HomeMy WebLinkAbout1733 EAST POINTE AVE; ; CB012544; Permit08-01-2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No:CB012544
Building Inspection Request Line (760) 602-2725
Job Adtdress:
Permit Type:
Parcel No:
Reference #:
Project Title:
1733 EAST POINTE AV CBAD
PLUM
2073812900 Lot#: 0
Construction Type: NEW
WOODARD - REPLACE WATER HEATER
Status: ISSUED
Applied: 08/01/2001
Entered By: JM
Plan Approved: 08/01/2001
Issued: 08/01/2001
Inspect Area:
Applicant:
ALL STARS WATER HEATERS & PLUMBING
26867 PELHAM PL
HAYWARD GA 94542
510-583-1300
Owner:
WOODARD ROBERT A&SUSAN M
1733 E POINTE AVE
CARLSBADCA 92008 iitt WOJyOl 0002 01 02
CGP 27.00
Total Fees: $27.00 TOtil Payments To Date: $0.00 BalarteeOoe: $27.00
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
$20.00
$0.00
$0,00
$0.00
$0.00
$7.00
$0.00
^.00
$0.00
$0.00
P1E0PERM1T
i $27.00
x\^^\t^'^ SICNATURg /lOO
Inspector:
FINAL APPROVAL
Date: Clearance:
NOTICE: Please take NOTICE ttiat approval of your prpject inciudes the 'Imposition' of fees, dedications, resen/ations, or other exactions hereafter collectively
referred to as lees/exactions.' You have 90 days from the date this permit was issued to protest Imposition of these fees/exactlons. If you protest them, you must
follow the protest procedures set forth In Gkivemment Code Section 66Q20(a), and file the protest and any other required information with the City Manager for
processing in accordance with CeAsbed Municipal Code Section 3.32.030. Failure to timely follow that procedure will bai any subsequent legal action to attack,
review, set aside, vokl, or annul their imposltksn.
You are hereby FURTHER NOTIFIED that your right to protest the specifled fees/exacttons DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar applk»tk>n processing or sen/ice fees in connection with this projecL NOR DOES IT APPLY to any
fees/exacttons of whfch vou have prevtouslv been given a NOTICE similar to this, or as to which the statute of limitations has prevtouslv otheiwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECTINFORMATION ^tr<!-mmmmi^
1733 E POINTE AVE CARLSBAD CA 92008 <Suite> <Name>
FOR OFFICE USE ONLY
PLAN CHECK N0.t^j(}cl/'1^5^'7^
EST. VAL.
Plan Ck. Deposit
Validated By ^^H^
Date
Address (include BIdg/Suite #)
<Legal Descr>
Business Name (at this address)
<Lot> <Subdivision Name/No> <Unit> <Phase> <Total>
Legal Description
<Assessor No>
Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units
<Existing Use> <Proposed Use>
Assessor's Parcel #
wateriieater install
Existing Use
<SQ FT>
Proposed Use
<Stories> <Bedrooms> <Battiroom>
Description of Work SQ. FT # of stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON (if different from applicant) fliHHHHHB 1
<Name> <Address> <City> ST <ZiD> <Phone> <Fax>
Name Address City State/Zip Telephone# Fax #
3. APPUCANT O Contractor Agent for Contraotor • Owner • Agent for Owner :H
NetClerk Inc /ZU uuDuque Mve oouiii CDdii ri; t^A y4U8U tiiiiiSMM / 1
Name Address City State/Zip Telephone*
4. PROPERTY OWNER
Rob Woodard 1733 east point ave. carlsbad CA 92008 7607294403
Name Address City state/Zip Telephone #
5. CONTRACTOR-COMPANYNAME ;
(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 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 doiiars [$500]).
All Star Water Heaters & Plumbini 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977
Name
State Licenses 778156
Address
License Class C36, HIC
City State/Zip Telephone*
Citv Business License # 1210402
<Name> <Address> <City> ST <Zip> <Ptione>
Designer Name Address City State/Zip Telephone
State Licence #
6. WORKERS'COMPENSATION
Workers' Compensation Declaration: 1 hereby affirm under penalty of perjury one of the following declarations:
1 1 1 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.
0 1 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 worker's compensation insurance carrier and policy number are:
Insuranoe Comoanv State Fund Policy No, 159113900 Expiration Date 08/01/2002
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
r~1 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 civil fines up to one hundred
thousand doll."V TV" ""^), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees,
SIGNATURE DATE 07/27/2001
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
I I 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).
r~l 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 threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
I I I am exempt under Section . Business and Professions Code for this reason;
1.
2.
3.
• YES • NO I personally plan to provide the major labor and materials for construction of the proposed property improvement.
I (have / have not) signed an applicant for a building permit for the proposed work.
I hajrp contracted with the following person (firm) to^r^vjiJ^^i^groposed construction (include name^/j^dr^ss__/^hone number / contractcjrs license number):
<Name> <Work Ptione> <State License>
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 / address / phone
number / contractors license number):<Name> <Address> <Work Phone> <State License>
5 I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name / address / p.hpne number / type
of work): <Name> <Address> <Work Ptione> <Work Type>
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY :
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? L] YES LH NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [I] YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of 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
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
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. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carisbad 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,
JUDGEMENTS, 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 construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE 07/27/2001 .