HomeMy WebLinkAbout1911 ESTRELLA DE MAR CT; C; CB142899; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
11-04-2014 Permit No: CB142899
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1911 ESTRELLA DE MAR CT CBAD St: C
PME
21517002Cf:'l Lot #:
THOMAS: REPLACE WATER HEATER
0
Owner:
ALL STAR WATER HEATERS & PLUMBING THOMAS LAURA
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
1911 ESTRELLA DE MAR CT #A
CARLSBAD CA 92009
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
ISSUED
10/27/2014
JMA
10/28/2014
10/28/2014
SP
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: Date: Clearance:
$0.00
NOT!CE: Please take NOTICE that approval of your project includes the "Im ition" f fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
4,~ ~~ ~ C IT Y OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
Plan Check No. CB 14 ~ 2§ C,Cf
Est. Value
JOB ADDRESS APN
(1?H~W1-,----"'" 1911 Estr;lla De ~ .......... ·~"-I".$... I""'"~' r=""'
rRIPTION OF WORK: Include Squat• FHt or Alf•cted Area(I) -------------'-----'---~
Replace existing water heater. Same size and location.
I
I I I I EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SFJ I DECKS(SF) IFIREPlACE rR CONDITIONING
I
FIRE SPRINKLERS
1 I YES0,. NcQ YES 0 No0 YES0No0
j CO~ACT NAME (If Dlff•rtnt l'om App/k:anl) APPLICANT NAME Sierra Sprague 1------~---------ADDRESS ADDRESS
---3Q3_00 Puerto Vallar.:tL_
~n
STATE ZIP CITY STATE ZIP
----Menifee CA 92584 PHONE
_JFAX -····
PHONE 'FAX I 951-301-0067 --··---.,~~~·
1EMAIL EMAIL --
PROPERTY OWNER NAMT~mA $. Bea!! 1:1c::u::--CONTRACTOR BUS. NAME
AU Star Water Heaters
~~6'
ADDRESS
-----Same as iotl 30300 Puerto Vallarta
ITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92009 Menifee CA 92584 --HONE !FAX PHONE
-_J AX . 858-805-6136 951-301-0067
EMAIL EMAIL - ----------
ARQVOESIGNER NAME & ADDRESS I STATE UC .• SIA1Hic.l --
ICtASSc 36 I OlY BUS. llC.#
812894
Worktr1' Compens,tlon Decl1rlllon: I hereby a/f,rm under penelty Of pe,ji,y one of the fa/owing dechll8t!ons:
0 I havt and wlll malntlin • certlflcat, of content to self·ln1ure for wooers' compensaoon as provided by Section 3700 of the Labor Code, for lhe pelfolmance of the >NOfk for which this permit is issued. 0 I havt and wlll maintain worklrs' compenuUon. as re<Julred bv Sadlon 3700 of the Labor Code. for the performance of the worl< for which lhis pemri Is lsslled. My-k81s' compensation Insurance carrier and policy
number are: Insurance Co American Insurance Company Polley No. C4809630A Expiration Dale 8/01115
~sec1i0n need not be completed n lhe permit is fur one hundfed doUars ($100) or less. LJ Cenificatt of Exemption: I certify !hat In the perrorma11C11 or the work for which this permit is Issued, I shafl noc employ any per.;on In any manne< so as to become subject to the WorkefS" Ccrnpeosation Laws of
California. WARNING: Fallur, to secure worktra' comp,nt1tlon coverage la unlawful, and shllll aubject an employer lo criminal penalties and ctvll ftnu up to one hundred thouHnd doll1r1 (& 100,000), In
addttlon to the cost of compensation, da~u provided In Stctton 3706 of the Labor code, lntorut and attorn.y's lees. J /
1 J6 CONTRACTOR SIGNATURE ~ GENT DATE //J/Z 7 /ff
I heteby a/firm that I om exempt from Contractor's Ucet>se L.sw for the following llHISOO: D I, as CJOM101 of lhe property or my employees with wages as their sole compensation, will do !he work and !he stl\lciUre Is not intended or offered tor sale (Sec. 7044, BusilesS and Professions Cooe: The Conlracto(s
License Law does not apply lo an owner of property who builds or lmproVllS thereon, and who does such work lwTiself or through his own employee3, provided that such Improvements arv not vi tended or offered for
sale If. ho'M!var. lhe building or inl)rovemenl is sold within one year of oompletion, lhe owner-rullder wil have lhe burden ol proving lhal he did not build or Improve for the purpose of sale)
D
D
I, as CN10er of the property, am exclusively contracting wijh llcensed cootractirs to construct the project (Sec. 7044, Business and Proles~oos Code: The Contractor's Lk:ense w does not apity to an owner or
property who builds or Improves thereon, and cootrects for sucli projects wlth cooltaclor(s) licensed pursuant lo the Cootractor's License Law).
I am exe~ under Section Bllslness and Professions Code for !his reason:
1. I pe,sonally plan to provide the major labor and malertals for construdion ol the proposed property Improvement 0 Yes 0 No
2. I (ha'l1l / have noll signed en application lot a building petmll for the proposed work.
3. I havo cootracl8d with the lollowing person (firm) to provide the ptoposod construct,on (include name address I phone I cootractors' lcense nwroer):
4 I plan 10 provide po,11ons ol the_.., but I have hired the lollowing person to coorolnate, supervise and provide the rnajOr Y,(),tt Qndude name I addrass I phone I cootractors' license number):
5. I will provide some ol lhe work, but I ha,e contracted (hired) the following per.,ons to provide the work Indicated (inclwe name I address I phone I type of work):
/i:5 PROPERTY OWNER SIGNATURE QAOENT DATE '----------------------···-··-··--··---
Is Ille applcant or fubn bull!lng OCC11pant reqund lo submit a buslnessB!), acutely hazardous materials regi,traUon fotm or risk management and p19vention program und« Sections 25505, 25533 or 25534 of the
Prasle)'-T anner Hazardous Sullstance Accoont Ad1 CJ Yes LJNo
ts the applicant or future bulking ocaJpant l1iqlJired lo oblalr\ a permit Imm the air polMlon oontrol~ or el~ualil)' management dlS1rict? Oves O No
Is the facility lo bG constructed ....thin 1,IXXJ feet OI the outer bounda,y of a school s/la7 L_.fYas L.JNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCAHT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SEIMCES 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
. ..
,.
I oorttfythatl haYO read Ille applc,llon and statethatlllnbcMllnlonnallon IS alff'IICtancl tnatthelnlOtmatiOnonthe planstsaa:uratB. I agree to CllffllllY'M\h all Cttyordnal1085 and State laws ~allnglobtikfngconstrudlM
I hereby authorize representaliwoflhe CityaCaisbad loenlerupon the elx>vementioned propertyb'nspedion pu!pOGeS I ALSOA~ETOSAVE, INDEMNIFY AND KEEP HARMLESS lHE CITY CF CARLSBAD
AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE CF THE GRANTING CF THIS PERMIT.
OSHA: An OSHA pem1it is raquied b' excavaoons owr sv deep Md dendtion ex ronstrudiol1 of struduro6 rMJ( 3 slDries ii heiglt.
EXPIRATION: EW1 ~t issued by the Bultlg Official ll1der the iro,;sions ot ltis Cooe shal 8Xpl8 by linita!bn am becane nul and \Old if the ruifll'IQ 0( ',\00( aulhorized by such penrit is not amneoced witlwl
180 d.r,os tom the date c:J such pem'il or if lhe tlJicfrG or 'Mlllc IMlxlrized by such pem'lt ls suspended ex abandoned at any ti'M after them Is amTienOOd b' a ~ c:J 180 days (Sectm 100.4.4 Ubn !U:mo Olde)
KS ~PUCANrssiGNATURE~ ~ -----·---------·-·--o-"re __ /#..,_~_Z__.l:'--7-'-:/ ____________ _,
Inspection List
Permit#: CB142899 Type: PME
Date lnspectio_11_ Item
11/04/2014 25 Water HeaterNents
11/04/2014 25 Water HeaterNents
11/04/2014 29 Final Plumbing
11/04/2014 29 Final Plumbing
Tuesday, November 04, 2014
Inspector
SP
SP
THOMAS: REPLACE WATER HEATER
Act Comments ---·---·------
RI UNITC
AP
RI UNITC
Fl
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