HomeMy WebLinkAbout2525 EL GAVILAN CT; ; CB080542; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-26-2008 Plumbing Permit Permit No: CB080542
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2525 EL GAVILAN CT CBAD
PLUM Status:
Parcel No: 2155311200 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#: Plan Approved:
Issued:
Project Title: BYRNE RES-REPLACE WTR HTR Inspect Area:
Applicant:
FAST WATER HEATER COMPANY
12601 132ND AV NE
KIRKLAND WA 98034
425 814 3124
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
1
0
0
0
Owner:
BYRNE THOMAS J&PHYLLIS A
2525 EL GAVILAN CT
CARLSBAD CA 92009
ISSUED
03/26/2008
LSM
03/26/2008
03/26/2008
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$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:
FINAL APPROVAL
Date: 0 5 o o 'o Cleamnce:
$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.lexactions. 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 Car1sbad 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
i I I ' hi flimi i
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
FOR OFFICE USE ONLY j~~
PLAN CHECK NO-tli ~ J
EST.VAL.~~~------~
Plan Ck. Deposit---------
Validated By __________ _
Date ______________ ~
Add~s (include Bldg/Suitt #) I':\ 0 C:_r _ Business Name (at this address) ~ 6o?S X:. ~A \II , la.u '
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work ~ -)LOO{, LJ~
SQ. FT.
6?~c:?O
#of Stories
O>J£
# of Bedrooms # of Bathrooms ,z
2. CONTACT PERSON (If different from eppllcant)
Name Address City
0 Agent for Owner
State/Zip Telephone# Fax#
3. APPLICANT p;rcontraotor O Agent for Contractor O Owner
Name ~\JC.U ~~ ~t,-;i/'\
4. PROPERTY OWNER
Address
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish 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 Law
!Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
emption. Any violation of ction 7031.5 by any applicant for a permit subjects the applicant to a fiv~eenalty of not more than five hundred dollars [$5001).
C-\LCD f t--I 1,1d1~c. 2, -/f'2i
Address
State License # _7--=6~/~{J_i_t, __ _ License Class --~;;c__] _ _.]_. ___ _ City Business License # --------
Designer Name Address City State/Zip Telephone
State License # ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company Policy No. ____________ _ Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
~· CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($ 00,000), In addition to the cost of compensation, damages III provided for in Section 3706 of the labor code, interest and attorney's fees.
SIGNATURE i4 DATE f!:,// 9,JJ.dlJO
7.. OWNER-~ DER OECLARA TION . I
I hereby affirm t at I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages 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 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 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).
0 I, 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 owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ------Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I 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 I address I phone number I contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phone
number I 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 / phone number / type
of work):·-----------------------------------------------------------
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONL y'
DATE _________ _
Is the applicant or future building occupant required to 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? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME---------------LENDER'S ADDRESS---------------------~~--
9. APPLICANT CEl;iTIFICATION
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permil or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE _8,_J_/.:-,f~j=i.£).--=·~::;__.=0 ___ _ ~ I
YELLOW: Applicant PINK: Finance
From:
Fax # 160-602-8558
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
03/26/2008 07:28 1204 P.002/005
r""' "'r r,-vc. voe:. vni.1
PLAN CHECK NO. (!Bo 8 t) S4 ~
EST. VAL.---------
Plan Ck. DePQSlt~
ValldatsdBy~~~~..;...,--,-----
Dale I?.> ~ 0 cg·
'!::~··,,.1-1' .'I J! ,1_'· ~ , • , . ' . '. , .· • '~A::·.~;-_
2525 EL GAVILAN CT
Addral (n:fude Bldg/Sultd)
Lot No. SubclMllon Namdlirnber UnltNo. P"-eNo. TOia! #ofunb
Deea1ptlon af Work SO.FT. #afSlaria t# of Bedroom• # ot Blllhtooma
Remove/Replace Gas Water Heater
,' • 1 ,<. \ -,I. -I;: • ;• 1 11 • I ... , I • \ • •' II j • • • • -• • • •" : ' • •
. fume Ad«-City 8tlll/Zlp Tllephond
:} • • • • " 1· ~· ', , I , ,' i • , .-•
FAST WA~ER HEATER COMPANY 126~~ ~32NO AVE NI KIRKLAND, WA 980:M
Neme Adena City S1IIIIZlp Tel9pllolwlll
·• -~ ,\ I•, -I •• I '. ' . ' . • ' • , •
BYRNE!J. CARLSBAD, CA 92009 (760)929-1045
. Heme Addnln City SlaWZlp Telepl\ond
•, ~· ' , > , -, ' I ', • • • , "' • '.
(Seo. 7031.6 Bu91n-llNI Plornllons Codi: Any City or County~ NCIUl'N • pennl ID OOl1llrUcl, dlf, lmpn,ve, dlmollll1 or rwpu lflY IWUCtul9, prior 1D ltS IUUanOI, -.a requlnll the mppllclnt for IUCh permit to 1111 • llgned ....,_. ht hi Is bl1Nd purwn to 1111 prov111on, of the connctor's UoenN Law (Chlpl8r 9, co111nien!lq with
Section 7000 ot Dlvlllon 3 of the Bulhla and Pnlfullona COde] or that he II _pt l!nltom, and the 111111 for the lllleged -.nptlon. Any wii.llon of Sealon 70S1.5 by
lll1Y appllcant1br I permit lllbjlell lhl ~ to a olYII penelly of not ffl018 lhln M hl.nlnid dollars "800)). .
FAST WATER HEATER COMPANY 12601132ND AVE NE KIRKLAND, WA 98034 SQ0-454-8955
Name Addnaa City ~ Telephone t
S1ata 1.btnee, 877 489 License Cius C36 City B1111nw Uoerwe 11 ..:.1:22:::2~3;..;:0:.2 ____ _
Designer Nama Addl988 Telephone ti
Sta~l.lcenH# _____ ~
• \ • ,' .< '. • ' ' '_,, I • • < t" ~ • • • .' : ) •' • ,,'_,:. f
Womrs' Compm,utlon Declmlllon: I hlrebysfflnn under penally ofperftlfY one of1hefollow!no dedlrlllons:
C I '-Ind wlU mt1lntul a Cllltiblll of corment ID selHr\9lft for WO!kel'I' ooml)llllllllon a prowled by Sec11on 3700 of the labor Code, for Iha perfolmanc9 af the wort
fOr Whleh tllll r,ennlt la INUed.
)11 I have 1111d wa1 malntllln worker'a oompenallOn, 111 n,qund by Sldlon 3700 of Iha labor Code, for Ille p"1brmanc:e of 1he work 1br wNal1 11111 permit 1, lleued. Mt
wortcar'a C0111ptn91ffon-ln111rance Gllrler and policy number-.: ·
1ns1.nnoeCompmiy Callfomla state Fund PolleyNo.1761660 EicplrallonDn1..;1~21:...:1:.:.:/0=-=8~----
[THIS Sl!CTION NBD NOT Be COMPL&Tl!D II' THE Pl!JUIIIT 18 l'OR ONI! HUNDRED DOI.LARI (tflG] Oft U!88)
C Cl!R11PICATE OF EXEMPTION: I aertll'/ that In the performance of 1111 wortc for 'MIieti ttis permit II IS8Uld, I ehal not employ any person In my ffllMII' so • to
become •~ to the WOlkara' Cornplnaflon Laws of Cd111mla.
WARNING: F.01.n to -. wCllfllnl' ~lion -. II WIINl'ul, and ud •ubjecl M •"'*"'r to crlllllnal ,-ltlle 811d c:1111 tlna up to one lumdNd tho-,cl
dou.r.(tlOO.tOO). In ulltlcm to Ille c:o.t ot-penatlon, .,,..._ -provided for In 8"tlon 31N of the LlboC' Code. lrlllrNt IIIICI IIIIOrTl9J'! IINL
SIGt;lATURE. ~~/fl,,. ,hq . DATE 312166./0181iiiiiiiiiii•
I hlNbV aftlnn that I am -pt from .. Contraeb's l.lcenN Law far the foloMlg -
c I, • -at the propertv or my emplo)tNI with wegee • lhelr '°" compenllllfon, wm d 1he 1IIOlk 111d Iha lllrudurl II not lnllnded or offered for Nie (Sec. 7044.
Bustne. and Prof89111on9 Code: The Col'lnlllOl'e ~ Lllw doea not •PPY to 81\ -ol property who bUICl8 or lmpn,vm ..._, end who don ltlCl1 WD!1c hlmHlf ar
llltouah 1111 own 1111plo)<Ns. provided Umt IUdl Improvements are not lnlllnded or ofl'nd for •le. If, hoWB\W, lht buMng OI lmpuwment II 801d v.1Nn one l/861' of
complellon, 1he owner-«1llderwl haw h bll'den otprovtng hit he, did IIIX bulld or lmpRM 1brlhe pwpoee ofAltl}.
C I, M owner of 1lltt p,opef\', am a:ulwlY oon~ wllh Ooei.ed llffltllolonl to ooMIIUct 1h11 proJ-ct (Sec. 1CM4, B"*-8 end Prot.alonll Ccdr. Tha Contnlcfor'a
Ucenae IMY doea not llpply to an OWl18I' of ~ who bullcl9 or lmprovea ~ 1111d oonlnlOIS for euch ~ with conhelor(s) llolllNd purellllll ID the Canlrllclo(s
Uoc,neo Law).
0 l 11111-pl under Sec11on B~ end Prore.ion9 COde flDrtlN-
1. I pel80lllly plmn ID PIVVlde lhe fflaJar labor nl mellrtlll 1br conslructlon of Ille propoNd property lmpn,vement. C YES C NO
2. I (lllw/h ..... nCJt) llgned III applleallon for• bulldlng permit tbr lht propoted 'MJltl.
3. I tmve conlnla1ad wllh 1he following l)el'90fi (Bnn) ID provide 1111 ptopONd oanatrudfon (lnc:ludl name I adclmi I phOne number I contrac:IDl'l llcenae number);
'-I pllln '° proylde porilonl of fho win, but I i.1111 hnd 1h11 followtng pellOII to COCHdlnlll, ....,.,_ and ptcMde the m!!lor wol1c (ndude name I add,-/ phone numb« I
ron1nlctorllclr!Nnumbll):~~~~~-~~~~~~---.:---~------~~-------------~
II. I~~ IOffle or lhe WOik. but I hawi oontnlc:lld (hlrlld) ht tblowtlg pe~ ID pro¥lde the work Indicated {klc:ll.u name I add1918 I phon8 numb9r / lw,e of work):
~~~: ________________________ ~~~~-~-~----~-----~----~
PROPERTYOWNERSIGNATURE _________________________ DAft ________ _
From:
PE~IT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsb.ad CA 92008
Page 2 of 2
03/26/2008 07:29 1204 P.003/005
la U. applcm,t or Mure ldcllng j.nt requbwd to ~It • bullnw plln, ICUl91y '-1:loua m*1all reglltrdon for or rlelt management 111d pn,ventlOn PIVIIIMI wider
Sectione 26606, 26633 or 26634ofthe Prtlle~Tanner Haaruoue Si.afanol AoooultAal? C YES CJ NO
la the -,,plc:ant or Min bulldq occupant requlr8d to obtain • permit from the • palkl1lon con1nJI dlltrlct or air quall\y m1111811ement dl91Jlot? C YES C NO
ls the fll:llly to be COIW1rucllld wllhrl 1,000 fNt of Ch• oUllr bOlaldwy of UCIIOOI 111117 Cl YES Cl NO .
IF ANY OF THe ANSWeRS AIU! YES. A FINAL Cl!lt'l'l'ICAff OP OCCUPANCY MAY NOT 81! lS8Ul!D UNU!SS THI! APPLICANT HAI MET OR Ill MUTING TltE
Rl!QUIIUQIINTS OP THI! Ol'PICI OF l!IIMGmNCY IIIIIMCD AND THE AIR POLLU110N CONTIIIOL DISTRICT, a l harebyallm lhll""" •• oonllrucllon 1'ndlnll 11911neyfortht perfol'menoeofthewarkforwhlahfll plffllltll taued (Seo. 30ll7(l) Civil Code).
LENDl:N'S NAME LENOER'SAODRE88 ________________ _
I Cl~ 1lllt I ~ reed ttw ipplaallon 1111d ltalll ll\8t Che abOYa lnfonnellon II conwct end 1h8t .. lnlblmdOn on 11111 pllna la _..... I agree to COfflSIIY lidh ell Clly
ordlnancu end Stata ,_ re1a11ng to bul clng coimtrucllon. I lwreby 8Ulhol1ze ~ of the C1f¥ ol Carl!bed to enter upon 11111 lbova menttoned pnipertyt,r ln!pectlon
pwpONe. I ALSO AGREE TO SAVE, INDEMNFY AND KEEP HARlll.888 THI cnv OI' CARLNAI> AGAINST All. UAIIUTll!8, JUDQEMBff8, COl'T'I AND
EXPENSES WHICH MAY IN ANY WAY ACCRUI!! AGAINST SAID CITY IN CONUQueNCE OP THI! GRANTING OPTHl8 PERMIT,
OSHA: An OSHA permit la !Wqlhd roe Ul:IMIIIDnl of 5'(J" dNp 11111 dlnlOIIIOn or eotllllUcllon Of llrudurM over 3 llollle In height.
EXPIRATION: E\lllY 1*11111 1.-ued by Ille bdlr;lng Oll'lclal 111dllr 119 proYlllona oflhll COde lhlll as,11'1 by umllldlon end beCllme rul end void lt1he buldlng or work aulllOrtmd
by ,Ul:h permit la notconmwad wllhln 180dayafnlm the• of IUCII plfflllt orlflle bulking or Wlllk atllhorb!ld by IUCh pennlt la .-pended« abendoned atany8me lllllr'
the Wlllk Is commenced for• 119rlod ot 180 da)'I (seetlon 1oe.u unronn BUlcl~ COde).
APPLICANT'SSIGNATURE_ ~£,L~ ---------· DATI= __ o_312_6_12_0_o_a ______ _
City of Carlsbad Bldg Inspection Request
For: 09/09/2008
Permit# CB080542
Title: BYRNE RES-REPLACE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address: 2525 EL GAVILAN CT
Suite: Lot: 0
Location:
APPLICANT FAST WATER HEATER COMPANY
Owner: BYRNE THOMAS J&PHYLLIS A
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7604288030 ex 207
Inspector: f-A~
Requested By: PHYLLIS BURN
Entered By: CHRISTINE
25 WaterHeaterNents P1R' ~X\~'(t~ t--,o~,J, 4~~ML6
~-··· \?iNLlt.,,__ ___ . &t'l'Jl.~ __ Jr. ~ L,,1~_#-,_ ~
Date
-------·-------...1~ ~•---------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Description Act lnsp Comments
<f't..,. l:;..A. ~ ~ '6~ LJ:> f"(
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