HomeMy WebLinkAbout2704 SOCORRO LN; ; CB111834; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-24-2011 Plumbing Permit Permit No: CB111834
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2704 SOCORRO LN CBAD
PLUM Status:
Parcel No: 2155431200 Lot#: 0 Applied:
Construction Type: NEW Entered By:
_ Reference #: Plan Approved:
PC#: Issued:
Project Title: KO RES-REPLACE WATER HEATER Inspect Area:
Applicant:
ARS
STEA
9895 OLSON DR
SAN DIEGO CA 92121
858 457 6557
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
1
0
0
0
Owner:
KO SHENLI
9873 ASHTON PINES CT
LAS VEGAS NV 89147
ISSUED
08/24/2011
LSM
08/24/2011
08/24/2011
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$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: Clearance:
$0.00
NOTICE: Please take NOTICE !Hat approva! of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collective~
referred to as "fees/exactions.n 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 tor
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 tMir 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/ xacti ns f whi h have reviousl be n iv n a N Tl E imil r hi r as to which th I limi i ha r viou I h rwi e x ired.
~ ., ...
~ CITY OF
Building Permit Application
1635 Faraday Ave .. Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No: C.6_l_l L 8 3'-f
Est. Value
CARLSBAD Fax: 760-602-8558
www.car·lsbadca.w:
Plan Ck. Deposit
Date f!:' ~ t I ~:~5'p: s5:,t) ~-r ~ra~,<5',-',I...J-',~, aEDRO°'_,s_~•c:_UB~':_:_:_R:_,O_:_,:•_,,_,"'c•:~E~>-'N-'6US"ESS "'''' "2. \ 5 -S41;0'5\R~E
I DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
I
EXISTING USE
C
'CONTACT NAME (If Different Fom App/leant)
I
ADDRESS
CITY
ARCH/DESIGNER ,'sAME & ADDRESS
PROPOSED USE GARAGE (Sr1 PATIOS iSF1 DECKS (SF1 FIREPLACE
YES □ #
AIR CONDITIONING
NO O YES O ~O □
-oo
0CC.GRO~
(Sec 7031.5 Business and P_rofessions Code: Any City or County whIct1 requires a permit to.construct. alter, improve. demolish or repair any structure. prior to its issuance, also requires the applicant (or suet, permit to file a s1i:(ned statement that he Is licensed pursuant to the provIsIons of the Contractor·s License Law I Chapter 9. commending with Section 70_00 of D1v1s1on 3 of the
Business and Professions Code} or that he 1s exempt tlierefrom, and the basis for the alleged exemption. Any vmlat1on of Section 7031.5 by any applicant for a permit subJects the applicant to a
c1v1I penalty of not more than five hundred dollars ($500]1
Workers' Compensation Declaration: I hereby affirm under penally of perJury one of /he following declaratmns r haYe and will maintain a certificate of consent to self-insure for workers compensation as orov1ded by Seclion 3700 of the Labor Code. for IM performance of the work for which lhis permI\ Is issued
I have and will maintain workers\compen5t.:n,:s req red by Section 3700 of lhe Labor Code. fo·,· the _performance. of the work for which this permit Is issued. My workers· compensalon 1n ranc ca mer and polIc·y·
number are: Insurance Co.__ \__ \ -11:::e r --~-Policy No.~ lo 3 \ 5 (fl ~ _ _l_QJ..D. fapirat1on Dale I L___
This section need not be completed if the permit 1s for one hundred dol ars ($100) or less
0 Certificate of E~emption: I certify that in the performance of the work forwh1ch this perm1\ 1s issued, I shall no! employ any person in any manner so as lo become subJecl to the Workers Compensahon laws of
California WARNING: Faih;re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housand dollars (&100 ,000), in
addition to the cost of compen, ages as provided for· ction 370 bor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE """""' DATE
I hereby affirm Iha/ I am exempr from Conrraclois License Law for tile following reason
:i I. as owner or the property or my employees with wages as their sole compensation. will do the wor~ and the slruciure 1s nol 1nlended or offered for sale (Sec 7044, Business and Prafess,ons Code. The Contractor's
License Law does not apply to an owner of property who builds or improves thereon. and who does such work ,11mself or through his own employees, provided that such improvements are not ,n1ended or offered for
sale. If. however, the blllldr'ng or Improvemenl is sold w1lhIn one year of complelIon, the owner-builder will have the burden of proving lhat he did not build or improve for lhe purpose of sale)
::J I. as owner of the property. am exclusively contracting with licensed contractors lo conslruct !he pro1ecl (Sec. 7044. Business and Professions Code The Contractor's License Law does not apply to an owner of
oroperly who builds or improves thereon. and contracts for such pro1ec!s with conlractor(s) licensed pursuant to the Contraclor's License Law)
:J I am exempt under Seclion ____________ Business ;ind Professions Code for lh1s reason
1 I personally plan to provide the major labor and materials for conslruct1on of the proposed properly improvement
2. I (have/ have nol) signed an applica1Ion for a building perm1I lor the proposed work
::I Yes :J No
3 I have contracled with the following person (firm) to provide the proposed construction (include name address i phone I contractors· license nurnben
4 I plan ta provide portions of the work, but I have h11ed the following person lo coordinate, supeMse and provide \he maiorwork (include name I address I phone/ conlractors license number).
5 I will provide some of the work, but I have contracted (hired) lhe following persons to provide the work 1nd1cated (include name/ address i phone I type of work)"
~ PROPERTY OWNER SIGNATURE □AGENT DATE ------------
11th, applicant or futur1 bu1ld1nQ occupant required to subm11 a business plan, acutely hazarnous materials regIstrat1on form ct rrsk management and prevention program under Sect1Gns 25505, 25533 or 25534 of lhe
Presley-Tanner Hazardous Sub111nc1 Account Act? ::J Yes :J No
Is the applicant or future building occupant required to obtain a permit from the a,r pollul1on con:rol dIslnct or air quality managemenl a,str1ci? ::J Yes ::J No
Is the fac1l1ty to be constructed within 1,000 feet of lhe outer boundary of a school srle? :'J Yes ::J No
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLJCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EWERGENCY SERVICE! AND THE AIR POLLUTIOW CONTROL 015TRICT.
I hereby affirm that there Is a construction lending agency for the performance of the work lhis permrt is issued (Sec 3097 (i) Civil Code)
lender's Name lender's Address
" I
/ certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 'I
I hereby authOrize representative ofttie CilyofCaJ1sbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL UABILITIES,JUOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA An OSHA permit is required for excava~ons over s·o· deep and demolil1on or construction of structures over 3 stories In height I
EXPIRATION: Every permit issued by the Building Official under the provisions of lh1s Code shall expire by lirrrtation and become null and void if the building or wort<. aull7onzed by such permil is not cornrPenced 'Nlll7in 1 180 days from 117e dale of such perm. it or if tt,e building or work aul/7orlZed by such ~rmit is spen;jed or a'Jcndoned al any lime after 117e work is commenced for a pe)°d of 180 days Section 106.4.4 Uniform Building Code)
1
,€5°APPLICANT'SSIGNATU~ ,s/nY\ J DATE __ b Le'--( I . ____ J
~; City of Carlsbad Bldg Inspection Request
••• ,,, •• > For 09/15/2011 ,·
Permit# CB111834
Title: KO RES-REPLACE WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2704 SOCORRO LN
Suite: Lot:
Location:
APPLICANT ARS
Owner: KO SHENLI
Remarks: Call Jesse with ETA
Total Time:
CD Description
25 Water Heater/Vents
0
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments
Phone: 7612315003
Inspector: ----
Requested By: JESSE SLETLAND
Entered By: CHRISTINE