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Home My WebLink About2205 MASTERS RD; ; CB163237; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-22-2016 Permit No: CB163237 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2205 MASTERS RD CBAD PME 2121413900 Status: Lot#: 0 Applied: Entered By: Reference #: PC#: Plan Approved: Issued: Project Title: VIZCARRA, REPLACE WATER HEATER Inspect Area: Applicant: Owner: ASHLIEGH ROUX VIZCARRA FAMILY TRUST 01-29-10 28358 CONSTELLATION RD #698 VALENCIA, CA 91355 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2205 MASTERS RD CARLSBAD CA 92008 ISSUED 08/22/2016 JW 08/2212016 08/22/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: Clearance: $0.00 NCJTICE: Rease ta<e NCJT1 dedcaticrs, """"-l'licrs, or ether exa:licrs -roledivay reterredto as "feeslexa:licrs" t-eJe 00 daysfromthe-ttis pemit""'8 issuedto p,ctest irTJ)OSitioo cttt-esefees/exa:lia,s 11)00 p,ctest them )00 rrust folo.vthe p,ctest procedres set forth in G:>ierrmrt Code Sedic,, oo:J20(a), erd file the r,ctost erd a,y ether recµred infarralic,, w1h the Qty Mragerfor jllJCE!SSrg in acxxrda-cewth catsboo Mrid~ Code Sedic,, 3.32.030. Falu-etotirrelyfdl<>Nthat procairewll ba-a,ySltlsecµrt legel 100,to~ re.iiew, set aside, \Od, er aTU ttar irqx:Eitioo. You ae herel,; F1..R1l-ER NCJTIREDthat yru rigt to p,ctest the specifia:l fees'exa:licrs OCES NOf M'PI.. Y to""'1er erd '1iNlf!!( oc,,nedion fees ,rd capacity ctmges, nor plannrg, 2Dirg, galrg or ether sinila-ai:µicalioo jllJCE!SSrg or senAa, leas in 0"1nedion wth ttis inject. i'l'.R OCES IT M'PI.. Yto a,y fees/ widl . ·m1 ·m Ii . i THE FOLLOW1NG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD Ccicyof Carlsbad JOB ADDRESS 11'0S Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEfjUNITf Plan Check No. C. (3, I b 1 2-) 1 Est. Value Plan Ck. Deposit Date '?'/U-/16 lswPPP CT/PROJECT# I LOT# I PHASE# # OF UNITS I# BEDROOMS DESCRIPTION OF WORK: lnclUde Square Feet Of Atrecfed Area(s) '18ATHROOMS I TENANT BUSINESS NAME I CONt:TR. TYPE I occ. GROUP Re..v\CAce, 50 EXISTING USE I PROPOSED USE I GARAGE (Sf) CITY STATE ZIP \/0\t"r:10-. rA C\13,SS EMAIL'--· ' P1:v-m1+-<S' (@owh0-o -con-, DESIGN PROFES!MONAL. ·. ADDRESS C1TY --------STATE ZlP -- PHONE I""' EMAIL I STATE LIC. # PATIOS (Sf) I DECKS (Sf) ADDRESS I'""\ 1211 s CITY EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE UC.# FIREPLACE YES[), IAIR CONDITIONING !FIRE SPRINKLERS No0 vesO•oD vesO•oO STATE ZIP I FAX ICLASS I CITY BUS. LIC.# (Sec. 7031.5 Business and Professions COde: Any City or county which requires a permit to construct. alter, Improve, demolish or repair ani structure, prior to its issuance, also requires the applicant for such permit to file a siiried statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professtons Code} or [hat he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORl<ERS COMPENSATION Worken' Compensation Declaration: I hei8by affirm under penalty of pe,jury one of the following declaratlons: Di have and will maintain a certificate of content to self.insure for workers' compensation as provided by SectiOn 3700 of the Latxir Code, for the perfonnance of the work for which this permit is issued. [SJ" I have and wlll maintain worktn' cornoenaatlon, as required by Section 3700 of the Labor Code, for the perfonnance of the work for v.tlich this pennit is issued. My workers' compensation insurance earner and IX)licy """'"'""'''"'""""'eo.lDSl\taoCf, [tl,l)k'-me \,',\estP,loyNo '51l?i2!l"'J1 DD Ex,><ationllate l ,\. \J 1]!§,seclion need not be completed If the pennit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, l~hall not employ any person in any manner so as to become sub;ect to the Workers' Compensation Laws of Califomia. WARNING: Failure to securewortters' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolln (&100,000), in addition to the cost of compenaatlon, damages a provided for In Section 3706 of the Labor code, intetaat and attomey's fees. ,@S CONTRACTOR SIGNATURE Cl e n + g{GENT I hereby affltm that I am exempt hom Corrtr8ctor's License Law for the following reason: D I, as CMOerofthe property or my emplOyees with wages as their sole compensation, will do the wo111. and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not aPP)' to an owner of property who buikls 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 buikling 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 fofthe pu,pose of sale). □ □ 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 bulldsor Improves thereon, and contracts for sud! pro,ects with con~r(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 to provide the major labor and mateoals for construction of the proposed property improvement. OYes ONo 2. I (have / have not) SiJned c11 applicatlon 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 plM to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majOPMl111. 0nclude name I address f phone I contractors' license number): 5. I will provkie some of the M>rk, but I have contracted (hired) the following persons to provide the wOl1( indicated (incll.de nane / address I phone/ type of 'M)A(): _@S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the SPllf!Canl:orfub.re blildlng occupant required kl submit a business plc11. acutely hazan:lous materials registration form or risk mE11agement and prevention progriwn under Sections 25505, 25533 or 25534 of the Presley•Tanner Hazllllous Substance Account Act? □ Yes □ No ls the appleclnt crfuttJ'e buildlng occupant required to obtain a permit from the air pollution control district or air quality manageme11t district? □ Yes D No Is the fa:IHty to be constnx:ted 'Mlhln 1,000 feet Of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I ceitifythatl have readtheapplicaUon and stalethatlheabowe information Is c:onectand that the information on the plans is accurate. I agR,elD comply Mltl aU Clt)'Oldnancesand Stale IIMs relating ID bulklngconstructiOR. I helllby au-'""""'11aiMI of lhe City of Calsoo:I I> enler upon lhe above mentioned propeny far •speclioo pu,poses. I ALSO AGREE TO SA VE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN C~SEO\JENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSI-lb. perml is JBqUnid tlr excavaoons owr 5'0' deep arxl demllilb'l oc construcoon of strocb.Jras over 3 stories i1 height EXPIRATION: EY81Y permit Issued by the Etdkiiog Oflcial under the provisbns of lhis Code shall expire by timitatioo and become nul 800 l,a:I if the building or Yak authcrized by SlX:h i;ermlt is not ronmerm:l wtil 180 days from lhedale of such permit or llhe buiding or __ by such pem;t is suspended or""'1doned atanylme aflerlhe-• oomrror<ed far a perod of 180d')S (Sectioo 106.4.4 Uniilrm Bulkilg Code). ,6$ APPLICANT'S SIGNATURE DATE Inspection List Pennit#: CB163237 Type: PME Date lnspecti_on Item 09/06/2016 25 Water HeaterNents 09/06/2016 29 Final Plumbing 09/02/2016 25 Water HeaterNents 09/02/2016 29 Final Plumbing Wednesday, September 07, 2016 Inspector PY PY Act AP AP RI RI VIZCARRA, REPLACE WATER HEATER Comments LATE PM PLEASE LATE PM PLEASE Page 1 of 1