HomeMy WebLinkAbout1347 SAVANNAH LN; ; CB130473; Permit02-26-2013
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: CB130473
Building Inspection Request Line (760) 602-2725
1347 SAVANNAH LN CBAD
PME
2157101300
CHU RES= REPLACE WTR HTR
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
02/26/2013
LSM
02/26/2013
02/26/2013
AFFORDABLE WATER HEATERS AND PLUMBING INC CHU FAMILY TRUST 11-20-03
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1347 SAVANNAH LN
CARLSBAD CA 92011
$31.00
$0.00
$0.00
$64.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector:
FINAL APPROVAL
Date 7· r i -t 3 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 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 lT APPLY to any
f I ·m·1 hi . h h f Ii i 1
. ' «1~)
~ CITY OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT #
Plan Check No, I 304 7 3
Est. Value
Plan Ck. Deposit
Date 8-\.:;).(o l 3
APN
CT/PROJECT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS
YES O NO □ YES O NO □
CONTACT NAME (H Different Fom Appl/cant) APPLICANT NAMJ:
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME Ne,\ °' ADDRESS Ln ~
CITY
ARCH/DESIGNER NAME & ADDRESS STATE UC.# ClASS CITY BUS. UC.# ~Sc, I :117~71
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a si~ed statement that he is licensed pursuant to the prov1Sions of the Contractor's license Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem.12t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
I WORl(l;RS' COMPENSATION
Workers' Compensation Declaration:/ hereby affirm under penally of perjury one of the following declarations:
□ 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 performanr.e of the work for which this permit is issued.
tlJ° have and will maintain workPrc' com1'11~sa1:~r;. as roouirer' by Section 37M of the labor Code, for the performanrP er t~:: "IO~ for whir,ti !his □P.rmit is issued. My workers' compensation insurance carrier and ~I icy numberare:lnsuranceC□._ #Ur'lic;k.. ~K/4..-. \r).i~CQ PolicyNo .• 'W L: \i) "7D0 2.-0C>.9 __ ExpiralionDate f -(.,. 14"
This section need not be completed if the permit is for one hundred dojlars ($100) or less.
D Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of
California. WARNING: Failure to secure workers' compensatlon·coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addillon to the cost of compensation, damages as prolt'lded for ill S the labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE ilii lifAGENT
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
D l, as owner of the property or my employees with wages-as their sole compensation, will do the work and the structure is nof intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner or 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 completion, the owner-builder will have the burden of proving that he did no! build or improve for the purpose of sale).
0 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 no! 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).
0 I am exempl under Section _____ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials ror conslruclion of the proposed property improvement. D Yes O No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3.1 have contracted wilh the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following peJSOns to provide the work indicated (indude name/ address I phone/ type of work):
_NS PROPERTY OWNER SIGNATURE llJAGENT DATE
f'i!OMl""iiii:I! THI$ $
0
E'CT!Of,r FOR0 :No111':Rl!SIJ>l!'N'111Acl.' BUILDING PEIIMIT$ ONI.V " '~ A'.> <\0 M ~-~ '• ~ ft C O j '
Is lhe applicanl or future building occupant required to submil a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Substance Account Ac!? D Yes D No
Is the applicant or future building occupant required to obtain a permit from the air pollu~on control district or air quality management district? D Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes □ No
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.
I certify that I have read the application and state that the above infonnation is conect and that the infonnation on the plans Is accurate. I agree to comply with all City onfinances and State laws relating to building construction.
I hereby authorize representative of lhe City of Carlsbad kl enter UIX)l'l lhe above menooned property for inspeclkln purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All LL'llllLITIES, JUDGMENTS, COSTS AND EXPENSES WHK:H MAY IN Am WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or oonstruction of slructures over 3 stories Jl height.
EXP IRA TKJN: Every pennil issued by lhe Building Official under the pl'()IJOO'ls of this Code shall expire by lmilalioo and become nuK and void W the buikiilg or work author28d by such permit is not conmenced wilhin
180days from lhe date of such permit or if lhe buidf'IQ or work aulh · such · · nded or abandoned at any lime after the work is COITllTlerlCed for a period of 180 days (Secoon 106.4.4 Uniform Building Code).
_.a$ APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB130473 Type: PME
Date lnspectio_n_ltem
07/1212013 25 Water HeaterNents
07/12/2013 29 Final Plumbing
0711012013 25 Water HeaterNents
0711012013 25 Water HeaterNents
07110/2013 25 Water HeaterNents
07/10/2013 25 Water HeaterNents
07/1012013 25 Water HeaterNents
07/10/2013 25 Water HeaterNents
07/10/2013 29 Final Plumbing
.: :: :/#/1/'# f'I/# 25 Water HeaterNents
Inspector
PD
PD
PD
PD
PD
PD
PD
PD
Act
AP
AP
RI
co
co
co
co
co
RI
co
CHU RES= REPLACE WTR HTR
Comments
CALL W/ETA
no access
no access
no access
Monday, July 15, 2013 Page 1 of 1