HomeMy WebLinkAbout1663 CALLIANDRA RD; ; CB100647; Permit04-13-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB100647
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1663 CALLIANDRA RD CBAD
PLUM
2159001000 Lot#: 0
Construction Type: NEW
CLIFTON RES REPLACE WTR HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/13/2010
KG
04/13/2010
04/13/2010
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886LAKESHOREDR 92530
1-800-727-0977
Owner:
CLIFTON FAMILY TRUST 08-04-95
PO BOX 131627
CARLSBAD CA 92013
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
0
0
0
0
1
0
0
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $27.00
Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00
Inspector:
FINAL APPROVAL
Date:Clearance:
NOTICE: Please take NOTICE that ^proval 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.
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.
CITY OF
CARLSBAD
Building Permit Applicati
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 /
Fax: 760-602-8558
www.carlsbadca.gov
JOB ADDRESS
[/ }6^\ O>
SUTTE#/SPACE*/UNIT*
CT/PROJECT *PHASE * * OF UNITS * BEDROOMS • BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
z
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES D #NO D
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES D NO D
CONTACT NAME (If Different Fom Applicant)APPLICANT NAME Ude&*;f\ c,
ADDRESS ADDRESS .__
30 ,00
CITY STATE ZIP CITY STATE
£
ZIP
PHONE FAX PHONE 723-
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME M.ADDRESS ADDRESS
J STATE CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS 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 theto the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 ofr the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a
4 . _. . _ , , _ , . __,_ ... _.u uuiiairuui, tmet, irnpiuvc, ucmuiian wi leuan any OUUVAUIC, uiiui iw iia loouanuc, a,ow ie\4uiit;9 uic
applicant 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 allegeccivil penalty of not more than five hundred dollars ($500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: / hereby affirm under penally ol'perjury one of the following declarations:
D 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 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: Insurance Co. \~) t£^\ & *~> JL- /\. Q . policy No. Oi OlK IZ-M I2J)£>?*~/ S~J? Expiration Date ?f /«?~/IC3
This section need not be completed if the permit is for one hundred dollars ($100) or less.
C3 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 dAGENT DATE
I hereby affirm thai I am exempt from Contractor's License Law for the following reason:
O I, as owner of the property™ my employees with wages'ajfthBir 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).
D 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
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
Business and Professions Code for this reason;
D No
O I am exempt under Section
1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4. 1 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 / phone / contractors' license number):
5. 1 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):
PROPERTY OWNER SIGNATURE OAGENT DATE
COMPLETE THIS SECTION F O R N O N • R E S I D E N T I A L B U i L D I N G P £ R M I T S ONtV
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 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? OYes -O-No
Is the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? O Yes O-No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No
IF ANY OF THE ANSWERS ARE YES, I
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
C ON S T J* U C TIO N I £ N 0 I N G A G E N C *
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
« f» f» 11C ANT CE II T.I'JF' I C A T I O N
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 relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit E required for excavations over SO' deep and demolition or construction of structures over 3 stories 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 the building or work authorized by such permit is not commenced within
City of Carlsbad Bldg Inspection Request
For: 08/26/2010
Permit* CB100647
Title: CLIFTON RES REPLACE WTR HTR
Description:
Sub Type:
1663 CALLIANDRA RD
Lot: 0
Type: PLUM
Job Address:
Suite:
Location:
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: CLIFTON FAMILY TRUST 08-04-95
Remarks: WILL NOT BE HOME TILL 2PM
Inspector Assignment:
Phone: 7603903689
Inspector:
Total Time:Requested By: DOREEN
Entered By: CHRISTINE
CD Description
25 Water Heater/Vents
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
CITY OF
CARLSBAD
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Department
1635 Faraday Avenue
760-602-2719
www.carlsbadca.Rov
I am applying to the City of Carlsbad for the following type(s) of construction permit:
Building Permit Q Right-of-Way Permit
My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
Electrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
Project Storm Water Threat Assessment Criteria*
A/o Threat Assessment Criteria
Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan (SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tierl • Low Threat Assessment Criteria
Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type (See list above) and the project
meets one or more of the following criteria:
• Results in some soil disturbance; and/or
• Includes outdoor construction activities (such as roofing, saw cutting, equipment washing, material stockpiling, vehicle fueling, waste
stockpiling).
Tier 2 • Moderate Threat Assessment Criteria
Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
* Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
Tier 3 • Significant Threat Assessment Criteria
Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
Q My project is located inside or within 200 feet of an environmentally sensitive area (see City ESA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge(s).
/ certify to the best of my knowledge that the above
checked statements are true and correct. I understand
and acknowledge that even though this project does
not require preparation of a constructlon-SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to City Standards.
'The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24
OwnBHgwnarji Autnnrirgri Agent Name:
lor/Owner's Authorized Agent Signature:
I
Rev.03/09