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Home My WebLink About1667 CEANOTHUS CT; ; CB120120; Permit01-19-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/MeGhanical/Electrical (PME) Permit Permit No: CBl20120 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 1667 CEANOTHUS CT CBAD PME 2157300506 Lot#: ORGAN RES- REPLCE WTR HTR Status: Applied: Entered By: Plan Approved: ISSUED 01/19/2012 LSM 01/19/2012 Issued: 01/19/2012 Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHOREDR 92530 1-800-727-0977 Ownen ORGAN DOUGLAS R&MARY A T 1667 CEANOTHUS CT CARLSBADCA 92011 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 BalanceDue: $0.00 Inspector: \L APPRi FINAL APPF Date: OVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes ttie "Imposition" of fees, dedications, reseivations, or ottier exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest infiposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in acconjance 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 impositkin. 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 piocessing or service fees in connectton with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to whieh th^ statute of limitations has previously othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov PlanCheckNo. (2^fa6lSC> Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS 1667 Ceanothus Ct. :#/UNrT# CT/PROJECT # L0T# PHASE* Thisfia # OF UNrrs |#BEDR00l«IS » BATHROOrvlS TENANT BUSINESS NArviE CONSTR. TVPE I OCC. GROUP DESCRIPTION OF WORK: fncfutf* Square Faat of Atfected Area(t) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES|~|*. N0| I AIR CONDiriONING YES I INQ I I FIRESPRINKLERS YES I |NO| I CONTACT NAME (H Different Fom Applleanf) APPLICANT NAIVIE Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY Menifee STATE Ca ZIP 92010 PHONE FAX PHONE 760-434-2565 FAX EMAIL EMAIL PROPERTY OWNER NAME Douglas Organ CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS 1667Ceanothus Ct. ADDRESS 30300 Puerto Vallarta CITY Carlsbad STATE Ca ZIP 92011 CITY Menifee STATE Ca ZIP 92584 PHONE 760-603-8738 FAX PHONE 951-345-4083 FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS 812894 C36 CITV BUS. UC.# l-zjj-l "-f 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 the applicantfor such permit to file a siened statement that he is licensed pursuant to the provisions of the Contractor's License LawlChapter 9, commending with Section 7000 of Division Sof the Business 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)). ^ p E N s A:m o \ H to Woriters' Compensation Declantion: f hereby affinn under penalty of peijury one of the foilowing dedentions: Bl have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, fbr the perfbnnance of the work for which this pemiit is issued. I have and will maintain workere' compeniatlon, as required by Sectbn 3700 of the Labor Code, for the perfonnance of the work for which this pennit is Issued. My workers' compensatkin insurance carrier and policy number are: insurance Co armK.snaim.Co. Policy fjj,, ^utm Expiratton Date Minima This section need not be completed If the pemiit Is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that In the perfonnance of the work for which this pemnit is issued, I shall not emptoy any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workere' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollare (&100,000), In addition to the cost of ""•"p'^'f"'"', rttfnmilH IH Brr^*^ for In S«tiQQ3706of the Labor code. Interest and attomey's fees. CONTRACTOR SIGNATURE " • AGENT DATE UILDER OeCL ARATION / heretiy affirm ftef / sm exempf from Confmdor's Ucense Law for the following reason: I I 1, as owner of the property or my emptoyees with wages as their sols compensatton, wili do the work and the stnicture is not intended or offered for sale (Sec. 7044, Business and Pnifessions Code: The Contractor's License Law does not appiy to an owner of property who buitos or improves thereon, and who does such work himself or thniugh his own emptoyees, provkled that such improvements are not intended or offered for sato. If, however, the building or improvement is soto within one year of completion, the owner-buikler will have the burden of proving that he dto not buito or Improve fbr the purpose of saie). I I I, as owner of the property, am exdushreiy contracting with licensed contractors to conslnxa the project (Sec. 7044, Business and Professtons Ctode: The Contracior's Ucense Law does not apply to an owner of property who buitos or improves thereon, and contracts for such projects with contractor(s) Itoensed pursuant to the Contractor's Ltoense Law). I I I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for constroction of the proposed property improvemenL QYes I INO 2.1 (have / have not) signed an appltoatton fbr a buiUing pemiit for the proposed work. 3.1 have contracted with the tollowing person (finn) to provide the proposed constnictton (include name address / phone / contractors' Itoense number): 4.1 plan to provtoe porttons of the work, but I have hired the following person to coonlinate, supervise and provtoe the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but 1 have contracted (hirod) the foliowing persons to provtoe the work Indicated (include name / address / phone / type of work): ^eTpROPERTY OWNER SIGNATURE QAGENT DATE COMPLETE THIS S EC TION F O R N O N > R E S I O E N T I A i. B U 11. O I W G f E R M IT S ONLY Is the appitoant or future buitoing occupant required to submit a business pj^n, acutely hazardous materials registratton fbmi or risk management and preventton program under Secttons 25505,25533 or 25534 of the Presley-Tanner Hazaidous Substance Account Acr? [j^Yes [__]NO Is the applicant or future buitoing occupant required to obtain a pemilt from the air pollutton controi district or air qualitv management district? LjYes Q No Is Ihe facility to be constructed within 1,000 feet of the outer boundary of a school site? I lYes QNO 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. ONSTRUCTION LENDING AGENCV I hereby affirm that there Is a constnjction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATIO N I certif that I have read tlie application and state that tlie above Infonnation Is conect and ttim the Infonnation 0^ I hereby authorize representative of the City of Cartsbad to enter upon the above menfoned property for inspectton 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 pennit is requiiBd for excavations over S'C deep and demolitton or constnictton of stnictures over 3 stories in height. EXPiRATiON: Every pennit issued by the Building Oflicial under the provistons of this Code shali expire by limitation and become null and void if the buiiding or wortt authorized by such pemiit is not commenced within 180 days from the date of such pennit or if the building or wortt authorized by such permit is suspended or abandoned at any time afler the worit is commenoed for a period of 180 days (Sectton 106.4.4 Unifomn Buiiding Code). T L ^eTAPPLICANT'S SIGNATURE City of Carlsbad BIdg Inspection Request For: 04/30/2012 Permit* CB120120 Title: ORGAN RES- REPLCE WTR HTR Description: Inspector Assignment: Type: PME Sub Type: Job Address: 1667 CEANOTHUS CT Suite: Lot: 0 Location: OWNER ORGAN DOUGLAS R&MARY A T Owner: ORGAN DOUGLAS R&MARY A T Remarks: a m please - Gate code is 8738 Total Time: Phone: 8585272031 Inspector: C^C Requested By: DOUG Entered By: CHRISTINE CD Description 25 Water HeaterA/ents Act Comments Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection Historv Date Description Act Insp Comments