HomeMy WebLinkAbout2629 SUTTER ST; ; CB111895; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-31-2011 Plumbing Permit Permit No: CB111895
Job Address:
Permit Type:
Parcel No:
Reference #;
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2629 SUTTER ST CBAD
PLUM
1675112600 Lot#: 0
Construction Type: NEW
MOORE RES-REPLACE WATER HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/31/2011
LSM
08/31/2011
08/3112011
MOORE ROBERT C&STUPPY-MOORE LAURA MOORE ROBERT C&STUPPY-MOORE LAURA
2629 SUTTER ST
CARLSBAD CA 92010
760 729 5772
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:
Inspector:
$27.00
0
0
0
0
1
0
0
2629 SUTTER ST
CARLSBAD CA 92010
$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:
FINAL APPROVAL
Date Z 23-/Z--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 tile 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 tl"eir imposib'on.
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 plannirg, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
1 es/ex this r as to which the s · · · revi I therwi
«1 Building Permit Application Plan Check No. c.81 L t H ~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date ~ I 31 [ 11 lswPPP
JOB ADDRESS SUITEII/SPACE#/UNI I# IAPN 2629 Sutter St ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME ! CONSTR. TYPE l occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
replace water heater
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF)
YES0,
I AIR CONDITIONING l FIRE SPRINKLERS
ND□ YES □No □ YES□No□
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE I FAX PHONE IFAX
EMAIL EMAIL
PROPERTY OWNER NAME Laura Moore CONTRACTOR BUS. NAME
ADDRESS ADDRESS
2629 Sutter St
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92010
PHONE [FAX PHONE I FAX 760 729 5772
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.#
'CLASS
f CITY BUS. UC,#
(Sec: 7031.5 Business and Professions 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
applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, comme_nd1ng with Section 7000 of D1V1s1on 3 of the Business and Professions Code) or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a P,_erm1t subjects the applicant to a
civil penalty of not more than five hundred dollars [$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
8 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
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co ______________________ Policy No, ______________ Expiration Date _________ _
iti&,section need not be completed if the permit is tor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit 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 workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll 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 fees.
K5 CONTRACTOR SIGNATURE □AGENT DATE
/ hereby affirm that I am exempt from Contractor's LJCense 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 lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's 2 license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□
I, as owner of the property, am exclusively contracting with licensed contractors to construct the 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 with contractor(s) licensed pursuant to 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 of the proposed property improvement. Oves
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5, I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone I type of work)·
□AGENT DATE 3) / It
I
I
I COMPL8TE Tl41S SEC'l'ION Fo'R NON-IIESIDENTIAL BUILPING PERMITS ONLY
0i= ~ A ~-,_ = > AS-C ~ H ill-A, MS;
ls the applicant or future building occupant required to submit a business BJ, acutely hazardous materials registration form or risk management a11d prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes LJ No
Is the applicant or future building occupant required to obtain a permit from the air p611ution control!l.i§!rict or a~ality management district? Oves O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? L.JYes LJNo
IF 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 readtheappHcation and state that the above Information ls correct and that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Car1sb00 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 LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or C011strlci:ion of structures over 3 stOfies in height.
EXPIRATION: Every perm~ issued by the Building Official under the provisions of this Code shall expire by im~ation and become null and void iflhe building or 'HOOi. authorized by such permit is not commenced 'Mthin
180 days from the date of such permit or if the ilding or'NOOI. authorized by such permit is suspended or abandoned at any time after the 'HOOi. is oommenced for ape ·oo of 180 days (Section 106.4.4 Unifonn Building Code).
~APPLICANT'SSIGNATUR"/---,,-: ~ DATE -5 \ (II
inspection List
Permit#: CB111895 Type: PLUM
Date Inspection Item
08/21/2012 25 Water HeaterNents
08/21/2012 25 Water HeaterNents
08/21/2012 25 Water HeaterNents
0812112012 29 Final Plumbing
08/21/2012 29 Final Plumbing
Wednesday,August22, 2012
Inspector Act
RI
MC PA
PB
PB
AP
RI
AP
MOORE RES-REPLACE WATER HTR
Comments
PM
PB TO FINAL
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