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Home My WebLink About2219 VISTA CHAPARRAL; ; CB101950; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-21-2010 Plumbing Permit Permit No: CB101950 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2219 VISTA CHAPARRAL CBAD PLUM Status: Parcel No: 2552530800 Lot #: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: ARROTT RES-REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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: ARROTT MATTHEW R&LYNNE M 2219 VISTA CHAPARRAL CARLSBAD CA 92009 ISSUED 10/2 1/20 10 LSM 10/21/2010 10/2 1/2010 $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: Date: VAL 1,,,6/0 Clearance: ______ _ $0.00 at approval of your project includes the "lmpcsition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Yo~ have 90 days from the date this permit was issued to protest impcsition 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 impcsition. 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 IT APPLY to any fees/exac ions of which u have reviousl been iven a NOTICE similar to this or a to which th tatut of limitations has revious otherwise ex ir «~" Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No.QB [0 ( 0, ID -~ C I T Y O F CARLSBAD JOB ADDRESS Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Est. Value Plan Ck. Deposit Date 10 ~ ,O APN CT/PR JECT # LOT# PHASE# # OF UNllS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) OECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Appl/cant) APPucANTNAMESe.ot-t L.it-+ e.FTe.leJ. ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAA PHONE FAA EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE FAA EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# CLASS ~Sc, CITY SUS. LIC.# 1~,;~,1 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an~ 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 (Cha'fter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or !hat he is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 703 .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 atrvm under penalty of perjury one dlhe following declarations: 0 I have and will maintain a certificate of consent to self-insure for wooers' compensation as provided by Section 3700 or the Labor Code, for the pelformance of the wor1< for which this pennit is issued. ~ have and will maintain worlters' compegsati<V', as required by Section 3700 of lhe Labor Code, for the pelfonnance of the ~ Jljr~ this pennij is issued. My wooers· compensation insurance carrier and policy numbefare:lnsuranceCo. "tt.t'\d:'"' PolicyNo. 'to1,1~-,y-1C> Expiration Dale I -, .. '\ This section need not be completed K the pennit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this pennit is issued. I shall not employ any person in any manner so as to become subjeci to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as pro ed for T Section 3706 of the Labor code, interest and attorney's fees. _,,6$ CONTRACTOR SIGNATURE ~t. . !i.6GENT I hereby affinn that I am exempt from Contractor's License L8w for the following reason: D I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves thereon, and who does such wor1< himself or through his own employees, provided that such i~ovements 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 pu!J)OSe of sale). D I, as owner of the property, am exdusively contracting with licensed contractors to ooostrucl 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 contrador(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ____ _,Business and Professions Code for tllis reason: 1. I personally plan to provide lhe major labor and materials for construction of the proposed property improvement. D Yes O No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted wilh the following person (finn) to provide the proposed construction (indude name address/ phone/ contractors· license number): 4. I plan to provide portions of the woo, but I have hired the following person to coordinate, supervise and provide lhe major work (include name/ address/ phone/ oootractors' license number): 5. I wiU provide some of the work, but t have contracted (hired) the following persons to provide the wor1< indicated (include name/ address I phone/ type of work): _LS PROPERTY OWNER SIGNATURE liJAGENT DATE Is the applicant()( future building occupant required to submit a business plan, 3CIJ1ely hazardous materials registration form()( risk management and prevention program under Sections 25505, 25533 ()( 25534 of the Presley•Tanner Hazardous Substance Account Aci? □ Yes □ No Is the applicant()( future building occupanl required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be construcied v.ithin 1,000 feet of the outer boundary ol 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 OFTHE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the wor11 this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the above lnlonnation isoorrectand that the infoonation on the plans is accurate.I agree ID oomply with alt Cityonlinances and State laws relatingtn boilding construction. I hereby authorize representa!Ne ol the City ol Carlsbad ti enter upon the above menooned property for nspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY mo KEEP HARMLESS llE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES 'NHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requied n excavatioos over 5'0' deep and derrdioon or oonstrudion ol strucilJes over 3 sbies i, heighl EXPIRATION: Every permit issued by the EluikJing Obi under the p!O\'isoosof 1his Code shall expie by Imitation and become nuH ardvoo l the buidi,g orwoc1( au1horized by such perrrit is ootoorrmenced v.im 180 days from the date of such perrrit or if the bold' orwoc1\ authorized by such pem,it is suspended orabardoned at any tine aflerlle woc1\ is commenced for a period ol 180 days{Secoon 100.4.4 Unoorm Buildilg Code). ~ APPLICANrs SIGNATURE e{Jtf{, DATE {0 -(1-10 City of Carlsbad Bldg Inspection Request For: 11/08/2010 Permit# CB101950 Title: ARROTT RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2219 VISTA CHAPARRAL Suite: Lot: 0 Inspector Assignment: Phone: 6507765429 Location: Inspector: ---- OWNER ARROTT MATTHEW R&LYNNE M Owner: ARROTT MATTHEW R&LYNNE M Remarks: mid morning please Total Time: Requested By: LYNN ARNOTT Entered By: CHRISTINE CD Description 25 Water HeaterNents Mf Comments~£ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments