HomeMy WebLinkAbout1744 SKIMMER CT; ; CB121905; Permit09-24-2012
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB121905
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1744 SKIMMER CT CBAD
PME Status: ISSUED
09/24/2012
JMA
09/24/2012
09/24/2012
Parcel No: 2159212900
Reference #:
PC#:
Project Title: HARRIS: REPLACE WTR HTR.
Applicant:
HARRIS PETER M&JOYCE H
1744 SKIMMER CT
CARLSBAD CA 92011
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
HARRIS PETER M&JOYCE H
1744 SKIMMER CT
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 tf-ZZ-rk: 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 IT APPLY to any
x in f i h v I N Tl i r hi r hi h fli i in h i 1 h
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
{ .. , Building Permit Application Plan Check No. C (b \"2. . ('1D5"
~ .. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY Of Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date q I-, u,/ t -z.,, ISWPPP
JOB ADDRESS 17 44 Skimmer Court, Carlsbad CA 92008
SU11u-/SPA,.;u/UNITI IAPN ---
u,/PRuJECT # I LOT# I PHASE# r Of UNITS
1
# BEDR;MS # BATHROOMS I TENANT BUSIN--, NAME I CONSTR. TYPE I occ. GROUP
70 4
DESCRIPTION OF WORK: Include Squa,. Feet of Aff'acted Area(s)
replacement of hot water heater
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[ZJ#
IAIR CONDITIONING I FIRE SPRINKLERS
N<O YEs0No[Z] vESONo[Z]
APPLICANT NAME (Primary Contact) Peter Harris APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
1744 Skimmer Court
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008
PHONE I FAX PHONE I FAX 619-997-6686
EMAIL EMAIL
pharris999@hotmail.com
PROPERTY OWNER NAME Peter Harris CONTRACTOR BUS. NAME Ron Drever
ADDRESS ADDRESS
same
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE I FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# \CLASS I CITY BUS. UC.#
(Sec, 7031.5 Busmess and Professions Code: Any Qty or County whtch requires a permit to construct, alter, improve, demolish or repair an:y: structure, prior to rts issuance, also requires the applicant for such permit to file a signed statement that tie is 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 that he is exem_pt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicanffor a permit subjects the applicant to a
civil penalty of not more than five 11undred dollars {$500}).
WORKERS' COMPENSATION
Wor1wni' Compensation Declaretlon: / hereby affirm under penalty of peljUfy one of tha fo/kTwlng dedarations:
8 I have and wlll maintain a certificate of consent to self-Insure for 'AOOlers' compensation as provided by Section 3700 of the Laber Code, for the perfotmance of the work for which this pennil is issued.
I have and will maintain workers' compensation, as reauired bv Section 3700 of the Labo!" Code, for the perfonnance of the 'NOil( for which this permit is Issued. My workers' C001pensation insurance carrier and policy
number are: Insurance Co ___________________ Policy No. ____________ Expiration Date ________ _
~ section need not be completed if the permit is for one hundred dollars ($100) ex less. LJ Certificate of Exemption: I certify that in the performance of the work for whieh this permit is issued, I shall 00! employ any persoo In any 1T1a1ner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall su~ an employer to criminal: penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for tn Section 3706 of the Labor code, interest and attorney's feel.
L CONTRACTOR SIGNATURE □AGENT DATE
OWNER-BUILDER DECLARATION
I heteby affirm that I am exempt from Contractor's License Law for the following reason: 0 I, as owner of the property or my emplo:,oees with wages as their sole compensation, will do the work and the structure is nol intended or offered for sale {Sec. 7044, Business and Professions Code: The Controctor's
License Law does not apply to an ownernf property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are oot intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, Ille owner-builder will have the burden of proving that he did not build or improve t>r the purpose of sale).
0
□
l, as owner of lhe property, am exclusively contracting with Hcensed oontractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an O'M'let" of
property who builds or improves thereon, and oontracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
1 am exempt under Section ____ ,Business and Professions Code for this reason:
1. l personally plan to pro'lide the major la00" and materials for constncilon of the proposed property improvement. 0Yes Oo
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I ha\le contracted with the following person (firm) to pro'Jide the proposed construction (Include name a1dress I phone I contractofS' llcense number):
4. I plan to pro'lide poroons of the work, but I have hired the fellowing person to coordinate, supervise and pro'lide the majOrwork (include name I address I phooe I contractors' license number):
5. I wilt pro'lide some of the work, but I ha\18 (hired) lhe fol 1ng persons to pro'o'ide the 'NOrll indicated (include name/ address I phone I type of work):
L PROPERTY OWNER SIGNATURE □AGENT 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 fonn or risk m111agement and prevention program under Sections 25505, 25533 or 25534 of the
~y'-Ta~ner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or Mure bullding occupant required to obtain a pennil from the air pollution control dislrlct 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 APPllCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AtR POLLUTION CONTROL DISTRICT.
I certify that I haYe reed theapplcatJon and state that the above information Is conect and that the lnfonnation on the plans is ac:ctnte.1 agme to comptf-1tll aU City ordinances and State laws ralallng to building construction.
I he,eby aulhorize "'l"""f1lalive of Ile City of Carlsbad I? enlBr upon ~•-menooned -for llSpl(fun pul))OS8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD
AGAINST AIL LIABILITIES, JUDGMENTS, COSTS EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pemlk is requied klr · 5'0' deep and ioon or coostruction of structures over 3 stooes in height.
EXPIRA TlON: Every pennlt issued by the Bui · · urder the ~-of thlS Code shall expire by limitaoon and b8::i:rne nul and wO if the buik:li'lg or 'Mlfk autiorized by ud1 permit is commeooad wt'lin
180 clays tom the elate of such pemiit or if orv.orkaulh sudl permit is suspended or abanooned at any time afterthev.ork is commenred for a ~rio::I of 1 days (Secoon 1 .4.4 Unibrm Buikk,g Code) .
...@S' APPLICANT'S SIGNATURE DATE tJ Ii
. Inspection List
Permit#: CB121905 Type: PME
Date Inspection Item
09/26/2012 25 Water HeaterNents
09/26/2012 25 Water HeaterNents
09/26/2012 29 Final Plumbing
09/26/2012 29 Final Plumbing
Thursday, September 27, 2012
Inspector
PB
PB
HARRIS: REPLACE WTR HTR.
Act Comments
RI CALL W/ETA
AP
RI
AP
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