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Home My WebLink About1178 MARIPOSA RD; ; CB112141; Permit10-06-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112141 Building Inspection Request Line (760) 602-2725 1178 MARIPOSA RD CBAD PME 2122211400 Lot#: 0 BECKER RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/06/2011 LSM 10/06/2011 10/06/2011 ALL STAR WATER HEATERS & PLUMBING BECKER ERIC&MEGAN 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 7353 GABBLANO LN CARLSBAD CA 92011 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: lnspecto. FINAL APPROVAL Date /rJ 'ii· I( Clearance: $0.00 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 ·1 whl h f. «~~> Building Permit Application Plan Check No.~ { / 'l/ V I ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 0 F 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 1011,,/11 lswPPP JOB ADDRESS ~~I I c.#/.:>Pn~~#/u1~I # IA~N 1178 Mariposa Rd --- CT/PROJE1..1 # rUI # IPH~E # l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing water heater. Same size, same location. EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so "'° YES □No □ YES□No□ CONTACT NAME (If Dltfe,.nt Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS 1178 Mariposa Rd CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 PHONE I FAX PHONE I FAX (760) 804-9968 EMAIL EMAIL PROPERTY OWNER NAME Erick Becker CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS ADDRESS 1178 Mariposa Rd 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92011 Menifee CA 92584 PHONE I FAX PHONE IFAX (760) 804-9968 (800) 727-0977 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS lSTATEUC.# STATE LIC.# <is' I .:;;i.,~q </ !CLASS 1 c,rvr~ca, L.{ 1 ~ (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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars 1,500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain I certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Latx>r Code, for the perfonnance of the work for which this pennit is issued. [Z] I have and will maintain workers' compen11tlon, as required bv Section 3700 of the Lalx>r Code, for the pertormance of the work for which this pennit ts issued. My workers' compensation insurance carrier and policy number are: Insurance Co Gran It• State ln1uranc• Policy No. 1646110 Expiration Date 011/0J/201J l!J.ii.section need not be completed If the permit is for one hundred do!lars ($100) or less. LJ Certificate of Exemption: I certify that in the pertonnance of the work for which this permit is issued, I shall not empioy any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worilers' compensation coverage is unlawful, and shall subj act an employer to criminal penalties and civil fines up to one hundred thou11nd dollars (&100,000), I addition to the cost of compen11tlon da ts as r vl or in Section 3706 bor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D I, as owner of the property or my employees with wages as their sole comperlSation, will do the 'M'.lrk 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 ovmer 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-blli!der will have the bllrden of proving that he did not build or improve for the purpose of sale). □ □ 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 with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ____ .Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {flnn) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, bl.It I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future buikling occupant required to submit a businessJl!s!l, 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? D Yes LJNo Is the applicant or future buik:ling occupant required to obtain a permit from the air pollution control district or a~ality management district? [Jves D No Is the facility to be constructed within 1,000 feet of the outer OOundary of a school site? Oves LJNo 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 OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have 188d the application alll state that the above infonnatlon lsoorred: and that the information on ltle plans Is accurate. I ae-eeto comply with all City onlnances arx:I State IIM'S relatlngto btilcl111; construction. I hereby authorize representati'A:! of the City of Ca1sba'.l to enter UJXlll the alxlve mentioned property bf inspectioo puiposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AtN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennlt is required b" excavations over 5'0' deep a'ld demolition or constnx:tion of structures CNef 3 stories in height. EXPIRA TICN: Every permit issued by the Buikling Official under the provisk:ms of this Code shall expire by limitafun and be::ome null and void iflhe buikling or work authcrized by so::h permit is not oommeo::ed within 100 days from the date of such permit or if the buikliog or work authorized by such permrt is suspended or abandoned at any time after the 'M'.lrk is o:immenced tir a~ of 180 days (Secoon 106.4.4 Uniform Buiklir,;J Code). ,15 APPLICANT'S SIGNATURE ;.-----><.. __ _:___ DATE City of Carlsbad Bldg Inspection Request For: 10/28/2011 Permit# CB112141 Title: BECKER RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: Suite: Location: OWNER 1178 MARIPOSA RD Lot: BECKER ERIC&MEGAN Owner: BECKER ERIC&MEGAN Remarks: Total Time: CD Description 0 Act Comments Inspector Assignment: Phone: 7608049968 lnspecto{J£ Requested By: HOMEOWNER Entered By: CHRISTINE 25 Water HeaterNents ¥---- ----------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments