HomeMy WebLinkAbout1412 TOPAZ CT; ; CB100091; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-14-2010 Plumbing Permit Permit No: CB100091
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1412 TOPAZ WY CBAD
PLUM
2121915900 Lot#:
Construction Type:
0
NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: DEVLIN RES-REPLACE WATER HEATE
SAME LOCATION
Applicant:
ANDERSON PLUMBING INC.WALTER
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
Plumb'1ng 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 FEE.S
0
0
0
0
1
0
0
Owner:
DEVLIN FRANCIS W
1412 TOPAZ WAY
CARLSBAD CA 92011
Issued:
Inspect Area:
ISSUED
01/14/2010
RMA
01/14/2010
01/14/2010
$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:
FINAL APPROVAL
Date: "6 /-z-3/ la • Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'lmposif1on" 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 FURTHEP. 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
fep,;/exactions of which vnu hav"' "rf'Vio11,;lv he.en r.ivP.n 1:1 NOTICE ,:;imilar to thi,;. or ,1s to which the ,;tatute of limitatinns h1:1,; nrev1ou,;lv ntherwise exnired
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.Cl}!() {JO t//
EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~~~-------
Validated By , . :1.d7
Date / ( f3/-+( Q
Business Name (at this address)
lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms
Name Address City State/Zip Telephone# Fax#
(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 Is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and' Professions Code! or that he is ex8mpt therefrom, and the basis for the alleged
eioarn.,~on. Any viol,:ttion_g.J j.ect.ion 7031.6 by,any applicant for a.permit subje.1\s-the a ~,!jc.ant tC? ~ civil penalty o.t notl~r~ih;. fjv? '11.lfl~'f~.d~f[E' l.$t0rJ. • 7(JJl/i _ Ano t(SC\1 s P1 L!l'Yl lo l.t'l£!..i1fr't1-1-~-ti-, .t11tz..1 ••• a -,vt__: _ .C: .,., 0109_u IJ!('.'.J LL 11-_ 1v,1
Name _A_.(J:).... '2__ tJ~~ess • . City State/Zin Telep one# -·tr • • •
State License# ....:I._JJI lQ::> License Class_ C· "-o ---City Business License# --t 07 l/L/00 (
Designer Name Address City State/Zip Telephone
State License # __________ _
:ai,~ttJ!,WP ,n,1;n_s;t1PQMRtNS'l~tt,oN·:f;~\\l~'.i:o,1{jNNJ¾1,tif;;::1t:iJ~~f.\'.}.'·,:e\,j~ .. , ,;,· . \-:-::_·:0:1 t'.Pt'.~·;~; .. J-:"!J!)/i 1:tJt,,t, tr;~:'.~N , iJ " ,::,:'} ftS(JJ1,;.;
Workers' Compensation Declaration: I hereby affirm under penal~y of perjury one of the following declarations:
D 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.
'rg I have and will maintain workers' compensation, as required l.;y Section 3700 of the Labor Code, for the performance of the work for which this permit is
~ed. My worker's_ comp~e_nsation insurance carrier and policy number are: . 'ZN rrl O .C\ \ I ""\ l . . 7 I/ I /)01 C'
Insurance Company . ~"(\ t\\r) ___________ Polley No. __ V\J.J-' \._j \0 ~ j Exp1rauon Date _ _,t~fµ__-'-'')/~~~~<}
{THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL.LARS ($100] OR LESS)
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ls 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 crimlnal penalties and civil fines up to one hundred
thousand dollars (:' .,I) • ")j,. • ...
1
, __ *" the cost of compensation, damages as provided for In Section 3706 of the L~bor code, interest and attorney's fees.
S/GNA TURE~-:::::nnc er~ DATE_~------
,, /i"•Jr~oWNER~BUltDtft;aecuARATIOr.J r ~lt: ',."'j~i;';i:' :;;nr;'' ~~t:~· 1 ,,:, r '' ' ~ / ·, • I)"/!'\~ 11: '""'1l'i -,", ,, ' J • -• j ' r ' p" ,, ' ' ' ' • • '1,; ' ' J '
I hereby affirm that I am exempt from the Contractor's License 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 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 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).
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 Improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Lawl.
D 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. 0 YES ONO
2. I {have/ 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 I address I phone number / contractors license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name / address I phone
mimber / contractors license number): ____________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type
of work): ________________________________________________________________ _
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials
program under Sections 25505, 25533 or 25534 of the Presley-Tanner HazardolJs Substance Account Act?
registration form or risk management and prevention
0 YES O NO
Is the applicant or future building occupant required to obtain.a permit from the air pollution control district or air quality management district? D YES D NO
/s the facllity to be constructed within 1,000 feet of the outer boundary of a school site? D YES O 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit !s 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. l ogree to comply with alt
City ordinances and State Jaws relating to building construction. I hereby authorize representatives of the Cit\.' of Carlsbad 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 ls required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the bulld!ng Official under the provisions of this Code shall expire by limitation and become nuU and void If lhe building or work
authorizer! l1y such permit is not commenced within 180 days from the date of such permit or If the buUding or work authorized by such permit fs suspended or abandoned
at any tin' ,<Jer !he work is ~mm6;fed for a periodlf 180 days (Section 106.4.4 Uniform Building Code).
APPLICA ·'SIGNATURE~. z'tf10 V/l'i:581'------__/ ' DATE------------
WHITE: File YELLOW: Applicant PINK: Finance
•
City of Carlsbad Bldg Inspection Request
For 06/21/2010
Permit# CB100091
Title: DEVLIN RES-REPLACE WATER HEATE
Description: SAME LOCATION
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
1412 TOPAZ WY
Lot:
OWNER DEVLIN FRANCIS W
0
Owner: DEVLIN FRANCIS W&ERIKA
Remarks: 1st inspection of the day or early as po
Total Time:
CD Description Act Comments
Inspector Assignment:
Phone: 7608046296
Inspector: IV' c.,
Requested By: FRANCO
Entered By: CHRISTINE
25 Water Heater/Vents M t;..)((ST}J,tq 1-Dc...o.-rtoJ, $~-St--U'-'$~ ,f.
_ -C:..WIS oil.
F_l _ ---------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments