HomeMy WebLinkAbout2021 ESCENICO TER; ; CB120111; Permit\
01-19-2012
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB120111
Building Inspection Request Line (760) 602-2725
2021 ESCENICO TERRACE CBAD
PME
2164820900 Lot#:
VON PLATEN RES-REPLCE WTR HTR
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/19/2012
LSM
01/19/2012
01/19/2012
ALL STAR WATER HEATERS & PLUMBING
17886 LAKESHORE DR 92530
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
$150.00
$0.00
$0.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector:
FINAL APP~[VAL
Date: o"?j-Z.9 IZ 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 00 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
f I N I hi r h' h fl'
'~ Building Permit Application Plan Check No. ~/,X)l l I
~ ...... 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date [ [q / 1'2,. lswPPP
JOB ADDRESS 2021 Escencio Terrace
SU11t.lf/::.l"~\,t.#/UN11 # I"' - --
I L:T/PROJECT # I LuT # I PHASE# , l # OF UNITS I# BEOimOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP
This fo
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing water heater. Same size and location.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS
vesO Nc0 ves0No0 vesONoO
CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME Robert Block
ADDRESS ADDRESS 30300 Puerto Vallarta
Cl1Y STATE ZIP Cl1Y STATE ZIP
Menifee Ca 92010
PHONE I"" PHONE '""' 760-434-2565
EMAIL EMAIL
PROPERlY OWNER NAME Chris Von Platen CONTRACTOR BUS. NAME All Star Water Heaters
ADDRESS ADDRESS
2021 Escencio Terrace 30300 Puerto Vallarta
Cl1Y STATE ZIP Cl1Y STATE ZIP
Carlsbad Ca 92009 Menifee Ca 92584
PHONE I,,,, PHONE '""' 661-293-0216 951-345-4083
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# CLASS lc'7'~:r/L( I f' 812894 C36
Workers' Compensation Declaration: I hereby affirm under penafy of pe(jUl'f one of the following declarations: D I have and wilt maintain a certificate of con a ant to self-Insure for v«>rkers' compensation as provided by Section 3700 of the Lalx>r Code, for the performance of the work for wtlich this pemiit is issued.
[Z] I have and will maintain workars' compensation, as reauired by Section 3700 of the Lalx>r Code, for the performance of the work for wtiich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co Granite Stam In•. Co. Policy No. 1ue1ao Expiration Date OII02t2012
J!lli.section need not be completed if the permit is for one hundred dollars ($100) or less LJ 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 {&100,000), in
addition to the cost of compensation, damag".-~d !Pr jg §ection 3706 of the Labor interest and attomey's fees. I I
2f CONTRACTOR SIGNATURE ! <:::::_ I fL I 3 I
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the v«>rk 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 wtio does such work himself or through his own employees, provided that such improvements are oot 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 pur?)se of sale).
I, as owner of the property, am exclusively conlfacting 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 Co11tractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major lalx>r and materials for construction of the proposed property improvement. 0Yes 0No
2. I {have I have not) signed an application for a bulldlng permit for the proposed work.
J. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the v«>fir:, but I have hired the following person to coordinate, supervise and provide the major woril (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the woril indicated (include name I address I phone I type of work):
_a$ PROPERTY OWNER SIGNATURE 0AGENT DATE
'
'
Is the applicant or future building occupant required to submit a business~, 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? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or 8',...9!!ality management district? Ores D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo
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.
I certify that I have read the application and state that the above Information is correct and that the Information on the plans is ac::curate. I awee to comply with all City ordinances and S1ate IIWIS relatlngto building oonstruction.
I hereby authorize representative of the City of Garlsba::l to enter UPJl'l the above mentioned property for inspectOO 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 pennlt is require::! forexr.avations over 5'0' deep cJld demolition oroonstruction of structures over 3 sto~ in height.
EXPIRATION: Every i;ennit issued by the Building Official under the provisions of !his Code shall expire by limitation ard becane null and void if the building or oork authorized by such pellTiit is oot ccrnmenced within
100 days from the date of such permit oril the lxJildi or work authorized by such pennlt is suspended or abandoned at any time after the work is cximmenced for a perbd of 180 dar., (Section 106.4.4 Uniform Building Code)
_g APPLICANT'S SIGNATURE . DATE 1 /J 3 r 1 ).__
' m City of Carlsbad Bldg Inspection Request
' For: 02/28/2012
Permit# CB120111 Inspector Assignment:
Title: VON PLATEN RES-REPLCE WTR HTR
Description:
Type:PME Sub Type:
Phone:
Job Address: 2021 ESCENICO TERRACE
Suite:
Location:
Lot: 0
Inspector: (',/tl.. _.,_ __
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: MORGAN FAMILY REVOCABLE TRUST 06-05-89
Remarks:
Total Time:
CD Description
25 Water HeaterNents
29 Final Plumbing
Act Comments
Requested By: MS VON PLATEN
Entered By: CHRISTINE
_M_ f..)q$tl,vq l,..Qc,,.n.::,,J.
_f!__~~~~~~~~~~~~~
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments