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Home My WebLink About1555 MARITIME DR; ; CB122178; Permit... 10-23-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122178 Building Inspection Request Line (760) 602-2725 1555 MARITIME DR CBAD PME 2150711300 Lot#: 0 WILSON REPLACE WTR. HTR. Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/23/2012 JMA 10/23/2012 1012312012 AFFORDABLE WATER HEATERS AND PLUMBING INC WILSON ROBERT W&MARY JO 24663 RAILROAD AV 1555 MARITIME DR SANTA CLARITA CA 91321 CARLSBAD CA 92011 661-259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: $95.00 Total Payments To Date: $31.00 $0.00 $0.00 $64.00 $95.00 $95.00 Balance Due: 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 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 service fees in connection with this project. NOR DOES IT APPLY to any f 'n f hi h h v v I Tl i i1 r whi h h fli . 4-·«1~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.ggv SUITE#/SPACE#/UNJT# Plan Check No. 2·'2-1 Est. Value Plan Ck. Depo It Date /'()( 'Zb (D APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES □ NOD YES □ NO □ CONTACT NAME (" Different Fom Applicant) APPLICANT NAM~ ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS Dr. '2.: ZIP CITY y;, ( If~-.:,._ PHONE b~..Qf~~=-.w..5~=cL _______ ---J.g-.....-c--~-~o8'"'~-'--'-'-=-'--'~.1_-==-----1 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # CITY BUS. UC.# 1~17~"11 (Se<:. 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 licensed pursuant to the proviS1ons of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby aHirm under penalty of perjuty one of/he following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of Iha WM fo(which lhis permit is issued. ~ have and will maintain workers' compensation. as reQuired by Section 3700 of the Labor Code, for lhe performance of the wor:k for which this aermit is Issued. My worke,s' compensation insurance ca_nier and policy numberare:lnsuranceCo. l-ns-(,q. of Th£. we~:r PolicyNo. W!J,As:oao;o3oO Expiration Date f -, .. I g This seclion need not be completed if the permit Is for one hundred dollars {$100) or less. D Certificate of ExempUon: I certify that In the perfomiance of the work for which this permit is issued, I shall no! employ any person in any manner so as lo become sub}ecl to the Workers' Compensation Laws of Galifornia. WARNING: Failure to secure workers' compensation coverage Is unlawfut and shall subject an employer 10 criminal penalUes and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, d or I lion of the e, I nd attorney's fees. AS CONTRACTOR SIGNATURE ii!AGENT I hereby affirm that I am exempt from Contractor's LJcense Law for the following reason: 0 I, as owner of lhe property-or-my-employees wilh wages-as-their-sole compensation, will do the work and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided Iha! such improve!Tlflnts are not intended or offered for sale. If, hcmever, the building or improvement is sold within one year of completion, the owner-builder will have lhe burden of proving that he did not build or improve for lhe purpose of sale). □ I, as owner of Iha property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cootractor'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). □ I am exempt under Section, ____ _ousiness and Professions Code for this reason: 1. I personally plan lo provide the major labor and malerials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an appllcatlon for a building permit for the proposed work. 3. I have conlracted with the following person (firm) to provide the proposed construction (include name address/ phone/ conlraclors' license number): 4. I plan to provide portions of the work, but I have hired the following person lo coordinate. supervise and provide the major work (include name f address I phone I contractors' license number): 5. I will provide some of the work, but I have conlracled (hired) the following persons to provide lhe work indicated (include name/ address/ phone I type of work): .fl! PROPERTY OWNER SlGNAT\JRE l!!fAGENT DATE ' COMPLETE THIS SECTION FOR NON•RESIDENTIAL 8UILDING PERMITS ONLY Is the SPPlicanl or fuhJre building occupant required to submit a business plan, acutely hazardous materials registration fomi or risk management end pravenllon program under Seciions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acrl □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes □ No Is the facility to be constructed within 1,000 feet 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 SERVK:ES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there IS a construction lendn19 agency for the performance of the work this perrmt is rssued (Sec 3097 (1) C1V1I Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haw read the application and state that the above infonnatlon is comict and that the information on the plans Is accurate. I agree to complywltfl all City oldlnances and State laws relating to building construcl:lon. I he,eby aut-oriza representaliw o/ lhe City of Carlsbad t, eolerufX)ll lhe above menooned property for i1specoon l'JIPOSOS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cm' OF CAAI.SBAD AGAINST ALL LV\BLrTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN IW(WAY ACCRUE AGPJNST SAID Cm' IN CONSEQUENCE OF THE GRANTING Of THIS PERMrT. OSHA: An OSK,\ permit is ,equired br excavations over 5'0' deep and demolioon er construction of structures over 3 stories ii height. EXPIAA TION: Eve,y pennit issued by the Building Ofl'dal under the provisklns of this Code shall expie by linitalhn and become nuH aoo 1,00 if lhe buidi,g er WOfk authorized by such pennil is not ronrnenced Mhil 180 da)1: tun lhe date of sudl penrita iflhe buidi,g_ er work authorized by sudl permB: is suspended or abandoned at anytime after the WOik is commenced bra peood of 180 days (Secocn 106.4.4 l.nmll Buiidi'lg Code). ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB122178 Type: PME Date Inspection Item _____ _ 11/16/2012 25 Water HeaterNents 11/16/2012 25 Water HeaterNents 11/16/2012 29 Final Plumbing Monday, November 19, 2012 Inspector Act RI MC AP MC Fl WILSON: REPLACE WTR. HTR. Comments 10-12 PLS EXISTING LOCATION Page 1 of 1