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