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Home My WebLink About2030 CHARLEEN CIR; ; CB110726; Permit04-07-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110726 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: pq#: Project Title: 2030 CHARLEEN CR CBAD PLUM 2053301500 Lot#: Construction Type: MOLLOHAN RES-REPLACE WTR HTR 0 NEW Status: ISSUED Applied: 04/07/2011 Entered By: LSM Plan Approved: 04/07/2011 Issued: 04/07/2011 Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: MOLLOHAN EARL P III&CAROLYN S 2030 CHARLEEN CIR CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0,00$0.86 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL A, Date:Clearance: NOTICE: Please take NOTICfl thai aptfoval of your project includes the "imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You haue 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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. • '•*• >/\. .••''"• ' "• • • •..••""•• " . ^W^ *..<••' Building- Permit Application .>;-,-&&£/% 1. :, , ' 163'5 Faraday Ave.; Carlsbad, CA 92008 ''• ^S CITY OF '" 760-602:2717/2718/2719 /""* A ni r*r> A i~"\ ' Fax: 750-602-8558 CAKLbDAU www.carlsbadca.gQy JOB ADDRESS -. CT/PROJECT* • LOT* PHASE* « OF UNITS # BEDROOMS SU!TE#/SPACE#/UNIT# # BATHROOMS TENANT DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) <>*m«. loavHo** <Lr^£ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME _ . • . , | ADDRESS £030 CW k-Ccx CCr- CITY . STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC. * PATIOS (SF) DECKS (Sf APPLICANT NAME $t.t ADDRESS B«. CITY PHONE Plan Check No. CB t lOI*?^ Est Value Plan Ck. Deposit Date Lff~) / / i APN BUSINESS NAME CONSTR.TYPE OCC.GROU -) FIREPLACE AIR CONDITIONING FIRE SPRINKLER: YESD# NOO YES O NOD YES D NOC >tt UttIe.FTe.leil t6U) STATE ZIP FAX EMAIL CONTRACTOR BUS. NAME/)FFordlc\bl^ LjJflKf€.r H^ttTC-rS ADDRESS S*/u»tS RA»ttrofikA. rtv€. CITY Aie,u)K»j PHONE EMAIL Permits * STATE UC.* STATE ZIP JFAX ?/rWha.P'Com ' CLASS CITYBUS.UC.*fist <am7i (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 theapplicant for such permit 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 theBusiness and Professions Code) or that he is exempt theiefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars $500]). COMPENSATION Workers' Compensation Declaration: / fierety affirm under penalty of perjury one of the folkming declarations: O I 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. H I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wotjsjobjcb this pe™1 is issued. My workers' compensation insurance carrit r. number are: Insurance Co. T.fc*N t T V> ' Policy No. tt>W*7*nc 7 & Cp Expiration Date I " \ " t"fr~- This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify 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 California. WARNING: Failure to secure workers' compensation coverage is 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 provided for in Section 3706 of the Labor code, interest and attorney's fees. >eT CONTRACTOR SIGNATURE ^Qj&f't . SjAGENT DATE H. ~ i ~ I I I hereby affinn that I am exempt from Contractor's License Law foe the following reason: D 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). D 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 with contraotorfs) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo 2.1 (have / have not) signed an application for a building permit for the proposed work. ,' 3.1 have contracted with the following person (firm) to provide the proposed construction (include ridme address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone / type of work): >eTpROPERTY OWNER SIGNATURE HAGENT DATE Is the applicant or. Mare building occupant required to submit a business plan, acutely hazardous materials registration form or rj sk management and prevention program under Sections 25505,25533 or 25534 of the 'Presley-Tanner Hazardous Substance Account Act? OYes DNo . . Is the applicant or future building occupant required to obtain a permit fromithe air pollution control district or air quality management district? • CJYes a No Is the facility to be constructed within 1,000 feet of Hie outer boundary of a school site? OYes DNo IF ANY OF THE ANSWERS ARE YES, f EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I rertKyttetltaw read tteapplicafonard state that the atore^ OSHA; An OSHApermH is required for excavations ova ^ EXPIRATION: Every permit issued by the Building Official under the rjrovbiorisoflrfcCodesfialexrjtebylii^ 180 days tan (he date of such permit or if tie bukfinoor work auJnrized by such rjem* is suspended or abarrioned at any to APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 04/20/2011 Permit* CB110726 Title: MOLLOHAN RES-REPLACE WTR HTR Description: 2030 CHARLEEN CR Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AFFORDABLE WATER HEATER Owner MOLLOHAN EARL P III&CAROLYN S Rente Total Time: CD Description 25 Water Heater/Vents Inspector Assignment: Phone: 7607299060 Inspector: Requested By: EARL Entered Eft KATHY Act Comments"'^ — Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments