HomeMy WebLinkAbout1758 ORIOLE CT; ; CB140787; Permit.. City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
04-22-2014 Permit No: CB140787
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
1758 ORIOLE CT CBAD
PME
2159211200
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: GORDON: REPLACE WATER HEATER
Applicant:
ALL STAR WATER HEATERS & PLUMBING
30300 PUERTO VALLARTA WY
MENIFEE CA 92584
1-800-727-0977
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
GORDON FAMILY TRUST 2006
1758 ORIOLE CT
CARLSBAD CA 92011
ISSUED
04/0812014
JMA
04/2212014
0412212014
$33.00
$0.00
$0.00
$62.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: t'.VI · ~~
FINAL APPROVAL
Date: ob{o-z{ /(t 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 pennit 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 fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES 1T APPLY to any
·1 hi
~ « ... ,gf;,:; .. Bulldlng Permit Appllcatlon Plan Check No, C~4-7 67 ~+ ]fr,'
Eat. Value ~·CITY 1635 Faraday Ave., Carlsbad, CA 92008 OF 760-602-2717 i 2718 / 2719
CARLSBAD Fax 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Date tflsl1lf /swPPP
JOB ADDRESS 1758 Oriole Ct SUITE#/,:,, "'-""/UI\ IT# /'"" ---
CT/PROJECT# 1LOT# lPHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l OCC. GROUP
DESCRIPTION OF WORK: Include Square FHt of Affected AtH(I)
Replace existing water heater. Same size and location.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS mO N<O m0No0 mONoO
CONTACT NAME (If Dl"9rent Fom App/leant) APPLICANT NAME Ken Block
ADDRESS ADDRESS
30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP
Menifee CA 92584 PHONE 1FAX PHONE IFAX 951-301-0067
EMAIL EMAIL
PROPERTY OWNER NAME Kevin Gordon COM'tllActOR BUS. NAME
A II '"A• Wo+ar · ,~
ADDRESS ADDRESS
Same as iob 30300 Puerto Vallarta
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Menifee CA 92584 PHONE lFAX PHONE IFAX (760) 845-5768 951-301-0067
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICLASC 36 l°'lY 'itz I <-f Ir 812894
Workers' Compensation 0ecleratlon: I heleby affirm under penalty of perjury one of the following declarations:
[ZJ I have end wlll maintain a certificate of con11nt to aelf•lnsure for Yttlrkers' compensation as provkled by Section 3700 of the Labor Code, for the pertormance of the wcrl( for 'Mlich this permit is issued D I have and will maintain workel'I' compensation, as reaulred bv Section 3700 of the Labor Code, !Of the performance of the work for which this permit ls issued. My wOl'kers' compensation Insurance carrier and policy
number are: Insurance Co• ____________________ Policy No. _____________ Expiration Date ________ _
~ section need not be completed ii the permit is for one hundred dollars ($100) or less. -LJ Certificate of Exemption: I certify that in !he performance of the worl( lo · is per lllfnci~mploy any person in any manner so as to become subject to the Worl(ers' Compensation Laws of
CaHfornia. WARNING: Fallure to aec;ure workel'I' compensation er11 ,.,, ul a I eubject an employer to criminal pena111es and civil fln11 up to one hundred thousand doHal'I (&100,000), In
addition to the coat of compensation, damages ea provld~ fe n n 3706 abor code, lnter&1t and attorney's fees.
N$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, 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 OOlids or improves thereon, and who does sueh worl( himself or through his own employees, provided that such Improvements are not intended or offered for
sale. If, however, the buikling 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), 0 J, 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 contraclor(s) licensed pursuant 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 of the proposed property improvement. Oves ONo
2. I (have/ have not) signed an application for a building permit for the proposed war!(.
3. I have contracted with the following person (firm) to provide the proposed construct
4. I plan to provide portions of the war!(, but I have hired I rdlnate
..1$ PROPERTY OWNER SIGNATUR
addreas /jWOne I contractors' license number):
piov"ida Iha major war!( (include name I address I phone I contractors' license number)·
e w::,11( Indicated (include name I address/ phone/ type ofYtt1r1():
□AGENT DATE
Is !he applicant or future building occupant required !o submit a business...llW!, 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? D Yes LJNo
Is the applicant or future building occupant required to obtain a permit from the air pollution control,m!rict or a~ality management district? Oves D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes WNo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 18 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT,
I certify that I have read the appllcatlon and state that the abowe Information Is correct and that the Information on the plans la 8Qllrat&. I agree to comply Mth all City ordlnanca and State laws relating to building ronstructlon.
I hereby authorize representative of the Otyof C-artsba:l to enteru~ the at:ove mentiooOO property for inspectb1 purp:;ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Cf CARLSBAD
AGAINST ALL LIABILITIES, JUDG',1ENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE CF THE GRANTING CF THIS PERMIT.
OSHA: An OSHA permit is require:! for excavations over 5'fJ deep end demolition orcxmslndion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the ~sioos of this Code shall &xpre by Ii · · and ooccrne null and 'wtlid if the building or m authorized by such permit is rot oommenced 'M!hin
100 days from the date of sudl permit or if the building or work auttxxized by such permit is su aba~ at anytirre after the WOO( is oommencect for a parted of 180 days (Section 100.4.4 Uniform Building Code)
AS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB140787 Type: PME
Date lnspec_tion_ltem
05/30/2014 25 Water HeaterNents
05/30/2014 29 Final Plumbing
05/30/2014 43 AirCond/Furnace Set
05/30/2014 49 Final Mechanical
Inspector
MC
MC
Act
AP
Fl
RI
RI
GORDON: REPLACE WATER HEATER
Comments
AM PLS 8-10
8-10PLS
Monday, June 02, 2014 Page 1 of 1