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Home My WebLink About1812 BUTTERS RD; ; CB163109; Permit08-15-2016 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: CB163109 Building Inspection Request Line (760) 602-2725 1812 BUTTERS RD CBAD PME 1562703200 Lot#: 0 BERGSTROM: REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/15/2016 JMA 08/15/2016 08/15/2016 HANNA PLUMBING & SUPPLY INC WOLINSKI JOSEPH S&ERIN L 643 S SANTA FE AV VISTA CA 92083 760-726-2002 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: 1812 BUTTERS RD CARLSBAD CA 92008 $38.00 $0.00 $0.00 $60.00 $98.00 $98.00 Total Payments To Date: $98.00 Balance Due: FINAL APPRO'fAL Date: 'd · 3 f · f (,.? Clearance: $0.00 NOTICE Please take NOllCE that approval of your project indudes Ire "lrrpcsition'' of fees, dedications, reservations, or other exactions rereafter oollectively referred to as "fees/exactions." You have 00 days from the date this pemit 'NilS issued to protest i rrp:lSitim of trese fees! exactions. If you protest them, you ll1.ISl fdiONthe protest procedures set forth in C?overnrrent O:x:le Sectim 66020(a), and file tre protest and any other required inforrratim \Mth the Oty Manager for processing in aa:ordance \Mth Carlsbad M.Jnidpal O:x:le Sectim 3.32.030. Failure to tirrely fdiONthat procedure \Mil bar any subsequent legal action to attack, review, set aside, void, or annul treir irrpcsition. You are heretty FURTHER I\OllRED that your right to protest the spedtied fees/exactions CXJES Nor APPLY to\1\aler and seNer connectim fees and capacity dlanges, nor planning, zoning, grading or other sinilar application processing or service fees in connection \Mth this project. 1\KJR CXJES IT APPLY to any fees/exactions of W'lich have 'ousl ·vena NOllCE sirrilar to this or as to Wlich the statute of !irritations has eviousl otherWse 'red. OPLANNING 0ENGINEERING 0BUILDING OFIRE OHEALT'"H Cicy of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov PlanCheckNo. CBlb-3l0 Est. Value SWPPP JOBADD~ESs EXISTING VSE ADDRESS CITY PHONE EMAIL STATE ZIP FAX STATE LIC.# SUITE#/SPACE#/UNIT# FIRE SPRINKLERS YESONoO (Sec. 7031.5 Business and Professions Code: Any City or Courity 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 provisions ofthe Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of 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}}. 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. 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 workers' compensatio insurance earlier and policy number are: Insurance ~~Q\Q(._~. ( D • 0k"th-O. \ JJi2{.fPolicy No.\)\1 r.p ::cP:!V? 'i '5DO Expiration Date ___j,"-+--\-'1--L---'---- This section need not be completed ff the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certffy 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 Calffomia. WARNING: Failure to secure workers' compensation unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as of the Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense 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 Ucense 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 D D 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 Ucense 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 Ucense 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. DYes 0No 2. I (have I 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 I phone I 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 I address I phone I contractors' license number): 5. I will provide some of the woik, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 25 PROPERTY OWNER SIGNATURE 0AGENT DATE I certifythat I ~e read the application and stltethatlheabove information isoorrectand that the information on the plans is accurate. I agree to comply with all Cfl;yordinancesand State laws relating to building construction. I hereby authOitte representative of the City 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 p..LLUABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS P.ERMIT. OSHA: An OS~A permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: ~very permit issued by the Building Official under the Code shall expire by limitation and become null and void if the building or IMlrk authorized by such permit is not commenced within 180 days from ~e date of such permit or if the building oriMlrk suspended or abandoned at any time after the IMlrk is commenced for a period of 180 days (Section 1 OS .4.4 Uniform Building Code). ,/iS APPL-IC/;NT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. -Cl: R T If I CA-T E OF OCCUPANCY !Commercial Projects on 1 y 1 - Fax (760) 602-8560, Email building@carlsbadca.gov or Mail !he completed fonm to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ·.·. ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA .... · PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS I> PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) --MAIL TO: ... CONTACT (Listed above) OCCUPANT (Listed above) .ASSOCIATED CB# CONTRACTOR (On Pg. 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION _RS APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB1631 09 Type: PME Date ___ Inspection Item-----·-·--·. 08/31/2016 25 Water HeaterNents 08/31/2016 25 Water HeaterNents 08/31/2016 29 Final Plumbing 08/30/2016 25 Water HeaterNents 08/30/2016 25 Water HeaterNents 08/30/2016 29 Final Plumbing 08/22/2016 25 Water HeaterNents 08/22/2016 25 Water HeaterNents 08/22/2016 29 Final Plumbing Thursday, September 01, 2016 Inspector Act Rl PD AP PD AP Rl PD CA Rl Rl PD CA Rl BERGSTROM: REPLACE WTR HTR Comments Page 1 of 1