HomeMy WebLinkAbout2879 SANFORD LN; ; CB143446; PermitCity of Carlsbad
\ 1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
12-09-2014 Permit No: CB143446
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2879 SANFORD LN CBAD
PME
1674725200
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: HAYASHI RES-REPLACE WATER
HEATER IN GARAGE= SAME LOCATION
Applicant:
ANDERSON PLUMBING INC,WAL TER
1150 N MARSHALL AVE
EL CAJON CA 92020-1831
619-449-7646
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
HAYASHI FAMILY TRUST 06-07-02
2879 SANFORD LN
CARLSBAD CA 92010
ISSUED
12/09/2014
SKS
12/09/2014
12/09/2014
$35.00
$0.00
$0.00
$60.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: 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 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 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, zon\n , grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
E imilar to thi r as t which
f' THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE 0 HAZMAT/APCD
«~~ ~ CITY OF
CARLSBAD
JOB ADDRESS ~
CT/PROJECT#
Building Permit Application
1635 Faraday Ave .• Carlsbad. CA 92008
Ph: 76Q-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITH/SPACl!I/UNfff
#BAH OOMS
Plan Check No. . 3 L{ l/1.(7
Est.Value {)
Plan Ck. Deposit
Date SWPPP
CONSTR. TYPE OCC, GROUP
Replacement of 40 gallonnat~ralgas .water heatedn garage for 40 gal tori ·11at11rafgal! water heater1!1garage
EXISTING USE
CITY EICaion STATE ZIP Ca 92020
PHONE
619-449·1646
FAX
619-449-0312
EMAIL
ZIP CJ;Jt)J
CITY
PHONE
EMAIL
CONTRACTOR BUS. NAME
El Calori
PHONE
EMAIL
AIR CONDITIONING ARE SPRINKLERS
YES □No□ YEs□No□
92020
Anderson· Piombino; Heatiiia • & Air; Inc,
STATE ZIP
Ca 92020
FAX 619-449-0312
reoeptlof!@a11derso11Pha;Qc>111
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# Cl.ASS QTY BU&. UC.# 4931&3 c~36 ·· 1014400 N/A
(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 DMslon 3 of the
Business and Professions Code} or that he Is exempt therefrom, and the basis fOI' the alleged exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
WORKERS COMPENSATION
Workm' Compeqsatlon Dedntlon: I hereby affirm under penalty of peljury one of the following declarations: D I have ·and wfl maintain • certificate of conatnt to self-lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for iM1k:h this permit Is Issued.
0 I have and wll maintain work~rs• co~1ttlonJf8""3:red Section 3700 of the Labor Code, for the perf:JS' of lhe wak_for~ this PB:~ -~s .. i_~_'.~ct _Myworl<ers' compensati0VoceT~))~· · .
number"" '"'"ranee Co. • . . . ~a 'rC .•· . Poicy N luf:G3 II \o f) ... •.. . ... . .. . . ·. E.,_ Date. . 0 I
Jbil.sectlon need not be completed If Iha pennit Is forona OOndrad d {$100) or less. LJ Certificate of Eumptlon: I <:ertlfy that In the performance of the work for which this permit Is Issued, I shall not employ any person In any mannef so as to beoome aubfect to the Workers' Compensation Lews of
California. WARNING: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to crtmlnal penalties and clvU fines up to one hundred thousand dolars (&100,000), In
addition to the cost at compenutlon, dam u provided r In S n 3708 or the Labor oode, Interest and attorney'• fen.
,6f COIITRACTOR SIGNATURE
I hereby sftitm that I am exempt from Comractor's Ucense Law for lhs folowlng resson: 0 I, as <Mll'lllr of the property or my employees with wages as their sole compensation, wlU do the worl< and the structure Is not Intended or offered for sale (Sec. 7044, Buslne&1 and Professions Code: The Contrac:tor'1
□
□
License Law does not apply to an owner of property VfflO bullds or improves thereon, and who does such worl< himself or through hi& own employees, provided that such lff1)rovements are not Intended or offered for
sale. If, however, the building orlmprtlVement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not buld or Improve for the purpose of sale).
I, as owner of the property, am exduslvely contracting with licensed conlraclors to con&truct the Pl'~ed (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who bu Ids or Improves thereon, end contracts b such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section --~-Business and Professlona Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. Oves Do
2.1 (have I have not) signed an applicaHon for a building permit for the proposed work.
3. I have contracted with Iha following person (firm) to provide the proposed construction (Include name address I phone / cootractors' license number):
4, I plan to provide portions of the work, but I have hired the following person to coonllnate, supervise and provide the major work (Include name / address / ~one I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated Onclude name I address I phone / type of w:irk):
,6f PROPERTY OWNER SIGNATURE □AGENT DATE
COf1PLETE THIS SECTION FOR NON-RESJOENTIAL BUILDING PERMITS ONLY
Is the applcant « future btiklng OCCUC)llnl required kl IUbmlt a buelne11 plan, 8Clialy haZardous matenals reglllrallon form or risk management and prevention program under Sectlona 25505, 25533 Of 25534 d the
Presley-T 8MeJ Hlzlfdous Subltlnce Aocourt Ad? 0 Vea □ No
11 the applicant o, Mure buKdlna occupant required to obtain a permit from Vie tlr pollution control dlslrtct tt air quallty management dlab'lct? 0 Yes □ No
Is the fadllty to D8 COIIIINded wllhln 1,000 feet d lhe outer boundary d a tchod ailt? 0 Ya □ No
If"" OF THE ANSWERS ARE YES, A FINAL CERT1FICATE OF OCCUPANCY MAY NOT IE IISUED UNLESS THE APPLICANT HAI MET OR II MEETING THE REQUIREMENTS OF TH£ OFFICE Of
ENERGl:NCY SERVICES AND THE AlR POLLUTION CONTROL DISTRICT,
lcelllfy11u.i,,_,..dht-onand-1hatht.--•-and1hatht-.....,onhtplansls""'1111Ll_1o_.tllllCIW...,_and_a_1obuldlng....,.-.
I heoebyauh>IWl-olht CltyolCalsbld b-upon fle--prope,tyb' r,spedlon-1 ALSO NlREETO SAVE. tJIJEl,tjlfY HllKEEPHARM.ESS 11£ crrv CA' CARLSBAD
AGAJNSTAI.LUABUTIES,J\.!JGMENTS,COSTSHllEJIPENSES\\ltCHMAYINPHYWAYACCRUEAGAINSTSArJCITYINCONSE~CECA'THEGRANTHGCA'111SPERMIT.
OSHk NI OSHApem,11ls n,qund b'........,. ,,,.,5'0' deep and-r,....,_ o1-... ""'3-ln lw,igl1L
EXPIRATION: Ew,yperml-bytle Bulldlng Olldal1"'8rht pn,Aomoltils Codellhllle,qte t,y lrnl1alon endbecane rd end IOd Wtie bulli,g r,WOlk-byaudl penntls nol--
180<18)> from ht deleolaudl ptllril«llhebuldllg r,Mllk aullorlzed aud1 pennl ls upended r, ebanclaled et any line allert,eWOlk •-b'a period ol180days (-. 106.4A UrMam BuMdilg Code).
AS'APPUCANT'll!IGNATURf ~ DATE ?--_
• Inspection List
Pennit#: CB143446 Type: PME
Date . lnspe£.tio.ri .. lt.em .
03/11/2015 25 Water HeaterNents
03/1112015 29 Final Plumbing
Friday, March 13, 2015
Inspector Act
RI
RI
HAYASHI RES-REPLACE WATER
HEATER IN GARAGE= SAME LOCATION
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