HomeMy WebLinkAbout2689 GARFIELD ST; ; CB111817; Permit' -City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-22-2011 Plumbing Permit Permit No: CB111817
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2689 GARFIELD ST CBAD
PLUM Status:
Parcel No: 2031412701 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title:
Applicant:
BARTEL RES-REPLACE WATER
HEATER IN SAME LOCATION
BARTEL scon J&PAPPAS NICOLE M
2689 GARFIELD ST
CARLSBAD CA 92008
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
Plan Approved:
Issued:
Inspect Area:
Owner:
BARTEL scon J&PAPPAS NICOLE M
2689 GARFIELD ST
CARLSBAD CA 92008
760 434-5551
ISSUED
08/22/2011
RMA
08/22/2011
08/22/2011
$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: t'.1'.'.I: {.,o.{{,,:,.., 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.
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 arry
f hi h v r vi en Iv n N Tl E imil r hi owhi h h t flimi tin h
<<,~ ~ CITY Of
CARLSBAD
Building Permit Application
1635 Faraday Ave., carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
SWPP
OC.GR UP
PROPOSED USE GARAGE (SF) PATIOS (Sf) DECKS {SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YESD #_ NOD YES D NO 0 YES D NOD
APPLICANT NAME (Secondary Contact)
ADDRESS
ZIP CITY STATE ZIP
PHONE FAX
M IL
• C-o .._
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
f!.
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. LIC.#
(Sec, 7031.5 Business and Professions Code: Any City or Coun.ty which requires a permit to. construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per.mlt to file a signed statement that he is licensed pursuant to the prov1s1ons of the Contractor's License LawJChapter 9, commending with Section 70_00 of Division 3 of the Business and Professions Code} or Chat he 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
WORKER$' COMIUIN$ATION
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 'Mlich this pennit is issued.
0 I have and will maintain worken;' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. Policy No. Expiration Date----------
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
Cl Certificate of Exemption: I certify that in the perfonnance of the wo/X for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Worilers' Compensatkm 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 (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
_.IS CONTRACTOR SIGNATURE l:]AGENT DATE
c:IWNEII-BlilLDEII DECLARATION
I hereby affirm !hat I am exempt from Contraclor's Ucense Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compef\Satlon, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
Licef\Se Law does not apply to an owner of property 'Mlo 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).
F 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, ar.cf contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Section Business ar.cf Professions Code for this reason:
1. I personally plan to provide the major labor ar.d materials for co11Struction of the proposed property improvement. D Yes 'il'No
2. l,(liave) have not) signed an application for a building pennit for the proposed woril.
3. l~contracted with the following person (finn) to provide the. roposed construction (include name address I phone I contractors' license number): De-{ -/--c.. (}'}..,,_ L,c:;· '1 ~ < ~ /
4. I plan to provide portions of the work, but I have hired lowi persofl to coordiflale, supervise and provide the major work (include name I address I phone I contr~foc;;;'ilcense numter}:
5. I will provide some of the woril, but I have contract
_.65 PROPERTY OWNER SIGNATURE l:JAGENT DATE
,,
~ --~ --
COMPLETE THIS SECTION FOR NON·RESIDIIIITll<L IHlllDING PERMITS ONLY
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 pollu~on control district or air quality management district? O 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.
I certify that I have lead the application aod state that the above infonnatlon is oorrec:tand that the information on the plans is accurate. I agree to oomplywith all Clly onlinances and Sta1e laws relating to building oonstructlon.
I hereby authorize representative of the City of Carlsbad to enter u~ the atxJve menOOned property br ins~n p.iijX>Ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: hi OSHA permit is required i)r excavations over 5'0' deep and clemolioon or ronstruction of structures over 3 stores in height.
EXPIRATION: Every permit i.ssued by the Buik:ling Ofoc:ial under the provisions of this O:ide shall expire by imilati:ln and become null and void Wthe buik:ling or'AOri<. authorized by sud! permit is notoommenced 'Mthin
100days from the date of sudl permij or if the buik::ling or'AOri<. authorized by such perm~ is suspended or abandoned at any lime after the 'AOrk is rommenced for a perbd of 100 days (Secoon 100.4.4 Uniform Building C.ode)
_65 APPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 10/11/2011
Permit# CB111817
Title: BARTEL RES-REPLACE WATER
Description: HEATER IN SAME LOCATION
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2689 GARFIELD ST
Lot 0
OWNER BARTEL SCOTT J&PAPPAS NICOLE M
Owner: BARTEL SCOTT J&PAPPAS NICOLE M
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 6197099846
Inspector: Pl C.. -~--
Requested By: SCOTT
Entered By: JANEAN
25 Water HeaterNents _M_ ~1St1J1a l-oe"1t1P.J1 ~E-lSVl,tG, St'?4f!S bjL.
29 Final Plumbing J:!_-~~~~~~~~~~~~~
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments