HomeMy WebLinkAbout1561 JEANNE PL; ; CB091168; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-14-2009 Plumbing Permit Permit No: CB091168
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1561 JEANNE PL CBAD
PLUM
2071303900 Lot#: 0
Construction Type: NEW
WETZEL RES-REPLACE WATER HEATE
W/ELECTRIC
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ARS
STEA
WETZEL FAMILY TRUST 09-15-86
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
1561 JEANNE PL
CARLSBAD CA 92008
ISSUED
07/14/2009
RMA
07/14/2009
07/14/2009
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due:
Inspector:
FINAL ER
Date:l l,, 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.
City of Carlsbad
1635 Faraday Ave., Garlsbad, CA 92008
760-602'2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
PHASE# # F UNIT # BEDROOMS
DES IPTION OF WORK:
A{\\(.,{~~~
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNlT# APN
#BATHROOMS TENANT BU IN NAME CONSTR. E
EXISTING~ PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □#_ NOD YES □ NOD YES □ NO □
CONTACT NAME (If Dl"8Nnt Fom Appllcant) APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE t1 fl!/
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STAil°tll(2o
/'Sec. 7031.S Business and Profusions Code: Any Gty or County: which requires a permit to construct, alter/ improve, demolilh or rtP.air any structure1 __ 11fior to iu iuuance, allO requim the applicant for such permit ta file a signed stattmt11t that he is ticenstd _p_u11uant to the provi1ions of the Contractor's Liam law {Chapter 9, commending with 5tction 000 of Division 3 of the Bu1inu1 and Proimions Code} or that he is exempt thereiilm, and tht basis for the aleaed exemption. AnJ violation of Section 7031.S by any applicant for a permit 1ub~cts the applicant to a civ~ penalty of not more than fiV! hundred dollars {$500}).
' ' WORKERS' COMPENSATION ••
Worken' Compensation Dec111'1llon: f hereby affirm under penafty of perjury 006 of the lo/towing declarations:
□ I have and wlll maintain a ca'tificate 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.
';J(" 1 have and will maintain workers' co ensatlon, as required by Section 3700 of the labor Code, for the ~AA ~e ~rk for which l~isJ,~it Ir> ;".""'d u., workers' compeni::r~ li sulnce cjn'ier and policy
number are: Insurance eo._l,L&~~tfl~=-..:.__.:_ _______ .:_ Policy No. W-:,Jb1?l'z{)g'.:,,2 f OJ_~_ Expiration Date'. U I U/ __ _
This section need not be completed if the permit is fo~ e hundred dollars {$100} or less. □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
Califomta. WARNING: Failure to secure wo compensation coverage Is unlawful, and shall subfect an employer to criminal penalties and civil flnn up to one hundred thousand dollars (&100,000). In
addition to the cost of compensation, da II vlded for In Section l~jtt~bor cod~ interest and attorney's fees.
85 CONTRACTOR SIGNATURE // f ~
thereby affirm that I am exempt from Contracta's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, w!ll do the work md the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contra:::tor'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 n not intended or offered for
sale. If, however, the bullding or improvement Is sold within one year of completion, the owner-buflder will have the burden of proving that he did not build or improve for the purpose of sale).
□ I, as own'er 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
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractor's License law).
□ I llT1 exempt under Section ____ ,Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for conslruction of the proposed property improvement □ Yes □ No
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/ 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 worlt (include name I address/ phone f contra:::tors' 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 I OOdress /phone/ type of work):
.85 PROPERTY OWNER SIGNATURE DATE ,, ' ,
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or Mure building occupant 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 SubstanC1:1 Account Act? □ Yes □ No
Is the applicant or future· building occupant required to obtain a permit from the air pollution control district or air quality manaiJement district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OFT HE 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.
I certify that I have read the application and state that the alxMI Information Is correct and that the Information on the plans Is accurate. I agree to complywlth all City ordinances and S1ate laws relatlng to building constructkln.
I hereby aulhorize represenlatiwdlhe ~d Carlsbad ID en1erupoo lhe above mentioned propeey for nspedion pu,poses. I ALSO AGREE TO SA\/E. -IFY AND KEEP HARM.ESS THE CITY OF CARLSBAD
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN AfNWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pemil is n,quied for•exc.,.Siil!>Cf'B' 50' deep and-oroonslrudion d sluclures""' 3 s1Dries i1 height
EXPIRATION: Eve,y pemililsued by . under Ile pro,isions dlhs Codeshall expie by linilalion and be<:olre nul and void f lhe buidilg or1!101k llllhorized by such pemilisrua,111""""-
180 days from Ile dale of such pemil or1!101k · by pem,it is suspended or -at a,y line eller lhe 1!101kDAisJa,E 111 ienced for~~ ~'i::~ 106.4.4 lkllfoon aJ1ir9 Code).
AS° APPLICANT'S SIGNATURE· / / ✓ ~ Ur
. m' City of Carlsbad Bldg Inspection Request
. For: 07/24/2009
Permit# CB091168
Title: WETZEL RES-REPLACE WATER HEATE
Description: W/ELECTRIC
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1561 JEANNE PL
Lot: 0
OWNER WETZEL FAMILY TRUST 09-15-86
Owner: WETZEL FAMILY TRUST 09-15-86
Remarks: A M PLEASE -(Older gentleman) Knock LolA
Total Time:
CD Description Act Comments
25 Water HeaterNents
4 !ZJNM.... ~-
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7607298282
Inspector: ~ __.,)
Requested By: HOMEOWNER
Entered By: CHRISTINE