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Home My WebLink About1120 CAMINO DEL SOL CIR; ; CB150048; Permit01-07-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB150048 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1120 CAMINO DEL SOL CR CBAD PME 2062611100 Lot#: VERKLEEREN: REPLACE WTR. HTR. Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/06/2015 JMA 01/07/2015 01/07/2015 Applicant: ALL STAR WATER HEATERS & PLUMBING Owner: VERKLEEREN JOHN L&BARBARA A 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 1120 CAMINO DEL SOL CIR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL AR Date: _V/ Clearance: NOTICE: Please take NOTRDE thirapproval of your project includes the "Imposition" of fees, dedications, resen/ations, 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 Governmenl Code Section 66020(a), and file the protest and any other required information with the City IVIanager for processing in accordance with Carlsbad Iiunicipal 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, 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 previously been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise 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 Est. Value Plan Ck. Deposit Date SWPPP iOBADDRESS wmimn— 2967 Lancaster Rd. PHAS£» /» OF UNITS » BEDROOMS SUITE»/SPACE»/UNrr# faSTHHOOMS TCNSNTBUSINESS NAME" CONSTFt.TYPE OCC. GROUP' DESCRIPnONOFWORK: Include Square Ftat of Afr»ctadAraa(a) Replace existing water hea ter. Same size and location. CXISTINO USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ». AIR CONDmONING YESriNOl 1 FIRESPRINKLERS YESfnNOl 1 CONTACTNAME (H Dllttrtat Fom Applicant) APPUCANT N/ ME Slerr a Sprague ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY Menifee STATE CA ZIP 92584 PHONE FAX PHONE 951-301-0067 FAX EMAIL EMAIL PROPERTY OWNER NAME Nouhads Daou CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS Same as lob ADDRESS 30300 Puerto Vallarta CITY Carlsbad STATE ZIP CA 92010 ciTir li/lenifee STATE CA ZIP 92584 PHONE 760-672-3205 FAX PHONE 951-301-0067 FAX EMAIL EMAIL ARCH/OESIQNER NAME & ADDRESS STATE LIC. # STATE LIC.» 812894 CLASS C36 ctn BUS. uc.» civil penalty of not more than five hundred dollars ($500)). the to a Wofker«' Compen««tloii Declaration: / hereby affirm under penalty t^perju., Bl have and will maintain a certificate of conaent to selMneure for workers' compensation as provided by Section 3700 of the Latx}r Code, for the performance of the vK>rk for which this permit is issued. I have and will maintain woiKera' eompanaatlon, as reduired bv Section 3700 of the Labor Code, lor (he performance of the work for which this permit Is issued. My workers' compensalion insurance carrier and policy number ara: Insurance Co Amferlcan Insurance Company PoScyMo. EspWIion Da!9___JI£l!lS Bsection need not be completed if the permit is fbr one hundred dollars ($100) or less. Certificate of Exemption: I certily that in Ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjeot to the Workers' Compensation Laws ot Califomia. WARNINQ: Failure to secure workers' compenaatian coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundrad thousand doiiars (S100,000), In addition to the cost of compensation, damages as provided fdr In Section 3706 of the Labor code, interest and attorney's fees. / / ^CONTRACTORSIGNATURE ^.^^^^^ ^,^^4^ DAQENT DATE //^//S ^ 1. •. • TT" •It'- (ftereby affirm ftef / am exerrpf ftom Contractoi's Licanse Law for the follomng reason: [ 1 I, as owner of the ptoperty or my empkiyees wilh wages as their sole compensalion, will do the work and the structure Is not intended cr offered for sale (Sec. 7044, Business and Professtons Code; The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell or through his own employees, provided lhat such improvements are not intended or offeied for sale. If, hov»ev8r, (he building or Improvemenl is sold within one year of completion, Ihe owner-buikler will have the bunlen of proving that he did not build or Improve fbr the puipose of sale). I, as owner of the property, am exdusively contracting with licensed contractore to construct the proiect (Sec. 7044, Business and Professions Code: The Contractor's Lfcense Law does not apply to an owner of properly who builds or impioves Ihereon, and contracts for such proiects with contractor(s) licensed pursuant lo the Contractor's License Law). I am exempt under Section .„ ..—^..Business and Prof6ssk)ns Code for this reason: 1.1 personally plan to provide the major labor and materials for construction ol the proposed property Improvement. I |Yes I INO 2.1 (have / have not) signed an application fbr a bulldlng pemiit for the proposed work, 3,1 have contracted with the follovring person (firm) to provide Ihe pnjposed constructton (include name address / phone / contractors' license number): 4.1 plan to provkie porttons of the work, but 1 have hired the foltowing person to cooidinate, supervise and provide the major wod( (include name / address / phone / contractois' license number): 5.1 will provkle some of the work, but I have contracted (hired j the foltowing persons to provide the vnrk indicated (include name / address / phone / type of worit): • • jg^mmm OWNER SIGNATURE QAQEMT DATE Is the applicant or future building occupant required to submit a business dan, acutely hazardous materEJs registration fomi or risk management and prevention program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account AO? I |Yes j INo Is the applicant or future buikling occupant required to obtain a pennit from Ihe air pollutton controi JisWct or airqualliv management distrfct? LjYes [_j No Is the facilit to be constracted within 1,000 feet of the outer boiiidaiy of a school site? LJYes flNo IF ANY OF THE ANSIWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY HAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRKTr. I hereby affirm that there Is a construction lending agency fbr the perfomiance of the work this pemiit Is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address Iceitl^thMI have isadtheappllcaticn and stats thatthe above Infbmiadon Is consct and thatttieli^^ I heretiy authorizo representative of Die Qty of Caiisbad to enter upon the above mentioned property fbr inspecSon purposes. I ALSO AGREE TO SAVE, INDEItlNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUtXSMENTS, COSTS AND EXPEI^ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID QTY IN CONSEQUENCE OF THE GRANTING OF TMS PERMIT. (DS)1A: An OSHA pennit is neqirired fbr excavations over SO deep aid demolllori or oonslniction of structures over 3 stories In height. EXPIRATION: Eveiy permit Issued by the BiriUng Ofiidal under the provisions of this Code shall expire by imilatton and beoome nul and void if the building or wok authorized by such pemiit is not commenced within 180 days liDm Itie dale of such pern* orif the building ori«ori( authoiized by 106.4.4 Unifcim Building Code). APPLICANT'S aONATURE DATE Inspection List Permit*: CB150048 Type: PME VERKLEEREN: REPLACE WTR. HTR. Date Inspection Item Inspector Act Comments 07/02/2015 25 Water HeaterA/ents - Rl 07/02/2015 25 Water HeaterA/ents PY AP 07/02/2015 29 Final Plumbing - Rl 07/02/2015 29 Final Plumbing PY AP Tuesday, July 07, 2015 Page 1 of 1