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HomeMy WebLinkAbout2820 CAZADERO DR; ; CB120960; Permit05-23-2012 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanicai/Electrical (PME) Permit Permit No: CB120960 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2820 CAZADERO DR CBAD PME 2153203802 Lot#: LIEBE RES-REPLACE WTR HTR Status: ISSUED Applied: 05/23/2012 Entered By: Plan Approved: LSM 05/23/2012 Issued: 05/23/2012 Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 Owner: LIEBE JASON&STACEY 2820 CAZADERO DR CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees $30.00 $0.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPRO Date:_^^/^ Clearance: NOTICE: Please take NOTIC^that approval of your project includes ttie Imposition'' of fees, dedications, reseivatlons, or ottier exactions hereafter collectively referred to as "fees/exactions. You tiave 90 days from ttie date this permit was issued to protest imposition of these fees'exactions. If you protest them, you must followr the protest procedures set forth in Govemment 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 tinfiely 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 applicatidn processing or sewice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitattons has previously othenwise exoired. '/^: N*/ CITY OF CARLSBAD Plan Check No-Q^ [M^ QfD Est. Value Plan Ck. Deposit Pate S'l^lt'Zx JOB ADDRESS 2820 Cazadero Dr. PHASE* I«OF UNITS |# BEDROOMS SUnE#/SPACE#/UNIT# # BATHROOIkIS I TENANT BUSINESS r>IAME CT/PROJEcr n CONSTR. TYPE OCC. GROUP DESCRIPnON OF WORK: Includa Square Faat ofAltocfdArea(3) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESn # NOQ AIR CONDmONING YES O NO • FIRE SPRINKLERS YES • NOD CONTACTNAME (IfDUfmntFomApplleenD APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY Menifee STATE CA ZIP 92584 PHONE FAX PHONE 951-345-4083 FAX EMAIL PROPERTY OWNER NAME Stacey Liebe CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS 2820 Cazadero Dr. ADDRESS 30300 Puerto Vallarta CITY Carlsbad STATE CA ZIP 92009 CITY Menifee STATE CA ZIP 92584 PHONE 760-804-3703 FAX PHONE 951-345-4083 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 812894 C36 civil penalty of not more than five hundred dollars ($500)). WO R ' COM PvE N $ A T'l O structure, prior to Its issuance, also requires the I, commending with Section 7000 of Division 3 of the any applicant for a permit subjects the applicant to a EZ Worlters' Compensation Declaration: / hereby aflirm under penalty of perjury one ofthe following declarations: O I have and will maintain a certificate of consent to self-Insure for workers' compensat'on as provkled by Section 3700 of the Labor Code, for the perfomiance of the work for whch this permit is issued. El I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for which this pemiit is Issued. My workers' compensatkin insurance earner and policy number are: Insurance Co. Granite State ins. Co. Poltey No. 1646180 Expiration Date 08/02/2012 This secton need not be completed if the pemiit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the perfomiance of the work for whteh this pemiit is issued, I shall not emptey any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to ons hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 ofthe Labor code, Interest and attomey's fees. ^ CONTRACTOR SIGNATUI?r"°^ f ^ ^i^P" AGENT DATE / hereby affimi that I am exempt from Contractor's License Law for the following reason: • I, as owner of the property or my emptoyees with wages as their sole compensation, will do the work and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professtens Code: The Contractor's Lteense Law does not apply to an ovimer of pmpeity who buikis or impnjves theneon, and who does such work himself or through his own empteyees, provkled that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completten, the owner-bulkier 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 Iteensed contractors b constmct the project (Sec. 7044, Business and Professtens Code: The Contractor's License Law does not apply to an owner of property who bulkls or Improves thereon, and contracts for such projects with contractor(s) Iteensed pursuant to the Contractor's Lteense Law). O I am exempt under Section ^Business and Professtens Code for this reason: 1.1 personally plan to piovkle the major labor and materials for construction of the proposed property Improvement. • Yes n No 2.1 (have / have not) signed an applteatten tor a buikling pemiit for the proposed work. 3.1 have contracted with the following person (finn) to provide the proposed constnjction (include name address / phone / contractors' Iteense number): 4.1 plan to provkle porttens of the work, but I have hired the following person to coonlinate, supervise and provkle the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provMe the work indteated (Include name / address / phone / type of work): VSTPROPERTY OWNER SIGNATURE AGENT DATE COMI'LETE THIS SECTION tltJNI.^RESlDENTIAt B U i L O i N <« PERJ is the applteant or future buikling occupant required to submit a business plan, acutely hazardous materials reglstratton fomt or risk management and preventton program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? C3Yes ONo Is the applteant or future buikling occupant required to obtain a pemiit from the air poliutton control district or air quality management district? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? OYes QNo IF ANY 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ••C€>HSt$S^i'Ciff&:H LENDING AGIENCy I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the appHcadon and state that the above infonnatton Is conect and that the Infonnation on the plans is a I hereby authorize representativB of the City of Carlsbad to enter upon the above mentioned property tor Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPANSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required tor excavations over S'C deep and demolltton or construdbn of structures over 3 stories in height. EXPIRATION: Every pemiit Issued by the Buikling Ofltelal under the provistons of this Code shall expire by llmltatkm and become null and vokl If the buikling or work authorized by such pennit is not commenced wUhln 180 days fiom Ihe date of such pennit or if the buMing or woi1< authoiized by such pemnit Is suspended or abandoned at any lime after the work Is oommenced for a period of 180 days (Secfion 106.4.4 UnHbmi Buikling Code). ygTAPPLICANT'S SIGNATURE ^ ' ~ ""'^-.^ DATE Inspection List PermiW: CB120960 Type: PME LIEBE RES-REPLACE WTR HTR Date Inspection Item Inspector Act Comments 10/12/2012 25 Water HeaterA/ents - RI AM PLS 10-12 10/12/2012 25 Water HeaterA/ents PY AP 10/12/2012 29 Final Plumbing - RI 10/12/2012 29 Final Plumbing PY AP Monday, October 15, 2012 Page 1 of 1