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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_ ________________ _ ---·------ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments