HomeMy WebLinkAbout2624 Levante St; ; CBR2016-0505; PermitPrint Date: 01/09/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:,
Project Title:
2624 levante St
BLDG-Residential
2161804500
$0.00
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: THERIAULT: REPLACE WATER HEATER IN SAME LOCATION
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $98.00
Owner:
COOWNER THERIAULT CRAIG E&LORELY
2624 Levante St
CARLSBAD, CA 92009
Total Payments To Date: $98.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
ALL STAR WATER HEATERS
30300 Puerto Vallarta Way
Menifee, CA 92584-9256
800-727-0977
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2016-0505
Closed -Finaled
12/30/2016
12/30/2016
$0.00
$98.00
«,~;, Building Permit Application Plan Check No. <!. ~ '1.c.> <!, -OS<.:> S
~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-2717 I 2718 I 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit'_
www.carlsbadca.gov Date f :L / 3o / 1 C., lswPPP
JOB ADDRESS 2624 Levante St. ::;Ul1E#/::i/>A.,.,., '/UNIIIJ ~-. . .
I \,;1//'HOJECl # !LOT# r ~a• I" vr uNfTS I# tlEOnvvrt'-'
DESCRIPTION OF WORK: Include Square Feei0r Affected Ares(s)
I# BATHROOr;,::; I'"~" BVSJNESS NAM I"""""'·"' .. , OCC.GROUI'
Replace existing water heater. Same size and location.
EXa11NQUSE I PROPOSED USE IGAl'V'out: (SF) PAllu-:i(SF) IDECKS(SF) FIREPLACE 1 I AIR CONDITIONING , I FIRE SPRINKLERS
YES[], N,0 YEs0No0 YESONoO
CONTACT NAME (If Different Fom Appllc•nt) APPLICANT NAME Sierra Sprague
ADDRESS ADDRESS
30300-Puerto Vallarta C1TY STATE ZIP CITY STATE ZIP
~-Menifee CA 92584 PHONE I"" PHONE I"" 951-301-0067
EMAIL EMAIL
PROPERlY OWNER NAME Craig Theriault CONTRACTOR BUS. NAME .1111 .::+~• w~+a,. '" ADDRESS ADDRESS
Same as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP --. ('.II 92009 Menifee CA 92584 PHONE I FAX PHONE IFAX 760-632-5182 951-301-0067
EMAIL --EMAIL
ARCH/DESIGNER NAME & AOORESS ·-~-I STATE LIC. # STATE LIC.# I CLASS l CITY BUS. LIC.#
812894 C 36
(Sec. 7031.5 Business and ProfessJons Cooa: AJYf City or County whlCh requires a permit to construct, alter, Improve. demolish or n1paJr an:t structure, prior to its l&&uanc., elao requires the applicant for sU<:h permit to file a SiRned statement ltiat he Is llcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of DIV!slon 3 of the Business and Professions Code) or lhat he ts exemr;,t therefrom, and the basis for the alleged exemption, Any vlolatiOn of S&etlon 7031,5 by any appllc,:nffor a permit subjects tho eippllcenl toe clvil penally of not more than five hundred dollars {SSOO)).
WOt'tce,1' Cornpenutlon Declaration: I hereby affirm under penalty of perjury one of the folfowlng declsra5ons:
D I have and will maintain a certificate of consent to aelf.insure for workers' compensation as pro~ided by Section 3700 of the Labor Code, for the performance of lhe work for which this perm~ is Issued. 0 I have and wlll maintain workers' compensation, as reQuired b'i Section 3700 of the Ulbor Code, for the performance of the work for which this pem,lt is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co ACE Poricy No. RWCC48818705 ExpiraUon Dale 0Ml1/2017
]ll!§.section need not be completed if the permit is for ooe hundred dollars ($100) or Jess.
LJ Certificate of Exemption: I certify that In lhe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo lhe Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties and clvll fines up to one hundr&d tho and dollars (&100,000), In
addJtlon to the cost of compensation, dama~ prov for Jn Section 3706 of the Labor code, Interest and attorney's fees. /_
AS coNTRAcroR sI0N•ruRE _.,{;:' _,.,,...,_,,.... □•GENT oATE /Z /zr, '/ 1.o
f hereby affirm that I am exempt from Contraclor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the strucl\Jre is not Intended or offered for sale {Sec. 7044, Business and ProfessiollS Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereo11, and who does such work himself or through his own employees, provided that such Improvements are not illlended or offered for
sate. If, however, the building Of lmprovemerrt Is sold within one year of completion, the owner-builder will have the burden of proving Iha! he did not build or Improve for the purpose of sale).
I, as owner of the property, am eKclusively contracUng with licensed contrac\ooi lo coostruct the project (Sec. 7044, Business and Professio11s Code: The Contractor's License Law does not apply lo M owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Con!ractor's license Law).
I am exempt under Section ____ Business alld ProfessiOns Code for this reason:
1, I personally plan 1o provide the major labor and materials for construction of the proj'.X)sed property improvement. Oves 0No
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 (fil"m) to provide the proj'.X)sed construction (Inell.Ide name address I phone I COfltractors' license number):
4. 1 plan to provide portlor1S of the work, bu! I have hired tile following person to coordinate, supervise and provide the major \Wrk (inctude name I address I phone/ contractors· Ncense oomber):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (incl Lide name I address I phone/ type of woril):
Hf PROl'fRTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a business_s, awtely hazardous materials reglstraUon form or risk management and prevention program under Sec~ons 25505, 25533 or 25534 of the PM'ley-Tanner Hazardous Substanc.e Account Act? D Yes LJNo
Is the appltant or future buiklng occupant required lo obtain a pennlt from the air pollution control.2i§!rict or alt.9l!ality management district? Oves O No
Is the facility to be constructed within 1,0CO feel of the outer boundary of a school site? LJYes LJNo
IF AAY OF THE AASWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFlCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the eppUcatlon and Slate that the above infotmalion Is correct.and that the lnf'ormatlon Ofl the plans Is aa:umte. I agree to comply with all City ordinances and State law$ reletlngto bulldlngconstructlon.
I hereby authorize repiesental"' of the 0~ of Carlsbad lo enter upon fue above menlioo8J property tlr i'1Sl"COOn purposes, I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LWJILITIES, JUDGMENTS, COSTS AND EXPENSES \\lilCl, MAY IN ANYWAY ACCRUE AGAINST SAD CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA pesml Is lllqUirad f<r excavations,-5'f/ deep end demolllbn or CX'1Slruclion of -UIOS ""8f 3 stories i1 height
EXPIRATION: E..-y pemit -by the Bli~ing Olldal under~• pro,isions of ttus Code shal Olqlire by imilalion and become mJI and ,iij if the bui~ing or\\00\ autl'orized by such perml • oot oornmenO!d within
180 days from the date of sudl pem;t or I the btJ~lng or worl< autho,tzed by such pem;t • su,pendej or abar<loned at any time after~ wo~ is ""1'l1l8lml f<r yero<I J 180 days (Section 106.4.4 Uni1>1T11 Bul~ing Code) .
.@S'APPLICAArSSIGNATURE ~ DATE /2#f"/lt,
PERMIT INSPECTION HISTORY REPORT (CBR2016-0505)
Permit Type: BLDG-Residential Application Date: 12/30/2016 Owner: COOWNER THERIAULT CRAIG
E&LORELY
Work Class: P/M/E Issue Date: 12/30/2016 Subdivision:
Status: Issued -Active Expiration Date: 06/28/2017 Address: 2624 Levante St
Carlsbad, CA 92009
IVR Number: 1173
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
01109/2017 01/09/2017 BLDG-25 Water 008790-2017 Passed Andy Krogh Complete
HeaterNents
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Contractor to reconnect cold water bond Yes
BLDG-Final 008791-2017 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Plumbing Final Contractor to reconnect cold water bond Yes
January 18, 2017 Page 1 of 1