HomeMy WebLinkAbout1270 HOOVER ST; ; CB130913; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-08-2013 Permit No: CB130913
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1270 HOOVER ST CBAD
PME
2061501700
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: BROOKS RES -REPLACE WATER
HEATER. SAME LOCATION IN GARAGE.
Applicant:
AFFORDABLE WATER HEATERS AND PLUMBING INC
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
BROOKS FAMILY TRUST 06-06-00
1270 HOOVER ST
CARLSBAD CA 92008
ISSUED
04/08/2013
SKS
04/08/2013
04/08/2013
$31.00
$0.00
$0.00
$64.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINAL APPRJ)VAL
Date: .5·.) ~· 13 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 pennit 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 infonnation 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.
j
«~~' Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No. L6 I) 0cr ( '3
Est. Value ~ C I TY OF
CARLSBA D Fax: 760-602-8558
www.carlsbadca.gov
Plan Ck. Deposit
JOB ADDRESS
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAM E (If Different Fom App/leant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS
PHONE
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
Date c_/ 't
SUITE#/SPACE#/UNIT# APN
TENANT BUSINESS NAME
r
PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
APPLICANT NAM~ _v\lebA,~ s
ADDRESS s~
CITY STATE
PHONE FAX
EMAIL
EMAIL
fe1~ ""' f~ @ AW ht.\
STATE LIC.#
~~1 ✓
(3
CONSTR. TYPE OCC. GROUP
AIR CONDITIONING
YES O NOD
ZIP
CITY BUS. LIC.#
FIRE SPRINKLERS
YES D NOD
1~1'7~'71
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an~ 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 License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or !hat 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 Declaration: / hereby affirm under penalty of perjury one of the following declara/ions:
D I have and will maintain a certificate of consent to self-insure for w011<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
~ have and will maintain work,,,rc' corrt[',,. ... sat'.cf",. as reouire,"' bv Section 37M of lhe Labor Code, tor the performanr.o c' l~~ •iJo:-': for whirJ, lhls oP.rmit is issued. My workers' compensation insurance ca
number are: Insurance Co._ "'lJAl'.li ch, ~kfl.,;,.... \ ~ ~ CQ Policy No .. 'W ~ 0 2-G>Op __ Expiration Dale -~ t ·
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any persoo in any manner so as to become subject to the Workers' Compensatioo Laws of
California. 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 (&100,000), in
addition to the cost of compensation, damages as proylded for In Se the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE !ifAGENT
I hereby affirm that I am eiempf from Conlracfor's Ucense Law for the following reason:
D I, as owner of the property or my employees with wages-as~heir sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professioos Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such w0/1< himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within ooe yea, of completion, the owner-builder will have the burden ol proving that he did not build or improve for the purpose of sale).
D I, as owner of the property, am exdusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
O I am exempt under Sectioo _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following persoo (firm) to provide the proposed constructioo (include name address/ phone/ contractors' license number):
4. I plan 10 provide portioos of the w0/1<, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number):
5. I wiU provide some of the w0/1<, but I have conlracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE nu~
.)
Is the applicant or future building occupanl required to submit a business plan. acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? 0 Yes O No
Is the applicanl or future building occupant required to obtain a penmit from the air pollution control dislrict or air qualily management district? 0 Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No
IF 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 thatl have read the application and state that the above infonmation Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize represenlalive of lhe City of Carlsbad lo enter upon lhe aboo;e mentioned proper1y for inspedi)n purposes. I Al.SO AGREE TO SAVE, INDEMNIFY N'-JO KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST AI.L LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pem,tt is required for excavations over s·o· deep and demolition or construction of structures over 3 sl:l!ies n height
EXPIRATION: Every penmit issued by the Building Ofocial under lhe provisions of this Code shall expire by limitation and become nun and void l the building or WOO\ aulhorized by such permit is not commenced 11,11hin
180 days from lhe date of such permit or if the building or w0!1\ au such · · nded or abandoned at anytime after lhe WOO\ is oommenoed for a period of 180 days (Section 106.4.4 Uniform Building Code).
_f!5 APPLICANT'S SIGNATURE DATE L\-5"
.) ' .
Inspection List
Permit#: CB130913 Type: PME
Date Inspection Item
05/23/2013 25 Water HeaterNents
05/23/2013 25 Water HeaterNents
05/23/2013 29 Final Plumbing
05/23/2013 29 Final Plumbing
Wednesday, May 29, 2013
Inspector Act
RI
PD AP
RI
PD AP
BROOKS RES -REPLACE WATER
HEATER. SAME LOCATION IN GARAGE.
Comments
EARL AM PLS
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