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Home My WebLink About2041 CORDOBA PL; ; CB160174; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-19-2016 Permit No: CB160174 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2041 CORDOBA PL CBAD PME 2073007600 BOWER: REPLACE WTR. HTR. ALL STAR WATER HEATERS & PLUMBING 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: BOWER JEROME L&SUSAN M 2041 CORDOBA PL CARLSBAD CA 92008 ISSUED 01/19/2016 JMA 01/19/2016 01/19/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: FINAL APPROVAL Date: 2 -1--1 ~ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your prqed includes the "lrrpcsition" r:i fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 days from the date this perrrit WcJS issued to protest irrpcsition of these fees/exactions. If you protest them, you rrust fallON the protest prOCEdures set forth in C?overnrrent Code Section 63020(a), ard file the protest ard any other required inforrration wth the Qty fl/lanager for proressing in acmrdanre wth Carlsbad M.Jnidpal Code Section 3.32.030. Failure to tirrely fallON that prOCEdure wll bar any subsa:!uent legal action to attack, review, set aside, void, or annul their irrpcsition. CITY or CARLSB Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 ~JosAooREss 2041 Cordoba Pl. ~~~oTccon e~#-_ ~ -· --]~C#-J#OFuNTtff"f#'ai't'J~-finJA'ffiR\Ri'M-9:··-·Tti'Ri\H'n\UsiH£ssRW(----r---··-··········rcoiisfff''fYV1Cf''oc\;:·i\illo0r"j ro·iscRrPTION OF WORK: lncJvde Squaro Faet of Affected Atea(s) 1 Replace existing water heater. Same size and location. PROPOSED USE GARAGE {SF) PATIOS (SF) CONTACT NAME (If Olfforant Fom Applloant) AIR CONDITIONING YES0No0 FIRE SPRINKLERS v£s0No0 . ierra Sprague ADDRESS --------------... ~---------lADDRE)>S _________________ , ____ ................................. ~--.................... -----..... -.... .. ....... ----1 ~---------;stt.:irr··-... zir-·-----~co:c""ITY.,------------'3Q~t9tJJ~t!1Q\lalla~_g _____ ,___ . -! Menifee i CA 92584 i ~~;;:;;:-.. ··---------r=--·-·-· ............... _____ -l-:::PH""o=Ns;;;-----9~5~1~-3!!o~1~-;;-67---P'1 ............. _ ·-·---------~ ~~-------··--------·----~~-----------·-...... -...... ---·lfMA~I~L-----------~~--------------l PROPERTY OWNER NAME Jerry Bower !IClOR BUS. NAME d Star Water Heaters ADDRESS ZIP CITY l==c=-----'C,_,a.._,rl~.d~····· .. 92008 Menifee CA 92584 !PHONE I 760-729-6792 ~-oj t:""M""A""Il ___ _ 'FA% I L __ .. -.. "-···· ................. ---------------------I~E~M~A~Il------------------------~, -----------------------1 PHONE 951-301-0067 L .. ~·~ ........ ~ ..................................... . \ AACf!/DESIGNER 'lAME I} ADDRESS 812894 Workers' Compensation Declaration: I hereby affirm under penalty of petjury one ofthe following declaraUons~ 0 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 0 I have and will maintain workers' compensation, as by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. numver are: Policy No. C4oQl!630A This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify thai in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to neoom''""'"""' California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up addition to the cost of compensation, damages · · Section 3706 of the Labor code, interest and attorney's fees. _25 CONTRACTOR SIGNATURE I ~ereby affirm that I am exempt from Contractor's License Law for the following reason: D D 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. 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, i 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The 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 _____ Business and Professions Code for this reason: 1, I personally plan Ia 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 I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type SIGNATURE OATE Business and Professions Code: The Contractor's improvements are not intended or offered for for the purpose of sale). License Law does not apply to an owner of I contractors' license number): I certify that I have read the application and state that the above information is correct and that the information on the plans Is accurate. I agree to comply v.it111 all 'CftltortlinMPe&·andState laws relowingtn btJilditng oonsllrudion. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ro.o·•·"'T"'"'J"' OSHA: An OSHA penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the Buikiing Official under the provisions of this Code shall expire by limitation and become null and void if the building or work autbonzjld by such permit is oot commencad within 100 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'SSIGNATURE DATE /;f dtp lnspecti n List Permit#: CB160174 Type: PME Date Inspection Item ----~ 02/09/2016 25 Water HeaterNents 02/09/2016 25 Water HeaterNents 02/09/2016 29 Final Plumbing 02/09/2016 29 Final Plumbing Wednesday, February 10, 2016 Inspector Act PB PB Rl AP Rl AP BOWER: REPLACE WTR. 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