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Home My WebLink About149 MAPLE AVE; MULTI-PERMIT FILE; CB001870; PermitCity of Carlsbad ✓~~~Y. 05/10/2000 Plumbing Permit Permit No:CB001870 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 149 MAPLE AV CBAD PLUM Lot#: 0 Construction Type: NEW HOLT RESIDENCE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/10/2000 MOP 05/10/2000 05/10/2000 WATER HEATER REPLACEMENT 6832 05/10/00 0001 01 Applicant: WADELL PLUMBING 1931 RECHE RD FALLBROOK CA 92028 760-728-2911 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: $ FINALtPPR DVAL Date: (,-, O~I 00 I t '/ + Clearance: $0.00 $0.00 $27.00 C-PRMT $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" o/ fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to Hmely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 FOR OFFICE USE ONLY PERMff Ar?P.LICATION PLAN CHECK NO. ($)C) ... \_~°1,0 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Un Proposed Use # of Bedrooms II of Bathrooms .. .. ...... Name Address City State/Zip Telephone II Fax # ~;1~re'(IJ;'X~~Jriew . ~-MP k/19 ~~f 5 r,¥~~~.;.~?tt' ~, :2?// City Name $'~0'0~.0~~,)ffi. (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licenHd pursuant to the provisions of the Contract~•·• License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and t he basis for the alleged exe~tion. Any violation of Section 7031 .5 by eny applicant for a permit ~ubjects the applicant to a civil penalty of not more than five hundred dollars I$ 500(). i...J. IPIIP.t>&"i-t.. /-'t.UM8/.V6 19~/ /(t£!.He"l<:d ~u,9,e..ce,k. ~A 9..tDZS ~/) ~e ~9/J Name State License # ....:.3........:..'.'_2_/_f;......./ __ _ Address City State/Zip Telephone # City Business License# / ~ 0.2 /9$ License Class _C_--'-~-"'---- Designer Name State License # Address City State/Zip ~Ofl~~l'~O • •. · ... ~~,l?fJl?l~~P"".::: ': ... ·,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declerations: Telephone ~:--.. · O 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. B · 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tha performance of the work for which this permit 1s issued. My worker's compensation l~rance carrier and policy number are: ! / Insurance Company ...5 7"1'1:: re::-PUA/ 0 Policy No. 05 5 A.:l. 69 Expiration Date t::><~< _{) I (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE fiUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ia issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. · WARNING: Failure to Hcure work•,.• compenHtlon coverage It unlawful, and ,hall aubject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollara ($100,00 , I addlt n to the coat of compena■tl damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. 7,~10. ··. -. 8 o ·. ~ ,;-~ , .~ -~s;;J;;S,~/~~~-;~;,~~/:f;: · "'.~ ·': . I hereby affirm that I am exempt from the 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). 0 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 contractortsl licensed pursuant to the Contractor's License Law). 0 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. 0 YES 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 (firm) to provide the proposed construction (include name / address / phone number / 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 / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following per■ona to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ DATE _________ _ 'coMPlET,£,~1s,ti:~1ffl.~llWaN_.N$ib.ttm.,l-Qlt)!!lao1'Pt!l«~~~~~~"fflli"~tk!r,::':tr:::s·:·1·-::::;:; ,;;."•'' •'" ;. ·., •. Is the applicant er future building occupant required to submit ■ busineas plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district I O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ::s~~o'tr~u·c;i:15,.;asQJij'G~ER¢J ·-· " · ·_ .. .. ii.' -~~.;;,iiH?"~w~it:1l~:i';4:~,::.. :;,.::.. • • I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ls issued (Sec. 3097(i) Civil Code). LENDER'S NAME /$~i J(~tlic"Af(ti ceifflaCA"'(IO~ " LENDER'S ADDRESS _______________________ _ I certify that I have read the application and state that the above Information Is correct and that the Information on the plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit is~ued by the Building Offi~ial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit 1s not commenced w1th1n 365 days from the date of such permit or If the building or w ork authorized by such permit 15 suspended or abandoned at any time after the wor . co ed f~ perl?jof ~ days~•~ 106.4.4 Uniform BuildinDgACToEde). 0 ,C-, ,.,r,_,,'"'\ APPLICANT"S SIGNATURE -7"':::...._,,L'~~-_..,..::.i.~..:~::c:...-...:....-=..=..,::=--=----------./ ~(TL/ WHITE: File YELLOW. Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 6/1/2000 Permit# CB001870 Title: HOLT RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: Suite: Location: 149 MAPLE AV Lot APPLICANT WADELL PLUMBING Owner: Remarks: Total Time: 0 CD Description 25 Water HeaterNents 'Jf._ Comments Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: TL --- Phone: 7606320461 ~ Inspector: ( L- Requested By: CLARE Entered By: ROBIN 5/17/2000 25 Water HeaterNents CO TL SEE NOTICE ATTACHED LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION =-1 hereby affirm that I am exempt from the Con- tractor"s License Law for the following reason {Sec. 7031.5 Business and Professions Code), Any city or county which reQuires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L' I, as owner of the property, or my employees with wages as their sole compensation, will do the'Nork, and the structure is not intended or of- fered for sale {Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does no• apply to an owner of property who builds or -,roves thereon and who does such work h~self or through his own employees, provided that such improvements are not intended or of- fered for sale. JI, however, the building or improve- ment 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). ':.I, as owner of the property, am exclusively con- tracting with licensed contractors ta construct the project (Sec. 7044, Business and Professions Cade: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor{s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ , B. & P.C. tor this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-msure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO _____________ _ COMPANY ____________ _ Mcopy is filed with the city ~Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION !NSURANCE (This section need not be completed ii the per- mit is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject ta the Workers' Compensation Laws of California NOTICE TO APPLICANT: 11, after making this Cer- tificate of Exemption,you·shauld become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work tor which this permit is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. JOB ADDRESS AV.ST, IDATE OF APPLICATION I ' ' 'J.;J,q, I I I ,J.I, il. p, L' £, I ,5,r: I I I I I I I I I I ',' OWNER OWNER'S PHONE PRIME CONTRACTOR Ho~T F.l?E/J Rex~ /-~U,M/?JA/6 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS /ti.Ci /Va.nle_ sr .-?"c/ $TA-TE co, BLOCK .I I S~BOIVISIO_N I ASSESSOR'S PARCEL NO, DESIGNER ' ' ' ' ' ' ' ' ' ' ' DESCRIPTION OF WORK •o ,.,,.,,~.rc= /.,. ,= /L j "E,L7 TA/$ r,,4~ ,:_ DESIGNER'S ADDRESS -, CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE 80-115"'"' di./S°7G•7 CONTRACTOR'S PHONE 7,_ ">c,_ ,,2,:S-.s- STA'i"E LICENSE DESIGNER'S PHONE I RES. UNITS I PAR;NG SPAC!J3f I NUMBER OF STORIES Not Valid Unless Machine CNtifi«J BLDG SQ, FT. BLOG USE occ. GP I STANDARD PLAN# IPLANJO# I TYPE CONST l occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU I EACH WATER HEATER AND/OR VENT ,, . e" BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ~ 3.00 Issue 3 .. 00 SIGN PERMIT 'TOTAL PLUMBING 5°.0( TOTAL MECHANICAL PLAN CHECK CONTRACTOR CONTRACTOR ALL !NCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT FENCE OVER 6' TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) STRONG MOTION: T.-..-.,1 -2--nn TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS AEQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0"" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFtED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 'Q,"l,NT tf N'»""<E • a , / -OWNER □ CONTRACTOR~ 'APPROVED BY ',-"'.',--~·, r-:----/ . -</ ·-~-.~ ... ,,.,,;:.-AGENT 0 BY PHONE 0 "J.,,,_,c~'··,,. !'-_. ; I I I I I I I I I I I I I ;7Q )'J • I I I I I I I I I I I _,.,.... I Ii > V I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1.rr-.:: • ~ ~ > 5 e= u w a. V, ~ DATE Jo .r:?------'l,,r SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET SACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL , ROUGH PLUMBING , ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE.TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN I I ,1 • I FINAL INSP BY BLDG DEPT lb.I r{\ 11/YV OTHER DEPT'S REQ COMPLETED I ,. '/V : fa .. EC METER-PERM-TEMP GASMETER-PERM-TEMF I CERT OF OCCUPANCY IS3UED