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Home My WebLink About2065 WESTWOOD DR; ; CB160345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-28-201 6 Permit No : CB160345 Building Inspecti on Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2065 WESTWOOD DR CBAD PME 1671303400 Lot#: Status: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/28/2016 SLE 01/28/2016 01/28/2016 Project Title: LANDIS: REPLACE WATER HEATER Applicant: ALL STAR WATER HEATERS & PLUMBING 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: LANDIS DONALD&JOANN 2002 TRUST 12-30-02 2065 WESTWOOD DR CARLSBAD CA 92008 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: FINAL APPROVf Date: 7., ZtJ -/ Clearance: ------ $0.00 NCJTlCE Rease ta<e NCJTlCc that~ d }OJr ptjoct irdudes Ire "lf'r!Xl,itioo" d fees, doclcatioos, reseMllioos, ex ether exoctioos re-eafter cdledively referred lo as "fees'excdio1s. • Yoo rave 00 days fran the date lhs pemil 1A0S iSSU3d to pretest if'r!Xl,itioo d these fees'excdio1s. If~ pretest Ital\ ~ nust fdlON tre pretest fYOC6(i.res set fcxth in C?o.e,-n-e-t O:xJe Soctioo 68'.rn(a), ard file the pretest ard any ether re::p..ired irtonroooo wth the Oty Mrager for ~rg in aax:rda re wth Catsboo Mrid~ O:xJe Soctioo 3.32.CID. Faill.r8 to tirray fdlON !ta ~ wll ta" any subsecµrt legal ajja, lo atta:k. 11:Mew, set aside, l.tid, or anJ tt'Eir if'r!Xl,itim Yoo a-e hereby R..Rn-ER NCJTl RED that -..,o..r rig1 to p-etest the specified fees'exoctioos OCES I\KJT .APPLY lo W31er ard f'SAff CD'T18dioo fees ard ~ &a-ges, nor pla-rirg, zorirg. g-a:irg ex ether sirrilar ~ication ~rg or service fees in CD'T18dia'l wth lhs ptjoct. l\rn OCES IT .APPLY lo any f • d Vlhcn • • rrilar to lhs or t Vlh tre statute d lirri ions t-es ·a..is1 • • • £ ~~.~ '~ CITY OF CARLSBAD JOB ADDR,ESS DESCRIPTION OF WORK: Include Squa,e Ffft Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Q6 I Est. va1uJ Plan Ck. Qeposlt SWPPP Replace existing water heater, Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DE KS ( f) FlREPLA E YES[)!, I AIR CONDITIONING FIRE SPRINKLERS Np[] YE$0 No0 vesQNoO CONTACT NAME (ff Dlffe,.nt Fom Appllc•nt) APPLICANT NAME lerra Sprague ADDRESS ADDRESS CITY STATE ZJP CITY PHONE FAX Menifee PHONE 92584 951-301-0067 EMAIL EMAIL PROPERTY OWNER NAME Donald Landis CONTRACTOR BUS. NAME ADDRESS ADDRESS s 30300 f?uerto Vallarta CITY ZIP CllY STATE ZIP C 92008 enifee 92584 PHONE 619-988-3561 FAX PHONE F~ 951-301 -0067 EMAIL EMAIL AROVOESIGNeR -E I ADOOESS STAlHlC.# STATE UC,# cic36 CITY 80S. UC.II 812894 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any_ strwtuje, p,10< to Its Issuance, also requires the applicant for such permit to fife a Signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, coml!ll!n<llng with Section 7000 of 0I\/lslon 3 of the Buslness and Professions Code) or !hat he Is exempt therefrom, and the Das,s for the alleged exempUon. Any violation of Section 7031.5 by any applk:ant fO< a permit subjects the applicant to a clvil penalty of not more than fove hundred dollars ($500)). I .. Workers' Compensltlon Declaration: thereby affirm und« pooatty of perju,y one of the foHowing declarations: I D I have and will 1111ln1Jln I certlflc.ate of consent to self-lnsu~ for workers' compensalion as provided bl' Section 3700 or the Labor Code, for the performMOe otthe work to, which this permtt is issued. 0 I have and will maintain wo,kers' compenHtlon, as reouired by Section 3700 of the Labor Code, for the performance of lhe work for which this oermit is issued. ~ wor1<ers' compensation lnsu,anoe carrier and p()licy runoer are: lnsooince Co Amencan Insurance Company Policy No. C4809630A I Expiration Date 6/01/16 ~ section need not be compfeled ii the permit is for one huodred dollars ($100) o, less. I LJ Certificate of Exemption: 1 certify lhat In lhe pefformanoe of the wotk fo, which this pe<mil is issued, I shall no1 emplOy any person in any manner so as to become~ lo the Won<ers' Compensalion Laws or Califomla. WARNING: Failure to secure wotkers' compensation coverage Is unlawful, and shall sub/ect an employer to criminal penalties and civil fines up to on, hundred thouund dollars (&100,000), In addition to the cost of compensation, damages as provid or in Section 3706 of the Labor code, Interest and attorney's fees. l / / ,KS COHTRACTOR SIGNATI/RE . □AGENT DATE //2, 7 /;1 t/J • I hereby affirm fhllf I 11171 e.K8/'lflf from Contractor's License Law la th6 followin-J reasoo: □ □ □ I, as ovmer of the propet1y or rl'lf employees with wages as !heir sole compensation, will do the work and !he struclure is not intended or offeted for sale (Sec. 7044 Business and Professions Code: The Contracto~s License Law does not apl)ly lo an owner of property wto builds or improves thereon, and who does such work himself or through his own employees, provided that uch Improvements are not intended or offell!d for sale. If, howevat, the bulkllng or improvement is sold withil one yea-of compfelion, the owner-builder wiU have the burden of proving that he did no1 build o, ~ for the purpose of sale). I, as """11!r of lhe property, am exelJsivefy conlracling with licensed con1raa>rs to construct the project (Sec. 7044, Business and Professions Code: The Connc/D(s License Law does not apply to M OWl1ef of property who bulcls o, ~es thereon, and contracts for such projecls with contraclOljs) lcensed pursuant to the Coolracto(s License Law). I am exempC under Sect!on ____ Business and Professions Code for this reason: 1. I peisonally plan to provide the major labor and materials for constf\Jciion of the proposed property Improvement. O ves O o 2. I (have t have not) signed an appllcallon for a building permit for the proposed work. 3. I have con~acted with the following person (llfm) to provide the proposed construction (Include name address/ phone / contracrors· license number): 4. I plan to proYide portions of the wotk, but I have hired the following person lo coordinate, supe,vise and provide the major WOik C,nckJde name/ address / phoc,1e t contraciofs' lirense numbs<): 5. t will provide some of the wori<, but I have contracted (hill!d) the following persons lo provide the work indicated [include name / address / phone I type of \Mllt); ~ PROPERTY OWIIER SIGNATURE □AGENT DATE Is lhe applicant or future buitli,g occupant mqulred lo submit a buslness..R!l!l, acutely hazardoos materials registration form or risk management and prevention program Lncle, Sections 25505, 25533 or 25534 of lhe Presley-Tanne, Hmrool/S Substance Account Adi O Yes LJNo Is Iha apjlllcanl or lutu1! ouillllng occupa,I required to obtain a pennit from the u polkrtion OOl1l/ol_J!ttrict or BJ_g!lafity management district? Oves 0 No Is lhe Idly I:> be C0nSlruCled wlllil 1,00J feet of lhe ou.e, boundary of a sclOll site? LJYes LJNo IF AHY OF THE ANSWERS ARE YES, A FINAL CER'TIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE ,RfOOIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I hM read theappllcatloo and slatetllalthe aboYe Information ls comxtand that the lnlormeClon on the plans Is acruate.I agreetoc:omply"4lhal Cllyoo:f~and Slate laws relatlngtobuildngconstrudion. I hereby~ ~veof lhe Cltyof Cartsboo i:>enlefupon lhe above me!ltialed prope,tyb'inspecbl pu~ I ALSO AGREE TO SAVE, INDEMNIFY ANOKEEP HARMLESS THE OlY CF CARLSBAD AGl'IINST All LIABIUTlES, JJOGMENTS, COSTS ANO EXPENSES 'M-1:0i MAY IN ANY WAY ACCRUE AGAINST SAlO OlY IN CO'lSEClJENCE Cf THE G1W111NG CF THS PERI.IT OSHA: AA 09-iA perm! is raii.nd b' ~(:,,,el 5'0' deep .m derTDim a-cmsmdilnof stn.dures OYllf 3 sb'es ii height. EXPIRA TIOO: El'llfY pennit issued by lhe ln'klilg Official under lhe ~ ct this Qxle shal exits by limitation ard bearne ru1 and \tid If Ille build"rg oc v.tr11 authonm:I by such ~ Is not axrrnenced v.itlin IOOdays from lhedateof su:h pennitorff~oc-.orx auttloo2ed Oysuch pennit Is suspended ocabardoned at any lrre af'erlheYoQll\isamnenced b'a peood of 100 days (Sedion 1~ 4 4 lklbm 9.Jlding Qxle). JlS APPLICANr s SIGNATURE ~ A,,'64,,c.,a...___ OATE / h,,? ? 4' Inspection List Permit#: CB160345 Type: PME Date ln~e_ec_!ion Item __ 07/20/2016 25 Water HeaterNents 07/20/2016 25 Water HeaterNents 07/20/2016 29 Final Plumbing 07/20/2016 29 Final Plumbing Thursday, July 21 , 2016 Inspector Act PB PB RI AP RI AP LANDIS: REPLACE WATER HEATER Comments Page 1 of 1