HomeMy WebLinkAbout1400 OCEAN CREST AVE; ; CB150111; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-13-2015 Permit No: CB150111
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1400 OCEAN CREST AV CBAD
PME Status:
Parcel No: 2150430100 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: YOUNG RES-REPLACE WTR HTR
Applicant:
BLACK MOUNTAIN PLUMBING
STE E
9909 HIBERT ST
SAN DIEGO CA 92131
858 536-4161
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
YOUNG SHARON M
1400 OCEAN CREST AV
CARLSBAD CA 92011
ISSUED
01/13/2015
LSM
01/13/2015
01/13/2015
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 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 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.
THE FOLLOW\NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: ' '
□PLANNING D ENGINEERING 0eulLDING □FIRE □HEALTH D HAZMAT/APCD
( City of
Building Permit Application Plan Check No. (I A\ SO \ l \
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 7~02-2719 Fax: 7~02-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date t \ 1~ ,~ ISWPPP
JOB ADDRESS 1400 Oceancrest Avenue 1•~•u/ I"" ---
1 v,/,.,...,JE(.;1 # ILVTII' r·~· l#v, ..,Nh::, r #...-.,HA,.,..,.,,_, I ··--1v-,,•~·R .... E , ... -.... Rau ..
~111,-1 n1,. vr WORK: Incl.,_ Square Feet of Affect9d Anta('s)
Install 75 gallon natural gas water heater
EX_, .... G ..... E I ED-I GARAGE (SF) PATIOS (SF) I DECr.S (Sr-) FlREt'LACE I IAIR ,.,._,,,01,,vNING I FIRE SPRINKLERS
YESO N<CJ YES□No□ YESON<0
APPLICANT NAME BLACK MOUNTAIN PLUMBING PROPERTY OWNER NAME SHARON YOUNG
ADDRESS ADDRESS 9909 HIBERT STREET, SUITE E 1400 OCEANCREST AVENUE
CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92131 CARLSBAD CA 92011
PHONE l'AX PHONE l'AX 858-536-4161 858-536-4159 858-668-0718
EMAIL EMAIL maria@blackmountainplumbing.com
DESIGN PROnSSIOIIAL CONTRACTOR BUS. NAME BLACK MOUNTAIN PLUMBING
ADDRESS ADDRESS
9909 HIBERT STREET, SUITE E
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92131
PHONE l'AX PHONE l'AX 858-536-4161 858-536-4159
EMAIL EMAIL
maria@blackmountainplumbing.com I STATE UC.# STATE UC.# l0LASSC36 ICITYBUSB1994010175 782799
(Sec. 7031.5 Business and Professions Code: MY City or County which requires a permit to construct. alter, improve, demollsh or repair an~ structure, Pnor to itS Issuance, also requires the applicant for such permit to file a siined 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} Of that he is exerriet therefrom, and the basis fot the alleged exemption. Any violation of SectiOn 7031.5 by any applicanffor a pemut subjects the applicant to a
ci\/11 penalty of not more than five hundred dollars {$500}).
WORKERS' COMPENSATION
W°"""' Compenallon Dedaratlon: I /'"8by all/rm IHidefpene/tyol pe,j,lyone of lhe~ dedara/lons: 0 I have and will mah,taln acetlHJcate of consent to self-Insure for wcrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennlt is lssll8d. 0 I have and will maintain wOfkn' cornpenaatlon, as requi!OO bv Section 3700 of the Labor Code, for the perform.wice of the wolk for which this P80Tilt Is issued. My workers' compensation insurance canter-and ix>ftcY
NORGUARD Polley No. BLWC559726 Expiration Dale 08/02/15
I hemby afflnn that I em exempt from Contractors Ucense Law for the fobwng ,eason: O I, as owner of the prq,erty or my employee$ with W<QeS as their sole oompensatlon, win do the 'M)l1( and the strocrure is notinteflded or otJered for sale (Sec. 7044, Business and Professions Code: The Contractt,'s
License Law does not apply to an owner of property who builds or Improves thereon, and whO does such wont himself or through his (Mil employees, provkled that such improvements are not Intended or offered for
sale. If, however, the building or improvement is sold v.ithln one year of completion, the C1M'lel'-0011derwill haVe the burden of proving that he did not build or Improve for the purpose of sale).
□
□
I, as owner of the property, am exclusively COffll'dlg with licensed conlraciOrS to construct the projeCt (Sec. 7044, Business Md ProfesSlons Code: The Contractor's lk:ense Law does not apply to an owner of
property vttio builds or Improves thereon, and conlracls for such protects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Sectloo _Business and ProressionS Code for this reason:
1. I persooal~ plan" -Ille major labo< and materlals rorconslruclion of Ille proposed pllll)Ol\y knprovemeOI, Oves [}lo
2. I (have I have not) sitJned an application for a builcllng pennit for the proposed 'Mll'k.
3. I have contracted with the followlng person {firm) to provide the prop:,sed constndon {irdude name address I l)horle / contractors' license number):
4. I plan to~ po,tions of the 'MXk, but 1 have hired the fob/Ing person to coordinate, supeivlse and provide the major work (include mme /address/ phooe / contractors' lleense number):
5. I wiH -some of Ille WOO<, but I have contracted (Sred) Ille II'-J181S011S to pro,~e Iha-lndlca1ed (mll/e name I add"'5S I phcne I type Ill won<)c
IS PROPERTY OWNER SIGNATURE DATE
COMPLfiTE YHIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant requhed D submit a business plan, acutely hazan1ous matel\as registration form or risk mcllagement ancl prevention program under SectlDns 25505, 25533 or 25534 of the
Presley-Tanner Hazll'dous Substance Account Act.? □ Yes □ No
Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? LI Yes □ No
Is the fcdlily to be consttuc:tecl within 1,000 feet of the outer boundary of a school site? Cl Yes c:I 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm lhat lhe<e is a construcl!on lending agency for lhe performance of lhe worl< lh!S permit Is issued (Sec 3097 (ij Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I ceotifythatl,-alhea.,,._and_lhallhea_l_lsoom,c:tandthatlheinbmatlononlheplansls_ l_ll>oomplywllhall Cflr-andS1al8.., -ll>bulldlng..,__
I heleby aulllorizll-lative of lhe Cilyof Callsbad lo8f\'1rupcn lheabow mentioned~ ilr i>spedion IJUll')S8&. I ALSO AGREE TO SAVE, INDEMNIFY N<O KEEP HARMLESS THE CllY OF CARLSEWl
AGAINST All LIABILITIES, JUDGMENTS, CCSTS N<D EXPENSES WHK:H MAY IN N<Y WAY ACCRUE AGAINST SAID CllY IN CONSECIJENCE OF THE GRANTING OF THIS PERMIT.
OSHA AA OSHA permi is reqUied ilre,cavations.., S~ deep and-orronstrudion of sb1idures rMJr 38'llies o height
EXPIRATION: E,e~ permit issued by Ile 8ui1!119 Olli::lal under Ile pro,isms of~-Code shat expie by imlaoon and become nul and wid I Ile buillllg or-au1horized by sud1 pennit o oo1 commented IM1hin
180days from lhe dai! of such pennit orl' J~ or-by pemlit • susp,ndedor-at any litre after lhe-•rommenood ilr ape<i:x! of 180days (-100.4.4 Unitlnn l<iill119 Code).
AS° APP\.ICANT'S SIGNA (.;{/.,; DATE
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Inspection List
Permit#: CB150111 Type: PME
Date Inspection Item _
03/05/2015 25 Water HeaterNents
03/05/2015 25 Water HeaterNents
03/05/2015 29 Final Plumbing
03/05/2015 29 Final Plumbing
Monday, March 09, 2015
Inspector Act
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PY
RI
AP
RI
AP
YOUNG RES-REPLACE WTR HTR
Comments
PM PLEASE
PM PLEASE
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