HomeMy WebLinkAbout2415 APPIAN RD; ; CB131351; Permit05-30-2013
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CBI 31351
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
PC#
Project Title
2415 APPIAN RD CBAD
PME
1673813300 Lot#
DUFFY RES-REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
05/30/2013
LSM
05/30/2013
05/30/2013
Applicant
AFFORDABLE WATER HEATERS AND PLUMBING INC
Owner
DUFFY JOHN K&TANIS K
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087
2415 APPIAN RD
CARLSBAD CA 92010
Plumbing Fees
Electrical 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
Date
.APPROVAL
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 "fees/exactions" You have 90 days from the date this permit «/as 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 vifith 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
fees/exactinns of which vou have previouslv been given a NOTICE similar to this, or as to which the statute ol limitations has nreviouslv othenwise expired
if
CITY OF
CARLSBAD
BuiBding Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
, - •760-602-2717/2718/2719
" '' Fax: 760-602-8558
' v^ww.carlsbadca gov
JOB ADDRESS
Plan Check No(3l&» \ S I 2)S 1
Est. Value
Plan Ck. Deposit
SUTES/SPACEO/UNITK
Date ^
APN
SO
CT/PROJECT » # OF UNITS » BEDROOMS » BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE
YESD # . NO D
AIR CONDITIONING
YES • NO D
FIRE SPRINKLERS
YES • NOD
CONTACT NAIVIE (II Different fom Applicant)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
Perm
PROPERTY OWNER NAIVIE li > K r /" CONTRACTOR BUS. NAME _ uJa+er Hea-te-rs
ADDRESS ^ ^ ^ jA tA ADDRESS
CITY S
a
TATE ZIP
PHONE, , - _ , ^ FAX PHONE FAX
EMAIL EMAIL
Com
ARCH/DESIGNER NAME & ADDRESS STATE Lie ff STATE LIC # CLASS CITY BUS LIC#
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, dennolish or repair any structure, prior to its issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License La»i (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) oi that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant lo a civil penalty of not more than five hundred dollars ($500))
Workers' Compensation Declaration / hereby aftrni under penally of perjury one of the following declarations
O I have and wrill maintain a certificate of consent to self-msure lor workers' compensation as provided by Section 3700 of the Labor Code, for Ihe performance of Ihe work (or which this permit is issued
I have and will maintain workp''=' ccnrc-ssLor, as '•eauire*"' by Section 37no of Ihe Labor Code, for Ihe performannp c* Ihc wo'^, for which this Dermit is issued My workers' compensalion insurance cai
number are Insurance Co _
- ?UHi£Al-Amgvi:/-^»» {irtSu = Cs. Pohcy NO , \H C U $ WO 0 2-^0O Expiration Dale I - I
camer l5 :r and policy
This section need not be completed if the perniit is (cr one hundred dollars ($100) or less
O Certificate of Exemption I certify lhal in the performance of Ihe work for which this pennil is issued, I shall not employ any person in any manner so as lo become subject to the Wori(ers' Compensation Laws of
California WARNING. Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as proytded for in Se^tKirfT^D^'a^the Labor code, interest and attorney's fees
^ CONTRACTOR SIGNATURE
/ hereby affirm (tel / am exempt from Contractor's License Law for the following reason • t . ' ' '
• " 'I, as owner of the property or my employees with wages-as their sole compensation, will do the''wort< and the structure is not intended or offered for sale (Sec 7044, Busmess and Professions Code The Contractor's
"License Law does not apply lo_ an owner o( properly who builds or improves Ihereon, and who does such work himself or through his own employees, provided thai such improvements are not 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 purpose of sale)
a I, as owner of'ihe 'properly, 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 owner of -
property who builds or improves thereon, and contracts for such projects with conttactot(s) licensed pursuant to the Conttaclot's License Law) '
O I am exempt under Section Business and Professions Code for this reason: " '
1 I personally plan lo provide the major labor and materials lor construction of Ihe proposed property improvemenl • Yes • No
2 I (have / have not) signed an application for a building permit for the proposed work.
3 I have contracted with the following person (linn) lo provide Ihe proposed construction (include name address / phone / contractors' license number)
4 1 plan to provide portions ol Ihe work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone / contractors' license number)
5 I will provide some of the wort, but I have contracted (hired) the following persons to provide Ihe wod< indicated (include name / address / phone / type of work)
^gTpROPERTY OWNER SIGNATURE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acf • Yes • No
Is the applicant or future building occupant required lo obtain a permit from Ihe air pollution control distnci or air quality management district' • Yes O No
Is the facility to be constnicted wilhin 1,000 feet of the 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.
1 hereby affirm that there is a construction lending agency for the performance of the work this perniit is issued (Sec 3097 (i) Civil Code)
Lender's Name Lender's Address
I cerbfy that I have read the application and state thatthe above information is conect and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhonze representatwe of the City of Carisbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNII^Y 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 perniit is required for excavations over SO' deep and demolition or construction of stiucfures over 3 sbnes in heighL
EXPIRATION Every permit issued by the BuiWing Official under the provisions of this Code shall expire tjy limitation and becoine null and void if the tiuilding or work authonzed by such permit s not commenced \Nithin
180 days from Ihe dale of such pennit or if the buidinjor woi1( aulhpfefiiljy such permtjs-eaep^rided or abandoned at any time after the wori( is commenced for a penod of 180 days (Section 106 4 4 Unifomn BuiWing Ckxie)
APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB131351 Type: PME DUFFY RES-REPLACE WTR HTR
Date Inspection Item Inspector Act Comments
06/12/2013 25 Water HeaterA/ents - Rl
06/12/2013 25 Water HeaterA/ents PD AP
06/12/2013 29 Final Plumbing - Rl
06/12/2013 29 Final Plumbing PD AP
Thursday, June 13, 2013 Page 1 of 1