HomeMy WebLinkAbout1241 BELLEFLOWER RD; ; CB152524; Permit08-07-2015
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB152524
Building Inspection Request Line (760) 602-2725
Job Adciress:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
1241 BELLEFLOWER RD CBAD
PME
2145420300 Lot#:
TOWNSEND: REPLACE WTR. HTR.
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/07/2015
JMA
08/07/2015
08/07/2015
Applicant:
ANDERSON PLUMBING INC.WALTER
Owner:
TOWNSEND MICHAEL W&MARIANNE W
1150 N MARSHALL AVE
EL CAJON CA 92020-1831
619-449-7646
1241 BELLEFLOWER RD
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
$35.00
$0.00
$0.00
$60.00
TOTAL PERMIT FEES $95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00
Inspector:
FINAL AP
Date:
APPROVAL
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen'ed to as "fees/exactions." You have 90 days frcm 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 IVIanager for
processing in accordance with Carisbad 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
fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previouslv othew/ise expired.
1
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: • PLANNING nENGINEERING nBUILDING DFIRE • HEALTH • HAZMAT/APCD
^ CITY OF
CARLSBAD
Building Permit Appiication
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
PlanCheckNo. ZISTM
Est. Value
Plan Ck. Deposit
Date
k. Depoi
M SWPPP
]2QU
IMS
SUrrE«/SPACE«/UNIT*
PHASE # # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR.TVPE lOCCGROUP
DESCRIPTION OF WORK: Inclutfe S«uare Feet ofAtfected Areafs)
Replacement gallon natural gas water heater In garage <9i||jjgM)«Hi«niSRB^^
EXISTING USE
APPUCANTNAME (Primary Contact)
PROPOSED USE GARAGE (SF)
ADDRESS
1150 N. Marshall Ave.
PATIOS (SF) DECKS (SF) FIREPLACE
VESQ* N0| I
APPUCANTNAME (Secontfary Contact,
AIR CONDITIONING
YESr~lN0| I
FIRE SPRINKLERS
YES| |N0| I
ADDRESS
1150 N. Marshall Ave.
Ctrl' El Cajon STATE
Ca
ZIP
92020
CITY El Cajon STATE
Ca
ZIP
92020
PHONE
619-449-7646 619-449-0312
PHONE
619-449-7646
FAX
619-449-0312
EMAIL
reception@.andersonpha.com
EMAIL
4 ^andersonpha.com
PROPERTY OWNER NAME CONTRACTOR BUS. NAME Anderson Piumbinq. Heatinq & Air. Inc.
ADDRESS ADDRESS 1150 N. Marshall Ave.
CITY STATE ZIP CITY
El Cajon
STATE
Ca
ZIP
92020
PHONE FAX PHONE
619-449-7646
FAX
619-449-0312
EMAIL EMAIL
reception@andersonpha.com
ARCH/DESIGNER NAME & ADDRESS
N/A 493163 C-36
CITY BUS. UC.#
1074400
(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 the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
WORKERS COMPENSATION
Worksrs' Compsnsation Dsclaratlon: / haraby affimi under penally (^peijury one oflhe foUomg declarations:
SI have and will maintain a certificate of consent to setf-insure for woricers' i^impensatlon as pn)vided by Section 3700 of the Labor Code, for the perfonnance of the work fbr which INs pemiit is Issued.
I have and will maintain workers' compensalion. as required bv Section 3700 of the Labor Code, for the perfomiance of the wori< for which this pennit is issued. My woriters' compensalion insuranni canier^nd policy
number are: Insurance Co.j.
r the perfomiance of the wori< for which this pennit is issued. My woriters' compensalion insurant canier^nd pc
Bsection need not be completed if the pennit isfor one hundred dollars ($100)i][te5S.
Certificate of Exemption: I certify that In tlu Mrfonnance of the work for whicli^ls pemiit Is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of
California. WARNING: Failure lo secure wopers' cnnpensstlaircoverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
additton to the cost of compsnsation, danUges as pjmlded fonn Seelflin 3706 ofthe Labor code, interest and attorney's fees.
^CONTRACTORSIGNATUR5/>/i^«^;..^_/Q(^( J{__.._-eiif X
OWtitSH-BUILtaBli OECLARATION
I • AGENT DATE
/ hereby affm that I am exempt fnm Contractor's License Law for the following reason:
I I I, as owner of the propeity or my employees with wages as their sole compensation, wiii do the worit and the stnicture is not Intended or offered for sale (Sec. 7044, Business and Professkins Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such worit himself or through his own empioyees, provided that such improvements are not intended or offered for
sale. If, however, the building or Improvemenl is sold within one year of completion, the owner-buikler will have the burden of proving that he did not build or Improve for the puipose of sale).
I I I, as owner of the property, am exclusively contracting with licensed conlractors to conslmct Ihe project (Sec. 7044, Business and Professions Code: The Contiactoi's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such pn^ects wilh contractor(s) licensed pursuant to Ihe Contractor's Ucense Law).
• I am exempt under Section ^ .Business and Professions Code for Ihis reason:
1.1 pereonally plan to pravide the major labor and materials for constmction of the proposed property improvemenL I lYes I INO
2.1 (have / have not) signed an appiication for a building pemiit for the proposed worit.
3.1 have contracted wilh the foliowing person (timi) to provide the proposed constmction (Include name address / phone / contractors' license number):
4.1 plan to provide poitions of the woik. but I have hired the following person to coordinate, supennse and provide the major worit (include name / address / phone / contractois' license number):
5.1 will provide some of the worit, but I have contracted (hired) the following persons to provide Ihe worit Indicated (Include name / address / phone / type of worit):
ySS'pROPERTY OWNER SIGNATURE •AGENT DATE
C OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILOING PERMITS ONLV
Is (ha applteant or (uture building occupant required to submit a business plan, acutely hazanlous materials reglstralion Ibmi or risk management and prevention program under Sections 25505,25533 or 25534 of the
Piesley-Tanner Hazardous Substance Account Act? • Yes Cl No
Is the applicant or luturabuildino occupant required to obtain a pemM tom ttie all poQuthxi control districts OYes •No
IsthetidlltytobeconstmctedwiMn t.ODOIseloriheautarboundaiyofaachoolsita? dVes ONo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTViCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTtON CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby afftrm that there Is a construction lending agency for tfie performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lenders Name Lender's Address
APPLICANT CERTIFICATION
I cerii^i that I have lead the applcation ami sMe IhM the above hifomatlon Is conect and 1^
I heieby authorize repiBseritative of the Oty of Cartsbad to enter upon Ihe above nnnfi^
AGAINST Aa UABUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEtajENCE OF THE GRANTOG (DF THIS PERMIT.
(^SHA An (3SHA pemiit is ie()uired fbr excavations over S'O'deep and demcOkin a construe
EXPIRATIC)N: Every permit Issued by the BuiMing OCW under the piDViskins of Ihis Code shai exp^
180 days from Ihe dale of such pemiit or if tt^JwiUing or
APPLICANTS SIGNATURE DATE
Inspection List
Permit*: CB152524 Type: PME TOWNSEND: REPLACE WTR. HTR.
Date Inspection Item Inspector Act Comments
08/18/2015 25 Water HeaterA/ents - Rl
08/18/2015 25 Water Heater/Vents AEK AP
08/18/2015 29 Final Plumbing - Rl
08/18/2015 29 Final Plumbing AEK Fl
Tuesday, August 18, 2015 Page 1 of 1