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Home My WebLink About2235 JANIS WAY; ; CB091101; Permit... ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-01-2009 Plumbing Permit Permit No: CB091101 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2235 JANIS WY CBAD PLUM Status: Parcel No: 1675404900 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: NAKAMURA: RE ROUTE PLUMBING DUE TO LEAKS IN SLAB Applicant: ACE EMPIRE PLUMBING 14897 MORNINGSIDE DR POWAY CA 92064 858-668-3555 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: NAKAMURA JAMES H&TERESA C 2235 JANIS WAY CARLSBAD CA 92008 ISSUED 07/01/2009 JMA 07/01/2009 07/01/2009 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector. FINAL APP~?VAL Date: / -I (J Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred 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 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 lT APPLY to any f x in f i h h v revi sl n iven NT! Esimilart his or to which he taut oflimitai n h r vi I th ,wi ' City of Carlsbad 1635 r,araday Ave., Carlsbad, CA 92008 7.'.0-602-2717 / 2718/ 2719 , ' Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS z 23 5 CT/PROJt:CT # LOT# PHASE# # OF UNITS DESCR~PTIC,N OF WORK: Include Square Feet of Affected A(ea(s) ~-~C--' "\~ °VW"-'\. '() l'\, Plan Check No. 0 Est. Value Plan Ck. Deposit Date SUITE#/SPACE# /UNIT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME ONSTR. TYPE acc. GROUP EXISTIN•l uS"•---------T•'"•"o~.~o"'s:Eo=u: •• ~----r.G"A~R~AG"E~(S~F~) ~P"A~T~IO:S~(S"F~) ~"DE~C~K~S~(S"F~J ~~Fl:R~EP"LA=cE~--~r.A"1R"c"o"N~D~1T"1o"N~IN~G~"F"IR~E"S:P"Rl~N~K~LE~R~S- CONT AC;~ NAME (,r Different Fom App/leant) AODRES8 CITY PHONE EMAIL PROPERl~l't't~·s:- ADDRESS: z_ z 3 5 CITY ~,Z, \~, \i.4-~ PHONE EMAIL ARCH/DE~IGNER NAME & ADDRESS STATE FAX Uf\ i:::A /.-1 v ('t .A -:S--tt N I ~ ()J i4 '-( ST~ FAX ZIP STATE LIC. # YES □# __ NOD YES O NOD APPLICANT NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR B • NAME i:::: t!.-'2 c-M it ADDRESS / Y 3c; 7 /1,1 ()'21VI,.,, ,;; ,,, 8 c)._ CITY 0<.v,<>~ PJN-5~ -""'~ -g,) .s-s- EMAIL CLASS CITY BUS. LIC.# C--¼ YES O NO □ /Sec. 7031.5 Bminm ami Profmioni Code: Any City or County which requires a permit to comtruct, alter/ improve, demoli1h or reP.air any structure,. __ prior to its issuance. also requires the ap_plicant for such P,ermit to file a signed statement that he is ricusedJrnrrnant to th, provis1om of tht Contractor's Liceme Law {Chapter 9, commending with Section 000 of Division 3 of the Business and Proinsions Code} or that he is uempl 1here rrom, and the basis for the alleged txemption. Any violation of Section 7011.S by anr applicant for a permit subjects the applican1 to a tivil penalty of not more than rive hundred dollan {$500}). Wf'RKi'1n• COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D IJ)l'l9 and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, !or the performance of the work for which this permit is issued. Cf"'i" h1we and will maintain workers' compensation, as r~red_by Seclion 3700 of the Labor Code, for the pertormance of the work for which this permit is ·issued. My workers' compensation insurance carrier and policy number are: Insurance Co. r#Lddf ~t-4,e(,. Policy No. ______________ Expiration Date _________ _ ~s jiciion need no! be completed if the perm ii is for one hundred dollars ($100) or less. [I"'" 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 become subject to the Workers' Compensation Laws of Californ:c. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addltlor, lo tu cost of compensation, damages a 1 ~~ed !ct1i Section 3706 of the Labor code, Interest and attorney's fees. £5 CONTRACTOR SIGNATURE I<::'-'-'-~~ DATE ! l?ereby ah:m that I am exempt from Contractor's License Law for the following reason: □ 1. as mv11er 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. 7044, Business and Professions Code: The Contractor's U~nsa 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, provided that such improvements are not intended or offered for salr. If, t,owever, 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 or improve for the purpose of sale). □ I, as owner ol the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto~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). □ I am e1(empt under Section _______ Business and Professions Code for this reason: ! l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2 1 (have/ have not) signed an application for a building permit for the proposed work. ~. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I haye hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' license number): 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work): • ~ PROPERTY OWNER SIGNATURE DATE • CO ii{fi'i. l!'f ii!"i H'U' t'tn: 1'01 o"t.1 ''l'' OR., NO 111'. RE s ID Elli'rr"i A ti' 11 UI Li:u 1.ui p l!'R 11/11 'I' I () t,f fv ,--,~-;-, .. Is the app:icu:t or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualrty management district? □ Yes □ No Is the facility to be constructed within 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 rs MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above Information is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF lHIS PERMIT, OSHA: An OSHA permit 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 Building Off1eial under the provisions of this Code shall expire by limitation and become nun and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buikli or · by such permit is suspended oc abandoned at any time after the work is commeoced for a period of 180 days (Section 106.4.4 Uniform Building Code). £S APPLICANT'S SIGNATURE DATE 1-1-09 City of Carlsbad Bldg Inspection Request For: 07/07/2009 Permit# CB091101 Title: NAKAMURA: RE ROUTE PLUMBING Description: DUE TO LEAKS IN SLAB Type:PLUM Sub Type: Job Address: 2235 JANIS WY Suite: Lot 0 Location: OWNER NAKAMURA JAMES H&TERESA C Owner: NAKAMURA JAMES H&TERESA C Remarks: 10-12 PLEASE Total Time: Description Act Comments Inspector Assignment: Requested By: Entered By: BINSPECT CD 25 29 Water HeaterNents W[ -----~~------------- -F-in_a_l P_lu_m_b_in_g-----~-(2_-tt--f_'_P_f: ____________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments