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HomeMy WebLinkAbout2854 CACATUA ST; ; CB122013; Permit10-04-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanicai/Electrical (PME) Permit Permit No:CB122013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2854 CACATUA ST CBAD PME 2153701400 Lot#: ANDERSON RES - REPLACE WATER HEATER, SAME SIZE, SAME LOCATION. Applicant: ALL STAR WATER HEATERS & PLUMBING Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ANDERSON MARK&TULLAO MARY ISSUED 10/04/2012 SKS 10/04/2012 10/04/2012 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 2854 CACATUA ST CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $31.00 $0.00 $0.00 $64.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as "fees/exactions." You have 90 days from the date this pemnit was issued to protest imposition of these fees/exactions. If you protest them, you must follow 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 Carisbad 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 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 fees/exactions of which vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Pian Check No. Est. Value Pian Ck. Deposit Date SWPPP JOB ADDRESS 2854 Cacatua St. Cr/PROJECT# SUnE#/SPACE#/ljMT# LOTff PHASE* |#OFUNn'S |#BEDI)OOMS » BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE I OCC. CiROUP DESCRIPnON OF WORK: Include Square Feet of Affected Area(t) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~k NOj I AIR CONDmONING YES I |NO| I FIRE SPRINKLERS YES| [NOI I CONTACTNAME (IfDUfertntFomApplicant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP criY STATE Menifee CA ZIP 92584 PHONE FAX PHONE 951-345-4083 FAX EMAIL EMAIL PROPERTY OWNER NAME Mark Anderson CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS ADDRESS Same as lob 30300 Puerto Vallarta CITY STATE ZIP Carlsbad CA 92009 CITY Menifee STATE ZIP CA 92584 PHONE 760-431-5961 FAX PHONE 951-345-4083 FAX EMAIL EMAIL ARCH/OESIGNER NAME & ADDRESS 812894 CLASS C36 CTTY BUS. U&# civil penalty of not more than five hundred dollars ($500)), WORKERS' COMPENSATION requires the Division 3 of the the applicant to a Workers' Compensation Daclantlon: I hereby affirm under pen^ peijury one of (he following declarations: SI have and will maintain a certificate of consent to salf-lnsure for woriters' compensation as provkled by Sectton 3700 of the Labor Code, for the peribnnance of the worit for whtoh this pemiit is issued. I have and will maintain woriters' comptnsttlon, as required bv Sectton 3700 of the Labor Code, for the perfomiance of the worit for which this pemiit is issued. My woriters' compensatton insurance canier and poltoy number are: Insurance Co Oak RIvef Int. Co. Poltey No. 22000620116121 Expiratton Date '"""^ This sectton need not be compleied If the pemiit is for one hundred dollars ($100) or less. ll Certificate of Exemption: I certify that in the perfonnance of the worit for whtoh this pemiit is issued, I shall not emptoy any person in any manner so as to become subject to the Woriters' Compensatton Laws of Califomia. WARNING: Failure to ttcura worktrt' compensation coverage Is unlawful, and shall subject an tmployer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to tht cost of compensation, damages as provided for in Section 3706 of t^tLabor code. Interest and attomey's fttt. • QAGENT DATE 7 / CONTRACTOR SIGNATURE OWNER'S UILOEROECLAR ATI O N I hereby affirm (haf I am exempt frnm Contractor's License Law for the following reason: I I I, as owner of the property or my emptoyees with wages as their sole compensato, will do the worit and the stmcture Is not intended or offered for sate (Sec. 7044, Business and Professtons Code: The Contractor's Ltoense Law does not apply to an owner of property who bulkls or improves thereon, and who does such worit himself or through his own emptoyees, provided that such improvements are not intended or offered for sate, if, however, the buikJing or improvement is sokt within one year of comptefion, the owner-buikter wiii have the burden of proving that he dto not bulk! or improve for the purpose of sate). I j I, as owner of the property, am exclusively contracting with itoensed contractors to constmct the project (Sec. 7044, Business and Professtons Code: The Contractor's License Law does not apply to an owner of property who buikis or improves thereon, and contracts for such projects with contractor(s) Itoensed pursuant to the Contractor's License Law). I I I am exempt under Sectton Business and Professtons Code for this reason: 1. i personally plan to provide the major labor and materials for constmctton of the proposed property ImprovemenL I lYes ONO 2.1 (have / have not) signed an appltoatton for a buitoing pennit for the proposed worit. 3.1 have contracted with the following person (finn) to provide the proposed constmcfion (include name address / phone / contractors' license number): 4.1 pian fo provkle porttons of the worit, but I have hired the foltowing person to coordinate, supenrise and provkte the major worit (include n^ / address / phone / contractors' Itoense number): 5.1 wili provide some of the vvorit, but 1 have contracted (hired) the foltowing persons to provkte the worit indk:ated (include name / address / phone / type of worit): ^PROPERTir OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appltoant or future buikling occupant required to submit a business bjgn, acutely hazardous materials reglstratton fomi or risk management and preventton program under Secttons 25505,25533 or 25534 of the Prestey-Tanner Hazardous Substence Account Acr? nYas I iNn Is the appltoant or future buikling occupant required to obtain a pemiit from the air poliutton control district or airoualitv management districT? I hires I I No Is the facility to be constmcted within 1,000 leet of the outer boundary of a school site? l~lYes IINO 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. CONSTRUCTION LENDING AGENCY I hereby affimi that there is a constnjction lending agency fbr the performance of the worit this penult is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertl^thatl have read the appllcallcn and state that the abowelnformadon Is conect and that thelnforiiiallm I hereby authorize representafive of the Qty of Carlsbad to enter upon the above menfioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OVf IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: An OSHA permit is lequirsd for excavafions over S'O deep and demoTifion or constmcfion of sfiuctures over 3 stories in heighL EXPIRATION: Every pennit Issued by Ihe BuikJing Ollkjal under the provistons of fills Code shal expire by Ih ISOdaysfromthedateofsuch pennit or if Ihe bulMing or wortt auttiorized by such pennit Is suspended or abandoned atanyfimeallerttieworitis commenoed Ibr a period of 180 days (Secfion 106.4.4 Unifonn BuikJing Code). ^APPLICANT'S SIGNATURE DATE 4 • • » Inspection List Permiti^: CB122013 Type: PME ANDERSON RES - REPLACE WATER HEATER, SAME SIZE, SAME LOCATION. Date Inspection Item Inspector Act Comments 10/16/2012 25 Water HeaterA/ents - RI 10/16/2012 25 Water HeaterA/ents PB AP 10/16/2012 29 Final Plumbing - RI 10/16/2012 29 Final Plumbing PB AP Tuesday, October 16, 2012 Page 1 of 1