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HomeMy WebLinkAbout1534 MARITIME DR; ; CB112639; Permit-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-15-2011 Permit No: CB112639 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1534 MARITIME DR CBAD PME Status: Parcel No: 2150723800 Lot#: 0 Applied: Reference #: PC#: Project Title: MAHFOUZ RES-REPLACE WTR HTR Applicant: MY PLUMBER STE 603 5490 COMPLEX ST 92123 760 729-4326 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: MAHFOUZ JOANN 1534 MARITIME DR CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 12/15/2011 LSM 12/15/2011 12/15/2011 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL A(PROVAL Date: 6(. 0 l{ l-z. 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 tflem, you must follow the protest procedures set torth in Government Code Section 66020(a), and tile the protest and any other required information with the City Manager for processlng in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wilt 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 whi ·«1~ Building Permit Application Plan Check No. ~ I\ ~ o'2r 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 1 '2-li S' I II ISWPP JOB ADDRESS I Ci1U Hlf/2/TIM.£ bR SUITE#/SPACE#/UNIT# IAPN --- CT/PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCR:;-;; OF WORK: Include Square Feet of Afrected Area(s) rR-f:.?U+-Cffl r;,./JT PROPOSED USE EXIST'/l...USE f=--Stl'>IWTtlt-L I GARAGE (SF) PATIOS (Sf) I DECKS {SF) I FIREPLACE YES □#_ NO □ I AIR CONDITIONING I FIRE SPRINKLERS YES □ NO □ YES □ NO □ APPLICANT NAME (Primary Contact> H y pc,U H_ ', &2. APPLICANT NAME (Secondary Contact) A7"!5 s tlr. 'y ADDRESS & ~/cf; '& er CITY{.,,' I') STACA--ZIPC/2..U I CITY STATE ZIP ···-.:... 17 & 5 l 1-~ e;; l'$17fLt ~& 27 i o PHONE IFAX rJ t:r ""'"'" EMAIL PROPERTY OWNER NAME K 14-H r-@v z 1 tJ 11-Af H CONTRACTOR BUS. NAME f{ y f>L-t/1( '1 G,/2_ AD[ee;? 4 d'-{ R-12JT r I/ e be_ crs~ (J ' Cd;t(V~Y CT CITY STATE CA-Zl'fc. () II Cl~ d) . STATE CA--ZIP q '2,,l { I Ct4-/ll C, 8 ~I) PTo(J-L,?I 71 2-v I FAX ~ 0t;f L;d lj 21-" o l'~S-6° 41& Z,7'i:{'O EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS \ STATE LIC. # ST1i' 9 /, ? /2 1CL°1: 1rr1t·~,,,. e? (Sec. 7031.5 Business and Professions Code: Any Crty 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 per_mIt 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 the B_usIness 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 a civil penalty of not more than five hundred dollars {$500)). WOIU(EIU' C::UMPl!IUATION WorktrS' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: □ _J..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 tl1is permit is issued. 19'1 have and will maintain wo~c~m9tn9_ltlon, as required by Sec~on 3700 of the Labor Code, for the 'performae, oms V9fkfrtltthi~rrjil !~~-My wor~e~' compens,~n ~52'.'i, ~rrie~ a~licy number are: Insurance Co. vt-LfJ fL-,C, Policy No. _..:_~'Z_c....:(J)"--.-'----''------=:_ __ Y__e__::__:c_ Expiration Date ~(;1__..,_ _____ ~{ __ _ This section need not be completed if the permit is for one red dollars ($100) or less. □ Certificate of Exemption: I certify that in the o n of the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure WO rs' C verage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam a 3706 of the Labor c:ode, interest and attorney's fees. _,6$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ 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). □ 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 w~h 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 □ Yes □ 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 nc1T1e address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the folklwing person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license number): 5. I will provide some of the wor\l, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of wor\l): _,6$ PROPERTY OWNER SIGNATURE CIAGENT DATE 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 the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pennit from the air poMon control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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. I certify that I have read the appllcatlon and state that the above lnfonnation Is correct and that the infonnation on the plans is accurate. I agree to comply \Wth all City ordinances and State law.i relating to building construc11on. I hereby authorize representative of the City of Carlsbad b the alxwe mentOned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 0::-CARLSBAD AGAINST ALL LIABILITIES, JUCX,MENTS, COSTS AN S WHICH MAY IN ANY WAY ACCRUE AG.AJNST SAID CITY IN C~SEQUENCE CHHE GRANTING OF THIS PERMIT. OSHA: kl OSHA pennrt is required br excavations over 'O' de ition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building I u r p s flhis Cooe shall expire by imitation and become nul and vod ~the buitting orv.ork authorized by such perm rt is not rommenood 'Mthin 180 days from the date of such permit or if the buildi or rk tho · by ch rt is suspended or abancbned at anytime after the v.ork is rommenced for a pel'OO of 180 days (Section 100.4.4 Uniform Building c:ode) ,,,1$ APPLICANT'S SIGNATURE DATE /1,_..JCj-If 4\ ~ City of Carlsbad Bldg Inspection Request For 05/31/2012 Permit# CB112639 Title: MAHFOUZ RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: 1534 MARITIME DR Suite: Location: APPLICANT MY PLUMBER Owner: MAHFOUZ JOANN Remarks: Total Time: CD Description Lot: 0 Act Comments Inspector Assignment: Phone: 7604317326 Inspector: _ _.('4C, __ _ Requested By: JOANNE MAHFAUZ Entered By: CHRISTINE 25 Water HeaterNents ~ l;;,)4S'l1"4"1 1 e-Ar:tt,c:.\ ~ 29 Final Plumbing _fl_ _____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments