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Home My WebLink About1405 Topaz Way; ; CBR2017-1198; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/23/2017 Residential Permit Permit No: CBR2017-1198 www.carlsbadca.gov Job Address:1405 Topaz Way Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2121915600 Lot #:Applied:06/05/2017 Valuation:$0.00 Reference #:Issued: Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:JERGER:REPLACE WATER HEATER, SAME SIZE, SAME LOC Owner:Contractor: TUZO JERGER AFFORDABLE WATER HEATERS AND 1405 Topaz Way PLUMBING INC CARLSBAD, CA 92011 28358 Constellation Rd, 698 Valencia,CA 91355-5044 661-259-7131 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction."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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. .srmu .. _.....____..._. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING .0 ENGINEERING 0 BUILDING 0 FIRE [:]HEALTH El HAZMATIAPCD r-- ilL City of Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Plan Check No.caqcpoi 9--/i9r Est. Value CarPh:760-602-2719 Fax: 760-602-8558 Plan Ck. DepositCarremail: building@carlsbadca.gov www.carlsbadca.gov Me 4 -.5--/7 swPPP JOB ADDRESS SUITE#/SPACE#/UNIT#APN I 4 0 5 •-I -0 c)n 2,.I3) )-- CT/PROJECT#LOT #PHASE /a OF UNITS #BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC.GROUP1 I I DESCRIPTION OF WORK:Include Square Feetof Affected Area(s)---- 1 I' V e..? \ace-.50 9Q\\orm ki)o\-\--e..\---lrce at --ey-- . 1Same.\0CC - 1 -10n :-_Clarocr • EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS 1 YES0#NOE YES ONO 0 YES0 No0 i APPLICANT NAME -'PROPERTY OWNER NAME _. Prelim. Contact A hl -e 1 q h f).ou -k-luio J -c,r-jer,ADDRESS ADDRESS q(?2,5c,eon -\--e\1(x.-\oa Rd -#-ric?''1 4 0 5 Tor a_7_/&u a/ZIPCITY-STATE ZIP CITY STATE --- \I G\\tnC \0 -.CA-GI \5.In/./0-190 d COY 9 2_0 1 1 PHONE FAX PHONE ,FAX L'g'55) 3 1's -9 t)?1 ilP01)259 9 5 s L9 L.P \9) 9 gi -55 5 --EMAIL n ..MAILrerrn+.6 (0)0tUkOLp -CO)'.=. DESIGN PROFESSIONAL CONTRACTOR BUS. NAME -.. /AT -rt 0 v A.cA b\e.\NI ot$-\-\61 -t ADDRESS ADDRESS —-2_isz ci)\n -reilo --loa.ka -—1-PcT .CITY STATE ZIP CITY .,STATE ZIP 101 "enCla -C7er cr I 3CS PHONE FAX PHON FAX , ),3'416 -q0 K1 IS V9 $- 2.6°1 --ci SG ts EMAIL MAIL Pe Yrr)1 ---•S 0 CU-it-At-la - 10 -'C'n'-) STATE LIC. #STATE LIC.#CLASS CITY BUS. LIC.# I k_D 2 i '3 L9 z`c9, Ls 12\1/-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 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 7000 of Division 3 of theBusiness 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)). . ....WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penaltyofpenury one ofthe following declarations:• 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. I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance5.rier and policyEi number are: Insurance Co.I r vxrpr-Nce.Ct•-o 'Pr--kA(\e.We StPolicy No.II)12).2--1-I 'q 1 0 Expiration Date I •I • Thu section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption:I certify that in the performance of the work for which this permit is issued,`hall not employ any person in any manner so as to become subject to the Workers' Compensation 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 a .provided for in Section 3706 of the Labor code, interest and attorney's fees. AK CONTRACTOR SIGNATURE 49.A.Ap #a/en -i- .12itGENT DATE 5 -2-3 7 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:0 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). EDI,as owner of the property, ant 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). ElI 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.ElYes ON° 2.I (have /have not) signed an application for a building permit for the proposed work. 3.I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / 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 / address I phone I contractors' license number): 5.I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone I type of work): .ePROPERTY OWNER SIGNATURE DAGENT DATE J miamimas COMPLETE THIS SECTION FOR NON -RESIDENTIAL. BUILDING PERMITS ONLY 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 thePresley-Tanner Hazardous Substance Account Act?CI Yes CI No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes 0 NoIs the facility to be constructed within 1,000 feet of the outer boundary of a school site?0 Yes 0 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 OFEMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION Icertify thatI have read the application and state that the aboveintonabon is conect and thatthe intonation on the plans is accurate Iagreeto comply with allatyordnances and State laws relatingto buiklingconsfruction. Ihereby authorize representativeofthe CityofCarlsbad to enter upon heabove mentioned property for inspection purposes.IALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBADAGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.OSHA An OSHA permit is inquired for excavations over 5'0' deep and demolition or construction ofstructures over 3 storiesin height. EXPIRATION: Every permit issued by the Building Of under the provisionsofthis Code shall expire by Imitation and become nut and void if the building or work authorized by such permit is not commenced within180 days from the dateofsuch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced fora periodof180 days (Section 106.4.4 Uniform Building Code). ,leAPPLICANT'SSIGNATURE DATE $/2.7 /7 • PERMIT INSPECTION HISTORY REPORT (CBR2017-1198) Permit Type:BLDG-Residential Application Date:06/05/2017 Owner:TUZO JERGER Work Class:P/M/E Issue Date:Subdivision:CARLSBAD TCT#84-32A UNIT#01 COBBLESTONE SEA VILLAGE Status:Closed -Fineled Expiration Date:12/20/2017 Address:1405 Topaz Way Carlsbad, CA 92011-1250 IVR Number:4135 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 06/23/2017 06/23/2017 BLDG-25 Water 027003-2017 Passed Jonathan West Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 027004-2017 Passed Jonathan West Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Plumbing Final Yes June 23, 2017 Page 1 of 1