HomeMy WebLinkAbout2723 LYONS CT; ; CB151939; Permit...
06-24-2015
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB151939
Building Inspection Request Line (760) 602-2725
2723 LYONS CT CBAD
PME
1673913200 Lot#: 0
ROBERTS: REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/23/2015
JMA
06/24/2015
06/24/2015
ALL STAR WATER HEATERS & PLUMBING ROBERTS DANIEL W REVOCABLE TRUST 03-17-09
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2723 LYONS CT
CARLSBAD CA 92010
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINAL~~rr~,J-
Date: / 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 any
fe s/ex cti n f which o hav vi I en iven a NOTICE simil r hi or as o which ut of limitation h r vio sl otherwi x ire .
•
«~,.
~ CITY OF
CARLSBAD
IOBADDRESS
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
Date h . 2,3 ./ i lsWPPP
2723 Lyons Ct. ,.,.
~CT. r · 1 ·~·····•-T 1·· ffi0"'1UiNNITirsoT'i ,mii<lioiii!"-/111iAfi..O,);;;;;--,r,.rr"'""NAN~'NAtl.-:.t-c--------rn 1'""· fR. TYPE"T?>i'.5C"~
DESCAIPTtoN OF WORK: Include Sc,u,,w,Feeto/°'_,..l:c1 .... ="-=~iJ//---~----'-----'----------------'-----'-----
ReplaC8 existiog water heater. Same size and location.
EXISTING USE IPROPOStOUSE I GAflAGE (SF) PATIOS {SF) I OE~ (SF) FIREPLACE , I AIR """OITIONING I I FIRE SPRINKLERS
YES[) Nc(J v••O•oD v,s□NDO
CONTACT NAME (ltDl/mentFomApplleantJ APPUCANTNAME Sierra Sprague ~ODRess ADDRESS
CITY STATE ZIP crrv :li!lOO Puerto Vallarta STATE ZIP
Menifee CA 92584 PHONE I"" PHONE I FAX 951-301-0067 ~-EMAJL EMAIL
PROPERTY OWNER NAME Dan Roberts CONTRACTOR BUS. NAME
II.II~ •• Watl!c l'.ID.al!II0 ADDRESS ADDRESS
S•-• •0 I.ob 30300 Puerto Vallarta <,TY STATE ZIP CJTY STATE ZIP ·-···---
Cadr"·" r..e. 92010 Men!Iee CA 92584 PHONE i"" PHONE I"""-775-829-9840 951-301-0067
EMAIL EMAIL
AACt-1/OESIGNER NAME & ADORESS ISTA'h: UC.# STATE UC.# 1= l"i','";'2 , u , Pi. -----
812894 C 36
{Seo. 7031.5 Business and Professions Code: ArfY Cl!,y or County which reqUfr8$ a permit to consvuct. alter, Jmf;ll'ove, dtmoHsh or reo&lr any structw-e, prior to lts 1$$uance also ~ulres the ;i;pp11cant for sl.lCh pe<mlt to file a siRtled statemont that he Is licensed pursu&tlt to me provtslOns or the Contractors License Law /!Chapter 9, commending with Section 1000 or OMslon 3 of tho Business and Protessklns COCle) or that he is exem.o,; therefrom, and the basis for the alle~ e-.empliOn. An'j violation or Section 031,5 by any &pplleanffor a permit subjects the applicant to a cMI penefty of not more than five hundred tlolla~ [$500)).
Workol's' Compensation Declsratlon: I hereby eflhm l.nder pel16/ty of perjury one of the followfng declnliom:
D I have and wll m■lntlln a ctlllflc■tt of conunt to 111IMn111re for wooters' compensatlon as provided by Sacdon 3700 of the LaOOr Code, for the performance Of the work rot l'lnich this permit Is issued. 0 I hive ■nd wlll malntaki workera' co1111tnuUon, as required by Section 3700 ol the labor Code, for the pefforrnance of Iha WOl'k for which this pemjt Is Issued. MyWOl'kers' compensalion Insurance carrier and JXJlicy
number are: tnsi.ranoe Co Amen can Insurance Company Policy No. C4B09630A Exptraliol'I Date 8/01!15
~section need not be completed If lhe permil 18 rorone hundred dolars ($100) or less.
W Certificate of Exemption: I certify that in the perfOrmaooe ot Iha WOl1< fOr Mlich this permit is issued, I shaD not employ any person in eny manner so as lo become sooject to the Workers' Ccrnpensalion Laws of
Gallfomla. WARNING: Fallurtto IICUrt workara' companaallon coverage Is unlawful, and shall aubJect an employer to crtmlnal penal1MI and civil fines up to one hundrecl lhoueand doll1t1 (&100,000), in
addlllon to the coat of compensation, dem1!9M aa ~ded tor In Section 3706 of the Labor code, Interest and attorney's fees. / /
£, CONraACTORSKlNATURE L _ DATE (, ,,_ 3 /1 s;
f hereby Bftirm lh&t I &m exempt from Contracto.r'; LJceme Law for Iha foilawing rewoo: 0 I, as O'M'l8r of the ~rty or mv em~ 'ilith wages as tleir sole compensatloo, wlN 00 the 'Mri: aOO lfla structure Is notlnlended or offered tor sale (Sec. 7044, Business and ProfessioM Code: The Contractor's
Litense I.aw does not apply lO ui O\'Wlef of pfOperty WhO buitfs or Improves th!WOn, and WOO does wch work himself or through his own employees, provided that such improvements are not Intended or offered for
sale. If, ~. the lxdd~ or improvem8!11 ls sold 'Mlhln one year of oomptetiOn, the owner-builder will have lhe burden Of proving Iha! he did not build or Improve for the purpose of sale). □
□
I, as OWl'I(!( of the p,operfy, am exclusively COl'llrocting wtlh licensed contractors to oooslruct lhe pro"°t {Sec. 7044, Business and ProfessJons Code: The Contractor's l.iCense Law does not apply to an own&r of
properly W bujkfs or improves thereon, and contract; lo, such projects wflh CQntra::tor(s) licensed pur.;uant to !he Contraelor's Lk:ense Law).
I am eitempt under Section, ____ 8tl!li!'le$S and Pl'ofasslons COGefor !his rea50n:
1, I personally plan lo prowje the major labor and materials for construction of the proposed property improvement. Oves Do
2.1 (have I have not) signOO an appliGalion for a build Ing peffllitfor the proposed work.
3. I have oontracl&d With 1he follOWlng ptrson {finn) to provida the propoaed construction (ioclude name address/ phOne r contraclOfs' Ucense number):
4. I plan 10 provide portions ol the 'NOrk, but I have hired the following person to ooordlnate, supervise arKI provide the ma]or work (mctude name I address f Phone/ contractors' license rw.imber):
6. I wW provide some of the work, but I have oontrected (hired) the followtng persons to provide the 'NOrk Indicated (inCIUde name/ address I phOne / type otwotk):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
I oertlfylhlll:I hMt rend the applicatton am s&etelhlltlhe ablwe lnfoomilon isCCll8Ctand thatthelnfonnadon on the plans 1B aa:ural8. 1 agreetocomplyMthall Cllro«Unancesand State laws ie1at1rc10 b~conslnldlon.
I hen,by -~p-.. of"' (lty of Ca-to --l'1e aoove monlOled property br nspedlon pulJX)S8S. I ALSO AGREE TO SA VE, INDEMNIFY Mil KEEP HARMLES.S THE CITY (Ji' CARLSBAD
AG'.INST ALL LWJIUTIES, JUDGMENTS, CCSTS AND EXPENSES WHIOi W.Y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE C1i' THE GRANTING C1i' THIS PERMIT.
OSHA: An OSHA p!JTQt is reqlired tr e>rcavatlons owr 5'0' deep clld dendtion er mnstruction ofstru::tures over 3 stems In heiglt,
EXPIRATION: E""Y pemit lssued by l'o B<Jklng ()flijal urder l'o pro,tooos ofNs Code shaU oqj~ by inllallon Old becane llll and \<Iii n the bullirg or\\O!k autholi2ed by si.<h permt is not oommor"8d .;\tin
180 mr,s lorn l'o dale of si.<h permt or if Ile bui~ng or WOik authorzed by si.<h permtt o susperoed or abendolled al ~ Imo a1ler the WOik Is <XlllllllErold b' a f)Ellkxl of 180 days (Sedbl 106.4.4 Uiilllm aJldilg Code).
~APPUCAHT'SSIGIIATIJRE /-~7~ ______ DATE (.,/z.3/:.r;
' y -
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Inspection List
Permit#: CB151939 Type: PME
Date _l_r,_s_J)_ection Item
07/16/2015 25 Water HeaterNents
07/16/2015 25 Water HeaterNents
07/16/2015 29 Final Plumbing
07/16/2015 29 Final Plumbing
Friday, July 17, 2015
Inspector Act
PD
PD
RI
AP
RI
AP
ROBERTS: REPLACE WATER HEATER
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