HomeMy WebLinkAbout1873 HIGH RIDGE AVE; ; CB111246; Permit,,.
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-08-2011 Plumbing Permit Permit No: CB111246
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1873 HIGH RIDGE AV CBAD
PLUM Status:
Parcel No: 2073853800 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: LEVINE RES-REPLACE WTR HTR Inspect Area:
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
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
Owner:
LEVINE MICHAEL H&JAN J
1873 HIGH RIDGE AVE
CARLSBAD CA 92008
ISSUED
06/08/2011
LSM
06/08/2011
06/08/2011
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Y!'.l ~
FINAL APPROVAL
Date: 0 1( I~{~, t 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 ttieir 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
I x in lwhi h I E imil rt hi r whi h h Ii in h
Building Permit. Application Plan Check No.c,£ f I I;).~~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558
www.carlsbadca.gov Date v,f rt{ I I lswPPP
JOB ADDRESS I ~7~ ·Hic,'h 12.i d A e, A...,,e . SUITE#/o•"'-••/UNIT# ,~rn ---
• 1,1/ nw•vl # ,.v,# \J ,.,,,,_,.-r V"<I"'". r DOV"VVMO I# I '""'""'' cuolN.~~ •=•• ,vv,.~,tt.1Veo ,~unvvc
De.o, ... RIPTION OF WORK: /nC/UClt Squ,r, FHt or ArTected AIH(S)
Reph;11~e-exis.ting water heat~r~ S~r:ne size,and lo<;ation.
; '.
EXISTING USE rROPOSED ~SE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 'AIR CONDITIONING I FIRE SPRINKLERS
YES[]# NU m O NoO m O NoO
CONTACT NAME (If Olfftrtnt Fom Appllc•nt) APPLICANT NAME l°lGl?e.r4-l~\0w
ADDRESS ADDRESS
30300.P~erto Vallc~t ta Wihi 3 0300 P'-e.l'.ta Va.llarta Way
CITY STATE ZIP CITY ST,t.TE ZIP
Menifee Ca ; 92584 Menlf-ee Ca 92584
PHONE rAX PHONE I FAX 800-727-0977 . soo.:1i 1~0911
EMAIL EMAIL
'.
PROPERTY OWNER NAME J'V\ike.. U _u ;AP
CONTRACTOR BUS. NAME All Stctr Wat er Heaters
ADDRESS ADDRESS
Same-as fob 30300 Puerto V~Harta Way
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca CJ:i..008 Menifee -Ca 92584
PHON7 !FAX PHONE !FAX f 0-"13'-1 -"'-rJ 9q 8()0-7:27-0977
EMAIL " EM,t.lL
..
ARCH/DESIGNER NAME & ADDRESS . I STATE UC.# STATE UC.# 'CLASS rr~ri , '-{, 'i .. ~jl~94 C 3()
(Sec. 7031.5 Business and Professions Code: lvly City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to me a sianed statement that he Is licensed pursuant to me provisions of me contractor's License Law (Chapter 9 , commendln&wlth Section 7000 of Division 3 of tne Business and Professions Code) or !hat he Is exem0t therefrom, and the basis <or the alle&ed exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars ($500)).
Workt11' Compenutlon Doclaratlon: / heraby slffrm under penalty of perjury one of/he following dec/B1Bllons: 0 I havo and will maintain a c1rtlflcat1 or conunt to 11lf.ln1urt for workers' compensation a provided by Section 3700 o< the Labor Code, for the performance or the work r01 whlell lhls permll Is issued. 0 I havo and will maintain work1111 componutlon, as reciulred bY. Section 3700 or the La!)or Code, for the performance of ti,e work for w~lch lhis permit Is i.,ued. My workerg' compensation Insurance carrier and policy
number·are: Insurance Co · :~1•/io.•• · · · · · Polley No.:·· ·.· ·· o:iDl<l!M12•.0~•s.s .. · . Expiration Date 0,,.112°11
J,t!!l,•ocUon need not be a,.,;ploted If tho permit Is for one hundred dolla11 ($100) or leas. . LJ C1rtlflcat1 of Exomptlon: I certify thal In Iha performance of the work for which lhls permit ls Issued, I shall nol employ any person In any manner so as to become subject to Iha Workers' Compensation Laws or
Califomla, WARNING: Falluro to 11cur1 work1r1' componutlon covorago 1, unlawful, and shall 1ubJ1ct an 1mploy1r.to crlmlnal ponaltlu and civil ftn11 up to ono hundrod thouund dollars (&100,000), In
addition to tho cost of componutlon, d1m1g11 11 rovl for In Section 370~ of Iha Labor coda, lnter11t and 11tomay'1 fees.
,/d!S CONTRACTOR SIGN,t.TURE
I hereby affirm fhaf Ism exemp/ from Con/rector's License Law for the fol/owing res son:
□
□
□
I, as owner of the property or my employees wllh wages as their sole compensation, will do lhe wor1< and the slructure Is nol lnlended or offered for sale (Sec. 7044, Business and Professions Code: The Conlracto(s
License Law does nol apply lo an owner of property who builds or Improves thereon, and who does such work hlmseff or through his own employees, provided that such lmprovemenls are no! Intended or offered for
sale. If, however, lhe building or lmprovemenl Is sold wllhln one year or completion, lhe owner-builder will have the burden of proving lhat he did nol build or Improve fo, the purl)Ose or sale).
I, 11 owner of tht property, am udus/valy conlractlng with licensed conlractors to construct the project (Sec. 7044, Business and Professions Code: The Conlracto(s License Law does not apply to an owner of
property who builds 01 Improves thereon, and conlracts for such projects with conlractorf s) licensed pursuanl to the Coolracto(s License Law).
I am exempt under Section· · · •· Bus/ne11 and Pro<aaslons Coda for lhls roaspn:
1. I personally plan lo provide the major labor end materials f01 construction of the PjOposed property Improvement. 0 Yes 0 No
2. I (have I haw not) signed an applleatlon tor a building permit tor the proposed ;·
3. I have contracted v.llh the following person (Rrm) to provlde Iha proposed consl lion (Include name address I phone I contractors' license number):
4. I plan to pro-.ide portions of the work, but I hM hired the following person to coo lnalt, supervise and provide the major wort (Include name I addrass / pttone I contract>rs' license number):
5. I will provide some of the work, but I have contracted (hi,ed) the following persons to pro-.ide the work Indicated (Include name / address / phone / lype or work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
...
4\ w City of Carlsbad Bldg Inspection Request
For: 07/18/2011
Permit# CB111246
Title: LEVINE RES-REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1873 HIGH RIDGE AV
Lot: 0
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: LEVINE MICHAEL H&JAN J
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: MC ---
Phone: 7604343099
Inspector: Mt---=-'-"'--
Requested By: MIKE
Entered By: JANEAN
29 Final Plumbing _f:L_ __.J;;x,l==f,(J'-'-'-""J="'-'--'~~=-.,_c_"-11,,~'St=-=;=L$~~1__,_,l'---'G=---~S_._~-1rr5~
k GNl3 L.-1 f'\..A--Ce
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
07/08/2011 25 Water Heater/Vents CO MC NOTICE ATTACHED