HomeMy WebLinkAbout2219 CAMINO ROBLEDO; ; CB130401; Permit02-19-2013
City of Carlsbad
1635 Faraday Av Carlsbad.CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No CBI30401
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2219 CAMINO ROBLEDO CBAD
PME
2552615400 Lot#
WILCOXSON RES - REPLACE WATER
HEATER, SAME LOCATION
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
02/19/2013
SKS
02/19/2013
02/19/2013
Applicant
FAST WATER HEATER CO
Owner
WILCOXSON DONALD C&DIANA L
12601 132NDAVNE
KIRKLAND WA 98034
425-636-7054
2219 CAMINO ROBLEDO
CARLSBAD CA 92009
Plumbing Fees
Electncal Fees
Mechanical Fees
other PME Fees
$31 00
$0 00
$0 00
$64 00
TOTAL PERMIT FEES $95 00
Total Fees $95 00 Total Payments To Date $95 00 Balance Due: $0 00
Inspector
FINAL APPROVAL
Date 7-fZ'( 3 Clearance
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 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 sen/ice fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717/2718/2719
Fax 760-602-8558
Building Permit Applicailoti
624136
Plan Check No
Est. Value
Plan Ck. Deposit
JOBADDRESS 2219 CAMINO ROBLEDO
. r/PROJLCT 0 f( OF UNITB I n BEDROOMS
surrE#/sPACEff/UNir# t ' APM
tt BAIHHODMS TENANT BUSINESS NAME CONSTR TVPE OCC GROUP
DESCRIPTION OF WORK Include Square Feet of Affected Area(s)
Remove/Replace Gas Water Heater
EXISTING USE PROPOSED USE GARAGE (SF)
C0NTAOTj^ggj<gD^g|^|f^ni AppHcant)
PATIOS (SF) DECKS (SF) FIREPLACE
YEsQ* NC^ I
AIR CONDITIONING
YES I INO I 1
FIRE SPRINKLERS
VES| I N0| I
APPUCANTNAi^^g-,- WATER HEATER COMPANY
Z6O1 132ND AVE NE 12601 132ND AVE NE
^'••^ KIRKLAND 9^b34 CITY KIRKLAND STJ 5'534
PHONE 425-636-7054 ''^25-636-7055 PHONE. 425-636-7054 FAX 425-636-7055
EMAIL „
permits@fastwaterheater com
PR0PER^;^p^5(^N, DIANA
Ef^All permits@fastwaterheater com
CONTRACTORB^gij«iWATER HEATER COMPANY
AMREsg2i9 CAMINO ROBLEDO ADDRESS 12601 132ND AVE NE
CARLSBAD STATE CA CA""92009 CITV KIRKLAND STATJ ZIP
98034
I l^HONf (760)717-9892 PHONE '425-636-7054 FAX 425-636-7055
-MAIL EMAIL permits@fastwaterheater com
ARCH/DCSIGNCR NAME a ADDRESS '^31237 C36
(Sec 70315 Business and Professions Code Any City or County which requires a permitto construcL aller. Improve, demolish or repair any structure, prior to lis issuance also requires the applicont for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Cnapter 9, commending with Section 7000 of Division 3 ofthe Business and Professions Code) or tnat he is exempt Uierefram, and the tiasis for tho alleged exemption Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not mo'ii than five hundred dollars (5500))
Workors' Compensation Declaration / /lereby affm underpenalty of perjury one of Ihe foSowing dedaralmns
11 have and will maintain a certificate of consent to self-insura for wortiers.' compensation as provided t)y Section 3700 of the Labor Code, for ttie performance of liie work for whicti Itiis perniit is issued
AI havB ond will maintain workers' compensation, as required bv Spclton 37D0 ol Itie Labor Code for Ihe perforniaife-ollhe woik, for which tins pennit is issued My worteis' compensatign insuraKe camer and policy
nuir^icrc ..~-.n ^'•^'^^^ rnsu^ance Exr>^ange .,,,^^„JMM55 E.p.a^,oni:a^eJ^lj^^Z____
This seclion need nol be completed it lhe pomiil is for one hundred dollars (S1QD) or less
I I Certlllcate of Exemplbn I eerily lhat ,n tiie porfomiarico of tlio wori; for which this pomil is issued, I shail not employ any person in any manner so as lo become subjoci la the Worters' Compensation Laws of
Calitoinis WARNING Failure to secure workers' compensation coverage is unlavrful, and shall subjecl an employer to criminal penalties and civil fines up to one hundred thousand dollars (&10ll,OOO), In
iddlt'on 10 Uio cost of compensation, damages.|_ ^ the Labor code, Inlorost and attorney's fees
CONTRACTOR SIGNATURE DATE 2/4/13
/ /leraby atlnn that I am exempi fwm Confracfor's License Law for tne fu/towinj reason
I I I, as owner ol Ihe properly or my employees with wages as Iheir sole compensation, will do Ifie wortc and llio stmcture is not inlended or offered for sale (Sec 7044, Business and Professions Code The ContradDr's
L'cj je Law does nol apply lo an owner of property who builds or improves thereon, and who dees such wori< himself or Ihrough his own employees, provided lhat sucli improvemonis are nol intended or offered ior
Idle 'f, however, Itie building or improveraenl is boid within one year oi completion, the owner builder will have the burden ot proving thai he did noi build or improve tor Ihe purpose of sale)
L3 II •''^ ''"^r "t the propeity, om exclusively conlracling wilh licensed coniractors to conslnict the projecl (Sec 7044, Business and PrQfe5s,ons Code The Conlraclor's License Law ^oes nol apply to an owner of
pni' iMiy who builds or improves ihereon J id coniracts for s'lch projetls With conbactor(s) licensed puisuant to the Contractoi's License Law) ,
(' I I an exempt under Section _ Business and Professions C^de for (his reason
i--l ~ VI—^ I I ./ -1 I poibonallyp'an to provide Ihe iiajorlaLor and maienals for conslniclion of lhe proposed proparty improvement | jYos" [ |Nii
i' I (have/hsvo nol) signed an applicalun ford building pemiil ior iiie proposed woik »iL "^ ~ > ')'•'
3 I have i onlraded with the folloMng pe.-son (firm) lo provide lhe proposed conslnicLon (include name address I phoney conlractois' license number)
•I I plan to provide portions of the worti, but I have hired the following peison to coordinate supervise and provide Ihe major wmk (indude name / address / phone /^contractois' license number)
C I Will pro Jide some of tho v/oA. but I have contracted (hired) the following persons to provide the work indicalsd (include name / address / phone / type of worii)
^PROPEinY OWNER SIGNATURE DATE
irttri in ciiKmif !J hncinneo nlsin 3
624136
Cfi3|
Is lhe applicant or future building ocoipant lequired to submitabusiness plan, acutely hazardous matenals regislralion forni or nsk management and prevention program under Sections 25505 25533 or 25534 of Ihe
Presley-Tanner Hazardous Subslance Account Act? 1111^^5 LUMO
Is lhe applicant or fulure building occupant required lo oblain a pemiit from the air pollution conW distnct or air Quality management distnct' LJ^BS | |hfo
Is the faci'ity lo be conslnjoted vwlhin 1,000 feel of the outer boundary of a school site? [IJI^SS (INQ
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 hereby affirm lhat tnere is a constmction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender's fvlame Lender's Address
1 certifythat 1 hava lead the application and state that the above Infonnabon Is conect and thatthe Infomiation on the plans is accurate. 1
I hereby BUltionze representative ol Itie City of CaiiSiad lo enter upon tiie above menlionfid property fbr inspection purposes. I /\LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF C/ifiLSBAD
AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPEI»iSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA pennit is required for excavations over 5'0' deep and demolition or consbucbon of stnjctures over 3 stones in heighL
EXPIRATION Every pemiil issued by Iho Building Official under llie provisions of Ws Code shall expire by limitation and become null and void if Ihe building or wo* authonzed by sudi permit E rot commenced wilhin
1 BO days trom the daie of sucti peimit or if ttie buikiing or woik authonzed by such pemut is suspended or abandoned al any line after tha vrak is conrnienced for a penod ol 1B0 days (Section IOB 4 4 Uniform Builillng Code)
>e5'APPUCANrS SIGHATURE Q\|(3^'tT5'''V.-DATE 2/4/13
Inspection List
Permit# CB130401 Type PME WILCOXSON RES - REPLACE WATER
HEATER, SAME LOCATION
Date Inspection Item Inspector Act Comments
04/02/2013 25 Water HeaterA/ents PD CO
04/02/2013 25 Water HeaterA/ents PD CO
03/25/2013 25 Water HeaterA/ents PB AP
03/25/2013 29 Final Plumbing PB AP
Friday, July 12, 2013 Page 1 of 1