HomeMy WebLinkAbout2748 OLYMPIA DR; ; CB120118; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-19-2012 Permit No: CB120118
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
27 48 OLYMPIA DR CBAD
PME
167 4324100 Lot#: 0
WEBER RES-REPLCE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/19/2012
LSM
01/19/2012
01/19/2012
ALL STAR WATER HEATERS & PLUMBING WEBER DEWEY FAMILY TRUST 09-21-04
17886 LAKESHORE DR 92530
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2748 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: fill-~1
FINAL APPROVAL
Date: o-z/ <.4J., 'Z-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 t~ir 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
f NTI h "h flimi h
• ~ Plan Check No.0 !=) I d-0 I l 'ls' ,, Building Permit Application <~•··,•· " .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 12718 12719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date I r tq I (V lswPPP -
JOB ADDRESS 2748 Olympia Dr. ~UITt#/SPAcE #/UNl J # l"N ---
..,,/PROJECT# I LOT# I PHASE II I I# OF UNITS I# BEDROOMS # BATHRuv,vo., lTENANTBUSIN~~NAME I CONSTR. TYPE I occ. GROUP
This fa
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Replace existing water heater. Same size and location.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YESO No[] YES □NO □ YES□ NO□
CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME Robert Block
ADDRESS ADDRESS
30300 Puerto Vallarta
CITY STATE ZIP CITY STATE ZIP Menifee Ca 92010
PHONE I FAX PHONE IFAX 760-434-2565
EMAIL EMAIL
PROPERTY OWNER NAME Dewey Weber CONTRACTOR BUS. NAME All Star Water Heaters
ADDRESS ADDRESS
2748 Olympia Dr. 30300 Puerto Vallarta
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92010 Menifee Ca 92584
PHONE I FAX PHONE I FAX 760-434-8091 951-345-4083
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# ICLASS 1°1-v~i l-f I q' 812894 C 36
Workers' Compensation Declaration: / hereby affirm under penatt;, of perjury one of the following declarations: D 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 performanca of the work for which this permit is issued.
[ZJ I have and wlll maintain worke11' compensation, as re0uired bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensalkln insurance earner and policy
number are: Insurance co Or1nlll State Int. Co. Policy No. 1u11ao Expiratkln Date OB,1)2121112
~secUon need not be completed if the permit is 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 employ any person in any manner so as to become subject to the Workers' CompensaUon Laws of
California WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and civil flnn up to one hundred thousand dollars (&100,000), In
addition to the cost of com pens ·on, da a es as rovlded for in Section 370 interest and attorney's fees.
Jt5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensatkln, will do the work and the structure is oot intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an OWl'ler 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 completkln, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□
□
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).
I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to provide ttie major labor and materials for construcUon of the proposed property improvement. 0Yes 0No
2. I {have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (finn) to provide the proposed constructkln {include name address/ pl,one 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 I phone/ contractors' license number):
5. l will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name/ address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
I
I certify that I have read the appllcatlon and state that the above lnfoonation is correct and that the Information on the plans is accurate. I awee to comply 'Mth all City ol'dinances and State laws relating to building construction.
I hereby aulhorize representative of the City of Carlsbad to enter u~ the atove mentioned property kl< inspectioo puijX>SeS. 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 cW'ld demolition or construction of structures over 3 stories in he"ijht.
EXPIRA TIOO: Eve')' permit issued by the Building Official under the provisions of this O:x!e shall expire by limitaOOn and bocome null and void if the buildirg or work authorized by such perrnij is oot ccxnrnenced Within
100 days from the date of such perrnij or if the Wilding or work authorized by such permij is suspended or abandoned at any Ume after the work is commenced for a period of 180 da~ (Secoon 106.4.4 Uniform Building Cooe),
1(1?:>(1:i..__ /IS APPLICANT'S SIGNATURE DATE
. m City of Carlsbad Bldg Inspection Request
For: 02/13/2012
"
Permit# CB120118
Title: WEBER RES-REPLCE WTR HTR
Description:
Type:PME Sub Type:
Job Address: 2748 OLYMPIA DR
Suite: Lot: 0
Location:
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner: BOGDEN DONNA FAMILY TRUST 09-21-04
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7604348091
Inspector: r,AG
Requested By: DUEY
Entered By: JANEAN
25 Water HeaterNents ±:e E-"<2SrW."1 k>Q..-rto.\{
29 Final Plumbing _fl_ ________________ _
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments