HomeMy WebLinkAbout2783 PALMETTO DR; ; CB154351; Permit12-10-2015
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: CB154351
Building Inspection Request Line (760) 602-2725
2783 PALMETTO DR CBAD
PME
2131802400 Lot#: 0
SNAVELY: REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/09/2015
SLE
12/09/2015
12/09/2015
ALL STAR WATER HEATERS & PLUMBING SNAVELY TAB&ORALYNN
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2783 PALMETTO DR
CARLSBAD CA 92009
$38.00
$0.00
$0.00
$60.00
$98.00
Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
t-1'.JTICE: Rease take t-1'.JTICE that !W'C>/a cl yo.,: prtjed irdudes the "lrrµ:,;tiorl' cl fees, cleclcaicns, -or c:tter ""8:licns -cdlectively
refaTs:j to as "feesl8'<l'dicns." Yoo rave 00 dary,; Iran the-ths pemit v..as issued to prctest irrµ:,;tior, cl these feesl8'<l'dicns. If yoo prctest trern yoo rrust
fdlOJ1the prctest JroCll(i.res set faith in -Goa, Sedor, 6002J(a), ard file the prctest ard ,n; c:tter ""!,ired informatior, wlh the Oty Mmgerfor
p-ocessirg in a:o:rdau,v,jtt, Qr1slm M.ridpa Goa, Sedor, 3.32.CID. FalcretotirreyfdlOJltl'a prcxm.rewll ba-,n;SlbseqJert lega acjjor, to atta:1<,
""'""• set asi~ I.tic\ or anJ !her irrµ:,;ticn
Yoo are herel7y Fl.RTl-ER t-1'.JTIRED that yo.,: ri!ft to prctest the Sl"(lfied feeslex.dicns DCES NOf !'PPL Y to'o\010' ard -..r corredior, fees ard ~
cherges, nor pmrg, zmrg gairg or ether sirril,r ~icairn p-ocessirg cr "'™"' fees in corrediO'l wlh ths prtjed. N:R DCES IT !'PPL Y to ,n;
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¥ C I TY OF
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Plan Check No.Q.01
Est. Value
CARLSBAD Fax 760-602-8558
www.carlsbadca.gov
Plan Ck. Deposit
Date \2 -q -\5 SWPPP
JOII ADDRESS
•lndvdltSq,M,"e,-Alrecied I)
Replace existing water heater. Same size and location.
EXISTING USE l'ltOPOSED USE GARAGE (Sf) PATIOS(Sf) DECKS(Sf) FIREPlACE AIR CONDITIONING
YES[}I Ne(] ves O NoO
CONTACT NAME (If Dlfrerent Fom Appl/cant) APPUCANT NAME Sierra Sprague
ADDRESS ADDRESS
CITY STATE ZJP CITY
Menifee PHONE FAX PHONE FAX 951-301-0067
EMAIL EMAIL
riiOPIRit v'#IIEII NAME Tab Snavley CON11tACTOtl IUS. NAME
ADDRESS ADDRESS
5 30300 Puerto Vallarta
CITY ZIP CITY STATE ZIP
92009 Menifee PHONE FAX PHONE FAX
760-929-3900 951-301-0067
EMAIL EMAIL
ARCIV~ NMIE" AOORESS STAlE UC. I STAT£ UC.I cuss QTY BUS. UC.I
812894 C36
FIRE SPRINKLERS
vrsONO[J
92584
92584
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, i:><lor to Its Issuance also requires the appucant for such permit to n1e e signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9 , commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he Is exempt therefrom, and the basis for the allelled exemptJon. Any violation of Section 7031.5 by any applicant for a permit subjects the applfcant to a clvtl penalty of not more than frie hundred d<>lfars ($500)).
WO!Mrl' eon,p..,1itlon Dt<:larrtJon; / hereby aflitrn undet pensJty d pet/ll'f one of the followfr,g dec/ara/ions: 0 I hive ■nd will maintain I c■rtlftcata of consent to 1tlr.ln1ura for workers' compensation as provided by Section 3700 of the Labor Code, for lhe performance of the wor1< brwlllch this permit is issued.
0 I have and will malnt1ln worl<m' compenutlon, as ™IIJired by Section 3700 o/ the Labor Code, for the performance of the work for which this permit is issued. My wor1<ers' compensalion insurance carrier and policy
runber are: 1n11uanct Co Ametlcan Insurance Comp-,,y Ptllcy No. C4809630A ~ Oa1a 8101/16
]ll!J, sacilon need not be ccmpletod If the permit Is for one hundred dollars ($100) or less. LJ Ctrtifocate of Ex1mption: I certify that in the performanc,i of the work for which this permit Is Issued, I Shall n<>I •~ any person in any manne, so as to become subject to the Workers' Compensafion Laws of
Califomia. WARNING: Failure to HCUl'S worlclB' compensation coverage la unlawful, and shall tubjlct an tmptoytr lo crfmin■I penalties and cMI fines up to on, hundred thousand dollars (&100,000), In
addition to the cost 01 compensation, damages n provldfd for In SKllon 3706 of the labor coda, lntorHt and attomay'c IH1. / J
25 CONTRACTOR SIGNATURE ,,L" .All~,..n--□AGENT DATE /,;)I?/ I f
I hereby lfflnn I/Jet I am exOll¥)t from ConlrDctors License Lllw for the lollowing reason: D I, as owner d the property or rrr, employees v.ittl wages as their sole compensation, I/all do the wor1< and the slruciure Is not lnleoded or offered tor sale (Sec. 7044, Business and Professions Code: The Conlraclor's
Ucense Law does not ~ply to an owner ol property who bulds or Improves thereon, and who does such wor1< himself or through his own employees, provided that such Improvements are not Intended or offered for
sale. II, however, Ille building or lmprovem!!nt Is sold within one year of completion, the owner-blikler will have the burden of proving lhal he did not build or Improve tor the ptNpOS8 of sate).
□
□
I, as owner o/ the property, am exduslvely ccntracting with licensed contrae1ols to oonstruct the project (Sec. 7044, BuSiness and Professions Code: The Conlractofs License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects with contractor(s) llcensed pulSIJanl to the Conlractor's License law).
I am exempt under Section ____ .Business and Professions Code for this reason:
1. I ~ly plan to provide the major labor and materials for construction of lhe proposed property Improvement. []Yes O o
2. I (ha111 / have nol) signed an application for a building pem1N for the ;roposed work.
3. I have contracted with the following person (flnn) to provide the proposed const/\lclion (Include name address I phone/ conlraeloo' lcense number):
4. I plan to provide portions of the work, but I have hired tile following person to ooordinate, supervise and pf'O'lide the major wor1t (lndude name I address/ phone/ contracto,;' lic8nse number):
5. I wl pro-Ade some of tll8 wort<, but I haYB contracted (hired) the bllowfng persons to provide the wor1< Indicated (Include name/ address/ phone I type o/ woo.):
_£f PROPERTY OWNER SIGNATURE
Is the appl'cant or !ult.re bul'dlng occupant requiled to S1Jbmit a buslneSSJl!iD, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous SUbstance ACCOtJnt Acri D Yes l.JNo
Is the appicalt or Mi.re bui<lng occupant required lo obtain a pennit from the ar polution c:ontra..!!§!rict or•~ management district? 0 Yes O No
ts the facility 10 be cons11UCtsd "1thln 1,000 feet of the outer boundary of a sdloot site? LJYes LJNo
IF AllY 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 OFACE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I hM 1911d the !IIJl)Ucation and Slille that the at,o,e Information ls COITettand that the lnfonnaaon on the plans IS IICCIJl8C8. I awa, to complyv.tth al City ordinances and Stale laws relating1D building ccnstna::tiOn.
I hereby aulhorim reprasentalMlcl tie Oyof Carlsboo i:) era upoo the above menlioned property ilrnspecm ~-1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY()' CARl.SSAD
AGAINST ALL UABIUTIES, JJDGMENTS, COOTS 00 EXPENSES WHIOi MAY IN t.m WAY ACCRUE AGAINST SAID CITY IN CONSEOJENCE Cl' THE GRANTING Cl' THIS PERMIT.
OSHA: An OSHA pemiit is ~uired la 8XC8'l31ions O\'el' 5'0' deep and demlliioo or ronstruction of strwures CNer 3 stories in height
EXPIRATIOO: Ewryprnit 6SU8dbythe Btti1g Oflcia under Ile pro,isions of tis Code shal 8)(J)iebylirilatiln and becanerd and locf if the buikji°GorWllil autoorized by soch pBTTit Is rot ammncedv.thin
100days m the daeof such prnitorWthe builing orwa11111Ahori2Ed by such pemitis susperded orabaooored atanylimeaflerthev.00<isromm8100d u a perm of 100days(Sedion 100.4.41.klibm Bulong Code).
6$ APPLICANT'S SIGNATU~ DATE/.,? P /4
Inspection List
Permit#: CB154351 Type: PME
Date Inspection Item ___ _
03/11/2016 25 Water HeaterNents
03/11/2016 29 Final Plumbing
03/10/2016 25 Water HeaterNents
03/10/2016 29 Final Plumbing
Monday, March 14, 2016
Inspector Act
PY
PY
RI
RI
AP
AP
SNAVELY: REPLACE WATER HEATER
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