HomeMy WebLinkAbout1892 PALISADES DR; ; CB080973; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-22-2008 Plumbing Permit Permit No: CB080973
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1892 PALISADES DR CBAD
PLUM Status:
Parcel No: 2073834100 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#:
PC#:
Project Title:
Applicant:
ANDERSON MARK G
ANDERSON RES INSTALL
TANKLESS WATER HEATER
PO BOX26094
SANTA ANA CA 92799
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:
Plan Apwoved:
issued:
lnspeci Area:
ANDERSON MARK G
PO BOX 26094
SANTA ANA CA 92799
ISSUED
05/22/2008
KG
05/22/2008
05/22/2008
$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: vh ~ FINAL ~P~OVAL
Date: t> bl, 0 ~ Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reseivations, 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 c1ny 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 ,;jnd sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this projei:;t. NOR DOES IT APPLY to any
f·--'-x--•i--., nfwhi"h ··-.... _.,,. nr<>11i-··-t11 ._ __ .... nj .. -.... " Ni1Tl"'E simi'-· •-, .. :_ nr--•-···hi f limi i • i-.. -• .. -'h i
Ciiy of Carlsbad
1635 Faraday Ave .• Garlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
EXISTING USE
ARCH/DESIGNER NAME & ADDRESS
GARAGE (SF)
STATE UC.#
SUITE#/SPACE#/UNIT#
PATIOS (SF) DECKS (SF)
CONTRACTOR BUS. NAME
ADDRESS
CITY
PHONE
EMAIL
STATE UC.#
Plan Check Noc .6
Est. Value
Plan Ck. Deposit
Date J-2 2---Of-
STATE
FAX
CLASS
AIR CONDITIONING
YES O NO □
ZIP
CITY BUS. UC.#
973
CC. R U
FIRE SPRINKLER
YES □ NO □
fSt<. 7031.5 8u1ineu and Profe11ions Code: Any City or County: which requim a permit to construct. alter/ impron, demolish or rtP.air any structure, prior IO its issuanct, abo requirts tht applicant for such permit to file a signtd 1tattmen1 that ht il AcemtdJ!.UllUant to the provisions of the Contractor's License law {Chapter 9, commending with Section 000 or Dirision 3 of tht Business and Prormions Code} or tha1 he il exempt thereli'om, and the basis for the aHtgl!!d mmplion. Any violation of SKtion 7031.5 by any ai,~icant for a pfflllit sij,jtds lbt lf)~icant IO a civil penalty of not fflOA! than live hundn!d dollars {$500}~
WORKERS" COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of pe,jury one of the following declarations:
□ I have and wtll maintain a certificate of consent to self-Insure for won<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the won< for which this pennit is issued.
□ I have and wHI maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which 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 pennit is for one hundred dollars ($100) or less.
□ Certificate of Exemption: I certify that in the perfonnance of the work for which this permit is issued, I shaff not employ any person in any manner so as to become sub;ect to the Workers' CompensaHon laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltln and clvll flnet up to one hundred thousand dollars (&100,000), In
addition to the colt of compensation, damages II provtded for In Sectton 3706 of tfle Labor code, Interest and attorney's fees.
,15 CONTRACTOR SIGNATURE DATE
l, as owner of the property or my employees with wages as their sole compensation, will do the won< 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).
□ 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 Law).
□ I am exempt under Secbon ---~'Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
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 construcHon (include name address/ phone/ contractors' license number):
4. r plan to provide portioos of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the won<, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
Is 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 appr1eant or future buih:fing occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is !he facility to be constructed within 1,000 feel 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I oortlfy that I have read the appllc:atlon and state that the above lnfonnatfon Is oorrect and that the Information on the plans Is aa:urate. I agree to oomplywfth all Clfyordlna~ and State 18\W relating to building construction.
I hereby aulhollze represenlalive of ~• City of Calsbad 10 e11ler upon !he above mentioned property fur •spedion purposes. I ALSO AGREE TO SA VE. INDEMNIFY AND KEEP HARM.ESS 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: AA OSHA pem1it is o,qun!d fur excavations """5~-deep and deroooon or construclior1 of sturues over 3 slolies " height
EXPIRATION: Eve!y pemli issued by !he Buiding Official under !he provisions of ~is Code shall expire by linllation and become nu! and void W ~• bui'ding or-aulhonzed by such pem,t is not commenced v.ilhil
180 dayslrom~edate of such pemi1or" uidi or-aulhorizedbysuch pemllissuspendedorabandoned atlll)'limealler~•-is commenced fur a of BO days (Section 106.4.4 Unlonn Bui~r,g Code).
EAPPLIC DATE
Inspection List
Permit#: CB080973 Type: PLUM ANDERSON RES INSTALL
TANKLESS WATER HEATER
Date Inspection Item Inspector Act Comments
05/28/2009 17 Interior Lath/Drywall MC AP
05/28/2009 29 Final Plumbing MC Fl
05/27/2009 17 Interior Lath/Drywall MC co NO ACCESS LEFT DOOR HANGER
05/27/2009 29 Final Plumbing MC co
05/20/2009 29 Final Plumbing RI LATE PM
05/20/2009 29 Final Plumbing MC NR COMPLETE DRYWALL
01/28/2009 25 Water HeaterNents MC AP tap and CWB ok,re-establish occupancy
seperation
01/27/2009 25 Water HeaterNents MC co ROLL TO 1/28
12/09/2008 25 Water HeaterNents MC PA MIKE SPOKE TO THE CONTRACTOR
AND WILL GIVE ONE MONTH
EXTENSION TO RESOLVE
CORRECTION OR THIS WILL BE SENT
TO CODE ENF
12/09/2008 29 Final Plumbing MC CA PER OWNER, PLEASE EXTEND PERMIT
FOR ONE MONTH AT OWNERS
REQUEST
09/24/2008 25 Water HeaterNents MC co NOTICE ATTACHED
09/24/2008 29 Final Plumbing MC co
Friday, May 29, 2009 Page 1 of 1