HomeMy WebLinkAbout2703 SOUTHAMPTON RD; ; CB150914; Permit03-27-2015
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: CB150914
Building Inspection Request Line (760) 602-2725
2703 SOUTHAMPTON RD CBAD
PME
2081541500 Lot#: 0
KAITANGIAN RES-REPLACE WATER
HEATER-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/27/2015
RMA
03/27/2015
03/27/2015
ALL STAR WATER HEATERS & PLUMBING KAITANGIAN JOHN R&DONNA E
30300 PUERTO VALLARTA WY 2703 SOUTHAMPTON RD
CARLSBAD CA 92010 MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
$95.00 Total Payments To Date:
$35.00
$0.00
$0.00
$60.00
$95.00
$95.00 Balance Due:
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
fees/exactions of whi h ou have r viousl been iven a NOTICE similar to thi or as to which the statute of limitations has reviousl oth rwi e ex ired.
I
I .,
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 12718 / 2719
Plan Check No. ~ 1,5oq,y__
i JOB ADDRESS 2703 Southampton Rd.
Fax 760-602-8558
www.carlsbadea.gov
Est, Value
~iSWPPP
'.Cf/PROJECT,--I'' ----j'"AS~IUN"
'DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) -
# BEDAOOM_S_-~•-·s_AT_HROOMS-7·fENAN_T_BU_S_,N_E_SS ____ __
EXISTING USE
CO MT ACT NAME (If Dllf11t11nt Fom Appllc:litlt)
I ADDRESS
)-bri-
\ PHONE.
i EMAIL-~
Replace existing water heater. Same size and location.
PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF)
APPLICANT NAME
AUUHl:SS
FIREPLACE
YESO,
AIR CONDITIONING
•<O YEs □,oD
Sierra Sprague
STATE
)FAX
CnY _ _)_()300 Puerto Vallarta ZIP ST ZIP
Menifee CA
J
EMAIL
951-301-0067
FIRE SPRINKLERS
YESONoO
_!)2_584
PROPERTY OWNER NAME
ADDRESS
Donna Kaitangian CONTRACTOR BUS. NAME
. 'i\bDffESif All StarWaterHeaters
30300 Puerto Vallarta
ZIP
·= ____ CilrJsll.a.cJ~--PH□NE ! FAX
92010
760-453-7589
'EMAIL
i ! ARCH/DE51GNE'R NAME & ADO RESS
CITY
PHONE
EMAiL
SlAllo,iJc,;.#
Menifee_
951-301-0067
812894
92584 ---
C1TY DUS. LIC.11
C 36
(Sec. 7031.5 Business and P_rofes~ions 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 8PP!lcant for such per_mIt to file a signed s~tement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 70_00 of Division 3 of the
Business and Professions Code} or that he 1s e)(empt therefrom, and the basis for the alleged e~emptlon. Any vlolat1on of Section 1031,5 by any applicant for a permit subJects the applicant to a clvII penalty of not more than five hundred dollars (l500)),
Workers' Compensation Declaration: I hereby affirm under panslly of perjury one offhe following declare/ions· D I have and will maintain a certificat& of consent to self-Insure for workers' compensation as providW bv Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued, 0 I have and will maintain workers' compensation, as reouired bv Sectioo 3700 of the Lat>or Code, for the performance of the work for which thls oermM is issued, My workers· compensation insurance carrier and policy
number are: Insurance Co American Insurance Company Policy No, C480963DA Expiration Dale 8101115
~section need not tlE! complet9d ii the perm~ is for one hundred dollars ($100) or less LJ Certificate of Exemption: I r;ertify that in the perlormance of lhe work for which this permit is issued, J Shall no! employ any person in any manner so as to become sutlject to the Workers· Compensation Laws of
California, WARNING: Failure to secure workers' compenutlon coverage Is unfawfal, and shall subject an employer to criminal panaltiea and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fllBS. / /
HS CONTRACTOR~GNATURE □AGENT DATE ,?/:,t./lS ==,,,--,-,-~,::--:,1
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not ilitended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
LiC8!1se Law does not apply to an owner of property who buUds or improves thereon, and who does such work himself or through his own employees, provided lhal such improvements are nol intended or offered for
sale If, however, !he buildin11 or i~ovement is sold wilhin one year of completion, the owner.builder will have lhe burden of proving that he did not build or improw lot the purp:ise of sale).
I, as owner of !he property, am excJusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licerised pursuant to the Contractor's License Law),
I am exempt under Section ----~'Business and Profess/ans Code for this reason:
1. I personally plan to provide lhe major labor and male rials for construction of lhe proposed property improvement. 0Yes 0No
2 I {have I have nol) signed an application for a building permit for the proposed work
3. I have contracled with the following person (firm) to provide l"8 proposed construction {include name address I phone/ contractors· license number)·
4, I plan to provire porlions of the work, butt have hired the following person to coordinale, supervise and provide the major work (include name I address I phorie / contractors' license number):
5. f wHI provide some of the worll, but I have contracted (hired) the following persons to provide the w:irll Indicated (include name I address/ phone/ type of worll):
/£S PROPERTY OWNER SIGNATURE □AGENT DATE
..J
Is the applicant or future building occupant required lo submil a business., acutely hazardous materials registration form or lisk management and prevention program under Sections 25505, 25533 or 25534 of the
Presle~-Tanrier Hazarcious_Substance AcoountAct? QYes LJNo
!s th& appl1eant or tuture budding occupant rBqulred to obtain a P9rmit from the air pollution oontro~ricl or alguali!y management distn'ci? Oves D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? WYes No
IF ANY OF THE ANSWERS ARE YES, A FINAi. CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED U 1.ESS THI: APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT,
I hereby affirm that there 1s a construction lending agency for the performance of the work lhis permit is issued (Sec. 3097 (i) Civil Code)
I certify that! have read ttle appllcatlon arxl stmethatthe above lrtonnatlon Is correct and that the Information on the planS Is aa:urats. I agree to comply 'Mth all City ordinances and State laws relatlng to bulldlrigcoRStrtrllon.
I hereby authorize representaUYB of the City d ca~ kJ enter ui:n" the atove menllomid pmpertybr irisi-ectlon purpooo&. I ALSO AGREE TO SAVE, INDEMNIFY ANO l<EEP HARMLESS THE Cl1Y OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN Ca-JSEQ.JENCE OF THE GRANTING CF THIS PERMIT.
OSHA: An OSHA permit is re::iulred lor e):caVl:funs over 5'0' deep Im deroolil!on or oonstruction of structures /Jl/f1: 3 staies In height
EXP!RATIOO: Ewiry ~it issued by the Building Official under the provislcr,s of tis Code sha~ expire t,/ limitaOOn and ooccrne null a11d \00 if the building or'NOO( aL/lhorize:l by such permit Is t10toommenced within
100days from the date of such permit llf ifltle OOildil'IQ or work authorized by such permit S suspended°' abandoned al anytime after lhework lsoommen03d fer a penod of 180 days (Section 100.4.4 U!1ifoml Buildil'IQ Cooe).
A5APPUCANrSSIGNATURf~4-------------DATE ;?~~~s-·---·
Inspection List
Permit#: CB150914 Type: PME
Date Inspection Item
04/09/2015 25 Water HeaterNents
04/09/2015 25 Water HeaterNents
04/09/2015 29 Final Plumbing
04/09/2015 29 Final Plumbing
Friday, April 10, 2015
Inspector Act
PD
PD
RI
AP
RI
AP
KAITANGIAN RES-REPLACE WATER
HEATER-SAME LOCATION
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