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Home My WebLink About2195 Camino Robledo; ; CBR2019-2532; Permit(City of Carlsbad Residential Permit Print Date: 10/01/2019 Permit No: CBR2019-2532 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2195 Camino Robledo BLDG-Residential 2552613300 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 09/12/2019 09/12/2019 Plan Check#: Final Inspection: 10/1/2019 9:06:23AM Project Title: Description: HO: REPLACE 50 GAL WATER HEATER LIKE FOR LIKE Owner: Contractor: TRUST HO FAMILY TRUST 06-08-98 2195 Camino Robledo AFFORDABLE WATER HEATERS AND PLUMBING INC CARLSBAD, CA 92009 WATER HEATER PERMIT Tota\ Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 Balance Due: Please take NOT!CE 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 Plan Check Est. Value {Cicyof Carlstiad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit -------- Date __ 'f/~/-2/~/1~- ____ APN: _________ _ CT /Project#: _________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no 0 Addition/New: _____ ,living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? __ 0 Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No Additional Gas or Electrical Features? 0 Pool/Spa: ____ SF ------------ O Solar: ___ KW, ___ Modules, Mounted: Roof /Ground, TIit: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: -------------------------------E-Plumbing/Mechanical/Electrical Only: _ __,w'-"'---"'ge.;+'-"'e.z.t;_..,hC-Le"-'a<1.+.LJ;e-t:~-;---~e,"-+J!?:..il..,13.:JJt_;· :fs:....r:t:YJLL.tf~Ot..:i...1:r:..._ I i1l.other: YcJ l u 0±1 s:, n·: 4 ;?QQ()- ~APPLICANT (PRIMARY) PROPERTY OWNER ,\"" Address~ ~ Co~~ i<i't°'~dress:2195 Cami&; k?obldo Name: ~~so. l~·~-a. Name: G IQlh\g.:_ \-\o\ I City: \[ =i State:Cf'i Zip:':'.flS si, City: C Ci V I ,I)e g. J... State: C "i Zl;q:za:g Phone:~~'i5·'104f> Phone:7w0-14~ -9 'BB 0 Email: ~rts «)jl!)'n:a(',CDm Email: ______________ _ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: _______________ Name: :,tffc,vd 0 k I e, Wa:te.r tie 4 te.r..r Address: ______________ Address: 25?' .,i, s.r CDnJ±e II (/\tio Ci /( d --# u q ,l'- City: _______ State: _ __,Zlp: ____ City: \Ill Jen c.io,., State: C,t Zip: q ld.5£ Phone: Phone: ..(S S:... • ~LJs-'1.. o_;t_rf.. Email: Email: ~iff (e, ;;i;1;0,f'. CceVJ , Architect State License: State License: LP 2-13 (,p 8' Bus. License:l, I O S I l.. I 7 2. 7 / (Sec. 7031,5 Business and Professions Code: Any Oty 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 flle a signed statement that he/she Is licensed pursuant to the provisions of the contrilctor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom, and the basis for the alleged e>1emptlon. Any violation of Section 7031.S by any applicant for a permit subjects the appllcant to a civil penaltv of not more than five hundred dollars {$500}}. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bullding@carlsbadca.gov B-1 Page 1 of 2 Rev.06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury lll!f. of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is issued. ~ I have and w/11 maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm t Is Issued. MV workers' compensation ln5Urance carrier and policy number are: Insurance Company Name: C . e ff T Policy No. S D "'I 2 'I 9 7 D 3 Expiration Date: I • I • Z. 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 be come subject to the workers' compensation laws of California. WARNING: F1Jlure to Meure workers compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and dvll fines up to $100,000.00, In addition the to the cost of compensation, damaaes as provided for fn Section 3706 of the Labor Code, lnterast and lltlOrney's fees. ~n ~\ CONTRACTOR SIGNAnJRE: ____ __.;_,_,_,_,.V..._ __ \ ______ ~AGENT DATE: C) /i--z__ /;q ~? ( OPTION B ): OWNER-BUILDER DECLARATION: I hereby off/rm that I om exempt from Contractor's License Law for the following reoson: 0 I, as owner of the property or my employees with wages as their sole compensation, wlll do the work and the structure Is not Intended or offered for sale {Sec. 7044, Business and Professions Code: The Contractor's License taw 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 safe. If, however, the bull ding or improvement ls sold within one year of completion, the owner~bullder will have the burden of proving that he did not build or Improve for the purpose of sale). 0 I, as owner of the property, am exduslvely 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 contractor(s) licensed pursuant to the Contractor's license Law). 0 I am exempt under Section -,---..,..-,---Business and Professions Code for this reason: l. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. □ Yes O No 2. I {have I have not) signed an appllcatlon for a bulldlna permit for the proposed work, 3. I have contracted with the followlns person {firm) to provide the proposed construction (lnciude name address/ phone/ contractors' license number}: 4. I plan to provkle portfons 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): s.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): OWNER SIGNATURE: □AGENT ---------------------DATE: _____ _ CONSTRUCTION LENDING AGENCY, IF ANY: 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: ___________________ _ ONLY COMPLETE THE FQLLOWJNG SECTION FOR NON-RESIDENTIAi, BUILDING PERMITS ONLY: Is the applk;ant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention prosram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ NO Is the applicant or future building occupant required to obtain a permJt from the air pallutlon control district or air quality management district? □ Yes □ No Is the facility to be c:onstructed within 1.000 feet of the outer boundary of a school site? □ Yes O No IF ANY OF THE ANSWERS ARE YES,A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APf'LICANT HAS MET DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TH£ AIR POLLUTION CONTROL DISTRICT. APPLICANT CERTIFICATION: I certify that I have read the appHcatlon and state that the above Information ls correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldins construction. I hetf!by authortze representative of the City of Carlsbad to enter upon the above mentioned property for Inspection purposes.I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES,JUOGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID □TY IN CONSEQUENCE Of THE GRANltNG OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demoNUon or construction of structures over 3 stories In height. EXPIRATION: Every petm!t Issued by the Bl.Hiding Offtclal under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is not commenced within 180 days from the date of $uch 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 period ol 180 days (section 106,t~rm &Jlldlng Code). j ;; ft. APPLICANT SIGNATURE: l\:1 ~ DATE: °I LI ,z_,7' °I v ; 1635 Faraday Ave Carlsbad, CA 92008 8-1 Ph: 760·602-2719 Fax: 760-602-8558 Page2 of2 Email: Building@carlsbadca.gov Rev. 06/18 PERMIT INSPECTION HISTORY REPORT (CBR2019-2532) Permit Type: Work Class: Status· Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 09/12/2019 Issue Date: 09/12/2019 Expiration Date: 03/30/2020 IVR Number: 21715 Inspection No. Inspection Status Owner: TRUST HO FAMILY TRUST 06-08-98 Subdivision: CARLSBAD TCT#88-03-02 UNIT#02 Address: 2195 Camino Robledo Cartsbad, CA 92009-9358 Primary Inspector Relnspection Complete ·-------·------------------------------------ 10/01/2019 10/01/2019 October 01, 2019 BLDG-26 Water HeaterNents 106033-2019 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 106034-2019 Checklist Item BLDG-Plumbing Final BLDG-Mechanical Final Passed Peter Dreibelbis COMMENTS Passed Peter Drelbelbis COMMENTS Passed Yes Passed Yes Yes Complete Complete Page 1 of1