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Home My WebLink About1764 VESPER LN; ; CB120507; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-22-2012 Permit No: CB120507 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applica nt: 1764 VESPER LN CBAD PME 215881081 2 Lot#: ANNAVEDDER RES-REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/22/2012 LSM 03/22/2012 03/22/2012 AFFORDABLE WATER HEATER ANNAVEDDER FAMILY TRUST 11-09-06 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1764 VESPER LN CARLSBAD CA 92011 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: ~ FINAL APPROVAL Date: ½ tfz z,, 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 tees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or se:vice tees in connection with this project. NOR DOES IT APPLY to any f x i n t w i h h v r vi N Tl E imil r hi whi h h f Ii i i n I '«~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. C8 I wro I ~ C I TY OF CARLSBAD JOB ADDRESS Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date .3 2.-,,z-/ / ~ APN CT/PROJECT # PHASE# # OF UNITS # BEDR MS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OC GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE CONTACT NAME (If Different Fom App/leant) ADDRESS CITY PHONE EMAIL CITY PHONE EMAIL ARC!-1/DESIGNER NAME & ADDRESS PROPOSED USE STATE FAX N - STATE C GARAGE (SF) ZIP ZIP "LO I STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ APPLICANT NAME !>t.ot-t L.i -tt-e. ADDRESS CITY STATE PHONE FAX EMAIL CITY .. , t3 EMAIL Pee-Mt f:S @ AWhl\ CLASS c.sc, AIR CONDITIONING YES O NOD ZIP CITY BUS. LIC.# FIRE SPRINKLERS YES D NO D 1~1'7~"71 (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 fhat 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)). Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following dec/aralions: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Seclion 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ~ have and will maintain workers' compeosation. as required by Section 3700 of the labor Code, for the performance of the work for which this oermit is issued. My workers' compensation insurance ca_rrier and policy numberare:lnsuranceCo. l:ns-Co . Of The.. west PolicyNo. I.A>!?>~ 50d0?>o3oo Expiration Date r -I .. I 3 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that In the performance of the work !or which this permil 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 dollars (&100,000). in addition to the cost of compensation, damages as pro . ed for T Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE (!,(}JI-[ . (ilAGENT I hereby affirm that I am exempt from Contractor's Ucense Lsw for the following reason: □ I, as-owner of the property-or-my employees with wages·as~heir-sole compensation, will do the work and the structure is not intended or offered tor sale (Sec. 7044, Business and Professions Code: The Conlractor"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 improvemenl is sold within one year of completion. the owner-builder will have the burden of proving that he did nol build or improve for the purpose of sale). □ I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does no! 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 Section _____ Business and Professions Code for !his reason: 1. I 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 construction (include name address/ phone/ conlractors' license number): 4. I plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise and provide the major work (include name/ address/ phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired) !he following persons to provide !he work indicated (include name/ address/ phone/ type of work): ,.Jl! PROPERTY OWNER SIGNATURE DATE Is the applicanl or lulure building occupant required to submit a business plan, acutely hazardous malerials regislration form or risk management and prevention program undec Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or luture building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed 'Mthin 1,000 feet of the outer boundary of a school sile? D Yes D 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. I certify that I have read the application and state that the above Information ls correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relatlngtobulldingconstruction. I hereby aulhorize represenlative of lhe City of Carlsbad kl enter upon the above menti:>ned property for inspecoon purposes. I .ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST .AJ..L 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 permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 sbies n height. EXPIRATION: Every permit issued by the Building Official under the provisoos of this Code shall expire by Imitation and become nuK and void if the buiding or WOik au1horized by such pem-jt is not corrmenced wilhin 180days from the date of such pem-jt or~ the bukf or WOik authorized by such permit is suspended or abandoned at any time after the WOik isoommenced for a period of 180 days (Section 106.4.4 lklifoon Building Code). ~1. . .JES APPLICANrs SIGNATURE DATE 3-11-,~ City of Carlsbad Bldg Inspection Request For: 04/0 3/2012 Permit# CB120507 Title: ANNAVEDDER RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: 1764 VESPER LN Lot: 0 Inspector Assignment: _id_ Phone: 7609312778 Location: Inspector: OWNER ANNAVEDDER FAMILY TRUST 11 -09-06 Owner: ANNAVEDDER FAMILY TRUST 11-09-06 Remarks: gate code is 2633 Total Time: CD Description Act Comments ---- Req uested By: MR. ANNAVEDDER Entered By: CHRISTINE 25 Water HeaterNents .if_ _______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments