HomeMy WebLinkAbout2675 SUTTER ST; ; CB101993; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2010 Plumbing Permit Permit No: CB101993
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2675 SUTTER ST CBAD
PLUM Status:
Parcel No: 1675120500 Lot#: 0
5B
Applied:
Construction Type: Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: COOK: REPLACE WATER HEATER Inspect Area:
Applicant:
COOK-GALAVIZ MARIANNE
6347 CLARIDGE DR N
FREDERICK MD 21701
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
0
1
0
0
Owner:
COOK-GALAVIZ MARIANNE
6347 CLARIDGE DR N
FREDERICK MD 21701
ISSUED
10/27/2010
JMA
10/27/2010
10/27/2010
$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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NOTICE th , 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. ll 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 thf•ir 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 tees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired.
«~> Building Permit Application Plan Check No. C0 ( 0 l't "7..J
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carl§badQQ.gov LOI V1 Uo iswPP Date
JOB ADDRESS Sar-re,z... S~
SUITE#/SPACE#/UNIT #
IAPN /111 -.,;,i 24,75 -05 -60
CT/PROJECT# I LOT# I PHASE# 1#0,UNITS l#BED~OMS # BATHROOMS I TENANT BUSINESS NAME r;:N TYPE 1; ;oup z.,;
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
17.,..,. ,.L~,,:; r.:;., --..... \,_ 1,. ---~ • ·"·--· J. , ·••·-·-·~ -I A-• -.-. J
EXISTING USE IPROP~::E I GARAGE (SF) PATIOS (SF) I DECK~SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS ,,,,.~ .. YESJ21' # f NO □ YES □ Nori" YES □ NOilf' )1, ,, ~
CONTACT NAME (If Different Fom App/leant) APPLICANT NAME /' "•• L 9.. A ., ·~
ADDRESS ADDRESS
2475-Sc,.rr~ Sruz:r
CITY STATE ZIP CITY ~~~ STATE ZIP C,A 'f7.Bt6
PHONE IFAX PHONE 7~-tf3,/, l../t/'t IFAX
EMAIL EMAIL ~ rt.1t1.vt '2-"Z4>S ~ /,,~ I -Co~
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS ADDRESS
21-75 Su, ~~
CITY
f'~•,S~h
STATE ZIP CITY STATE ZIP
/",A q'l-de
PHONE
?t~() · t/'3t/,L&I t./ IFAX PHONE IFAX
EMAIL
~f"'1"-vl 'l-~5 @.-1-ia-l-MAi {. ~ EMAIL
ARCH/DESIGNER NAME & ADDRESS I STA:E UC.# STATE LIC.# I CLASS I CllY BUS. UC,#
(Sec, 703i5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct. alter, improve, demolish or repair any structure, prior to its issuance, atso 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 /Chapter 9, commending with Section 7000 of Division 3 of the
B_usmess and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit 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 fol/owing declarab"ons:
D I have and wlll 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 !his permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for lhe performance of the work for wtich this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is !of one hundred dollars ($100) or less.
D Certificate of Exemption: I certify that in the performance of lhe won< 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 erll)loyer to criminal penalties 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 fees.
/IS CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
;r(' I, as owner of the property or my employees with wages as their sole compensa~on, will do the worl( and the structure is not intended or offered for sale (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 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 Of improvement is soldwith"n one year of completion, the OWl1er-builder will have the burden of proving that he did not build or improve for the purpose of sale).
D 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 ifll)foves thereon, and contracts for such projects With contractor(s) licensed pursuant to the Contractor's License law).
D I am exempt ur,der 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. D Yes D 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 person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired ihe following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the follO'Ning persons to provide the work indicated (Include name I address I phone/ type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility lo be conslrucled within 1,000 feet of the outer boundary of a school site? □ Yes :] No
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 read the application and state that the aoove Information is conectand that the infoonation on the plans Is accurate. I agree to c:omply'Mth all City ordinances and State laws relating to buMdlng construction.
thereby authooze representative oflhe City ofCar1sbad b enterupcw, lhe above menooned property bf ilspecli;)n pulpOSeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CARLSBAD
AG<\INST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CCl'JSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: All OSHA pennlt is requred for excavations CNer 5'0' deep and demcm:in or construction of slruclures ove< 3 stories 11 herJhl.
EXPIRATION: Every pennil issued by the Building Olocial under the provisbns of flis Code shall expie by ~milaocrl and become nul and void f the building Ol"'Ncxk authorized by sudl pennil is not commenced wim
180 days ln:m the daE of such pennlt oril · ilg or VtOrk authorized such penn~ is suspended or abandoned at any tine after the work is COl'l1'Tl80C8d for a period of 180 days (Secoon 106.4.4 Unibm Bulilg Code).
AS APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For 10/29/2010
Permit# CB101993
Title: COOK: REPLACE WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
2675 SUTTER ST
Lot: 0
Inspector Assignment: fJ/
Phone 7604844442
Location: Inspector: ----
OWNER COOK-GALAVIZ MARIANNE
Owner: COOK-GALAVIZ MARIANNE
Remarks: AM PLEASE
Total Time: Requested By: GREG RY AN
Entered By: JANEAN
CD Description
25 Water HeaterNents
Act, Comments ~J
,H!f I
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments