HomeMy WebLinkAbout2322 LA COSTA AVE; A; CB131113; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-01-2013 Permit No: CB131113
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2322 LA COSTA AV CBAD
PME
2163101404
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: MARTINEZ RES -REPLACE WATER
HEATER IN GARAGE, SAME SIZE AND LOCATION
Applicant:
ANDERSON PLUMBING INC.WALTER
1150 N MARSHALL AV
EL CAJON CA 92020
619-449-7646
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
MARTINEZ EDWARD D
2322 LA COST A AVE #A
CARLSBAD CA 92009
ISSUED
05/01/2013
SKS
05/01/2013
05/01/2013
$31.00
$0.00
$0.00
$64.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
INAL APPROVAL
Date: S:--Y-rJ 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 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.
«1~ ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT #
EXISTINB USE
APPLICANT NAME (Primer)' Contact)
ADDRESS
CITY
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/\JNIT#
# BEDROOMS # BATHROOMS
Plan Check No.
Est. Value
PATIOS (Sf) DECKS (SF) FIREPLACE
VES[J#
APPLICANT NAME (Secondary Contad)
ADDRESS
CITY
PHONE FAX
STATE LIC. #
SWPPP
CONSTR. lYPE OCC. GROUP
FIRE SPRINKLERS
vEsONoO
(Sec. 7031.5 Business and Profe ions Code: Any City or County Which requires a permit to construct. alter. Improve, demolish or repair anr structure, prior to Its issuance. also requires the applicant for such permit to file a l!ned statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Ct\a'f.ter 9, commendlni! with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicantfor a pennlt subjects the applicant to a clvtl penalty of not more than five hundred dollars ($500H.
WORKERS' COMPENSATION ·
Woritara' Compensation Declaration: I hereby affirm under penalty of porju,y on• of the following declarations: D I ~ave and will maintain a certlflcate of con11nl ID self-Insure for wo.rk.en;' compensarton as provided by Section 3700 of the Labor Cod.•, for the perfOlfflance. of the work for which lhis permit is issu.ed.
!iJri;av. e and will maintain wmkers' compensation, as required by Section 37~0 □f. lhe Labor Code, for the performance !11 t'h work lqor which ~ermlt Is Issued. My workers' ccmpensatiOC) ins7-nce carr' . r and policy
number are; Insurance Co ' · Policy No. 'f o( ,5 tf / · Expiration Dale_ // -/ . lJ;tlj, sec!lon need not be completed W lhe permit is for one hundred dollars ($100) or less.
LJ Certificate ol Exemption: I certify that in the performance of the work for which this pemiit is issued, I shall not employ any person in any manner so as to become subject to the Wori<ers' Compensation Laws of
calWomia. WARNING: Failure la 1ecu~ WO!kars' compen,ation coverage 11 unlawful, apd shall subJec1 an employer to crimlnal penalties and civltfinos up to one h11 red ousand dollars (&100,000), In
addillon lo the cost of compensation, d rovlded for in Se 6 o he labor code, Inter •I and attorney's fees. ~ / /
_g CONTRACTOR SIGNATUR ~ /
I hereby afflf7II that I am •~empt from Contractor's licensfl Law for the folloWing reason:
□
□
□
I, as owner of the property or my employees wilh wag!lli as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlracto~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 olffl employees, prol'ided that such Improvements are not intended or offered for
sale. If, however, the building or Improvement Is sold within one year of compleUon, the owner-builder will have the buroen of proving that he did not build or Improve for the purpose of sale).
I, as owner of lhe property, am exclusively contracting wllh licensed contractors to construct the project (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 contracts for such projects with contraclorlsl licensed pursuant to the Contracto~s License Law).
I am exempt under Section ___ ~_Business and Professions Code for lhis reason:
1. I personally plan to provide the major labor and mafelials for construction of the proposed property improvement. Oves ONo
2. I (have I have not) signed an appllcaUon for a building permit for the proposed work.
3, I have contracted wilh the following peraon (firm) to provide the proposed construction (Include name address I phooe I contractors' license number):
4. I plan to provide portions of the work, butt have hired the following person to coordinate, supervise and provide the major wolf< (Include name I address/ phone/ contractOfS' license number):
5. I will provide some of the WOik, but I have contracted (hired) lhe following persons to provide the work indicated (include name/ address I phone I type of work):
JlS PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building ocrupant required to submit a bu6Kless.J2!!!1, acutely hazardous materials regis!rafion form or risk management al\d prevention program under Sectioos 25505, 25533 or 2553" of lhe
Presley-Tanner Hazardous Substance Account Act? D Yes D No
Is the applicant or future building ocwpant required to obtain a permit from the air pollution control district or a~ality management district? Dves O 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the appllcatlon and state that the above lnfonnatlon Is correct and lhatlhe Information on the plans Is accurate. I agree to mmply'Mth all City ordinances and State laws relating to building construction.
I hereby authorize representative oflhe City of Carlsbad to enter upon the above mentioned property for 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 GAANTING OF THIS PERMIT.
OSHA: An OSHA permit is raqured for excavations over SO' deep and demofrtion or constructioo of structures r:Ner 3 stories In height.
EXPIRATION: Every permit issued by lhe BuHdng Official urder the provlsloos of Ills Code shall ~ by llmitatioo and become null and void If the tx.Jilcing oc wor1< by such permit Is not commenced 'Nilhin
180 days from the date of such ~ ~~-· ing or wak authorized byfhm"il: ·s suspended ~ abandoj at any time after the work is rommenced for a 180 days (Section 106.4.4 Uniform Building Code) .
.@S' APPLICANrs SIGNATURE' i\i'(!, k,Ltt_ tv<,1../ DATE $ j
·~~-----------+-'+-'-=---------~
Prescri tive Certificate of Com Hance: Residential CF-IR-ALT
Reside11tial Alteratiorts WATER HEATER REPLACEMENT (Pa e 1 of 1) A~ Climate Zone# 8 # of Stories I I "-=-~----~ ~•_.,-.,._c0,~"' -~• ,.,..,,-"'~-J-,_.u......,.,..,,.,,_,_.,~.,,.~,.....,,._,...,_.,_._.,..__,~...,~---.•---.->+j, ___ •_.,.___J
General Informntion A I I
Site Address~ I Enforcement Agency: f Date: \ t;/ J / J 3
Building Type~ingle Family □ Multi Family Circle the Front Orientation; N, E,S,W, ordegfces ' I
Project Type: □ Alterations □ Envelope □ Fcnestralio"mf □
Condilioncd Floor Aren (CFA): HVAC Replacement or Change Out □ Duel Rcplaceme Kier
Henter
NOTB: Tl/is ftm11 I.~ 6,,t to be nsed for Newly Co11structed Buildl11gs or Additf011s
WATER HEATING
List n·mer lietller.r 1111d b11llt'rS fiw botl,1f1m1e.11k hon1•<1Jer (Of/IV) lielller.1 mu/ h)Ylrmtit s1IIwt /1et11/11g, l11dMd11e1/ ,h..,!Jlillg DlfW lte,1tt'r.I11111.1·I
be .~11.r or Jllll/ltllll! j/l'l!tl, 11111I may 111>1 e.rceed 50 gallrm.r. Ho/WIiier pi/M i1wrl,11ib11 from 1/111 IJflW /1ea111r Ill I/1e l.:itdumM mid 011 t1II
mu/er •m11111l/w111'1Jlt•r;; es i.f ret11friuli1111ll.mm m111m1 m,·kti • .r iii all climate :rimes.
I, hitlic;iw 1)'{11! (Swmge GCl.t. lleill P1111111, l,1$lllll/tt11em1s, ft<'.)
Number In
S stem
falemnl Tank
!nsula1ian.
R~Valite1
2. Redrc11/arl11g .vys1em.r .rervi,,g 11111/ti/ile tlll'elli1Ig units shall mce/ the recir1.Ytl111im1 fl!(/llireme111s ,if§ /50(11 ). 71,e Prt!.tcripli1'e re1111/reme111.r do
11111 111/011' 1h11 i11,,"11/mio11 tif a recilt•11/ml11g 11~1t11r /1,•millg sy.tlt'm for si11gle ,twelli,1g 1111/1.t
3. TIil! extenml w,11er l1et11i1 • 1t111k .1111d l 1e1 slmll be i11.mla1etl w mecl Ifie re, 11in•me111u1 · J 50(").
Controctor•s, (Documentation Author's/Respt>nsible Building Designer's/Owner'$), Declaration Statement
• I certify thut this Certificate or Compliance is uccurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to □c(:ept responsibility for the building
design identified on this Certiticnle orcompliunce.
• J certify thul the energy features and performance srccilications for the building design identilied on tlli$ Cenillcate of
Compliance conform 10 the requirements of Tille 24. Parts I nnd.6 of the California Code of Reii,ulalions.
• The building design fe!lmres identified on this Certificate of Compliance are consistent with the infonnation provided to
document this building design on the other applicable complinnce forms, orksheets, calculations, pians and specific~ns
submitted to the en orcemenl u •cne for n rovul with this buildin , er l a lie ion.
Company:
Address;
. . .
Inspection List
Permit#: CB131113 Type: PME
Date Inspection Item
05/07/2013 25 Water HeaterNents
05/07/2013 25 Water HeaterNents
05/07/2013 29 Final Plumbing
05/07/2013 29 Final Plumbing
Wednesday, May 08, 2013
Inspector
PB
PB
Act
RI
AP
RI
AP
MARTINEZ RES -REPLACE WATER
HEATER IN GARAGE, SAME SIZE AND LO
Comments
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