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Home My WebLink About1010 DAISY CT; ; CB120177; Permit01-30-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanlcal/Electrlcal (PME) Permit Permit No: CBl20177 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1010 DAISY CT CBAD PME 2144100600 Lot#: DAiLEY RES- REPLACE WATER HEATER - SAME LOCATION Status: ISSUED Applied: 01/30/2012 Entered By: Plan Approved: issued: Inspect Area: RMA 01/30/2012 01/30/2012 Applicant: RITE-A-WAY SERVICES 14457 MERIDIAN PKWY RIVERSIDE CA 92504 951-232-4989 Owner: DAILEY JULIE 1010 DAISY CT CARLSBADCA 92011 Plumbing Fees Electrical Fees Meclianical Fees Ottier PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: LllLlIl-Clearance: NOTICE: Please take NOTICE that approval of your project Irwiudes the "Imposition" of fees, dedications, reseivatlons, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this penmit was Issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment 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/exactlons 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/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. (^^/^ f) 1^ ~7 Est. Value JOB ADDRESS IDRESS V . \C>\0 Oca&y Of^ lEcfi I Lorit SUITE#/SPACE#/UNIT# CT/PROJECT # OF UNITS # BEDROOMS # BATHROOMS DESCRIPTION OF WORK: toctode Square Feet of Affected >lrea(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES • # NO • AIR CONDITIONING YES • NOD FIRE SPRINKLERS YES • NO • AraUMNTMAME (Prlnury Contact) w ADDRESS17 APPUCANT NAME {Secondary Contact) ADDRESS PHONE STATE (BOO) 9?^-2^7 <^ FAX ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL PROPERTV OWNER NAME ADDRESS ADDRESS CONTRACTOR BUS. NAME V >. K STATE PHONE . FAX V ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATEUC* CLASS CITY BUS. LIC.# (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 that 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 ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby aWmi under pen^t^ perjury one ofthe fc^lowing declarations: • I have and will maintain a certificate of consent to seH-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. O I have and will maintain woi number are: Insurance Co. rkgia'cgopensation, as lensation, as required by Sedion 3700 of the Labor Code, for the performanceof the work fotwhich this permit is issued. My workers' compensaton ii . Policy No. nance or the work rotwhich this permit is is Expiration Date. lation iruurance earner an ier and policy This section need not be completed ifthe pemiit is fbr one hundred dollai§($t09] • Certificate of Exemptian: I certify that in the California. WARNING: Failure to secure addition to the cost of compensation, JS^ CONTRACTOR SIGNATURE is issued, I shall nj)t employ any person In any manner so as to become subject to the Workers' Compensation Laws of ind shall %\ib\K)Kn employer to criminal penaitles and civil fines up to one hundred thousand dollars (&100,000), In Irast and attomey's fees. aAGENT DATE / — 30 — ^<=»^ OWNER-BUIL OEA !^ E C L A R A T I O N / hereby affimi that I am exempHrtSfnContractor's Ucense Law for the foitowing reason: O i, as ovmer of the property or my employees with wages as their sole compensation, will do the work 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 wili have the burden of proving that he did not build or Improve for the purpose of sale). G 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 vrith contractor(s) licensed pursuant to the Contractor's License Law). • I am exempt under Section Business and Professions Code for this reason: 1.1 personaiiy plan to provide the major labor and materials for construction of the proposed property improvemenL • Yes • No 2.1 (have / have not) signed an application for a building pemiit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supen/ise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type ot work): VSTPROPERTY OWNER SIGNATURE •AGENT DATE COMPtETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING PERMITS ONLY is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • Yes • No Is the applicant or future building occupant required to obtain a pemiit from fhe air pollution contral district or air quality management district? • Yes • No Is the facility to be constructed within 1,000 feet ofthe 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 APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTiON LENDING AGENCY I hereby affimi that there Is a constmction lending agency for the perfonnance of the work this pemiit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify tliat i have read the application and state thattlie above infomiatton Is conect and thatthe Infoimation on the plans Is accurate. I agree to comply with all Cily ordinances and State laws relating to building constmction. I hereby authorize represenlalive of Ihe City of Carisbad to enter upon the above mentkxied property for inspectkxi purposes^ ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYJj.ANrWAY ACCRUE AGAINST»t) CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA peimit Is required for excavations omSSHeep w^ii^^&snffmr^ifmv^ stmctures over 3s|mes In height EXPIRATION: Every pemiit Issued by the Bulkting Offidal urlUerii^ipy^^ ^a|rexplre by llmilatiofrand become nuU and vokj if the buikling or wori< authorized by such peimit is not commenced within 180 days from the date of such pemiit or If the buwig q|;/^it<'authpri£^.b^ch artm/rs s^i^end^iaubaraltxied at any time after the woric Is commenced fix a period of 180 days (Sectkm 106.4.4 Unlftxin Buikling Code). APPLICANT'S SIGNATURE DATE City ofCarlsbad BIdg Inspection Request For: 01/31/2012 Permit* CBl 20177 Title: DAILEY RES- REPLACE WATER Description: HEATER - SAME LOCATION Inspector Assignment: Type: PME Sub Type: Job Address: 1010 DAISY CT Suite: Lot: 0 Location: OWNER DAILEY JULIE Owner. DAILEY JULIE Remarl^s: a m please - will call for 2 hour window Phone: 7609181740 Inspect Total Time: CD Description 25 Water HeaterA/ents Act Comments Requested By: JULIE Entered By: CHRISTINE ^l(J(^ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments