloapplk:atioRand .. ltlatUle ......... lsCIIR8Cl:andllatilelnlonnallonon1heplal&IIICQIAlte.l ... W~-IIQlrCNdlulalwlSl-...._r911t11CIDINIINn(QWIA dee
lhelillj...--ol ... Ciyol_i> __ ,,, __ ~l:rnpocliln-. lN.J!OAGREETOSA\IE, NOEMNIFYNIDKEEl'IWM.ESST1£C/TYOFCNI.SIWl
AGAINST All LIABUTIES, .A.OOMENTS, COSTS Al'll EXPENSES l\tllCH MAY IN /Wf WAY ACCRlE AGAINST SAIOCTTY INCOISl!<lJENCE OFlHEGRANT'NG OFT!ilS PERMIT.
OSHA:NI OSW.pennit•IOQt.ildl:r-.,_50'deef>and-orconstrudionol-..,,-3Sbiesi1 ~
EXl'1RATKlN: Ewty pe,mit issued bylle BuldrlgOllcial <>m'1e pro,l,inollis Cocle-e,pieby lrrilaion and beo>menul and""' 11,e bJildilg or-..-by such p,nrilB notomtWad-
1110 dajstom tie d■ltof lUd!-orlllebuidi,g w--by'J"j~,._ ~,....•-or_at...,limo *lie_ is_ fora-ol 1110 ..,.(_, 106.•.• -l!uiling Coclef
DATE 1./-G,-
4\ -City of Carlsbad Bldg Inspection Request
For 04/27/2010
Permit# CB100594
Title: WHITE RES REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1230 MARIPOSA RD
Lot:
OWNER WHITE NANCY L
Owner: WHITE NANCY L
Remarks: AFTER 1 :30PM PLEASE
Total Time:
0
Act Comments
Inspector Assignment:
Phone: 6194497646
lnspecto~
Requested By: ZACK, ANDERSON PLUMBIN
Entered By: CHRISTINE
CD Description
25 Water HeaterNents ttf---------~
J
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments