HomeMy WebLinkAbout143 CHANNEL RD; ; CBR2017-0221; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 03/14/2017 Residential Permit Permit No: CBR2017-0221
www.carlsbadca.gov
Job Address:143 Channel Rd
Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled
Parcel No:2146000801 Lot #:Applied:02/02/2017
Valuation:$0.00 Reference #:Issued:02/02/2017
Occupancy Group:Construction Type:Finaled:
# Dwelling Units:Bathrooms:Inspector:
Bedrooms:Orig. Plan Check #:
Plan Check #:
Project Title:
Description:FELS:REPLACE EXISTING WATER HEATER
Owner:Contractor:
COOWNER FELS ROBERT M&SANDRA M ALL STAR WATER HEATERS
6831 Embarcadero Ln
CARLSBAD, CA 92011 30300 Puerto Vallarta Way
Menifee,CA 92584-9256
800-727-0977•
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00
Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction."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.
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 you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
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Plan Check No. CRQ-74.17 -12)-2-kBuilding Permit Application '' .-
1635 Faraday Ave„ Carlsbad, CA 92008 Est. Value
.F1 C 1 T r 0 F 760-602-2717 / 2718 / 2719 Plan Ck. DepositClFax 760-602-8558
www.carlsbadca.gov DateZ/2_/1
-7 l 1
1SWPPP j............-—-
JOB ADDRESS SUITEa/PACEa/prifita
ION
143 Channel Rd --
CT/PectiECT#LOT a H a0 -Rfts a tteciffaXte—it BATHROOMS TENANT BLISINIESSITAME—""
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M.eadter-•
DESCRIPTION OF WORK:Include Square Feet ofA tiedArea(s)...•..—.
Replace existing water heater. Same size and location.
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE MR CONDITIONING FIRE SPRINKLERS
YESDk NOD YES DNO 0 YES0 NOD
CONTACT NAME (ifDifferentFernApplicant)APPLICANT NAME Sierra Sprague
ADDRESS ADDIllESS
30300.PuertgVallarta
CRY STATE ZIP CITY STATE ZIP
Menifee CA 92584
PHONE FAX PHONE
I
_
FAX
951-301 -0067....,—.._
....
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAMERobert Fels Ala Star.Wator.H.eaters_...........__.—
ADDRESS ADDRESS_Lbw as lob 30300 Puerto Vallarta
CITY STATE ZIP 'CITY STATE ZIP
••
Carlsbad --CA 92011 Menifee CA .92584
FAXPHONE PHONE FFAX
760-603-9446 951-301-0067 I.
EMAIL EMAIL
—.......:
1ARCH/DESIGNER NAME&ADDRESS STAVE tiC.,I *STATE LICJI
'CLASS
CITY BUS. LAW.
1 812894 C 36 ..,.
Sec. 7031.5 Business end Professions Code: Any Cityor County which requires a permit to netruct, alter, irnorove. demolish or repair any structure, prior to its issuance. also requires the
ppa6cant for such permit to file a sig:fted statement that he is ileented pursuant to the provimasions ofthe.Contractor's License Law iChajoter 8. Commending with Section 7000. of 0.vis3cm 3.ot the
Business and ProfeSsions Cede. or Mat he is exempt. therefrom, and the basis for the alleged ex/ma:won. Any yowl on of Section 031.5 by any applicant for a Permlt sulieliCts via applicant to c
civil penalty of NA more than '.ve hundred dollars 15500))
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Workers' Compensation Declaration:! hereby affirm under penalty of perjury one of the following declarations:
BI have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: insuranoaCO ACE Policy No.RVVCC48818705 EXpirattonDate_____T.Y1!2{117 _
Msection
need not be completed if the permit is for one hundred dollars 4100) or less.
1 Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
1 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 (8100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.„...-„.„...-
i .ES CONTRACTOR SIGNATURE ....•-DAGENT DATE /411/ /7
t ...i..so .
-
..,.4„...„.i...!..ti11.i 1 kw LI.li 47'g....016..:...E.:.::.10t 444i...i..:....:16.0t.:_...*.....:..:......,:.„..:„..1„7.r....1i
I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 I,as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work 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 one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law),i0Iam exempt under Section 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 ElYes Ohio
2.I(have I have not) signed an application for a building permit for the proposed work.
3.I have contracted with the following person (firm) to provide the proposed construction (include name address I phone / contractors' license number):
4.I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone / contractors' license number):
5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name /address / phone / type of work):
£PROPERTY OWNER SIGNATURE DAGENT DATE.-...............
.......4,11,"'.•41:r.r...1fdifrari'
Siik .....4-.1 $._..-V tr ..-.
.._______L_____6.„ ...4"41144;.1.7
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Is the applicant or future building occupant required to submit a business 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?EDYes LjNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or aiuk.ality management district?Ekes DNo
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?[:fres L jNo •
.
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.
.-.-.....
0 -....4 .tzNSTRUCTIOIV1...'.`..."c',4 "Alit.'..-,-,
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)...
Lender's Name LenJer•s Address
...,
A P V 1 I -jit r;4 ''i'i "''..;1'.4.'t -'.
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I certifythatlhave read the application and statethat the aboveintonation Isconect and thatthe information on the plans is accurate.I agree to complywith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the Cityof Carlsbad to enter upon the above mentioned property for inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYINANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 storiesin height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ifthe building or work authorized by such permit is not commenced within
180 days from the date of such permit orifthe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced a period of 180 days (Section 106.4.4 Uniform Building Code)
ASAPPLICANT'S SIGNATURE DATE /if //7
•
11.11111.1111.11111 IOW%-
PERMIT INSPECTION HISTORY REPORT (CBR2017-0221)
Permit Type:BLDG-Residential Application Date:02/02/2017 Owner:COOWNER FELS ROBERT
M&SANDRA M
Work Class:P/M/E Issue Date:02/02/2017 Subdivision:
Status:Closed -Finaled Expiration Date:09/11/2017 Address:143 Channel Rd
Carlsbad, CA 92011 -3222
IVR Number:1753
Scheduled Actual
Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete
03/14/2017 03/14/2017 BLDG-25 Water 016411-2017 Passed Andy Krogh Complete
HeaterNents
BLDG-Final 016412-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Yes
March 14, 2017 Page 1 of 1