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HomeMy WebLinkAbout2810 SEASIDE WAY; ; CB081455; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-29-2008 Plumbing Permit Permit No: CB081455 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2810 SEASIDE WY CBAD PLUM 1674802120 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: PC#: Project Title: ZEMKE RES REPLACE WTR HTR Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: ZEMKE REVA 2810 SEASIDE WAY CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 07/28/2008 KG 07/29/2008 07/29/2008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: FINAL/ PPR OVAL Date • ,,Z._0 ~ If 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 Car1sbad 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 vii ii hi whi h ii City of Carlsbad Plan Check No. C ce le/ !>--S-- 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS T/PA JECT # DESCRIPTION OF WORK~ 'P Q e e.. 40 Est. Value Plan Ck. Deposit Date ll EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) AIR CONDITIONING FIRE SPRINKLERS NO □ YES □ NO □ YES O NOD CONTACT NAME (If Different Fam Appl/cant) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX ~1,l•MC\ • 71! I h'-1 • EMAIL PROPERTY OWNER NAME WCA.ter l-letxl-e.rs ZIP C/WID STATE ti}, PHONE FAX PHONE FAX b-cc,.....J..J.j""'-----11~---'-.L'l---'--0:c::.'__J_ ______ --1~"~""--"' · ~ --"'-'"-="o'-------__J_ _______ _ EMAIL EMAIL ARCH/DESIGNER NAME & AliDRESS STATE UC.# CLASS CJI> CITY BUS. LIC.# /)-17.).7 / t1tc. JOJ 1.5 8usint11 and Pror,11ian1 Codtj. lnY City ar Count:,: wh~h requireJ a permit to con1truct. aht~.lnJprove, demolish or rtP,air any structure, prior 111 its. issuance, ah9 requim the a_pplic.ant for mh ptrmit to file a 1ifned nacemtnt 1hat he i1 ricerimf .J!.Unuant to the provisions of the u,nttactor's Lictmt law tChapttr ,, cammendinc with Secrion 1000 ar Drvilian 3 al the hlineu and Pro1tssion1 CodfJ 01' that he 11 exempt thertft'am, and die bas11 for the alleged •emprian. Any Yiala1ian al Section 7031.5 by any applicant for a permit subjeca the appliant 10 a crl'~ penalty of not mort than fi'lf! hundrtd danm {SSOO}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ I have and wlll maintain a certificate of consent to self-ln1ure for workers' compensation as provided by Sec hon 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ have and wlll maintain worker,' comp"!•,U~, as required by Section 3700 of the Labor Code, for the performance of the work ich this ermlt Is Issued. My workers' compensation Insurance carrier and policy numberare:lnsuranceCo. lt"•t:h Policy No. 0 Expiration Date I•/ •CF( This section need not be completed if the permit is for one hundred dollars ($100) or less. □ Certlftcate of Exemption: I certify that In the pertormance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensa~on Laws of Callfornia. WARNING: Failure to secure workers' compensation coverage 11 unlawful, and shall 1ubJect an employer to crlmtnal penaltlea and civil fines up to one hundred thousand dollars (&100,000), In addition to the coat of compensation, damag II prov~ed for In Section 3706 of the Labor code, Interest and attorney's fees. 6$ CONTRACTOR SIGNATURE a/JJft , I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property Of my employees with wages as their sole compensation, will do the work and the structure is not intellded or offered for sale (Sec, 7044, Business and Professions Code: The Contractor's License law does not apply lo an owner of 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 lhe burden of proving that he did not bulld or improve for the purpose of sale), □ 1, 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 not 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). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed construction (include name address I phone I contractors· license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ 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/ phone/ type of work): ,,6$ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit 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 Act? □ Yes □ No rs the applicant or future building occupant required lo obtain a permit from the air pol!u~on control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 thatl tiava read the application and state that the a bow lnfonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to buildfng construction. I hereby aulhorize represen~live of lhe Cityof Carlsbad lo enlerupon ~•-mentiooed property for ,speclion puq,oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pe,mit • requ'8d for excavations over SU' deep and demoJb or oonstructlon of suucrures o;er 3 slones i1 height. EXPIRATION: Eve,y perml issued by lhe BIJjijjng Official under lhe prl>lisklns of ltlis Code shal e,pn, by imllalion and become nul and void I~. buiijing or WOO< authorized by such pe,mit is not commenced .. ~il 180 days from lhe date of such pe,mit or ilhe buld' or""1< authorized by such perml osuspended or abandoned allll)'line after lhe""1< is""'""'""" for a peflod of 180 days (Section 106.4.4 Unifoon Buiijilg Code). L!APPLICANT'SSIGNATURE alJJft. DATE / ✓J--.{ -OS City of Carlsbad Bldg Inspection Request For: 08/21/2008 Permit# CB081455 Title: ZEMKE RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2810 SEASIDE WY Suite: Location: OWNER ZEMKE REVA Owner: ZEMKE REVA Remarks: 8-10 PLEASE Total Time: ----- CD Description Lot: 0 Act Comments Inspector Assignment: Phone: 7607301790 Inspector~ Requested By: REVA Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing !------ --------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments