HomeMy WebLinkAbout148 BREAKWATER RD; ; CB091524; Permit09-16-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
1 Plumbing Permit Permit No CB091524
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
148 BREAKWATER RD CBAD
PLUM
2146000410 Lot# 0
Construction Type NEW
YELLAND RES- REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
09/16/2009
LSM
09/16/2009
09/16/2009
Applicant
YELLAND FAMILY TRUST 02-10-03
148 BREAKWATER RD
CARLSBAD CA 92011
760 804 7300
Owner
YELLAND FAMILY TRUST 02-10-03
148 BREAKWATER RD
CARLSBAD CA 92011
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Dram
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
0
0
0
0
1
0
0
$2000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000
Inspector
FINAL
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 musl
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 limitations has previously otherwise expired
^> c , T Y OF
CARLSBAD
JOB ADDRESS x
CT/PROJECT # LOT #
Building Permit A|
1635 Faraday Ave , Carlsba
760-602-2717/2718
Fax 760-602-85
wwwcarlsbadca t
^ ^<=L
PHASE * # OF UNITS # BEDROOMS
.. .. Plan Check No Q£> A] Q » S"^Vppiicanon '
d.CA 92008 Est Value
/^/•iy58 Plan Ck Deposit ^
m Date Off t(j/O^ ZfatvU
SUITE#/SPACE«/UNII* APN
# BATHROOMS TENAN1 BUSINESS NAME 1 ONSTR TYPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
J
EXISTING USE
CONTACT NAME (If Different Fom Applicant)
PROPOSED USE GARAGE (SF)
ADDRESS
CITY
PHONE
STATE ZIP
FAX
EMAIL
PROPERTY OWNER NAME, , / /
ADDRESS f
CIT>Xll
(--^rn£.S 6/f>(3
PHONE
STATE ZIP
(2><f ^io//
FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC *
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO D YES D NO D
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE LIC # CLASS CITY BUS LIC #
(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 theapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500))
'•A .
Workers' Compensation Declaration / hereby affirm under penalty of penury one of the following declarations
L~l I 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 pe rmit is issued
LJ 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 earner and policy
number are Insurance Co _____________ Policy No _ Expiration Date ___
This section need not be completed if the permit is for one hundred dollars ($100) or less
O 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
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 (4100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
CONTRACTOR SIGNATURE DATE
v/ hereby affirm that I am exempt from Contractor s License Law for the following reason
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)
I as owner of the properly am exclusively contracting with licensed contractors lo construct the project (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 contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan lo provide the major labor and materials for construction of the proposed property improvement D Yes D No
2 I (have / 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 / 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 (incl ude name / address / phone / contractors license number)
5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)/z
pROPERTY OWNER SIGNATURE DATE
7?\r!.3;k-o:^c• ;,,,,,,,,,,,,,,,,,,,„,,,, • -,,,,,,,,,,,,,,,,,,.,,.
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505, '5533 or 25534 of the
fjresley fairer Hazardous Substance Account Act' O Yes n No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' G Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' 3 Yes D No
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
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 Lender s Address
9
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws renting to building construction
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if Ihe building or work authorized by such permit s not commenced within
180 days from the date of such permit or if the bujlfjjrlg or work authorized by suApermit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 10544 Uniform Building Code)
ANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For 09/22/2009
Permit* CB091524
Title YELLAND RES- REPLACE WTR HTR
Description
Inspector Assignment
148 BREAKWATER RD
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT YELLAND FAMILY TRUST 02-10-03
Owner YELLAND FAMILY TRUST 02-10-03
Remarks AFTER 11AM PLEASE
Phone 7608047300
Inspector
Total Time
CD Description
25 Water Heater/Vents
Act x^iomments
Requested By ROB
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments