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Home My WebLink About2369 AVENIDA HELECHO; ; CB121361; Permit07-18-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121361 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2369 AVENIDA HELECHO CBAD PME 2552722700 Lot #: COLE RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: ISSUED 07/18/2012 LSM 07/18/2012 Issued: 07/18/2012 Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: COLE LIVING TRUST 08-14-02 2369 AVENIDA HELECHO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $30.00 $0.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINALAPPROVAL /Vi. UAj^i Date: <»a/o^/ /-Z. Clearance: NOTICE; Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resenrations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was Issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation 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 ttiat your right to protest ttie specified fees/exactlons 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 witti this project. NOR DOES IT APPLY to any fees/exadions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv ottienwise expired. CITY OF CARLSBAD Building Permit Appiication 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. C€) 1 Z. » S ( Est. Value Plan Ck. Deposit Date 2M 17^ JOBADDRESS , C t C CT/PROJECT* tori PHASE* #0FUNnS l#Be SUITE#/SPACE#/UNIT# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: fncfude Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESO # NOO AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES O NOD CONTACTNAME (If Different Fom Applicant) APPUCANT NAM^ ADDRESS ADDRESS 'r^O*- ^104>J CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTYSSerNER NAME ADDRESS r r\ r !ciTY " _ STATE ZIP CONTRACTOR BUS. NAME ADDRESS STATE PHONE CITY STATE EMAIL PHONE EMAIL FAX ZIP Permit:^ ^ 4UjhAp>Com ttr^U 'IfH ACC ARCH/DESIGNER NAME & ADDRESS CLASS CITV BUS. UC.# (Sec. 7031.5 Business and Professions Code: Any City or County virtiich requires a permit to construct alter, improve, demolish or repair any structure, prior to tts issuance, also requires the applicant fbr such permit to flle a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter a, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt 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 affinn under penally i^peijwy one of the fonowing declarations: O I have and wiH maintain a certificate of consent to self-insure ibr workers' compensation as provided by Section 3700 of the Labor Code, for the performance of Ihe work for whteti this perniit is issued. H^have and wiH maintain workers' compeDsation. as reauired by Section 3700 of the Labor Code, for ttte perfonnance of the work for whk:h this oermit is issued. My wortteis' compensation insurance canier and poUcy number are: Insurance Co. !^r\S. Cc. Of Thg.. Uj£6T Policy No. U)BA 5oaoao3o0 Expiratton Date I " I - t !^ This section need not be completed if ttie pemiit Is for one liundred doliais ($100) or less. O Certiflcats of Exemption: I certify that in ttie perfomiance of ttie wort( for whk:b ttiis pemiit is issued, I stiall not employ any person in any manner so as fo become subject to ttie Wortieis' Compensation Laws of Califomia. WARNING: Faikire to secure workers' compensation coverage Is unlawful, and shall subject an empfoyer to criminal penaMes and civil fines up to one hundred thousand dollars (SIOO.OOO), in addKton to the cost of compensatian, damages as proyided for In Sectkin 3706 of the Labor code, Interest and attorney's fees. SfAGENT CONTRACTOn SIGNATURE O W N E R - B U I L D E R O C L A R A T I O N / hereby affimi tfiaf / m exempf from Contractor's Ucense Law for the foUowing reason; • I, as owner ofthe property or-my-employees witti wages-as-ttielr sole compensatton, will do the wori( and ttie sttucture Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ConttBctor's License Law does not apply to an owner of pmperty who builds or Improves ttiereon, and who does such work himself or ttimugh his own emptoyees, provided ttial such improvements are not intended cr offered for sale. If, however, ttie bulkUng or Improvement is sold wittiin one year of completton, Uie owner-bulkier will have ttie burden of proving thai he did not buikl or improve for ttie purpose of sale). • I, as owner of ttie property, am exclusively contracttng witti licensed conttactors to constnjct ttie project (Sec. 7044, Business and Professtons Code: The Conhacttx's Ucense Law does not apply fo an owner of property who bulds or improves ttiereon, and conttacts for such projects witti conttactor(s) licensed pursuant fo ttie Conttactor's Ucense Law). • I am exempt under Sectton. .Business and Professtons Code for ttils reason: 1.1 personally plan fo provide ttie major labor and materials for consttuction of ttie proposed property improvement. OYes DNo 2.1 (have / have not) signed an appltoatton for a buikiing permit for ttie proposed worit. 3.1 have contracted witti ttie fbUowing person (limi) fo provide ttie proposed consttuctton (Include name address / phone / contractors' license number): 4.1 plan to provide portions of ttie wortt, but I have hired ttie foiiowing person fo coordinate, supennse and provkle the major wortt (include name / address / phone / contractors' Itoense number): 5.1 will provide some of ttie worit, bul I have conttacled (hired) the foltowing persons to provide ttie worit indicated (include name / address / phone / type of work): >gS'pROPERnr OWNER SIGNATUI WAGENT DATE . — COMPLETE THIS SECTION F O R N O N - R E S I D E N T t A t BUILDING PERMITS ONLY Is ttie appltoant or future building occupant required to submit a business plan, acutely hazardous materials reglsbetion form or risk management and prevention program under Secttons 25505,25533 or 25534 of ttie Presley-Tanner Hazardous Substance Account Act? • Yes • No Is ttie applicant or future building occupant required to obtain a pemiit ttom ttie air pollution conttol disttict or air quality management disttict? • Yes • No Is ttie facility to be constnicted wittiin 1,000 feel of ttie outer boundary of a school site? OYes ONo 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 OFRCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCV I hereby affirm ttiat ttiere is a constructton lending agency for ttie performance of ttie worit ttils permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certif ttiat I have lead the appltoatton and state that the above Infonnation Is conect and tti^ the bifbnnatton on the I hereby aulhorize representative of Ihe City of Carisbad to enter upon ttie above menttoned property for inspedion ptxposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemiit is lequiied fbr excavattons over S'O'de^ and demditton w consttuctton of sbuctuies over 3 stories EXPIRATION: Every pemntt issued by ttie Buikiing Oflidal under ttie piDvisnns of ttiis Code shall expiie by Im 180 days torn tie date of such pennt or if tie buidin^or worit aulhorized by such pemvl is suspended or aband^ vCTAPPLICANrSSIGNATURE ^-^7_,^.r C -<L "f DATE Inspection List PermlW: CB121361 Type: PME COLE RES-REPLACE WTR HTR Date Inspection Item Inspector Act Comments 08/06/2012 25 Water Heater/Vents - Rl 08/06/2012 25 Water HeaterA/ents MC AP 08/06/2012 29 Final Pigmbing - Rl 08/06/2012 29 Final Pigmbing MC Fl Tuesday, August 07, 2012 Page 1 of 1