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Home My WebLink About1530 JEANNE PL; MULIT-PERMIT FILE; CB063512; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-14-2006 Plumbing Permit Permit No: CB063512 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1530 JEANNE PL CBAD PLUM 2071302100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: Project Title: VIGIL RES REPLACE WTR HTR Applicant: FAST WATER HEATER COMPANY 12601132ND AV NE KIRKLAND WA 98034 425 814 3124 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: VIGIL JULIO T 1530 JEANNE PL CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 12/14/2006 KG 12/14/2006 12/14/2006 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector:~ FINAL AP~~VAL Date: /.2 "/ o.-1 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 . n f whi h I I h' h' h h f limi h v1 I h i fr-OIII: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1530 JEANNE PL Addrull (Include Bldg/Suffe •I Lot No. SUbdMllon Name/N1111ber Eldllslg UH Oasa1ptlon at Woi1t SQ.FT. Remove/Replace Gas Water Heater •otS1D11e1 NIKTie Addrwa Cly Slllta(Zlp Unit No. 12/14/2006 12:52 1668 P.002/005 ;:Nv~~~~: ~;ztMt,357 pl EST. VAL.---....,&------- Plan Ck. Deposlt~N-------- Valldatad BY--,r......-t......,.----~---+ Date -----"-+'-""----"--'.____......:=. PhateNo. Total # Of un1b1 • at ee«ooma # Of Bllhrooms Telephone# Fu# ~ELER COMPA~Y ~~6~ '!21'1!'1 ~m'KLAN!'wA sao= Name Acldlme City SW6IIZlp Tlllphonat m~,,1_~53 d!lfJ~SBAD,--CA 92008 VJGtLJULIO Name Cly Telaphone# ma,,2!-affl (Sec. 703Ui Bllllneas 1111d Prolllsllo119 COcle; Any City or County wlllah ~ I permit 10 contlruat, llllw, lmpove, demolllh OI' repair any llrUclllre, prior IO Its luullnCO. lllo 19quires the ilpplcanl for IUCl1 permit lo .. a algned lllllllment 1hat hi ls lcenNd purlUIIII ID 1111 pnmliona ct 11w Conlflclol'a Ueensa law [Chapler 9, commending wllh Secaon 7000 Of DMllon 3 of._ Bum-aid Profllllonl Codi! or 1hlt he le uampt lhel9from, llld lhe bale for 1he dlglld -pdon. Any violidlon r,1 Sldlon 7031 .5 by any applcant for• permit lllbjlc1I the applclnt to• civil panally of not more tllllt flYI hund1911 ctihrl [S500)). FAST WATER HEATER COMPANY 12601 132ND AVE NE 'KIRKLAND, WA 98034 425 814-3124 Name Addrela City StatelZlp T elaphone # State Licenee, 877 489 Ucenae Cius C36 City Buel,_ Lk:en■e ,_1_2_2_23_0_2 ____ _ Designer Name City Sllrta/Zlp Telephone I Stalll llcenlle # ______ _ Woncerw' Compenullon Oeclerallon: I hereby affirm under penalty or pelfuiy one at Ill fllllowlng declaraUons: C . I lww and wll maintain a cenlllcala of-,it IO all-lnaln for wolbrs' c:om~ aa ~ by Sedlol1 3700 of the Labor Code, for._ pe,formance of lhe wortc for which thll permit ls Issued. II( I hlva and wlU malnlllln v,orlce1'1 compensation, • reqtA/ed by Seodon 3700 of Iha ,.bor Code, for th• performance Of the work for whlcn 11111 permit 11 Issued. My wo11c.-, compenn41on 1nan,-cant. aid pollcy number are: 1nsuranceeompeny California State Fund Polc:yNo 1761660 E>1p1ra11on0e111._1_2/_1_/0_7 ____ _ (THIS SECTIOH NEED NOT BE COMPLeTl!D I' TH■ PeftMIT 18 P'0A ONI HUNOftlD DOLLARS l$1NJ OR U!88) Cl CERTll'ICATE OF IXBIP110N: I omffy 1hat In the pemnnm101 d the worlt for whloh Na permit Is r.u.d, I 1111111 not lrnpicly any person In 11nY manner 80 • ID becom1 IUbfeol lo lhe Workara' COmpe,wallon l.N9 Of Cellfomla. WARNING: Fallin ID • ....,.. worbnl' compe,.1111c,n cove,age le unlawful, -,d ahlll aubjec:t ., employw to criminal penalllu and clVII flnN up ta one hundnui thousand dollan(f100.0IO),ln~lolM.~t~~•-~ ..... -pn,vtdedforln8eetlonfflCloftheLllborCocle,lnfaretltand~r-SIGNATURf. . ~~~-.. DATE._;.=..1;...;4c..c/06;;.;;;... ___ _ I heNt,yllfflrrn 1hat I am -mptfrom the Connc:tol'• u-Lawforthefolawlng reuon: 0 I, • owner of the prol)erlY or my emp~ with WIG• M their aote compenatlan, wit d Iha work and Ille struclllre Is not lrQnd9d or olfwld fDr 111111 (Sac. 7044, BulllnaN and Prof9alons Code: The Conlraclor's Uc-Law doN not apply IO an owner or prgperty who bUlldl or lmp,uwa ~. end wno doee ,uc11 work 111maeir or lhrough his own empicyMe, pravldld lllllt auch Improvements -not lnlerldad or o1'nd fDr sale. It, "-<, the bulldlng or lmprowmant le aolc! within one ~ of compleUon, the owner-bl.eder WUI have the burden of proving thllt he did not build or lmprtMI for Ile pwpoee of aale). a I, --of lhe property, am ~lwly conlractfng v.1111 llcenaed conncforl IO conl1ruct 1he proJeot (Seo. 7044, Bumeu and Prole9elonl Coda; Thll Conlrador'• Llc:enN Law <ION not eppty to an owner ot pn,pertr who builds or lmprowa lleNon, Ind oonncts for MICh projlCtS wlll c:onncu{s) llolnMd pu19uant ID thll Contrac;lo(a Lloen11 Law). c I am eumptl.lldel' Seclon ______ eual-and Pror-lone Codeforthlereuon: 1. I Pffl011111ly plan ID provide 1111 major labor and matlrlals for conatrucllon of 1119 p,opoeed property lmproyemenL C YES □ NO 2. I (l1awlhav9 not) llgned., lll>Pficellon fore bulldlng permltfor1he propoeech.orlc. a. I have OOl'llrlolld v.1th the folbwlng ~ (llrm) IO provide the propoeed conllructlon (lnalude rwne /add,_/ phone number/ contrac:IDrs Ileen• runbar): 4. I plan lo pl'DVfda portions of thll WOl1(. but I have hired the following penon IO coordinate, 1uper;ile and provide the m•Jor work (lndudl natna / lddTeu / phone numb.-/ lbnlrae10rlk1RN runbel); _____ . ______________________________ _ 5. I WII provtdll IClffle of Ille wor!(, but I MW comllCllld (ltnd) 1h11 tilowlng 1)9110nl1 lo proYlde II-. WOik lndlelllld Qncludl nama / adtteaa / phone ninar I t)<pe of worll): PROPERTYOWNERSIGNATURE _______________________ DATlt _________ _ From: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 12/14/2006 12:54 1668 P.003/005 '. •~. • I : • ' • • \ ' I •) ' ~ ' • : . • ' ' •~ la 1he appllc:ant or= buldlng ~111t 19qUnd 1o Nlll'tlt a bu"""' plln, aclltllY hamdo\19 ..,,_,.. ~n fOr or r1lk managamllllt and pr9'IMllon program llldlr Secllorw 25CKJ6, 2!1033 or~oflhe P1'911~Tenner ~ Subltance AcoountAct? C YES C NO la the appbwlt or Mure bulldlng oor;upant ,aqund ID obtain a permit ft'Om Iha air polullon control dlalrict or u quallly management dllbtct? C YES C NO llthafadlly1Dbecons1Ncladwllhln1,000fntoflheouterboundllyof■1chool.._? Cl YES C NO IF ANY OF THE ANSWERS ARI YI!&, A l"INAL CBRTIPICAR Ofl' OCCUPANCY MAY NOT Bl! 1HU1!D UNLB88 Tlll APPUCANT HAS MET OR IS MEETING THI! REQUIU!Ml!NTS Ofl' THI! OPFICI! OF l!Ml!RGl!INCY IIIRYll:el AND THE AIR POLLUTION CONTftOL DIS'TRICT. I LENDER'S NAME _______________ _ LENOl!R'SADORESS ________________ _ \ 1 ' .,. ••• ,·, '. ' • • • • : • ·--,' • I certlfY 1he'I I have read lhe appH~on and llalt ll1M the above lnfarmllllon II correct and lhlll 1h11 lnrannalon on Ille plana la accundll. I 1(11'!18 ID compy ..tlh Ill City ordnancu and Slate laM relallng lo bulldlng ooneCruc&r,. I herel,v aulhortm N~ of Ila City of Cartsblld lo enlW upon the ailOYe menloned property for lnlpacllon IUJIONI. I ALSO 'AGREE TO SAYE, INOl!MNll'Y AND KffP HARIIU!81 THI! CfTY 01' CARL18AD AQAINST ALL LJABUTIES, JUOGl!MSITS, COSTS AND l!XPl!NSl!I WHICH MAY IN ANYWAY ACCRUI! AQAINST SAID CfTY IN CONIEQUl!NCI OF TM! CJRANTING OF THIS PERMIT. OSHA; All OSHA pennll II l'9Qllnd b'-.tlol• of 5'0" dNp and damolaon or C01111nJCt1on ol aructtn• 0\191' 3 SflortN In helghL IXPIRAnON: EW!Y permltlau«I by the tddlng Offlolal undlrlhe pruyfllonloft111 Code lhllllaxpnbylmtlldfon 111d bec:Om• nul and vddll'lla bulldlng or'MHl<autlortml by auch pennt Is notcommell(:8d~ 180 days from the dall of such parmltorlffle building or'Mlllcauthorad by such plllffllt fl suapended or abandoned at anytime aftllr ttUt work fl oommenced for■ period rtf 180 dliYI (s■cllon 108.4.4 Unlfonn BIMldlng Coda~ APPLICANT'SSIGNATVRE __ . .;;.~_.,::...:\:""'·;..,.:.,,..;~~""·:.~ ... :~.._·: .. ,..:;;:""<""'t ·,,.,:.'._~'.""'.·~;;..· .. ""'.';:..::·~~~""•t ... ,;:: ... ; ________ DATE___,._1_2/_1_4_/2_0_0_6 ______ _ City of Carlsbad Bldg Inspection Request For: 12/28/2006 Permit# CB063512 Title: VIGIL RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1530 JEANNE PL Lot OWNER VIGIL JULIO T Owner: VIGIL JULIO T Remarks: p m please Total Time: 0 Act Comment Inspector Assignment: ,., .. p,,. Inspector: Requested By: JULIO Entered By: CHRISTINE CD Description 25 Water HeaterNents Al!_ ______ _ --------·---~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-~-20'J6 Plumbing Permit Permit No: CB060211 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1530 JEANNE PL CBAD PLUM Status: Parcel No: 2071302100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: VIGIL RES REPLACE H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: VIGIL JULIO T&BETTY J 1530 JEANNE PL CARLSBAD CA 92008 ISSUED 01/25/2006 KG 01/26/2006 01/26/2006 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINA~ROVU Date: /,.-,c} Clearance: $0.00 NOTICE: Please lake 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 pennit 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 seivice fees in connection with this project NOR DOES IT APPLY to any i I \PERMIT APPLICA T~ON CITY 9F CARLSBAD BUILDING DEPARTMENT 1t>35 F-araday Ave., Carlsbad, CA 92008 FOR OFl=ICE USE ONLY PLAN CHECK NO. _____ _ EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date__,. ____________ _ Addross (include Bldg/Suite II) Business Name (at this address} Le;}; Description ,.... 0·7 -\;,0 --Z,\ -vu Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel 111 I n Exist~ Use l,J4 \-~ H -6-r-t,e,..-\~-e,f l-sc..e Y11t,---,'T Proposed Use l . Description of Work SQ. FT. #of Stories II of Bedrooms II of Bathrooms . ~--»~i~~,~~t{y1 State/Zip TeiaphQne II Fax II r Address City Lii1.!:t'Jc~iiim~tlt.&m1~ttr.12ta18"NWlfilllliE·""'~""':za""" """~ii!""-mmm~n-.imm~ · (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construe!, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement th~t \le Is licensed pursuant to the provlalons of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) or that ha Is exempt -therefrom, and the basis for the alleged ex p~lon. An violation of Section 7031.5 b 'JY')'....applicant for a permit subjects the applicant t~ civil penalty of not more than five hupdred dollars [$5001}. l -,,,,... C.. ..S/Ob ~ tlt!c . C"! ,u-t\ "'1'7 -3'10- Na e Address City · · State/Zip . Telephone # State License II --=---------License Class C.-1 b City Business License II 1 '2.. f O 3Jb Designer Name Address Ci,ty State/Zip Telephone State License II _________ _ ~~l)!WW-~Jirut~Y.~N~l~OC.~~~li/J.\-W:w1~~~itilm~~1 -, • , .~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to seif-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. fJ-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 worker's eompensation)Qsurance carrier and policy number are: . · / Insurance Company G~ f-J'1 d Polley.No. 0()\)-Z-;n? -2µ0(:, Expiration Date c...f -~'- !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) 0R'LESS) ' 0 CERTIFICATE OF E>CEMPTION: 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 to the Workers' Compensetlon Laws of California. WARNING: Failuro to secure workers' compensotlon coverage Is unlawful, and shall 1ubject an employer to criminal penaltiaa and civil fines up to one hundred thousand collars ($100, • dition to cost o orii'pensetion, damages aa provided for In Sectiim 3701! of the abor code, In rest and attorney's fees. . DATE :"L ;) -0 0 I, as owner of thi, property or my employees with wages as their sole compensation, will do the work and the structure ls not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contract!)r's License Law does not apply to an owner of property who builds or Improves thereon, and who does such worl< himself or through his own employees, provided that such Improvements are not Intended or·ottered 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 ha did not build or Improve for the purpose of sale}. O 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}. O 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 O NO 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 / addrau / 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 persons to provide the work indicated (Include name / address / phone number / type of work): ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the opplicant or future building occupant required to obtain ~ permit from tha air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of • school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICAT-E OF OCCUPANCY MAY NOT BE ISSUED UNLEs·s THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL .DISTRICT. . !if~@fimra~j:.mi[Ji~:mi!.[GJ~i;:1;&~~!~®i.'l~·", I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(i} Ci~il Code). LENDER'S NAME ________________ LENDER'S ADDRESS 1~~;r..il'.fA'iii!.Ctg"JA.1.im~fililliIFJm.1~t\1~•~1~mjill'~,_.,. ,. ~';!;'if,! "' -. 1 certify that·I have read the applicatlonIand state that the above Information is correct and that the Information on the plans Is accurate. I 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 ~LSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES :-"fHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for j•xcavatlons over 6'0" deep and demolition or construction of structures o_ver 3 stories In height. EXPIRATION: Every permll Issued by Iha 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 11h19 1§0 days from the dati,_of Sl:!Ch permit or If the building or work authorized by such permit (s suspended or abandoned al any time alter the work Is commence , r a p11rf1 « ~O ' (Seclion 166.4.4 Unilorm Building Code). APPLICANT'S SIGNATURE ,.-~ DATE YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request For: 02/01/2006 . . Permit# CB060211 Title: VIGIL RES REPLACE H20 HEATER Description: Type: PLUM Sub Type: Job Address: 1530 JEANNE PL Suite: Lot Location: APPLICANT A&J FOSTER, INC. Owner: VIGIL JULIO T Remarks: AM PLEASE Total Time: CD Description 0 Act Comment Inspector Assignment: Requested By: JULIO Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing ~------ -----. ---~ ---- -------------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments en z 0 ~ a: j ~ a e[ ~ ... z 8 C w 0 ... 5 I w z ~ z 0 .:: ~ z .., CL ~ 0 0 en ic .., ~ a: i ![ t::) I hereby afh..,:-"'ihat I am 11.,.n.....,.. pt0¥l1lon1 Of Chapter 9 (~nctng Section 7000) of Division 3 · ,f the Bua and Profaaalona Code, and~ full for~A?t'Jffi;. 1 lie No 7¥(1/fo2~ Class _,___,_ I hereby att,m, that I am exempt from 1 ~:'!;'t;:.-: !:: ~f=':"~"·.:~ ::on. Sec :y Of I county whtCh requires a permit to con11 alter. 1mproY1, demotish. or repair any st P,t()( to its issuance also requires the apphcan such permit to hie a signed statef1"tent that UcenMd pursuant 10 lhe prov1sk>ns ot the tractor's License Law (Chapter 9 commenc,n. Sechon 7000 ot Otv1st()f'l 3 of the Business and fessoons Code) o, that os uempt lhen!from , t>asos fo, lhe alleged UOffll)I-Any VIOia Sect-7031 5 by an lj)pllcanl fo, a pem,ot su tne appheant to a c1v11 penaJty ot not more t 1ure, Ito, • is ::on. with Pro-the n of acts foWJ hundred dOllars ($5001 a '· as owner of the p,openy, Of my em ,.1th wages as their soae compensation, w,1 won<, and the s1ructure ,snot Intended or oft sale (Sec 70M. Busoness and Proless,011· The Contrtctor's License Law does not app owner of ~Y who builds Of 1mpr0119s and wt>O does SUCII WOf1< llimsell Of tllrougll employees, prO¥K:ted that such 1mpn)¥ef'TM! not 1ntende1 or offered f0t sate II, howevet' building or improvement is sok:t within one complehon. the owner-builder wlll have the ot prcw,ng that he dtcf not build or improve purpose ol sale) 0 I, IS Owne< Of lhe propefly, am OXC eontrec:11119 with l.eensed contracto,s to coo ~~e:~ac~· L~es~:S~:OOdoe~~ to an owner of property who builds or 1m ~=i::, '7~c;'~~!~ ~:C~r:~~ License Law) 0 I am exempt under Sec ___ ,9 rees lhe !fOf ode oan eon own .,. the If Of 'Clen the Wily NCI ,ons pply , .... 1th a tor·s PC tor1h1s,enon __ ---- ~reby affirm that I have a cert1hc1te ol to self-insure, or I cert,t,cate of W Compensahon lnsyrance. or a cert,hed copy (Sec 3800. Label\ Code)'I & POucvNo wcwG ~ 70, COMPANY W~ '4 "1..( ~ Ja-'Copy IS hied with the CIIY 0 Certified copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURAN (This section need not be completed 1t the 1s fOf one hundred dollars ($100} Of les .ent •eot ~ i,,t fo, D I certify that ,n the pertormance ot the wont •h1ch this pemut ,s ,ssued. I shall not emp person 1n any m~ne, so as to become su any 110 the Workers· Compensatt0n Laws ot Cahto1 NOTICE TO APPLICANT If, alle< m».1n1 tll hcate ot EJCemption. you sl'\OUkl become sY lhe Workers· ComP&nsahon prov,s1ons ol the Code. you must tonhw,th comply wit p,ov,s,ons or this permit shall be deemed , O I hereby affirm that there ,s a cons lending agency tor the perlor~nce ot the which this permit 1s ,ssuec:, (Sec 3097, C1v1 en, II? -ucll 0d hon ''°' cle) Lenders Name ________ _ -- Lenoer·s AOdress _______ _ -- C -------v -i -CARLSBA D BUILDING DEPARTMENT APPLICATION & PERMIT -1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525 JOA AOOflESS &#c~ A~T-,OA.zy~~I ■us;il),,E # VALUATION PERMIT NUMBER /.$j(),-. ~eJIINJe g:;;,....., OWNEfl'S NAME l/4~;l. I ;,;l;..NE;:;;, l'R~CONTRAn ~ ~$5}Iii ZONE {A -S.T. ,.~ ~ ~ 0-ER'S MAILING AOOfl~ ~ e Z,_NTRA TOR'S A':°flE')~ s;,-UCEN8ENO. PLAN 1.0 . # BLOG USE CODE 394~.23 ,Yb-R--~ LOT BLOCK I IU■DIVlltON I ASSESSOR PARCEL NO DESIGNER STATE LICENSE • STANOARO PLAN# BUILDING SO. FOOTAGE OESCfllPTION OF WOflK ----DESIGNER'S ADORES& DESIGNER'S PHONE uJ~-,,. H&~~ r~~~ .. l"J~~-T 2/l8/fl2BSl67 10.01 -------, --·-F/P FLR ELEV. NO OCCGP EDU .,_ STORIES vO NO 3•4 ·~2 'PM -- CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlttss Machin~ C.rtifi«I QTY. PLUMBING PERMIT · ISSUE -~ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER , .... ( EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000·4221 t EACH WATER HEATER AND/OR VENT ~e:;-BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01 ·000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS -V BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222 In ,t7U EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·000-4223 EACH INSTAI, .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000·4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·000-4225 WATER SDFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-C)00-4226 TOTI.L MECHANICAL :, I HUNG MUTION 65·640-0519 -TO TAL PLUMBING I ,n .rJ~ FIRE SPRINKLERS 01-000-4??7 PUBLIC FACILITIES FEE 25·000-4933 QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS carlsbad 65·623·0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519 1 PH 3 PH PUMP San Dlegulto 65·625-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65·626-0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /tJ• tiD I HAVE CAREFUU Y EXAMINED THE 00MPL£TED u.Al'PLICATION ANO PERMIT'' ANO DO HEREBY Explrallon.e_,. .......... .,, ....... OfflclalunclartheprOWllloneollllle * AN 08HA PIRMff • IIEQUallD FOft ElCCAYATIONI OVER CERTIFY UNDER PENALTY OF P£lUUIIY THAT ALL INFORMATION HEREON INCLUDING THE Code lllall --II, llnllll■ft ad._.. null MCI wold. H the~ o, won 5" 0-OUP AND DIM0UTlON Oii OONSTRUCTION 01' autllcN1Dcl tit'~~-00111 ••d wlllln 1111--from IN ol lUCh DECLARATIONS ARI: TAUi! ANO CORRECT ANO I PURTH£R CERTIFY AND AGREE IF A PERMIT IS permil. OI II Ille 4:"~ aulllClfiled .,, -" pennil ii o, l'TIIIUCT\IIIIS 0V£A 3 STORIU IN HEIGHT ISIUEO: TO COMPLY WITH M.l CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· allandonee1a1--•-• , ..... ~,,,,.,....,. 8TAUCT10N WHETHER 1P1C1F1ED HEREIN OR NOT. I ALSO AGREE TO SAYE INDEMNIFY AND -r::;:,:z.Tlla • OWNER□ CONTAACT8'f0 APPROVED BY DATE 1CEEP HARMLEIS THE 0flY(jf tARUl8AD A8AIN8T AU. LIABILITIES, JUDGMENTS, COSTS AND EXPEN8ES WHICH ~ WAY ACCflUE AGAINST SAID CITY IN CONSEQUENCE OF THE .J ~✓-~ IIYPHONE 0 I ~-,~_g,_ GRANl'ING OF THIS , ' ---r-'- ~ u:: ~ "' 0 a. E Q) I- I "O 0 C, E "' ~ a. < I .:it:. C: a: 0 V, V, Q) V, V, < I 3 .Q Q) >- ui V, Q) 0 e a. "' <ii 0 ~ Q) 0 C: "' C: u:: C: Q) ~ C, 0 0 Q) a. V, C: ~ .c 3: BUILDING INSPECTION TYPE DATE INSPECTOR iA.-f,,C, FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL ----------------- GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI - EXTERIOR LATH lNSULATION PRESTRESSEO CONCRETE ---- INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING -- -,.. .. -. FIE!._0 WELDING SEWER AND B.ld!3Q • -. , • ------------------ HIGH STRENGTH PLUMBING UNDERGROUNGl BOLTS ~-------------- PLUMBING TOP OUT 1 SPECIAL MASONRY TUB AND SHOWER PAN ' ! : --- GAS TEST ', PILES CAISSONS ELECTRICAL I I TEMPORARY POWER ------ ELECTRIC UNDERGROUND \ -------I ROUGH ELECTRIC ' ELECTRIC SERVICE ! ' BONDING ' ,, ---- I G. F. I. -SMOKE DETECTOR MECHANICAL ------------ DUCT & PLEM., REF. PIPING ·------ HEAT -AIR COND. -SOLAR SYSTEMS -------- VENTILATING SYSTEMS . ' ~ \ .. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ---------- JOB SITE FINAL ,~." Y'l '\:::,,., i ~----~ • ' PLUMBING . ·, . ELECTRICAL . ' ,, . ' ·, ,,. .. ,, ... -~ . . ' . -.· -. MECHANICAL . ---------- GAS -' BUILDING . . ' . I::,_,. , .. . ' . ------------·· . ' ' ' SPECIAL CONDITIONS t ,_----- CERT OF OCCUP/1'"-:Y ISSUlcD • ~ 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 1s in full force and el• feet. OWNER-BUILDER DECLARATION C'I 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 t9 con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the appUcant for such permit to file a signed stale· 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). ['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 of· tared tor sale (Sec. 7044, Business and Profes- sions 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 of• fered for sale. If, 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). :::1, as owner ot the property, am exclusively con· tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law d'not ap· ply to an owner of property •ho b4' or im- proves thereon, and who contracts ~r ch pro· jects with a contractor(s) license pu u t to the. contractor's License Law). I am exempt under Sec._____ . & P.C for this reason __________ =--- Date Owe" ---ef;,_4;;.:-~ /( WORKERS' COMPENSATION DE~RATION I hereby alfirm that I have a certificate of con· sent to sell-insure, or a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ~~I;. "/V COMPANY i,,./!t '{ hJ "1.j {~ ~ . r I Cory is flied with the city. , ·~ ...:ertified copy is hereby lurnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if 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 to the Workers· Compensation Laws of California NOTICE TO APPUCANT; It, after making this Cer- tificate of Exemption, you should 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. CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 "'· JOB ADDRESS AV.ST. !DATE OF APPLICATION I B L. I ,o il..15,10, .iEAlillilE I I I I I I I I I I I I I I I I ,_,i, .R1 OWNER OWNER'S PHONE PRIME CONTRACTOR JULIO VIGIL BllBS PLUMBING SERVTl"'li' OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. SU~. LlCE~;y;: r~ PERMIT NUMBER , <'6\ / y~ STATE LICENSE ?Jc<;?Cl? CONTRACTOR'S PHONE u~ 1530 Jeanne Pl. • Car ls bad 2'i01 State st •. r.,,.,., ~,..ft,. " ... ,... "'"'\.C:.r' 't,· ,o, BLOCK I SUBDl\l\SION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICEr,::,E ' ' ' ' ' ' ' ' ' ' ' DESCRIPTION OF WORK -11 ntion of Gas Water Heat•~ DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LANO USE ZONING I RES. UNITS ! PARKING SPACE ! NUMBER OF STORIES Valid • BLOG SQ. FT. BLOG USE OCC, GP I STANDARD PLAN ti-IPLAN!D# ! TYPE CONST I acc. LOAD I OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU ~ EACH BUILDING SEWER OVER 100,000 BTU ... EACH WATER HEATER ANO/OR VENT 2 .00 BOILER/COMPRESSOR UPTO 3 HP - EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 DR MORE BOILER/COMPRESSOR 16·30 HP EACH INSTAL., ALTER, REPAIR WATER PtPE VENT FAN SINGLE DUCT 1,{a~J EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT J-~~1~ J . O<I ./~--•:5 -do SIGN PERMIT TOTAL PLUMBING :) vv TOTAL MECHANICAL PLAN CHECK CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT TOTAL PLUMBING QTY. ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. 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 .,.,_77,.......,.. ... ~ ., I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' (/ TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM OVER 200 AMPS - TEMP OCCUPANCY {30 DAYS) ./-#.A,u__... 2..,, q TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ;d_µ_ TJ-~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" OEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT \S ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,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 Cl TY tN CONSEQUENCE ---···--~~--. ..-A,P1!M..1CANT'S SIGNATURE" OWNER□ co~~-R~~:~~CR~AOVED BY ' ; , _, -~ ,1 ,? ;, -- ~ ' e C.rti ~ l I I I I I I I I I I I I I I I ' I •-V I 7 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 I I I I I I I ,_.-',A JL:'.-]....--- ,1/J,1 t/t/9, /1"' /0 'Tf£., I ~ C ~ B ;= u w Q. "' i -{~ SITE ADDRESS: OWNER: PERMIT NO: . FIELD INSPECTION RECORD INS DATE INSPECTOR INSPECTOR'S NOTES WOOD R , FOUN ION• FO ET~-ET UNO p~ NG' UN R ING • STAL LOO . . SLAB FLOOR ~ UNDER SLAB MBING FOOTING S • SET TOI OK T u ONCRETE .. ·. ;;;;. FRAME .iiil,-·-·,.,, ROUGH~ECTR AL , -ROUG.ING '-.,-;' ROUGH TING/VENTILATING FRAME PLACE INSULATION INSULA I OK • PLACE WALLBOARD WAL~ARD 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 FINAL INSP BY BLDG DEPT i OTHER DEPT•S REQ COMPLETED i ELEC METER-PERM-TEMP i GAS METER-PERM-TEMP I I ' ! CERT OF OCCUPANCY 1SSUED , ___