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Home My WebLink About2191 CAMINO ROBLEDO; ; CB122179; Permit10-23-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB122179 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2191 CAMINO ROBLEDO CBAD PME 2552613400 Lot# CARPS REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/23/2012 JMA 10/23/2012 10/23/2012 Applicant AFFORDABLE WATER HEATERS AND PLUMBING INC Owner CAPPS FAMILY TRUST 10-04-00 24663 RAILROAD AV SANTA CLARITA CA 91321 661-259-7131 2191 CAMINO ROBLEDO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $31 00 $0 00 $0 00 $64 00 TOTAL PERMIT FEES $95 00 Total Fees $95 00 Total Payments To Date $95 00 Balance Due $0 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE tha approval of your project indudes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen^ed to as "fees/exactions 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 nght 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 serviK lees m conneelion wilh Ihis project NOR DOES iT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as tp yjhich the statute of limitations has previously otheiwise expired ^ CITY CARLSBAD Building Permit Application 1635 Faraday Ave . Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www garlsbadca gpv Plan Check No. Est Value Plan Ck. Deposit Date }O0 ADDRESS CP SlflTE#/ SPACefl/ UN ITS CT/CROJECT # PHASE W tf BATHROOMS TENANT BUSINESS NAME CONSTH TVPE occ GROUP DESCRIPTION OF WORK Include Square Feet of Affected Area(a) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPUCE YESD ff NOD AIR CONDITIONING YES •NOD RRE SPRINKLERS YES O NOD CONTACT NAME (tf Different Fom/^pHcant) APPUCANT NAMP —, ADDRESS ADDRESS CITY STATE ZIP CITV STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER ^ CONTRACTOR BUS NAME ADDRESS ^\ \ ^ ADDRESS STATE ZIP CITY STATE th. ZIP PHONE FAX PHONE FAX EMAIL EMAIL com ARCH/OESIGNER NAME & ADORESS STATE uc « STATE uc # CLASS CITY BUS ua# (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve Oemolish or repair any struaure, prior to its issuance, also requires the applicant for sucti permitto file a signed statement that he is licensed pursuant lo the provisions of the Contractors License Law ICnapter 9 commendmgwith Section 7000 of Division 3 of the Busiiiess and Professions Code) or tnat he is exempt therefrom and the basis forthe alleged exemption Any violaUon of Section 70315 by any applicant for a permit subjecls the applicant to a civil penally of not more than five hundred dollars ($500)) Workers' Compensation Declaration I hereby affinn undar penalty of perjury ane of the followmg declarations G t have and will maintain a certificate of consent to self-Insure for woiKers' compensation as provided by Section 3700 of the Labor Code, for Ihe peiformance of the work for wtuch Itiis perniil is issued S'Thave and will maintain workers' compeosation as required by Section 3700 of Ihe LatXJr Code for the perfonnance oftfie wxk for which this oermil is issued My workeis compensabon insurance earner and policy numberare insuranceCo ^rtS Cc Of Th€. UJ€^'T Policy No U)%A SO^tC^C 3 OO Expirabon Date 1 ' \ " \^ Thts section need not be completed if lhe perniil is for one hundred dollais ($100) or less n CertificalB of Exemption I certty lhal in the performarKe of lhe worit for which Uus permit is issued 1 shall nol emptoy any person in any manner so as to become subjecl lo the Workers' Compensalion Laws of Califtirnia WARNING Failure to secure workers' compensation coverage is unlawful, and shall subfect an employer to criminal penalties and chrii finas up to one hundred thousand dollars (&100,000), In addition to Che cost of compwwallSIt, daiiiJ^aiTdb \iivjiUpd ior in SectnrpTWnMhs Laborcode, interest and attorney's lees ^ CONTRACTOR SIGNATDRE >.g--^'''''''^ ^ ^^-^"^''^^/C' IjfAGENT DATE Lc? I heraby affirm that I am exempt from Cofllracfor's bcense Law tor the loBowing reason • I as owner of the property or my employees with wages as^hel^ sole compensalion, will do the worit and the struclure is nol intended or offered lor sale (Sec 7044 Business and Professions Code The Coniracior's License Law does not epply to an owner of properiy who builds or improves thereon, and who does such worit himself or through his own employees, provided that such improvements are nol intended or offered for sale 11 ticwever lhe building or improvemenl is sold wrthin one year of compielion the ownei-buiWer will have lhe burden d proving lhal ho did nd build or improve for the puipose ol sale) • I, as owner of Bie property, am exclusively contracting wilh licensed contractors to construct the prc^ecl (Sec 7044, Business and Professions Coda The Contractor's License Law does nol apply to an owner of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Contractor's License Law) • I am exempt under Secbon Business and Professions Code for Ihis reason 1 t personally ptan lo provide Ihe major labor and matenais for construcbon of the proposed property imprewemenl • Yes O No 2 I (have / have not) signed an application for a buildmg permit for Ihe proposed work 3 I have contracted with Ihe followmg peison (fimi) to provide the proposed cwistrucbon (include name address / phone / conb-actors license number) 4 I pian to provide portions of the work but I have hired Ihe bllowing person to coonjinale supervise and provide the major worit (irulude name/address/phone/conlraclors'license number) 5 I wiU provide some of the work but I have contracted (hired) the foltowing persons to provide the worit indicated (include name / address / phone / type of work) ^PROPERTY OWNER SIGNATURE Is trie applicant or future buildingoccupantrequired to submi! a business plan acutely hazanious matenals regislrab on form or nsk managemeni and prevention program under Sections , Presley-Tanner Hazardous Substance Account Acf • Yes • No Is the applicant or future buildingoccupantrequired to oblam a perniit from theair pollution conlrol district or airquality managemeni distncf? • Yes • No (s the facility to be constiuded within t 000 feet of the outer boundaiy of a school site'' O Yes ITI No (F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO liHLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT IherebyaffirmthallhereisatxjnslmdionlendingagencyfoithEperfomianc- -- Lender's Name Lender's Address jcertifythat I have leadtfte application and state that theabove information tsconect and that the infomBhononthe plans isa^ tagiee to comply with all Cityoidmances and State laws lelatingto building consbuctlan I hereby authotEe representabve of the City of Carisbad to enterupon the above menboned pnaperty for inspection purposes I ALSO AGREE TO SAVE, INDEIvlNlFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LtABILiTIES, JUDGMEI'JTS. COSTS AND EXPENSES miCH MAY IN ANY WAY ACCRUE AGAINST SAID CFTY IN CONSEQUENCE OF THE GRANTING OF THIS PERI^fT CSHA An OSHA perniit is required for excavahons over 5 0' deep and demolition or constiuclion of structures over 3 stones r heghL EXPlRATlOtJ Evety permit issued by the Building Official under lhe provisions of this Code shall expire by fmitaton and become null and void rf the buidng or worit authonzed by such pemut G not commenced wthin 180 days from Ihe date of such permit orif the buidra or worit authonzed by such perniit B suspended or abandoned at any lime after the worit ts commenced for a penod of 180 days (Secton 106 4 4 Unifomi Buikiing Code) ^^APPLICANT'S SIGNATURE DATE Inspection List Permit# CB122179 Type PME CAPPS REPLACE WTR HTR Date _ Inspection item '"sp®?t?'"__^^* Comments 03/06/2013 25 Water HeaterA/ents - Rl AM PLS 03/06/2013 25 Wafer Heater/Vents PY AP 03/06/2013 29 Final Plumbing - Rl 03/06/2013 29 Final Plumbing PY AP Thursday, March 07, 2013 Page 1 of 1