HomeMy WebLinkAbout2809 RANCHO RIO CHICO; ; CB120183; Permit• City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-30-2012 Permit No: CB120183
Building Inspection Request Line (760) 602-2725
Job Address:
Penni! Type:
2809 RANCHO RIO CHICO CBAD
PME Status:
Parcel No: 2226121100 Lot#: 0 Applied:
Reference #:
PC#:
Project Title: WALSH: REPLACE WATER HEATER
Applicant:
FAST WATER HEATER CO
12601 132ND AV NE
KIRKLAND WA 98034
425 636 7084
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
WALSH FAMILY TRUST 06-15-00
3453 CORTE ALTURA
CARLSBAD CA 92009
ISSUED
01/30/2012
JMA
01/30/2012
01/30/2012
$150,00
$0,00
$0,00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector: t'.h, 6:,.,e_µ,.,.c Date: f> Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmposttion" 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 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
in f N E imil r hi wh' Ill i h r i
570900 .. City of Carlsbad
~-·: ,~''j Plan Check No. Cr'-> ( 2 0 l fi~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718/ 2719
Fax: 760-602-8558 Plan Ck. Deposit ..
Building Permit Application -
Date t/ .!,O{lz. I
JOB ADDRESS 2809 RANCHO RIO CHICO SUITE#/SPACE#/UNIT# APN ---
CT . ILOTII I .. __ , l#Ul"U .. ,, ... 111 ......... 00MS 1/..,..,,R.., ..... ,S ,,..,.,...,..,,...,IN....,_,,.,...,, I'""'"''"' lYPE I CCC.GR ..... ,
DESCRIPTION OF WORK: fnalucfe Square Fut or Am,cted Atea(sJ
Remove/Replace Gas Water Heater
EXISTING USE J PROPOSED -E I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIRcru,CE 1 I AIR CONDITIONING : I FIRE SPRINKLERS
YES0, N<Cl YES□No□ YES□ND□
CONTA"!Jl!/!!!l~ff'm App/1 .. ot) APPLICANTNA'r)>,ST WATER HEATER COMPANY
ADDRESf2601 132ND AVE NE ADDHESS 12601 132ND AVE NE
CllY KIRKLAND w~ 9~034 CllY KIRKLAND sr,wA 9~1034
PHONE425-636-7054 I '~25-636-7055 PHON~25-636-7054 IFAX 425-636-7055
EMAIL permits@fastwaterheater.com EMAIL j permits@fastwaterheater.com
PRDP~~•~E & DEBBIE CONlllACTDR~~WATER HEATER COMPANY
A□DR"53453 CORTE ALTURA ADDRESS 12601 132ND AVE NE
CllY CARLSBAD STATE CA cl'92009 CITY KIRKLAND STWA ZIP
98034
PHONE (760)613-9507 IFAX PHON'425-636-7054 I FAX 425-636-7055
EMAIL EMAIL permits@fastwaterheater.com
ARCH/DESIGNER NAME & ADDRESS ISTATEUC.# STATEUC~31237 !°LASS l"'i"~~2 C36
(Sec. 7031.5 Business and Professions Cotle: Arry City or County which requires a permit to construct, aller, lmprave, demolish or repair any structure, prior to lls issuance, also !!MIU Ires the applicant for such permit to file a signed statement ttiat he ls llceosed pursuent to the provisions of the Contractor's Lk:ense Law IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged e11emptlan. Any viOlatlon of Section 1031.5 by any appJicanffor a permit subjects the applicant to a clvll penaltY of not more than nve hundred dollars (5500)).
Workers' Companutlon Declaration: I hetvby BRirm oodar psnBlly of pe,Jury one of the fl::lllowmg dsc/aralialls: DI have and will maintain a cartlflcata or consent to self.lnaura lot workers' compensation as provided by Section 3700 oflhe Labor Coda, for the performance of lhe WOO( for which !his permit is issUlld.
[2J I have and will maintain woriarl' coin'fnsatlon, as reQUirad by Section 3700 oflhe labor Code, rorlhe parfonn!IIA.AllbP.kV!llll.lw.whlch this permit is issued. Mywmers' compensaJIJl[IJ!JWJiEI carrier llf1d policy
numbe:' ern: l"~trnnc9 co I rUCK nsu ranee CXCnange Policy No. __ AU_\J1:5_1U_44 __ oo___ ____ EJpira1ion Dllt&_1_Z_,i_l il_ 'l!f...'.'.'.-___ _
This secli>n need not be complaCed lflhe permit ls for one hlrldred dobra ($100) or ll!SS.. 0 CertlflcalB of Exemplion: I eerlfy lhal in the performance of the ffl!fk for'Mllch til& pem,il is inued, I shaU nal ~oy any person In any manner 50 as lo become subject to the Workers' Compensation laws of
canroma. WARNING: Fallun, to secure workers' compan5atlon coverage le unlawful, and ehall subject an employer to crlmlnal penalties llllld ~lvll fines up to one hundrvd lhousand dollars (&1011,000), In
addlllon to the costof compenaaUon, damag111 ().. J 11• ~ tha Labor cade, lnlanisl and attorney's !!es.
/iS CONTRACTORSIGNATURE V'\J\7V\ V' '-DATE 1124112
I heroby atr11111 thBl I am axempl from Conlractor's Ucsnse Lew for the followfllg mason:
□ I, as 0Ml8roflhe property or my employees with wages as !hair &Ole compen&allon, will do the work and lhe s!TUclura ls not Intended or olJered f0< sale (Sec. 704t Busines& and Professions Code; The Contractor's
Ucef\se Law does not apply to an owner of proper1y 'Mio b111ld& or Improves !hereon, and who does such work himself or through his own employees, pro~ided that such improve men IS ara not Intended or offered for
sale. If, however, the bulding or improvemenl is sold wllhln one year of completit111, lhe owner-buRder will have Iha burden or proving Iha! he d'ld not buid or Improve for the pllfJ)OSo of sale). D I, as owner oflhe property, am eltduslvaly coruradlng wilh Hconsed contractors to consbuct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law doas not aJJPIY to an 0\YOOf of
proper1y who buids or Improves lhafeon, and OOOOBcts for such pn;ljects with contracto,(s) llcensed pnuant to lhe Contractor's License Law~
□ I am exempt under Section ____ Business and Professions Code for this reasoo:
1. I personally plan n provide the major labor and maleriais far construcllon of the proposed ~y IIT(}rllllemenl Oves Oo
2. I (have J have nol) signed an applicalion for a building perrril forlhe plqlOSed WOOi,
3. I have contracted with the foikw.ing p&IIOfl (fifm) to PfVVl(la the proposed conslruclion {inelrde name address/ phone I conlreclors' flcense number):
4.1 plan to provide portions or the work, bu! I hava hired Iha following pt!fSOO ID coon:finate, supe,vise end provide the major 11i11rk frnckide name I address/ phone/ conlraclors' l!cenlB number):
5. 1 will provide 110me of the WDfk. bu! I have contracted (hired) the following peraons to provide Iha work lndlcsled [Include name/ address / phone I type of work):
Ji5 PROPERIY OWNER SIGNATURE DATE
570900
C O'M p LET E" TH Is s EC TIO N FOR NON -'n'e s I rfE-N r I AL e u IL DING PERM i TS' 0 NL y; ' n 0
' ' ' ' > ' ~4 ' , , < ' <
Is the appicant orfulure buildJJg oca.Jpanl required to submit a bu&lneSU!!D, acutelr hazardous malerials registration form or risk managsrnenl and prevention program under Seciions 25505, 25533 or 25534 of the
Presley-Tanner Hezanioos SLtlslance Account kt? D Yes LJNo
Is the applcant or kiue bu!klklg OCOJpanl. required to oblalri a pamilt from lhe air polullon COOlrol..!!!!.bict or 8[,9!!1111)' me.negement district? [Jves O No
Is the facillly lo be conBlrucled Mlhln 1,000 feel aflhD outer ba.lndary of'a &Choo! site? LJYes LJ~
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF l'HE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRJCT,
I cartlfythat I have raadthe 11pplk:allon and atate lhatthe above Information Is conectand that.the lnfonnatlan on the pfa-11& Is accurate. I agree to complywfth all City Oldlnances and State lows 181atlngto buldlng amstructlon.
I heielly aulhlrize-cilhe City cicarlsbad loenlerLl]OO the above menlioned p-fot~ ptrpll505. I ALSO AGREE TO SAVE, INDEW'IIFY IWD KEEPHARM..ESSTHE CITY OF CARLSBAD
AGAINST AI.LLLo\BILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAN ST SAID CITY IN CONSECUENCE OFlHE GRANTING OF THIS PERMIT.
OSHk An OSHA pem,i Is raqulred lot ""'8V8llans ow,r5'0' deep end damoltion or -of slruc4m o,er 3 stories In heiJhl
EXPIRATION: EY81Y pem,i Issued by the Bullfug Oili:lal urderthe pro,i,1ons ci lhls Codo shal e,p,> by imllalion end become ool end '°~ i ~• bt.ikrs or -euthorizBd by sud1 pemlit • 001 IXIIMllll-..d v.ilmn
180 days from the date of sudipemi. oriflhe IXliklng ctworkailhorizsd by such permit is suspended or abarxlonedalanylirre allerlhewak is oommenced for a period of 180 days (Seciion 106.4.4 Unifam Buidlng Code) •
.as'APPUCANT'SSIGNATURE Q\J~ DATE 1/24/12
ffl m City of Carlsbad Bldg Inspection Request
For: 02/14/2012
Permit# CB120183
Title: WALSH: REPLACE WATER HEATER
Description:
Type:PME Sub Type:
Job Address: 2809 RANCHO RIO CHICO
Suite: Lot: O
Location:
OWNER WALSH FAMILY TRUST 06-15-00
Owner: WALSH FAMILY TRUST 06-15-00
Remarks: A M PLEASE
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone:
Inspector: t,.1 l.
Requested By: HOMEOWNER/MOTHER
Entered By: CHRISTINE
25 Water HeaterNents ..M__ E-)d:s.:cWto ""°CA.--t1P1
~ _----------~-_E__-~ _be ~~--------
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC# ~~ .$~ H· o. l,o~'(
Inspection History or;' 'FINAL. ~ :p~ 11-lA-i..l ll---(DU
Date Description Act lnsp Comments