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Home My WebLink About1290 MARIPOSA RD; ; CB120366; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-29-2012 Permit No: CB120366 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1290 MARIPOSA RD CBAD PME Status: Parcel No: 2122200300 Lot#: 0 Applied: Reference #: PC#: Project Tille: NGUYEN RES-REPALCE WTR HTR Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: NGUYEN MICHAEL T&CHRISTINE T 1290 MARIPOSA RD CARLSBAD CA 92011 ISSUED 02/29/2012 LSM 02/29/2012 02/29/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: ----:;i_ FINAL APPROVAL 'Sd"-Date: 'f:? -/2-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 "tees/exactions." You have 00 days from the date this permit was issued to protest imposition of these fees/exactions. 11 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 · n f i r i h '4' «~~ Building Permit Application Plan Check No. (!,f> I ':J.f'\ :;:,,r,, f-. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CI TY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.c!;!:rlsbadca.gov Date ;z...j'V't /1 2-I JOB ADDRESS 11"1 SUITE#/SPACE#/UNIT# 1APN /~'io fnc,.6 po s"' --- CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS 1 TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(sJ 0AO\--A 50 ac,.l \o-qt.I" 1Je..+, .. I !..,._.LA r < ' J v '-o..m~ lnc.o.+i o~ :: G GV <>. C, -le " EXISTING USE I PROPOSED USE tARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES O NO □ YES D NO □ CONT ACT NAME (tf Dltlerent Fom Appllcant) APPLICANT NAME · I el. !>t.ot-t L.i -t+ e.fTe.1 ADDRESS ADDRESS R.t.•··-• CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE FAX EMAlL EMAIL p._,,...,i+S @Awl'AP, C.t>ff\ PROPERTY OWNER NAME CONTRACTOR BUS:. NA~E • t • •. r u .... +e_,-,c Mi e,hc..{.I N~\AVR,,-, ADDRESS , ADDRESS l.:1'10 f1'\c,.ri "o<i::. Rel ........ -P.o..i I roo..tA. .,,..,e. CITY STATE ZIP CITY ,,STATE ZIP C,,v\ ( i:>"<•I CPr '1:to11 t.1 t.w h t...11 ~. qi;~;_ I FAX PHONE IFAX PHONE 1<,c Elf> 3~ 1"1 lot.\ • ~5q • 1 I 3 l ,. r. \ • J.5"q. 15.S-'- EMAIL EMAIL f'e..-..,,ts@ IIWh,i.o, COi>\ ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# (.,~'12.'-°' ~ CUISS ' lc11'ii"11; 1 C.Sfo (Sec. 7031.5 Business and Professions Code: Any City or County which reqwres a permit to construct, alter, improve, demohsh or repair an:t 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 {hat he is exem~t therefrom, and the basis for the alleged exemption. Any vlolation of Section 031.5 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 Daclaratlon: / hereby affirm under penalty of perjllfY one of the following declarations: D I have and wlll maintain a certificate of consent to self-Insure for workera' compensaUon as provided by Section 3700 of the labor Code, for the pel'formance of the work for which this permit is issued. ?9"i' have and will maintain workers'. compeosatlon. as rSQuired by Section 3700 of the Labor Code, for the performanC8 of the work for which this oam,it is issued. My workers' compensation insurance ca er and policy numberare:lnslUclnceCo. l:nS• Ct>· of The. we.s1:: Po~cyNo. lAl'BA5bd0?,o3oO ExpirationDale · -.. t This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that In the performance of the work for which this permit is issued. I shall nol employ any person in any manner so as to become subject lo the Workers' Compen,ation Laws of 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 pro , ed for{ Section 3706 of the Labor coda, interest and attorney's fHs. ..@S' CONTRACTOR SIGNATURE {!JJJf • !MAGENT I hereby affirm that I am exempt from Contractor's Ucanse Law for the following reason: □ I, as-OWAer ol lhe property OF-my-employees with-wages-as-their-sole compensation. wlll 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 riot apply to an owner of property v.tlo builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are riot 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 Iha! he did not build or Improve for the purpose of sale). □ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cootractof's License law does not apply lo an owner of property who builds or 1mprovas thereon, end contracts for such projects with contractor(&) licensed pursuant lo the Contractor's License Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I peraonally plan lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2.1 {have/ have not) signed en application for a building permit for the proposed wDlk.. 3.1 have contracted with the following person (fim1) to provide the proposed construction (include name address/ phone/ contractors· license number): 4. I plan lo provide portions of the work, but I have hired lhe following person lo coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I wiR provide some of the work, bul I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone/ type of work): ,It! PROPERTY OWNER SIGNATURE llfAGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL 8UILDJNG PERMITS ONLY ls the applk:anl or future building occupant required to submit a business plan, acutely hazardous materiab registralion form or risk management and prevenlion program undei: Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounl Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air po!lulion control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D No 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 SERVJCES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state that the above Jnfonnation Is correct.and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws retatlng to building construction. I hereby aulholiza represenlalive ol lhe City ol Carlsbad lo enter upon lhe at,o,e mentioned property for i1specoon pulJ)OS85. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LL'IBILITIES, JUOCMENTS, COSTSAAO EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA: An OSHA permit is required tir excavations over 5'0' deep and demolioon or construdk>n of structures over 3 stories n height. EXPIRA TK)N: Every pennil issued by lhe Buikiing Official under the provisioos of this Code shall expire by linilalK>n and become ruR and void if the buidhg or work authorized by such pemil is oot oorrrnenced wthin 180 clays Iran the date of such pennit oriflhe bukf orv.ork ~ by sud! perml is suspended or abandoned al any time after the worlds~ ra-a peood of 180 days (Secoon 106.4.4 Lklibm Q.iikiing Code). ../15 APPLICANT'S SIGNATURE 00/f{ . DATE City of Carlsbad Bldg Inspection Request For: 04/05/2012 Permit# CB120366 Title: NGUYEN RES-REPALCE WTR HTR Description: Type:PME Sub Type: Job Address: Suite: Location: 1290 MARIPOSA RD Lot: 0 APPLICANT AFFORDABLE WATER HEATER Owner: NGUYEN MICHAEL T&CHRISTINE T Remarks: Total Time: CD Description Act C9mments Inspector Assignment: k Phone: 7608453479 Inspector: ---- Requested By: MICHAEL Entered By: CHRISTINE 25 Water HeaterNents _ttf_ _____________ _ 29 Final Plumbing _H__ _____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments