HomeMy WebLinkAbout2310 LONGFELLOW RD; ; CB081872; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-01-2008 Plumbing Permit Permit No: CB081872
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2310 LONGFELLOW RD CBAD
PLUM Status:
Parcel No: 2121431800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: POULL RES REPLACE WTR HTR Inspect Area:
Applicant:
AFFORDABLE WATER HEATER
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
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:
POULL JOHN W&MARCIA J
2310 LONGFELLOW RD
CARLSBAD CA 92008
ISSUED
10/01/2008
KG
10/01/2008
10/01/2008
$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: fu ~ 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 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 se1Vice fees in connection with this projF.:ct. NOR DOES ff APPLY to any
' i h h fli i i h h i
City of Carlsbad
1625 Faraqay Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No.~f /.f.1 _,2/
Est. Value
Fax: 760-602-8558
Building Permit Application Date
JOB ADDRESS '\ "'.) J .... L ,, f) . I SUITE#/SPACE#/UN!T#
.,,. " , v o "' r ~-H ~ W 1'--V . "c-,~1,-,~o-,,~c-,~.-----~~,o-,~.~-----~,"HA~s~,-.-~# OF UNITS~r.,~, .. ,~O"AO"O"M~s-+.,~,",~TH.ROOMS~--TE-N-A-Nr-,-u~s-,N~,-ss~N"A"M'°',--------~coNSTR.i'YPE occ. GROUP-
DESCRIPTION OF WORK:
P-t> oce. s-o
:: ,
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS
NOD YES □ NO 0 YES □ NO □
CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME /..., 5c.ett • /,I,
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
FAX PHONE FAX PHONE
""1-~'I • 713 I fo'1 ·JS'f• 5"!fh ___ _
EMAIL EMAIL Sc.ott@ AWfMP, (OM
PROPERTY OWNER NAME
0"' \ WCA.ter Hec:d:ers
ADDRESS
CITY STATE ZIP STATE ZIP e11.
PHONE '1 (.O • '\ lg
FAX FAX co 0
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CLASS CJ' CITY BUS. UC.#
/~17.).71
/Sec. 1031.S Bu1ineu and Proft11i0ns Code: Any City or Counr,: which requi!ls a permit to constnict. alte~jllJproYe, demolish or rtP,air any structure, prior to its inuana, aka rtquires the applicant for such permit to file a signed statement that he is ticensed J!UflUJIRI to the ptJ1Yi1ionJ of the (fntractor's license I.aw {Chapter 9, commendin! with Section 1000· of Division l of the Bu1inH1 and Prort11ion1 Code} or that he is exempt thtrtli'om, and the bas11 for tfle alleged exemption. Any violation of Section 7031.S by any applicant lor a permit sub~cu the applicant 10 a civil penalty of n t mort than five hundred donan {$500}).
WORKERS' COMPENSATION
Workers' Compen11Uon Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[i('j have and will maintain workers' comp•~• I n, as required by Section 3700 of the Labor Code, for the performance of tile work r ich this ermit is issued, My workers' compensation insurance carrier and policy
number are: Insurance Co. I Policy No. 0 Expiration Date I • / • Ci 1
This section need not be completed ii the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: l certify that in the perf0tmance 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' compen11Uon coverage It 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, damage II prov1ed for In Section 3706 of the Labor code, Interest and attorney's feet.
,a:! CONTRACTOR SIGNATURE ~t ,
I hereby affirm that I am exempt from Contractor's ~nse Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the worll and the s!ruclure is r10! in!ended 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 who does such work himself or through his own employees, provided that such improvements are not inlended or offered for
Hie, If, however, the building or 1mprov1mtnt ls 1old within on, y11r of oompl1t1on, th• own1r-bulld1r wlll have the burden of proving th1t he did not build or lmprov• for the purpo11 of 1111).
□ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an awrier of
property who bui~s or improves !hereon, and con1racl1 for iuch projecl1 wllh con11aclor(1I licen11d purauanl lo lhe Conlraclor, Licen!9 Law),
C I ,m u1mpt und1r Section _____ u,ln■H and Prof .. 1lon1 Code for thl1 rt11on:
1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. r {have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but l have hired the following persori to coordinate, supervise and provide the major work (incfude name I address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
Ji5 PROPERTY OWNER SIGNATURE DATE
o/ ' ' '1' M t?''Wll COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY , , j/;
Is the applicant or future building occupant required lo submit a business plan. 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? □ Yes □ No
Is the applicant Of future building occupant required to oblain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility lo be constructed within 1,000 feet of lf1e outer boundary of a school site? □ Yes □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affinn that !here is a construction lending agency for the perlonnance of the work th,s penn,1 ,s ,ssued (Sec 3097 (1) Civil Godel
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the appUcatlon and state that the abcM lnfonnatlon Is conectand that the lnfonnatlon on the plans Is acx:urate. I agree to comply with all City ordinances and State laws relatlng to building construction.
I hereby authorize representative of ~e Cfy of Carlsbad lo enler upon ~e above mentioned property for i1speclioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN A~ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations over 5'0' deep and demolition or construction of slructures am 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under lhe provisions of this Code shall expire by Imitation and become nuN and void if the building or work authorized by such permit Is not commenced 'Mll1in
180 days from lhe dale of such pemil or ff lhe~uid or WOO< aulhorized by such pem,ft • suspended or -ed at "'Y time after lhe WOO< • commenced for a period of 180 days (Section 106 4 4 Un,orm Building Code}
~ APPLICANT'S SIGNATURE ~L. DATE q ~ j.q -OR
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.... .--,.1 .. --~····
. m City of Carlsbad Bldg Inspection Request
. .
Permit# CB081872
For: 10/16/2008
Title: POULL RES REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2310 LONGFELLOW RD
Suite: Lot: 0
Location:
APPLICANT AFFORDABLE WATER HEATER
Owner: POULL JOHN W&MARCIA J
Remarks: AFTER 3;00 PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7609186903
Inspector: M~
Requested By: MARCIA
Entered By: JANEAN
25
29
Water HeaterNents
Final Plumbing
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
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