HomeMy WebLinkAbout130 CHANNEL RD; ; CB112693; Permit12-21-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No; CB112693
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC #:
Project Title:
130 CHANNEL RD CBAD
PME
2146000824 Lot#:
CALL: REPLACE WATER HEATER
Status:
Applied:
Entered By:
Plan Approved:
issued:
Inspect Area:
ISSUED
12/21/2011
jma
12/21/2011
12/21/2011
Applicant:
ALL STAR WATER HEATERS & PLUMBING
Owner:
CALL MICHAEL C&JULIEANNE
17886 LAKESHOREDR 92530
1-800-727-0977
130 CHANNEL RD
CARLSBADCA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
other PME Fees
$150.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $150.00
Total Fees: ItSaOO Total Payments To Date: $150.00 Balance Due: $0.00
Inspector:
FINALAPPROVAL
Date: <^ "^J^^"^ Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resewations, 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/exactlons. 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 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/exactrons DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or servtee fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have Drevioustv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othemvise exoired.
^ CITY OF
CARLSBAD
Building Pftrmit Appiication
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
Date SWPPP
JOBADDRESS 130 Channel Road
CT/PROJECT # LOT*
SUITE#/SPACE#/UNIT#
# BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE | OCC. GROUP PHASE* # OF UNITS
Thisfd
DESCRIPTION OF WORK: /nc/ud* Squar* Fast ofArtected Areaft)
Replace existing water heater. Same size and location.
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESQ* N(Q
AIR CONDmONING
YES QNO •
FIRE SPRINKLERS
YES I |NO| I
CONTACT NAME (rf OWenntFoin App/feant) APPLICANT NAME Robert Block
ADDRESS ADDRESS
30300 Puerto Vallarta
STAFE W~ CA
CITY STATE ZIP CITY Menifee 92584
PHONE FAX PHONE
951-345-4083
FAX
EMAIL EMAIL
PROPERTY OWNER NAME Mike Call CONTRACTOR BUS. NAME All Star Water Heaters
ADDRESS
Same as iob
ADDRESS 30300 Puerto Vallarta
CITY
Carlsbad
STATE
CA
ZIP
92011
CITY
Menifee
STATE
CA
ZIP
92584
PHONE
760-809-6723
FAX PHONE
951-345-4083
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS
812894
CLASS
C36
CriY BUS. UC*
trie to a
civil penalty of not more than five hundred dollars ($500)).
f E N SWT I ON
Workare' Compenjation Declaration: / hereby affirm untfer penalty of perjury one ofthe fotloviing declarations:
B l have and will maintain a cartlficatt of content to telMntura for workers' compensation as provided by Section 3700 of the Labor Code, for the perfbrmance of the work for which this permit is Issued.
I have and will maintain workere' comptneation, as required by Sectk>n 3700 of the Labor Code, for the performance of the work kir which this pemiit Is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co . 0f«nii»8ut.in..Co. Policy No. Expiration Date mm^2
This section need not be completed If the permit Is for one hundred dollars ($100) or less.
I 1 Certificate of Exemption: i certify that In the perfomiance of the worit for which this penult is issued, I shall not emptoy any person in any manner so as to become subject to the Woriters' Compensation Laws of
Califomia. WARNINQ: Failura to secure workers' compensatian coverage is unlawful, and shall subject an employerto criminal penalties and civii fines up to one hundred thousand dollare (&100,000), In
•AGENT
addition to the cost of compensation, damages ts provided for in Section 3706 of the Ljjbor code, Interest and attorney's fees.
JET CONTRACTOR SIGNATURE
:R-6UILPEir lots CIAS jfii.:m:0'N
I hereby affm that I am exempt from CkintractoTs Ucense Law fbr the following reason:
[~~| I, as owner of the property or my emptoyees with wages as their sole compensatton, will do the wort; and the stmcture Is not intended or offered for sale (Sec. 7044, Business and Professtons Code: The Contractor's
License Law does nol apply to an owner of property who builds or improves thereon, and who does such work himself or through his own emptoyees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement Is soW within one year of completton, the owner-builder will have the burden of proving that he dW not buikl or Improve for the purpose of sale).
I I I, as owner of the property, am exclusively contracting with Itoensed contractors to constmct the proiect (Sec. 7044, Business and Professtons Code: The Contractor's Ucense Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with conlractorts) licensed pursuant to the Contractor's Lfcense Law).
• I am exempt under Section _ .Business and Professtons Code for this reason:
•Yes \Zh> 1.1 personally plan to provkle the major labor and materids for constructton of the proposed property improvement.
2.1 (have / have not) signed an appltoatton for a buikling pemiit for the proposed work.
3.1 have contracted with the following person (firm) to provtoe the proposed constnictton (include name address / phone / contractors' license number):
4.1 plan to provide porttons of the worit, but I have hired the foitowing person to coordinate, supervise and provWe the major worit (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the foitowing persons to provkle the work indicated (include name / address / phone / type of worit):
^^TPROPERTY OWNER SIGNATURE •AGENT DATE
C O Mix if E THIS SECTION FOR NON-RESIDtNTIAI. BUIIDING PERMITS OHLY
Is the ^llcant or future buitoing occupant required to submit a business flto, acutely hazardous materials reglstratton tonn or risk management and preventton program under Secttons 25505,25533 or 25534 of the Presley-tanner Hazardous Substance Account Act? [_]Yes ^jNo
Is the appitoant or future buitoing occupant retiuired to obtain a pemiit from the air pollutton control district or airauaiitv management distrtot? IlYes l~1 No
Is the facility to be constructed within 1,000 feet olthe outer boundary of a school site? LJYes PI No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 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 PaiUTION CONTROL DISTRICT.
CP !<iMT R ll C T I O. N L E N 0.1 N <S . A Q;i N C
I hereby affirm that there is a construction lending agency for the peiformance of the work this pennit Is issued (Sec. 3097 (I) CMI Code).
Lender's Name Lender's Address
A P P lie #N T CERTIFICATION
I csitl4r that I have read tha application and state that the above Infomiatton Is collect and Ihm the litf^
I hereby authoiize lepiBsenlativB of the City of Caitst)ad to enter upon the above mentkmed property for inspectkxi purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF aRLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pemiit is required Ibr excavatkxis over S'O' deep and demoWkm or construction of stmctures ow 3 stories In height.
EXPI RATIO!: Eveiy pemiit issued by the BuiUIng Ofltoial under the provistons of this Code shal expire by KnMon and become nuH and void if the buiUIng or vtorit authorized by such pennit Is not commenced within
180 days from the date of such permit or if ttp building or worit authorized by such permit is suspended or abandoned at any time after the worit is commenced for a period of 180 days (Sectton 106.4.4 Uniibnn Buikling Code).
* DATE l^/l^/// ^APPLICANT'S SIGNATURE
City of Carlsbad BIdg Inspection Request
For: 02/10/2012
Permit* CB112693 Inspector Assignment:
Title: CALL: REPLACE WATER HEATER
Description:
Type: PME Sub Type:
Phone: 7608096723
Job Address: 130 CHANNEL RD
Suite: Lot: 0
Location: Inspector^
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: CALL MICHAEL C&JULIEANNE
Remarks: 1ST STOP OF THE DAY PLEASE, OR CALL-^o Cfi^c«\
Total Time: Requested By: MICHAEL
Entered By: CHRISTINE
CD Description Act Comments
25 Water HeaterA/ents
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection Historv
Date Description Act Insp Comnfients