The URL can be used to link to this page

Home My WebLink About1783 BLACKBIRD CiR; ; CB112384; Permit11-08-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CBl 12384 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1783 BLACKBIRD CR CBAD PME 2156027400 Lot#: 0 DONNELLY RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/08/2011 LSM 11/08/2011 11/08/2011 Applicant: ALL STAR WATER HEATERS & PLUMBING Owner: DONNELLY JOHN E&NANCY E 17886 LAKESHORE DR 92530 1-800-727-0977 1783 BLACKBIRD CIR CARLSBAD CA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: ^^>^^^ FINAL APPROVAL Date: tl/g^//( Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pemiit was issued to protest imposition of these feea^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 sen/ice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been Given a NOTICE similar to this, or as to which the statute of limitations has previously othero/ise expired. -4^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit SWPPP JOB ADDRESS 1783 Blackbird Circle SUITE#/SPACE#/UNIT# CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP This id DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESfl* N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |N0| I CONTACT NAME (If Different Fom Applicant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY Menifee STATE Ca ZIP 92584 PHONE FAX PHONE 951-345-4083 FAX EMAIL PROPERTY OWNER NAME John Donnelly CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS 1783 Blackbird Circle ADDRESS 30300 Puerto Vallarta CITY Carlsbad STATE Ca ZIP 92011 CITY Menifee STATE Ca ZIP 92584 PHONE 760-930-9136 FAX PHONE 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 812894 C36 CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County whicti 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 dollars {$500}). Worliers' Compensation Declaration: / heieby affirm under penalty of perjury one of the following declarations: a I liave and will maintain a certificate of consent to self-insure for woriters' compensation as provided by Section 3700 of the Labor Coile, for the performance of the wori< for which this permit Is Issued. I t\ave and will maintain woriters' compensation, as required by Section 3700 of the Labor Code, for the performance of the worit (or which this permit is issued. My woriters' compensation insurance carrier and policy number are: Insurance Co Sranln sun Imuranc. comiany PoUcy \mm Expiration Date miaini This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: i certify that in the perfonnance of the worit for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Woriters' Compensation Laws of Califomla. WARNING: Failure to secure woriters' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam^es as provided for in Section 37(l6.^iLth^^bor code, interest and attomey's fees. , i CONTRACTOR SIGNATISRE " ^ nAGENT DATE ] | / / I / / hereby affirm that I am exempt from Contractor's License Law for the foltowing reason: I, as owner of the property or my employees with wages as their sole compensation, will do the worit and the stnjcture 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 worit himself or through his own employees, provided that such improvements are not Intended or offered tor 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 contrxting with licensed contractors to constnjct 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). • • • .Business and Professions Code for this reason: am exempt under Section 1. i personally plan to provide the major labor and materials for construction of the proposed property improvement. QVes I iNo 2.1 (have / have not) signed an application for a building permit for the proposed worit. 3.1 have contracted vnith the follov»ing person (firm) to provide the proposed constniction (Include name address / phone / contrxtots' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the worit, but I have contracted (hired) the following persons to provide the worit indicated (include name / address / phone / type of worltj: /fiTpROPERTY OWNER SIGNATURE •AGENT DATE Is the applicant or future building occupant required to submitabusiness plan, xutely hazanJous materials registration forni or risk management and prevention program under Sections 25505,25533 or 25534 of t • Presley-Tanner Hazardous Substance Account Act? I j Yes I iNn Is the applicant or future building occupant requited to obtain a pemiit from the air pollution control district or air oualilv management district? I lYes j j No Is the facility to be constnicted within 1,000 feet of the outer boundary of a school site? I lYes FlNo 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 PaLUTlON CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 ^ii CJVII Codei Lender's Name Lender s Address I certify tiiat I have read the applicafion and state that the above information is coned and that the infoniiation on the plans is accural I hereby authorize representative of the Qty of Carisbad to enter upon the above mentioned property Ibr 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 pemiil is raquited for excavations over SO' deep and demolition or constnjction of strtidures over 3 stories in height. EXPIRATION: Every pennit issued by the BuikJing Official under the provisbns of this Code shall expire by limitaton and become null and void if the buikling or woilt authorized by such permit is not commenced vwthin 180 days flom the date of such permit oriftheljuikjingorworttauthorized by such pemiit is suspended or abandoned at any time after the viork Is commenced Ibr a penod of 180 days (Sedbn 106.4.4 UnilbnTi BuikJing Code). ^gS"APPLICANT'S SIGNATURE DATE 3 // City of Carlsbad BIdg Inspection Request For: 11/21/2011 Permit* CB112384 Title: DONNELLY RES- REPLACE WTR HTR Description: Inspector Assignment: MC 1783 BLACKBIRD CR Lot: 0 Type: PME Sub Type: Job Address: Suite: Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: DONNELLY JOHN E&NANCY E Remarks: FIRST AM PLEASE HAS TO GO TO WRK Phone: 7605792726 Inspector: Total Time: CD Description 25 Water HeaterA/ents 29 Final Plumbing Requested By: JOHN Entered By: JANEAN Act Comments S\ Com ments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comnaents 11/17/2011 25 Water HeaterA/ents CO MC NO ACCESS CALLED H.O.