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HomeMy WebLinkAbout2001 CORDOBA PL; ; CB120363; Permit02-29-2012 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl20363 Building Inspection Request Line (760) 602-2725 Job Address: Pennit Type: Parcel No: Reference #: PC #: Project Title: 2001 CORDOBA PL CBAD PME 2072401400 Lot#: ANDERSON: REPLACE WTR. HTR status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/29/2012 JMA 02/29/2012 02/29/2012 Applicant: ARS STEA 9895 OLSON DR SAN DIEGOCA 92121 858 457 6557 Owner: PURNEL FAMILY SURVIVORS TRUST 10-31-99 C/O LYNDA ANDERSON 68393 MOONLIGHT DR CATHEDRAL CTY CA 92234 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $30.00 $0.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: T-^-f Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resen/ations, or other exactions hereafter collectively referred to as lees/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 senrice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have orevioush/ been given a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. <t^z^ ^ CITY 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. Est. Value Plan Ck. Depostt Date -2^1-Z^ I 11^ JOB ADORESS CT/PROJECT S » fUOrS I PHASE * I # OF UNITS |» BEDROOMS SUITE#,/SPACE#,'UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OFWORK: Include Square Feet ot Affected Area(s) RPlC 50 Qal gaS LjOaXj>r WeccWr EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD » NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (U Different Fom Applicant) APPUCANT NAME ADDRESS ADDRESS , r\ ^ CITT ~ _ STATE ZIP CITY ZIP ZIP PHONE FAX 'HONE FAX ^ , EMAIL PROPERTY OWNER NAME ER NAME I r\ CONTRACTOR BUS. NAME ADDRESS ZOO I rprdiQbov Pi. ADDRESS_ , , _ c\%^3 OL^cy^ Dr. CITY^ ~ STATE STATE ZIP •) STATE ZIP FAX PHONE FAX PHONE r«A EMAIL EMAIL i , ~ d ^--fajo (Q.ar£> .ogyTr>> ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City ot County wliicli requires a permit to construct, alter, innprove, demoiish or repair any structure, prior to its issuance, aiso requires the 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 the Business 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 a civil penalty of not more than five hundred dollars ($500)). WORKEHS' COMPENSATION Workers' Compensation Declaration: / hereby affm underpenalty of perjury one ofthe foBowing declaraiions: O/have and will maintain a certiflcate of consent to stif-lnsure for workers' compensalion as provided by Seclion 3700 of Ihe Labor Code, for Ihe performance of the worli for which Ihis pennil is issued. LR. I have and will maintain workerstcompensatlon, as required by Section 370O of the Labor Code, fbr the performance of Ihe work for which this permit is issued. My worker' compensalion intOranc/ carrier and policy t-~>> 1 >-gl J'L/] PolicyNo. ^(•p3|50g(o3 IQl I ExpiraUonDate \ 0 { [ I Z. number are: Insurance Co.. "4- d dollars (! / n This section need not be comfileted If the permit is for one hundred dollars ($tOO) or less. G Certificate of Exemptian: I certify lhal In Ihe performance of Ihe work for which this permit is issued, I shall nol employ any person in any manner so as lo become subject lo Ihe Workers' Compensation Laws of California. WARNING: Failure to secure workers' compansaUon coverage Is unlawful, and shall subject an employer lo criminal penaitles and civil fines up to one hutylred thousand dollars (&tOO,000), In addition to the cost of eompanyatlnni rtaffiages as provided for iirSection STWoHhela^r code. Interest and attorney's fees. / J ygT CONTRACTOR SIGNATURE , EjI:>^'Z/^y^\ZZ> \lQm DATE Z /Z~l/ OWNER-BUI(,DE» & ECLARATION IZ / hereby affimi that I am exempt from Contractor's Ucense Law for the following reason: O I. as owner of the property or my employees with wages as Ihelr sole compensation, will do Ihe work and Ihe structure is nol inlended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such wortt himsell or through his own employees, provided that such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have the burden of proving that he did not build or improve lor the purpose of sale). ^ I, as owner of the properly, am exclusively contracting with Icensed contractors to conslruct the projeci (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves Ihereon, and contracls for such projects with contraclor(s) licensed pursuant lo the Contractor's Ucense Law). 3 I am exempt under Section ___Business and Professions Code lor Ihis reason: t. I personally plan lo provide Ihe major labor and malerials for construction of the proposed property improvement. 3 Yes 3 No 2.1 (have / have nol) signed an application for a buikling permit lor the proposed work. 3,1 have contracted wilh the following person (firm) to provide the praposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of Ihe work, but I have hired Ihe loliowing person lo coordinate, supenrise and provide tlie major work (include name / address / phone / contractors' license number): 5.1 will provide some of Ihe work, but I have conlracted (hired) the following persons lo provide the wortt indicated (include name / address / phone / lype of work): ^efpROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION F.O «IIHM H t I't Ot PMRmttS ptitY Is Ihe applicant or Iuture building occupant required lo submit a business plan, acutely hazardous materials registration Ionn or risk managemeni and prevention program under Sections 25505.25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 3 Yes 3 No Is Ihe applicant or future building occupant required to obtain a pemiil from the air pollution control distnct or air quality managemeni dislrici? ~] Yes • No Is Ihe faciiily lo be constnjded within 1,000 Ieet of the ouler boundary of a school site? • Yes fl No IF ANY OF THE 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 AND THE AIR POLLUTION CONTROL DISTRICT. •manstteti,cT-Iome ^L;©B«c-v,. i hereby affirm that there is a construction lending agency for the perfomiance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address vtM-A,mT:xunttvi CAT I o H I certify that I have read the application and state that the above Infbmiab'on Is conect and that the Infonnatkin on the plans Is accurate. I agiee to comply viilth all CHy oidlnances and State laws relating to building consbtictun. I hereby authorize represenlalive of Ihe City of Carlsbad to enter upon Ihe above menlioned property fbr 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 pemilt is required for excavations over S'O' deep and demdifion or constmctton of slnictures over 3 stories in height. EXPIRATION: Eveiy peimit issued by the Buikling Oficial under the provisions of this Code shall expire by limitatkin and become null and vokl if Ihe buikling or work aulhorized by such pennit is not commenced wilhin 180 days Irom Ihe date of such pennit or if Ihe building or worit aulhorized by such pemnit is^uspended or abandoned at any time after the worit is commenced for a period of 180 days (Sectkin 106.4.4 [Inform Buikling Code). ygfAPPLICANT'S SIGNATURE ^ ^l,^>lG\Ci^ JCS. <^rrrrZ~^ DATE 12^ City of Carlsbad Bldg Inspection Request For: 05/25/2012 Permit* CB120363 Title: ANDERSON: REPLACE WTR. HTR Description: Inspector Assignment: 2001 CORDOBA PL Lot: Type: PME SubType: Job Address: Suite: Location: APPLICANT ARS Owner: ANDERSON DAVID&CYNTHIA Remarl<s: AM PLEASE Phone: 7606447407 Inspector: (//. Total Time: CD Description 25 Water HeaterA/ents 29 Final Plumbing Requested By: LINDA Entered By: JANEAN Act Comments 4f Comments/Notices/Holds Date Associated PCRs/CVs/SWPPPs Original PC# CV000201 CLOSED INOP VEHICLE ON JACK STANDS; CMC 21.44.060(3) PCR09105 ISSUED PURNEL RES-UPDATE ELECT; PANEL FROM 100 AMP TO 400 AMP Inspection Historv Description Act Insp Comments