HomeMy WebLinkAbout2724 OLYMPIA DR; ; CB112035; Permit09-20-2011
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: CB 112035
Building Inspection Request Line (760) 602-2725
2724 OLYMPIA DR CBAD
PME
1674323000 Lot#:
BURTON RES-REPLACE EXISTING
Status:
0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
WATER HEATER W/ NEW TANKLESS WATER HEATER -IN
Owner:
ISSUED
09/20/2011
RMA
09/20/2011
09/20/2011
ANDERSON PLUMBING INC.WALTER BURTON FAMILY TRUST 10-01-04
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2724 OLYMPIA DR
CARLSBAD CA 92010
$150.00
$0.00
$0.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector: y\'I, ~ FINAL APPR8VAL
Date: t>2Jt:Y1 ~ 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 to,th 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 lo 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 !T APPLY to any
f x in fwhi hav revious en iv naN TICE imil r i h h
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«'~ ~ CITY OF
CARLSBAD
JOB ADDRESS J.1 ~
CT/PROJECT#
ok (YI
LOT#
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
# OF UNITS # BEDROOMS # BATHROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Alea(s)
Plan Check No.
Est. Value
{ SWPPP
CONSTR. TYPE C. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS(SF) FIREPLACE
YESO
AIR CONDITIONING
NO v,s □NoD
FIRE SPR!NKLERS
vesONoD
APPLICANT NAME {Primary Contact) Jolene Johnson APPLICANT NAME(Secondary Contact) Megan Morris
ADDRESS ADDRESS
11 SON. Marshall Ave Same as primary
CITY STATE ZIP CITY STATE ZIP
El Cajon D CA 92020
PHONE FAX PHONE FAX
619-449-3852 619-449-031 2
EMAIL EMAIL
CONTRACTOR BUS. NAME Anderson Plumbing, Heat & Air
ADDRESS 1150 N. Marshall Ave.
CITY STATE ZIP
El Caion CA 92020
PHONE FAX
EMAIL
reception@andersonpha.com
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS CITY BUS. LIC.#
493163 C36 1074400
(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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions COde) or that he Is exemJ;lt 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 civil penalty of not more than five hundred dollars {:S500}).
WORKERS' COMPENSATION • :
Wor1ters' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/owing declarations: D I have and wlll 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 pem1\t Is Issued.
[Z] I have and will maintain wor1ters' compensation, as required by SectiOn 3700 of the Labor Code, for the perfom1ance of the work for 'Mllch this permit Is Issued. My workers' compensation Insurance carrier and policy
number are: Insurance Co Lumbermans Underwriting Alllanc:e Policy No. 4184S3 Expiration Date 06/29/12
"W,i§,seclion need not be completed If the permit ls for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that In the performance of the work for which this permit is issued, I shall not empkly any person In any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure wor1ters' 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, m es ~s provid n Section 3706 of the Labor code, Interest and attorney's fees. _/
25 CONTRACTOR SIGNATURE f2IAGENT
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
D
I, as owner of the property or my employees wllh wages as their sole compensaUon, will do the v.ork 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 ov.ner of property whO builds or Improves !hereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for
sale. II, however, the building or Improvement Is sold wilhlll one year of completion, the O'lorTler-bullderwill have the burden of proving that he did not build or Improve for the purpose of sale).
I, as O'lorTlerolthe 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 O'M\Elr of
property who builds or Improves thereon, and contracts for such projects with contractor{s) licensed pursuant to the Contractor's License Law).
I am exempt under Sectioll _____ uslness and Professklns Code for this reason:
1. I personally plan to provide the mapr labor and materials for constn.ctloo of the proposed property Improvement Oves ONo
2. J (have f have not) signed an appllcatlon for a bulldlng permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address f phone f contractors' license number):
4. I plan to provide portlons of the work, but I have hired the followlng person to coordinate, supervise arid provide the ma.Pr work (Include name/ address/ phone I contractors' llcense number):
5. ! will provide some of the work, but I have contracted (hired) the following persons lo provide the work Indicated (Include name/ address/ phone/ type of work):
25 PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applk:ant or future building occupant required to submit a business..e!!I, acutely hazardous mater1als registration form or risk management and pravenUon program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes U No
ls the applicant or future building occupant required to obtain a pennlt from the air pollution conlroU!!§!rict or a!C,m!allty management district? Oves D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
J hereby affim, that there 1s a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) CJV1I Code)
Lender's Name Lerx:lel"sAddress
,APPLICANT CE_RTIFICATION
I certify that I have read the appllcatlon and stat& that the above lnfonnatlon Is oonect and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City on:flnances and State laws ielatlngto building construction.
I hereby authorize rep-esentatiYe of the City of Carlsboo to enter upoo the cbove mentioned prope,tyb lnsi;e::lioo purr.oses. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AG.'JNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN AfN WAY ACCRUE AG.'JNST $,>JD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA i::emit. is required for excavatbns over 5'0' deep ard demolltbn or ca,Sln.cibn of struclUres over 3 stones in height
EXPJRA TIO\I: Ewry permit issued by the BuUdlng Official under the prtMsk:lns of this Code shall exl)re by lirritation and becoole null !lid i.tid if lhe blilding or work authorized by such permit Is oot rommenced 'Mthln
180 days from the dale of such pemit a· Heling crwai< · by such permt Is suspended or abandoned at anytime after the WOO< is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code).
...@S°' APPLICANT'S SIGNATURE DATE 9-1.s--11
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m • -City of Carlsbad Bldg Inspection Request
For: 02/06/2012 .
Permit# CB112035 Inspector Assignment:
Title: BURTON RES-REPLACE EXISTING
Description: WATER HEATER W/ NEW TANKLESS WATER HEATER·
IN SAME LOCATION
Type:PME Sub Type:
Job Address:
Suite:
Location:
2724 OLYMPIA DR
Lot: 0
APPLICANT ANDERSON PLUMBING INC,WAL TER
Owner: BURTON FAMILY TRUST 10-01-04
Remarks:
Total Time:
CD Description Act Comments
Phone: 6194493852
Inspector: (vtt ----
Requested By: BRANDY
Entered By: CHRISTINE
29 Final Plumbing ..£L . f'{El,..l --rAN llJ He uJ, /q.Al?A~¢.
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments