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1120 CHINQUAPIN AVE; ; CB102415; Permit
City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-10-2010 Plumbing Permit Permit No: CB102415 Building Inspection Request Line (760) 602-2725 Job Address: 1120 CHINQUAPIN AVCBAD Permit Type: PLUM Status: ISSUED Parcel No: 2062612300 Lot#: 0 Applied: 12/10/2010 Construction Type: NEW Entered By: KG Reference*: Plan Approved: 12/10/2010 PC#: Issued: 12/10/2010 Project Title: JACKSON RES REPLACE WTR HTR Inspect Area: Applicant: Owner: AFFORDABLE WATER HEATER JACKSON JOAN T 24707 SAN FRANANDO RD 1120 CHINQUAPIN AVE SANTA CLARITA, CA 91321 CARLSBAD CA 92008 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0>00 $0.00 $0.00 $0.00 $0.00 $0,00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE W!TH C.B.C. SECTION 106,4.4 AS BY CliC.18.04,030 l.a4.\\.DATE UI.X1.U SIGNATURE, FINAL APPROVAL Inspector: , Date: Clearance: 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 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 tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. '<&Building Permit A| ^/v 1635 Faraday Ave., Carlsba( N*X CITY OF 760-602-2717/2718r* A n i CD A m Fax: 7G°-602-85 LAKIJjDAU www.carlsbadca.E JOB ADDRESS , , .lUb Cxkm«*u^v=»V CT/PROJECT # LOT* V 1 PHASE (t * OF UNITS # BEDROOMS .. . . Plan Check N(C M W'H'I ^spiiCQCion J, CA 92008 Est. Value /2/1958 Plan Ck. Deposit ) 0V 1 / / f^\ 1 /\ / ^^ *Date | £7^ / (^/-^ 1 (J ^ ^^^--^ SUITE#/SPACE#/UNIT# APN SI ((BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) {i.€.9\cv.C-€_ nk fto\,l\or> Q\&& Lwco"C,r l-te&l*f12-*~ , , , . , f . , EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different torn Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ,r- T I/ ADDRESS CITY U STATE ZIP (^wU V>ticA £j$- ^2-Oofi' PHONE FAX T(»o "12^ 2,i C> | EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD# NOD YES D NOD YES D NOD APPLICANT NAME , •Scott t-1-H-le-Ffe.ldl ADDRESS B*-teuJ CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME ^^ ADDRESS S*ffctS Rd-i Ifoe^A. rtv€. CITY STATE ZIP PHONE [FAX EMAIL fe-<rm\i'& @ AW/iAO'Com STATE UC.# CLASS CnYBUS.UC.# tA7%fc^ £3fe 1S17A71 (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 theapplicant 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 7OOO 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 acivil penalty of not more than five hundred dollars {$500}). W O R K;E R S- Workers' Compensation Declaration: thereby affirm under penally of perjury one of the following declarations: LTI I have and will maintain a certificate of consent to self-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. Ql I have and will maintain workers' compegsjtkm, as required by Section 3700 of the Labor Code, for the performance of the woj|&rjghj£b ms P6™*is issued. My workers' compensation insurance earner and policy number are: Insurance Co. T&*% \ T K " Policy No. TOV l%^« ' & Expiration Date I ~ \ " \\ This section need not be completed if the permit is for one hundred dollars ($100) or less. 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 provided for in Section 3706 of the Labor code, interest and attorney's fees. ^CONTRACTORSIGNATURE XOQtf'L . SfAGENT DATE O"W- N -E-)R:?O:5!:C JL A R A T I O fa;; f hereby affirm that I am exempt from Contractor's License Law for the following reason: O I, as owner 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 will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contactors 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 with contractor(s) licensed pursuant to the Contractor's License Law). G I am exempt under Section..Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed properly improvement D Yes D No 2.1 (have / have not) signed an application for a building permit for SK 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, supervise 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 fallowing persons to provide the work indicated (include name /address I phone / type of work): PROPERTY OWNER SIGNATURE MAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a conslruction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address "€:E' flf Sf -|'JF.i : Icen^tnatl haw read the application and state that toe atxmirfo^ I hereby auHionze representative oflhe City of Carlsbad b enter upon the atovemenfor^ property fa repe^ OSHA: An OSHA permit is required for excavations over SO' deep and demcJifion or ccvistructo of struduies over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under Ihe provisions of this Code stall expire by Sntfafai and berome null ar^ 180 days from the date of such permit or if the buMiijor work aultonzed by surfipermS is suspended or abandon ^APPLICANT'S SIGNATURE DATE ) &~ (0~(d A CITY OF ^CARLSBAD May-?'5BTl1Unity & Economic Development www.carlsbadca.gov Permit Number: CB102415 Issue Date: 12/10/2010 JOAN T JACKSON 1120 CHINQUAPIN AV CARLSBAD CA 92008 RE: BUILDING PERMIT EXPIRATION ADDRESS: 1120 CHINQUAPIN AV PERMIT TYPE: WATER HEATER PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 06/08/2011. The provisions of CBC, Section 105.5 as amended by the Carlsbad Municipal Code state: "EXPIRATION." Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within one hundred eighty calendar days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of one hundred eighty calendar days, or if the building or work authorized by such permit exceeds three calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within one hundred eighty calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each one hundred eighty day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any permittee holding an unexpired permit may apply for an extension of time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (must attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at 760-602-2725. If you have any questions, please contact the Building Inspection Department at 760-602-2700. Christine Wauschek Office Specialist Building Division 1635 Faraday Avenue, Carlsbad, CA 92008-7314 T 760-602-2700 F 760-602-8560 ©