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HomeMy WebLinkAbout2807 SOMBROSA ST; ; CB111288; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-14-2011 Plumbing Permit Permit No: CB111288 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2807 SOMBROSA ST CBAD PLUM 2551040300 Lot#: 0 Construction Type: NEW LINCECUM RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/14/2011 KG 06/14/2011 06/14/2011 AFFORDABLE WATER HEATER LINCECUM TOMMIE L JR&PHAM HAPPY THI 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 Total Fees: $27.00 0 0 0 0 1 0 0 2807 SOMBROSA ST CARLSBAD CA 92009 $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 Payments To Date: $27.00 Balance Due: Inspector: yllL ~\ FINAL A{PROVAL Date: o'1 1-z./ I I Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the ulmposition" 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 lees 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 fexinfwhih hverviusl i::inivnNTIEimilarthisr whih flimiinharvi lthrwisexir «, . . .. Plan Check No( ~l I• /)_'ls· Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718/ 2719 1/4 / CARLSBAD Fax: 760-602-8558 Plan C I<-Depo~it , .www.carlsbadca.gov Date o-ll-{-1 l I V JOB ADDRESS ~1,11 M \,, (" 0 <; ~ ~ it. SUIH.#/SPACEII/UNI f/1 APN dii-o, . -I - CT/PROJECT II I LOT II I PHASE II II OF UNITS I II BEDROOMS 11 BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0" 9\~,. I> 5b ac..t\o,... o.o,S 1Jc..+e..r 11...-.L. ,J " '-.t..M~ \oC.().ti Ot\ = r, r:,._,r o..c. fL v EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS {SF) FIREPLACE rR CONDITIONING I FIRE SPRINKLERS YES □ II~ NOD YES □ NO □ YES □ NOD CONTACT NAME (ff D#ferent Fom App/leant) APPLICANT NAME L.i f-t(e.fle.(~ Sc.ot-t ADDRESS ADDRESS s~•···' CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE FAX EMAIL EMAIL pe..,.,...its @Aw"AP, C.Olr\ PROPERTY OWNER NAME L i' I\ L e. l.JJ.,iv-,. COHTR~~~:~!i':'bt# I I-.LA H,,.,-1-~,-( ., f') ,.,, "" " ADDRESS I ADDRESS ~"'-""l(_ -. . -R~i I roo..J... .o.ve ~ CITY STATE ZIP CITY STATE ZIP ,J t.W h " II e. "'· qi;1,~, PHONE PHONE FAX 1(.,\) lt 3 3 1•f~ 7 I FAX t.ot..l· ~5q. 1131 <, t. \. J.S-1· , 5".!"" EMAIL EMAIL Pen .... l-ts @ Awh.,_p, co,., ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# ClASS 1 ",'~t"7~; 1 <o~;~r..~ es<., (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demohsh or repair any structtJ(e, pnor to ,ts issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChaoter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged e~emption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). - WORKERS' COMPENSATION WOlbrs' Compensation Declaration:/ hereby alfinn under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !§(;" have and win maintain workers' compegsatiC\", as required by Sectioo 3700 of the Labor Code, for the performance of lhe 9 gp_gi lhis vermit is issued. My wll/Kers' compensation insurance carrier and pof1cy numberare:lnsuranceCo. -i,.t.rHth PolicyNo. 't_t>t,1¥-"\Y-7D fp Expiration Date I -f • 11'; This section need not be completed if the permit is b" one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perlo,mance of thew()()( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure worken' compensation coverage is unlawful, and shall subj&ct an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addftion to the cost of compensation, damages as ed for f Section 3706 of the Labor code, Interest and attorney's fen. AS CONTRACTOR SIGNATURE (!,()It! . MAGENT I hereby alfinn that I am exempt from Contractor's License Law for the foJlowing reason: □ I, as owner of !he property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law'does nol apply to an owner of property who builds or improves thereon, and who does such WOO( himself or through his own employees, provided that such improvements are not intended or offered for sale. Ir, however, the building or improvemeff is sold within one year ot completion, !he owner-builder wiU have the burden d proving that he did not build or improve for the purpose of sate). □ I, as owner of the i:rope-ty, am exclusively contracting with ltcensed contractors to construct !he 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 wilh contrac!or(s) licensed p111Suanl lo 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 or the proposed property improvement O Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work 3. I have contracted with the following pefSOn (firm) to provide the proposed construction (include name address/ phone I contractors' license number) 4. I plan to provide portions of the work. bu1 I have hired the following person to ooordina1e, supervise and provide the major work \include name I address I phone/ contractors· license number), 5. I will provide some of 1he work, bu! I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ...@) P.ROPERTY OWNER "SIGN.A. TURE lifACENT . : DATE Is the applicant or future building occupant required to submit a business plan, acu1ely hazardous malenals reg·1strafion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres!ey. Tanner Hazardous Substance Account Act? 0 Yes O No Is the applicant or future building occupant required to obtain a pennit from the air pollution control dislricl or air quality management d1s1(rct? 0 Yes O No Is !he facility to be constructed within 1,000 feet of !he outer boundary of a school site? □ Yes O No JF 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 that I have read the application and state that the above 'mfunnafion is correct and that the information on the plans is accurate. I agree to comptywith all City ordinances and State laws relating to building construction. I hereby authorize representatr.e of the City of Carlsbad benlerup:ll lhe above menlbned ~for nspecfurl purr,oses. I AL.SO AGREE TO SAVE, INDEMNIFY /IND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACrntJE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING a= THIS PERMIT. OSHA AA OSfibi permit is required for excavaoons over 5'0' deep and demolioon or construcoon of slnd..res o'lf!f' 3 sbies i1 height EXPIRATION: Every permit issued by the Building Offcia I under the provis"oos of this Code shall expire tr, linitalion and become nu~ and void if the buklilg or \YOik aulhorized by such permit is not o:rnmenced wilhi1 180 days from the date of sudl permit or if lhe buicf or \.',Qf!( authorized by sudl permit is suspended er abandoned at anylirre after the \.',Qf!( is oommenced let a period of 180 days (Secooo 106.4.4 Uniform &.iik:li,g Code). .25 APPLICANrs SIGNATURE &)ti-{, DATE City of Carlsbad Bldg Inspection Request For: 07/11/2011 Permit# CB111288 Title LINCECUM RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2807 SOMBROSA ST Lot: 0 APPLICANT AFFORDABLE WATER HEATER Owner: LINCECUM TOMMIE L JR&PHAM HAPPY THI Remarks: Total Time: CD Description Act Comments Inspector Assignment: MC --- Phone: 7135024615 Inspector: f',{ l, --'--'-- Requested By: KATHY Entered By: CHRISTINE 25 Water HeaterNents ~ l:xts:cz,J.,._, 6:,CA;t,o,J,, '1>12.1.SMtG-.$ f'?A:fS f . C-W (S l"-k ~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 07/06/2011 25 Water HeaterNents CO MC NO ACCESS, LEFT CARD AT ENTRY