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Home My WebLink About2321 MASTERS RD; ; CB120106; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-19-2012 Permit No: CB120106 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2321 MASTERS RD CBAD PME Status: Parcel No: 2121420800 Lot#: 0 Applied: Reference #: PC#: Project Title: SERENE RES-REPLACE WTR HTR Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: SERENE FAMILY TRUST 10-16-97 2321 MASTERS RD CARLSBAD CA 92008 ISSUED 01/19/2012 LSM 01/19/2012 01/19/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: / • 2. ? · I 7... 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 Garlsbad 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 tees in connection with this project. NOR DOES ff APPLY to any f I in Tl imil ir h limi . £ Plan Check No.ffi I a O I O (() «~~ Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date I I (Ct r ("2., l JOB ADDRESS ,:i 3~ I me;.s+er-s /J..tl. SUITE#/SPACE#/UNIT# I"" --- CT/PROJECT# 'LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I ~ GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(a) 0AO'-A~ Sb ac..\\o-nc.s ,.1 ... +.,. LI...-,.,_ -;:r 7 '-o..lV'\~ loc.C).~i "t'\" 0=,.r"-i;e_ l EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NOD YES O NOD CONTACT NAME (ff Different Fom Applicant) APPLICANT NAME :Sc.ot t L.i ++ I e.FTe. I cl ADDRESS ADDRESS S.e..•···• CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE FAX EMAIL EMAIL p._,r,..jtS @AwMAf>, C.Olr\ PROP~f OWNER NAME "0--<1.< Sn--"C1_ CONTRACTOR BUS,:. NA~E1 • I I . ,,.. u .. ~.1.e..r< ADDRESS f_J ADDRESS J.3.). I IY)c..S-\~~ !1111.u. Ro..i I rotJ..tl.. 14ve. CITY STATE ZIP CITY /TATE ZIP Ce..rls be..J ePt 1:iooa-a.It,\.\) h ... 11 -', q1;a_a I PHONE PHONE FAX 'll?o {,o~ "143"' IFAX ,_,_, -~5'1 • 1 t31 r.r.,. J.s-q. ~ ss-, EMAIL EMAIL f'e.-... i-ts@ AWh<\O• co .... ARCH/DESIGNER NAME & ADDRESS lSTATE UC.# STATE Uc.:~., 2_ f_ 0, CLASS I Cl,'ii"7~ ·11 e.sc. (Sec. 7031.5 Business and Professions Code: Any City 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 License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}). WORKERS· COMPENSATION Workers' Compensation Declaration: I hereby sffitm under penalty of pstjury ooa of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perl'ormance of the work for which lhls pennit Is issued. ~ have and wlU maintain work.en'. compeosatkm. es required by Section 3700 of the labor Code, for the performance of the wodr. for which this oarmil is issued. My workers' compensation insurance caUI.M and policy numberare:lnsuranceCo. :tns-Co-of The.. we.s-r: Policy No. vJSA ~oao;:0300 Expiration Dale -1-f. t 3 This section need not be completed ii the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that In the performance of the won( for which this pennit is issued, I shall nol employ any person In any manner so as to become subject to the W008fS' Compensation Laws of California. WARNING: Failure to secure workers' compensatlon·coveraga is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages as pt'O ed for f Section 3706 of the labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE (!,(}Jtt. . MAGENT I hereby affirm that I am e1<empt from Contractor's Ucanse Law for the foJ/owing reason: □ I, as-OWRer of !he property or-my-employees wilhwageus-their sole compensation, will do the work and Iha structure is no! intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property 'MlO 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 sale. If, however, the building or improvement is sold within one year of compleHon, the owner-builder Yoill have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exdusively contracting with licensed contractors to construct the prtject (Sec. 7044, Business and Professions Code: The Cootractor's License Law does not apply to an owner of property who bu~ds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to lhe Contractor's License Law). □ I am exempt under Section ____ Business and Professions Code for this reason: 1. t personally plan to provide lhe majO/ labor and materials IOI construction of the proposed property improvement. □ Yes □ No 2.1 (have/ have not) signed an application fOf a building permit for the proposed work. 3. 1 have contracted wilh lhe following person (finn) to provide the proposed construction (include name addr.ess /phone/ contractors' license number): 4. l plan to provide portions of lhe wor1t, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I wiU provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): _6$ PROPERTY OWNER SIGNATURE IIIAGENT DATE • C o·M P LET E TH IS SECTION FOR NON• RESIDENTIAL II U IL DING PERMIT$ 0 NL V Is the applicant 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 AclJ □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualily management dislricl? □ Yes □ No Is the facilily lo be conslrucled within 1,000 feet of the outer bounda,y of a school site? D 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. CONSTRUCTION LENDING AGENCV I hereby affirm that there 1s a construci10n lending agency for the performance of the work this perrmt 1s rssued (Sec. 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have iead the appllcation and state that the above Information is correct and that the lnfonnatlon on the plans Is accurate. I agree to CCN11plywith all Clly ordinances and State laws relating to building construdlon. I hereby aulhorize represeolalile of lhe City of Carlsbad ~ en~r upon lhe alxNe .-.nooned property for i1specli>n i>Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LL'lllllfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AN'/WAY ACCRUE AG!>JNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA perml is required br excavations CN8f 5'0' deep and demolition or c.onstrucoon of structures OY8f 3 stories fl height EXPIRATION: Every pemlit issued by the Buik:ling Ofocial under the provisi>ns of this Co:le shall expi'e by linilation and become nul and void if the builcli'lg or work autiorized by such perrrit 6 not cxmnenced wilhin 180 ~ fi'om lhe date of such pemilcr iflle build· or work autholized by such pem1il is suspended or abandooed at any tine aftarlhe work is commenced b' a period of 180 days (Sectbn 106.4.4 Uibnn Building Code). ...@S° APPLICANT'S SIGNATURE MIii . DATE 1-1-f&-- • m City of Carlsbad Bldg Inspection Request . . , Permit# CB120106 For: 01/27/2012 Title: SERENE RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: Suite: Location: 2321 MASTERS RD Lot: 0 OWNER SERENE FAMILY TRUST 10-16-97 Owner: SERENE FAMILY TRUST 10-16-97 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7606029436 Inspector: 6£ Requested By: CL YONE Entered By: CHRISTINE 25 Water HeaterNents ~----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments