HomeMy WebLinkAbout2678 SAUSALITO AVE; ; CB081303; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-08-2008 Plumbing Permit Permit No: CB081303
Building Inspection Request Line (760) 602-2725
Job Address: 2678 SAUSALITO AV CBAD
PLUM Status: Permit Type:
Parcel No: 1675612700 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
PC#:
Project Title:
Applicant:
GRAHAM RES REPLACE 40 GAL
GAS WATER HEATER
JUST WATER HEATERS INC.
3400 INVESTMENT BLVD
HAYWARD CA 94545
800-909-9483
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
Plan Approved:
Issued:
Inspect Area:
Owner:
GRAHAM JOHNS F&TRACY
2678 SAUSALITO AVE
CARLSBAD CA 92010
ISSUED
07/08/2008
SB
07/08/2008
07/08/2008
$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:
Inspector:
FIN81.
Dat; I 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 pennit 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 Cartsbad 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 seivice fees in connection with this projerj. NOR DOES ff APPLY to any
f h I T fr
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. c,_6 OB ( > 0 ~
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By ~ t>
Date C( .-8 ,_ c::,:fis
... -,.
~~~~~..:l..l...,d~._µ_::L.LL.....L..J~~-:-:----=-:=;-------'ocA..A-s.L-\-loC~~:---'ft-;~ Business Name (at this address)
Legal Descnption Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms
State License# _§C{_~/_3_'2:__,g...._ __
Designer Name Address City State/Zip Telephone#
State License# _______ _
1.·; ·•
WOl1<ers' Compensation Declaration: I ~ affiml under penalty of perjury one of the following declarations:
0 I have and witl mainlllin a cef1ificate of consent to self-insure for WOf1<ers' oompenaation as pr0llided by Section 3700 of the Labor Code. for the performance of the worlc
for which this permit is iuued.
xr' I have and will maintain wotl<ers compensation, as required by Section 3700 of the labor Code. for the performanoe of the wonc for which this permit is ,ssued My
/ w~er'scompensationi~rrierandpollcynumberare: ~~600111: ~ . . I1_ J-Qq
Insurance Cornpany __ ~H--~----------Polley No.~~-_J_ lV ~ Q.l::::. Expiration Date. __ ~ ..... -~---,./-t----
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS ($100) OR LESS)
D CERTIFICATE OF EXEMPllON: I c:ef1ify that In the performanoe of the wOt1< for which this permit is issued, I shall not employ any person in any manner so as to
become subject to the Woricers' Compensation Laws of California.
WARNING: Fallu,. to MCU,.
doUars($100,000), in addition
u.nlawful, and ahall su~t an employer to criminal penalties and civil firws up to one hundred thousand
a,. provkMd to,-in Section 3708 of the Labor Code, int-t and attomey's fHS.
SIGNAT E DATE -
I hereby affirm that I am elell!fflpt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will d the wot1< and the structure is not intended or offered for sale (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 who does such worlc himself or
through his own empk)yees, provided that suet, improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of
completion, the owner-bulder wit have the burden d proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exdusiYety conttactlng 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 bu~ds or improves thereon, and contracts for such projects with contraclol(s) licensed pursuant to the Contractor's
License Law).
D 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 d the proposed property improvement D YES D NO
2. I (have/have not) signed an application for a building pennit for the proposed wor1<.
3. I have contracted with the following person (firm) to provide the proposed construction (lndude name/ address / phone number/ contractors license number).
4. I plan to provide poltions of the wori<. but I have hired the following person to coordinate, supe!Vise and provide the major worlc. (indude name/ address/ phone number /
/ontractol'S license number): ---------------------------------------------
6. I will provide some of the wori<, but i have contracted (hired) the following persons to provide the worlc indicated (include name/ address/ phone number / type of worlc)
PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
... ,
Is the applicant or future builcf,ng ocx:upent required to submit a business plan, acu1l!ly llaZardoUS rmitle ·
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substa.nce Account Ad? D YES
I& the applicant or future building occupant required to obtain a permit from the air pollution control d"
-~'4, ... -, ....
s registration for or risk management end prevention ~ram ·under
N~ quality management district? D YES ~O
Is the facility to be constructed within 1,000 feet of the Ollter boundary c:A a school site? D YES
IF ANY OF THE ~SWERS ARE YES, A ANAL CERTIFICATE C>F OCCUPANCY MAY ISSUED UNLESS THE APPLICANT HAS MET Of! IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ~D THE AIR POLLUTION CONTROL DISTRICT . ar, • .~ "·\.i(.~ -"\"'" -_.._.. '· .. ,..,, ·'t'u • .,,.,_.,._: ■■■■■■■■11■■■■1 l~■~ii!ll~~~!~".1i~it~:
I hereby affirm that there is a oonltrUc:lion lending agency for the performance of the worl< for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _ LENDER'S ADDRESS ••:~ ' -\ ;\~"'.:;,·
I certify that I halll! read the appication and state that the abo\18 infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City
ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the abo\/1! mentioned property for inspection
purposes. I ALSO AGREE TO S~VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGEMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations cl s·o· deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every permit is&ued by the building Official u~r the provisions of this Code &hall expire by limitation and become null and void if the bu~ding or worl< authorized
by such permit is not commenced within 180 days from the date cl such permit or if the building or work authorized by such permit is suspended or abandoned at any bme after .. ~. ·~·-·"''. ~= .. ~· """"" ., .. ., """"'·
APPLICANT'SSIGNA~~..,"-~l--r-r _ DATE l o ·5 -D t
WHITE: File YELLOW: Applicant PINK: Finance
m . .
. City of Carlsbad Bldg Inspection Request
For: 07/29/2008 .
Permit# CB081303
Tille: GRAHAM RES REPLACE 40 GAL
Description: GAS WATER HEATER
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2678 SAUSALITO AV
Lot: 0
APPLICANT JUST WATER HEATERS INC.
Owner: GRAHAM JOHNS F&TRACY
Remarks: CALL W/ETA
Total Time:
CD Description
25 Water HeaterNents
29 Final Plumbing
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7607309895
Inspector: ~
Requested By: TRACY
Entered By: JANEAN