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Home My WebLink About1836 Palisades Dr; ; CBR2016-0494; PermitPrint Date: 12/30/2016 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1836 Palisades Dr BLDG-Residential 2073811300 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: COUTS: REPtACE WATER HEATER LIKE FOR LIKE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Owner: TRUST COUTS RODNEY J&UNDA KM LIVING TRUST03-0S-11 1836 Palisades Dr CARLSBAD, CA 92008 Total Payments To Date: $98.00 Status: Applied: Issued: Finaled: Inspector: Contractor: ALL STAR WATER HEATERS 30300 Puerto Vallarta Way Menifee, CA 92584-9256 800-727-0977 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2016-0494 Issued -Active 12/30/2016 12/30/2016 $0.00 $98.00 -~ Plan Check No. c..~~'t.<) l(. -0'-<Y.'-\ . «,~\ Building Permit Application Est. Value ~ CITY 1635 Faraday Ave .• Carlsbad, CA 92008 0 f 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date,2-i-,,., /,1o lsWPPP JOB ADDRESS 1836 Palisades Dr. :.U .. ..,#/.,.,...,..,..#1.,,.1111 APN --- ..,,/PROJE,.,.,,. rvT# P--•• rUFv"''" 1•"'""nvvMS • l'"•-•11>U:SIN""'"'"''"''" ,-----.. -I----· DESCRIPTION OF nvRK: Include Squltff Ffft of ,u lllcted Aru(s) Replace existing water heater. Same size and location. EXISTING USE I PROPOSED USE I """""E (SF) PATIOS (SF) I DECKS (SF) FIR~..,...,E i I AIR CONDITIONING ! rlRE SPRINKLERS YES0, No[] vESONoO vesONoO CONTACf NAME (If DH'rer•nt Fom ApplJr;ant) APPLICANT NAME Sierra Sprague ADDRESS ADDRESS - 30300 Puerto Valla"~ -CllY STATE ZIP Cm' STATE ZIP Menifee CA 92584 PHONE IFAX PHONE I FA" 951-301-0067 EMAIL EMAIL PROPERTY OWNER NAME Rod Couts CONTRACTOR BUS. NAME ADDRESS ------___ ,,_ ADDRESS All Star Water Heaters Same ~~job 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad (:JI. 92008 Menifee (:JI. 92584 --PHONE IFAX PHONE I"" 760-500-8758 951-301-0067 ----EMAIL EMAIL t,JfcH70£S1GNERNAME & ADDRESS !STATE~ STATE UC.# IC\ASSc 36 I Cm' BUS. LIC.# 812894 (Sec. 7031.5 Business and Professions Code. Any City or Counfy which requires e 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 tliat he is Ucensed pursuant to the provisions of the Contractor's Ucense Law JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he 1s exempt therefrom, and the oasis for the alleged exemption. Any vlotetlon of section 031.5 by any appllcanflor a permit subject& the applicant to a cMI penalty of not more than five h1,mdred dollars ($500)). Wor1ters' Compen1atlon Declaration: I hereby affirm under penelty of perftJTY one of the following declsratlons: D I have and will maintain a certlftcat1 of consent to self.fnsure for "MJrkers' compensation as promEld by Sectio11 3700 of the Labor Code, for the performa!lce of the work for 'Mlich this pennit is Issued, 0 I have alld will maintain worker11' compe11sat1011, as required by Section 3700 of the Labor Code, for the performance of Iha work for which this pemit is issued, My workers' compensatl:m l11surance carrier and pollcy number are: lnSurance Co ACE Polley No. RWCC48818705 Expn!iOll Date 08/01/2017 ~sectlOll ll8ed not be completed if the permit is for one hulldred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the woric for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Celifomla. WARNING: Falklre to secure workm' compensation coverage is unlawful, and shall subject an employer lo crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addltion lo the cost of compensatioll, dam19es as pr ded for in Section 3706 of the Labor code, Interest and attorney's fees. / / _g CONTRACTORSIGNATURE.,./4i:;;o,~-,. □AGENT DATE /~/2f'/I(,, I hereby efflrm that I em exempt from Contractor's L/cerl$e Law for the fo/krNing reason: O I, as owner of the property or my em~oyees with wages as !heir sole compensation, will do the worll 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 sl.dl improvements are not 111tended or offered for sale. II, hOwever, the building or i~rovement is sold within one year of completion, the owner.blJllder will have the burden of proving that he did not build or improve for the purpose of sille). □ □ I, as owoer of the property, am exclusively contracting With licensed contractors to construct the project (Sec. 7044, Busln011s and Professions Code: The Contracto(s Lk;ense Lil\11 does not apply to an owner of property who bu~ds or Improves lhereOfl, and contracts for sucll projects with contractor(s) ~cerised pursuant to the Contractor's License law). l am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the ma/or labor and materials forconstrucijon of the p~sed property improvement. OYes 0No 2. I (have I have not) signed an application for a building permit for the propoi;ed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name address I phone/ cootractora' license number): 4. I plan to provide portions of the woric, but I have hired lhe followlf¥J person to coordillata, supervise and provide the ma/or wor'K (include name/ address I Phone/ contractors' license number): 5. I will provide some of Iha woric, but I have cootracted (hired) the following persons to provide the work Indicated (include name/ address/ phone I type of work): A!$ PROPER1Y OWNERS1GNATURE DATE Is the applicant or future building occupant req1J1red to submit a buslness.R!!D, acutely hazardous materials registration fonn or risk management and prevention program under SeetirJns 25505, 25533 or 25534 of the Presley-Taooer Hazardous Substance Acrount Ad? D Yes LJNo . Is the applicant orfutlKe building OCOJpant required to obtain a permit from !he alt ponutlon control.!!wrlct or ai,r..g!.lality management district? Oves 0No Is the faciltty to be constructed within 1,IXlO feet of the outer booodary of a school site? LJYes LJNo IF AllY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAllCY MAY NOT BE ISSUED UNLESS THE APPLICAllT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROl DISTRJCT. 1 hereby affirm that there 1s a construction lending agency for the performance of the work this permit Is issued (Sec 3097 (I) C1v1I Code). Lender's Name Lender's Address I certify that I nave read the appUcatlon and state tflat the atxwe Information Is comKtand that the infonnatlon on the plans Is accurate. I agree ID comply v.tth all City ordinances and State lawS relating to holding construction. I hO'el>; autho!lze represeo-oflhe Cilyof Qirfsbad "enlerupon lhe abow menooned properlyl:lrlnspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH W,.Y IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSECIIJENCE Of THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennl Is required for excavations -s•a deep and demoloon or oonslrucllon of slrudu.., -3 stales In height. EJ<PIRA TION: E1'81'/ pennll issued I>; lhe Bul~og Offici~ under ~• pn,.isions of 1111s Code shal expre I>; lmlation ar<I becane null ar<f \old I the bui~lng or waf< aulhonze:f I>; such pennlt is ool oommenoed v,itt;n Hll days from lhe dale of sud> pennl or I lhe btilding or"'~ aull'orized I>; such pennl Is suspended or abar<foned et any Urre after lhe m Is -, a peri!)d of 180 days (Seclon 10M.4 Unifom1 Eu~klg Code) . .i!S'APPLICANrsSIGNATuRE h:..c-~ DATE a/z?j<.o PERMIT INSPECTION HISTORY REPORT (CBR2016-0494) Permit Type: Work Class: Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 12/30/2016 Owner: Issue Date: 12/30/2016 Subdivision: Expiration Date: 06/28/2017 Address: IVR Number: 1160 Inspection No. Inspection Status Primary Inspector 01/10/2017 01/10/2017 BLDG-25 Water HeaterNents 008880-2017 Passed Jonathan West January 10, 2017 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 008881-2017 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final COMMENTS Passed Jonathan West COMMENTS TRUST COUTS RODNEY J&LINDA KM LIVING TRUST 03-05-11 1836 Palisades Dr Carlsbad, CA 92008-3757 Relnspection Passed Yes Passed Yes Yes Complete Complete Complete Page 1 of 1