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Home My WebLink About2181 DICKINSON DR; ; CB150185; Permit01-21-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB150185 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2181 DICKINSON DR CBAD PME 2081820600 Lot#: ROBERTSON - REPLACE WATER HEATER - SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/20/2015 SKS 01/20/2015 01/20/2015 Applicant: AFFORDABLE WATER HEATERS AND PLUMBING INC Owner: ROBERTSON FAMILY TRUST 09-25-12 28372 CONSTELLATION RD VALENCIA CA 91355 855-345-9087 2181 DICKINSON DR CARLSBAD CA 92008 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $35.00 $0.00 $0.00 $60.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspectorf Date Clearance; NOTICE: Please take NOTICE that approval of your project includes the "inrttiositiofi" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this pennit 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 fiie the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure wiii bar any subsequent legal action to attacli, 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 appiication processing or sen/ice 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 previouslv othenArise expired. iTHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMiT ISSUANCE; ENGINEERING HAZMAT/APCD i City of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph; 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.cari5badca.gov s. Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP ! JOB ADDRESS CT/pnojECT« 2 1^;, Ol'^K',n.ron„, # BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE 1 OCC. SftOUP OF UNrrs [ 1 BEOROOMS ! DESCRIPTION OF WORK: incJude Squan F»at taAffmcttta Areafs) Htp^act bUa-hCK htaP^F. {Sarnjb |occrt\or\- EXISTING USE PROPOSED USE GARAGE ISF] PATIOS ISF) DECKS (SF) RREPLACE AIR CONOmONING FlRESPRINKLERS YESQr NOj 1 VES[jN0Q YES| |N0| ^| PROPERTir OWNER NAIME f-l , n : i . Fnu Aa Kn^f^yAs on ADDRESS <gSS S - <7 0r^t/ ADDRESS „ 1 ^ _ ' • ' „ ' • 21?) Dicyinson Di-ivfc °" Aifordable^Water Heaters OlFV ,-, , , , STATE ^ . ZIP ^ „ ^ PHONE & Plu Gibing, Inc. '^R'^y Pnrr^tr^lHtinn Rri PHONE FAX Valencia. CA9135f5 EIMIL DESIGN PROFESSIONAL CONTRACTOR BUS. N^^^^^^j^j^ ^ HeatefS ADDRESS ADDRESS „ _, & Plumbing. Inc. OTY STATE ZIP 28372'l5bnstelli!ion Rd. PHONE FAX PHONE Vale leia, CA 91355 EMAIL EMAIL n ^ . _ „ STATE UCK STATE UC« CLASS crrv BUS. uat (Sec 7031.5 Business and Professions Code: Any or County 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 of the Contractor's Ucense Law IChapterd, commendlnti with SecUon 7000 of Division 3 of ttte Business ar>d Professk>ns Code) or that he Is exempt thefefrom. and the basis for the alleged exemption. Any violation of SecUon 7031.5 by any appHcanffor a permit subjects the applicant to a civil penalty of rtot more than five liundred dollars ($500]). ;WORK€RS- COMPENSATION Worktrs'Cen^jensatlon Dtdantfon: (tersAy affirm tMdBrpsr)ailyafp«]uo'0« of Ifw I 11 havt md wBI malnlaln a cartlUcsti of consent to salf-lnsurs fof worttBrs* compansatton at provided by Seciion 3700 of lha Cods, for the psrforniancat/the work fbr which this perrrijl is Issue^^ "j)^! havt ind rfl mahtriawoftofs'conysnsatlon. as required bv Section 37M »Mr*>«,ni:lnain«MCnt\jQ'hOr\Q \ U K 1 r> r\ PolcyNo. 0| ^3 ^ ^ '2^ \ Emiratton Date \ , \ . \ \S( THssBcSonneednotbecornpletedlf lheperTritisloronehur)drBddolars(S100)ortess. ' Q Cartifkata of Exsmptfcn: I certify Ihat In the perforritance of the work tor Caifomta. WARNtNO: Faflura lo sacurt workers* compensation covM^ge Is unlawful, and ihaH iub}ect an empktyer to criminal pcnaWts and dvl fines up lo one hundred thousand doHira (&100,M0), tn addition to tht cost of compensation, damages as provided for M Seworl J70B^lhp LAoKod^jqterest and attomey's tees. .eS'cOMTRACTOR$»GNATURE Xj^^jP^vi DATE \ / | 2 / | 5" OWHen-8UltD£H OEClABATtON /T i.wili«*tfwor1ii / Aaraby aflim lhaf f am B]»fff]f fyom Contractor^ Ucense Lw I [ I, asowner of the pniperty or my eirployeeswith wages as their sole ajn^ensatkn, wil Ucense LJW does not apply to w owner of property win bulkls or improves Ihereon, and sala. If. howevar, the tuflding or improvsrnent is soU within one year of complefon, the ownor^ I 1 I, as owner of ths propirty, am exdusivaly contracting with licensed ccntractori to conslmd Ihc prp^ not apply to an owner of prc^erty who bukts or hnproves Ihereon. and contracts for such projects contractor{s) Icensed pursuant to the Contractor's License Law). I \ I am exempt under Sectton _ .Business and Professkms Code tor this reason: •Yes 1. t personaly plan lo provide the maior labor and materials for consmiclkin of lhe proposed pnipe^ ZI {have / have noO signed an application for a building pemA lor the proposed work. 3.1 have conlracted with the blcwing person (firm) to provkle Ihe proposed construction pndude name address / phone / contradors' Iksnse number): 4.1 plan to pro^ po(tk»s of the work, but I have lared the folowng person to coordinate, suparAse and provide the major work (indude name / address / phone / contractors' Inense nuirte^: 5. iwl provkte some of the work, but I have contra ted Olred) Ifh folowrinqABrson^ ,LO.«G ...,»V.rS ONLY ts Ihe applicant or future buiding occupanl required to submit a business plan, acutely hazardous materials registration fomt or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? OYes ONo Is the applicanl or future buiiding occupant requred to oblain s permit from the air pollutioft control distrkit or air quality management district? • Yes • No Is the facttity to be conslructed wtthin 1.000 feet of lhe outer boundary of a school site? OYes aUo IF ANY Of THE ANSWERS ARE YES, A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLUiTION CONTROL DISTRICT. j I hereby atlirm that there is a constmction lending agency for the performance of the work tNs permit is issued (Sec 3097 (i) Civil C^e). ' Lender's Name Lerxler's Address I certify that I have read the appficatkm and stste that the above kifonnation is correct and that the Info^ I hereby auhorize fepresentaliw of t» aty of Cartsbad ta enter upon the abt^ AGAINST ALL LIABILITIES. JJDGMENTS. COSTS AND EXPENSES WHICH MAY N ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THS PERMfT. OSHA: An OSHA pemiit is requred liy excavatkins over S'O" deep an(l demoBnn 0^ EXPIRATION: Every pemiit issued by Ihe BuikSng Offidal un( y Ihe^SmvisjansoflhisCcideshaBexpTOby&mitato d or abarvkiried at any lirne after the wortc is cornmenced tor a period of 180 days (Secti^ 160 days fiom the dale of sudr permit a ttie bulding or WOT >eS'APPUCANTS SIGNATURE DATE AP 5_ Inspection List Permit*: CB150185 Type: PME ROBERTSON - REPLACE WATER HEATER - SAME LOCATION Date Inspection Item Inspector Act Cornments 02/03/2015 25 Water HeaterA/ents - Rl 02/03/2015 25 Water HeaterA/ents SP AP 02/03/2015 29 Final Plumbing - Rl 02/03/2015 29 Final Plumbing SP Fl Tuesday, February 03, 2015 Page 1 of 1