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HomeMy WebLinkAbout2648 SAUSALITO AVE; ; CB120031; Permit01-10-2012 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: CB120031 Building Inspection Request Line (760) 602-2725 2648 SAUSALITO AV CBAD PME 1675116400 Lot#: 0 CURTIN: .INSTALL 50 GAL. WTR HT CPPER REPIPE & 2 FIXTURES IN MASTER BATH Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/10/2012 JMA 01/10/2012 01/10/2012 ANDERSON PLUMBING INC,WALTER CURTIN EVELYN TR 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2648 SAUSALITO AVE CARLSBAD CA 92010 $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: Inspector: $150.00 Total Payments To Date: $150.00 Balance Due: FINAL APPROVAL Date: _:)_ · l ~ I 2--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. 11 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 I h I T imil r rwi ·~ Plan Check No.cB {2. QQ .3} «1~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-271712718 I 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-6558 www.carlsbadca.gov Date 1 /Io { 1-7 isWPPP JOB ADDRESS SUITE#/SPACE#/UNIT # l"N ---lliLI S2 "",, -•. ~ 0 .... 1.-~ ,,.~ A \!IL 9 7 ,., ID # BEDROOMS CT/PROJECT# LOT# PHASE# I# OF UNITS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Squa,v Feet of Affected A,ea(s) ·--:en S.-1--c....,U °;::,o (1,o.J Jon w+r h ~r r--J Cor7f> EXISTING USE I PROPOSED USE GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE !AIR CONDITIONING I FIRE SPRINKLERS YES0, "'° YES □No□ YES□No□ APPLICANT NAME(Prfmary Contact) Jolene Johnson APPLICANT NAME (Secondary Contact) Megan Morris ADDRESS ADDRESS 1150 N. Marshall Ave Same as primary CITY STATE ZIP CITY STATE ZIP El Cajon IJ CA 92020 PHONE I FAX PHONE l FAX 619-449-3852 619-449-0312 EMAIL EMAIL PROPERTY OWNER NAME h. . cJL.{', ~L• CONTRACTOR BUS. NAME Anderson Plumbinq, Heat & Air I ' ' AODRESS l '::::2 Ci., ,4-, I ,'..l.-,,, C>.-.,n ADDRESS '2.1,., I .r. 1150 N. Marshall Ave. CIT(• . \"",~ srq ZIP CITY STATE ZIP nr , ' ,-<CL , 01r-. El Cajon CA 92020 PHONE I l FAX PHONE IFAX 71#1 .7.:-,q -r-::u~1- EMAIL EMAIL reception@andersonpha.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# IC>ASS I CITY BUS. ",'074400 493163 C36 (Sec. 7031.5 Business !\Ind Profes~ions Code: Any City or Cqun~ which requires a permit to_cpnstruct, alter, Improve, demolish or repair any structure, p_nor to its 1ss!,Jance, also reqy1res the applicant for such permit to file a signed statement that he 1s 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 fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION • V -! Workeni' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certlflcate of consent to self-Insure for wor'l(ers' compensatbn as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this permit '5 issued. 0 I have and wlll maintain workers' compensation, as rooulred by Section 3700 of the Labor Code, for the perfonnance of the work for v.tllch this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Insurance Co Lumbermans Underwriting Alliance Policy No. 418453 Explratkln Date 06/29/12 ~section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: \ certify that In the performance of the work for which this permit Is Issued, I shall not employ any person ln any manner so as to become subject to the Workers' CompensaUon Laws of Califomla. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatio ages as provided for I ectlon 3706 of the Labor code, interest and attorney's fees. JES C0NTRACT0RSIGNATU""'---1' I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensatlon, will do the work and the structure ls not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcer.se Law does not apply to an owner of property who bu!lds 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 not build or improve for the purpose of sale). I, as owner of the property, am exclusively cootracting with licensed contractors to construct the project {Sec. 7044, Business and Professklns Code: The Contractor's License Law does not apply to an owner of property 'Mio builds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). ! am exempt under Section ____ ,Business and Professklns Code for this reason: 1. 1 personally plan to provide the ma,Pr labor and materials for construction of the proposed property Improvement Oves ONo 2. I (have I have not) signed an application for a building pennil for the proposed work. 3. I have contracted with the following person (firtn) to provide the proposed construction (Include name address I phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo cool'Olnate, supervise and provide the major work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name I address I phone/ type of work): JiS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicallt or future building occupant required to submit a business ..e!!l, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes L.._J No (s the applicant or future building occupant required to obtain a permit from the air pollution control,Q!§!rictor a~allty management district? Oves 0No Is the facility to be constructed within 1,000 feet of the outer boul"Klary of a school site? LJYes LJNo 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. t certify that I have read the application and state that the abcwe lnfonnatlon Is correct and thatthe lnfonnatlon on the plans Is accurate. I agreetD comply with all City ordinances and state laws relating to bulldlng construction. I hereby authCxi1.e repcesentalive of the City of Carlsba:l to enter up:in the above mentioned property fer insl'.8dm puijX)SeS. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE C!lY OF CARLSBAD AGAJNST ALL UAaLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST &>JD CITY IN CONSEQUENCE DF THE GRANTING OF THIS PERMIT. OSHA: An OSHA i:e,mlt is required for excavatbns over 5'0' deep and derrolltion or caistruction of stnx:tures over 3 stories In height. EXPIRATION: Every i:e,mlt iSsued by the Building Official urder lhe 1)1'0',isions of lhis Code shaU expire by limitatbn and be:ome nult and \dd if the bukling or work authorized by such permit is rot oon'VTlE!r03d within 180 days fiool the date of sudl permit or if the bulkling or WOO( authorized by such parrrit is suspended or abandJnoo at any time alter the WOO is oonmenc:ed for a period of 180 days {Secoon 106.4.4 Unifcrm Building C.ode) . ..@S° APPLICANT'S SIGNATURE DATE m m City of Carlsbad Bldg Inspection Request For: 02/03/2012 Permit# CB120031 Inspector Assignment: MC ---Title: CURTIN: INSTALL 50 GAL. WTR HT Description: CPPER REPIPE & 2 FIXTURES IN MASTER BATH Type:PME Sub Type: Job Address: Suite: Location: 2648 SAUSALITO AV Lot: 0 APPLICANT ANDERSON PLUMBING INC,WALTER Owner: CURTIN EVELYN TR Remarks: Total Time: Description Act Comments Phone: 6194493852 lnspecto#~ Requested By: BRANDY Entered By: CHRISTINE CD 29 Final Plumbing (bJ_ -----"--------------------~-/.,,,.'),.) ___J_!-l!_______~-~-1_1_ ~------"-t_,1'---",J'---'-,t__-=-~-~~~~~- Comments/Notices/Hoicls' Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 01/27/2012 24 Rough/Topout 01/27/2012 25 Waler HealerNents Act lnsp Comments AP MC REPIPE OK AP MC EXISTING LOCATION I ist