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Home My WebLink About2522 LEVANTE ST; ; CB120254; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 f>lumbing/Mechanical/Electrical (PME) Permit 02-13-2012 Permit No: CB 120254 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2522 LEVANTE ST CBAD PME Status: Parcel No: 2161906400 Lot#: 0 Applied: Reference #: PC#: Project Title: ROWE 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: ROWE DEBBIE A PO BOX 230518 ENCINITAS CA 92023 I ISSUED 02/13/2012 KG 02/13/2012 02/13/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH,.. BC SECT~ 106.4.4 AS A'IENOED ~':iiJ(J ' DATE. C1,~SIG.tMTURE FINAL APPROVAL Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedicalions, reservafions, 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 10 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 01 se1Vice fees in connection with this project. NOR DOES IT APPLY to any . f . h h v i Tl im1I r limi i h . . • ~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No.CB { 20 25 Est. Value ~ CITY Of CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit JOB ADDRESS ~St.I.;). t.@" f, -k. CT/PROJECT # LOT# DESCRIPTION OF WORK: Include Square Feet of Affec«HJ Area(s) EXISTING USE PROPOSED USE GARAGE (SF) Date SUITE#/SPACE#/UNIT# # BATHROOMS TENAITT BUSlNESS NAME PATIOS (SF) DECKS(SF) FIREPLACE YES □#_ NOD CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NOD CONTACT NAME (If Different Fom Applicant) APPLICANT NAME !) c. O t 1" L. j -tt-e. f re.. I cl. . ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE ZIP CITY C,'4 PHONE FAX EMAIL EMAIL fer-"'i ts. @ AW ha. ARCH/DESIGNER NAME & ADDRESS STATE UC.# CITY BUS. UC.# 1~1·,a,;1 (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 si~ned statement ttiat he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Sectlon 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 ($500H, WORKERS' COMPENSATJON Workers' Comptn&atlon De<:laratlon: I hen1by affirm under prmaHy of perjury one of the following declarslions: □ J have and will maintain a certificate of consanl to salf-lnaurefor-1ters' compensation as provided by Section 3700of the Labor Code, for the performance of the work for which this permit is issued. tl'"i have and wlll maintain wo/1c.ers' comDeosatlon. as r011uired by Section 3700 of the Labor Code, fo.-the performance or the wodl for which this oormit is issued. My wori<ers' compensation insurance carrier and policy number are: lnsllfanceCo. l-os. CCJ-0 f Toe... We.ST Policy No. uJ§A :s::oa.o pO 3 00 Expiration Dale ( .. r .. t 3 This section need not be compleled if Iha permit is for one hundred dollars ($100) or less. 0 Cortlficate of Exemption: I certify that in the performance of the work for which this permit is issuetJ, I shall nol employ any person in any manner so as to become subjBCI to tho Woocers' Compensation Laws of California. WARNING; Fallurs to secure workers' compensation·coverage Is unlawful, and shall subject an employar to criminal p1naltles and clvll f111es up lo ona hundred thousand dollars (& 100,000), In addition to the cost of eompansatloo, damages as pro , ed for r Section 3706 of the Labor code, Interest and attorney'• lees. A! CONTRACTOR SIGNATURE f!iJJI(. • MAGENT I hereby affimt that I am exempt from Contractor's LicllllSe Law tor the following raason: □ I, as owner ol the property-er-my-empjoyees 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 Conlractor's Llcanse Law does not apply lo an ownar of property who builds or improves thereon, and who does such work himself or through his own employees. provided that such Improvements are nol inlended or offered for sale. If, however, the building or improvement is sold Within ooe year of compleHon, the owner-builder wlll have the burden of proving that he did oot btrild or improve for the pu1Jl116e of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the prcject (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owne, of property who builds or improves thereon. and contracts for such projacts with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ____ Business and Professions Coda for this reason: 1. I personally plan lo provide the major labor and materials for construclion of the proposed property Improvement □ Yes O No 2. I (haY1l I haw not) signed an application for a bulldlng permit for the proposed work. 3.1 have contraclad with Iha following person (finnl lo provide the proposed ronslructioo (include name address I phone I ainlraclors' licsnse number): 4. I plan lo provide portions of the work, but I have hlred the following person lo coordinate, supeNise end provide the major work (include name I address I phone/ contractors' license number): 5. I win provide some of the work, but I have contracted (hired) the following persons to provide Iha work indicated (include name I address I phona I type of work): A5 PROPERTY OWNER SIGNATURE !lfAGENT DATE • ' " • " ~ COMPLETE THIS SECTION FOR NON•RESIDENTIAL BUILDING PERMITS ONLY Is the applicanl or Mure buHdirig occupant requiled to submit a business plan, acutely ha:zardoos malelials registrallon form or risk management and prevention program unda[ Sections 25505, 25533 or 25534 of the Presley-TaMer Hazardous Subslance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a pem,ij from the air pollution control dislricl or air quaU ty management dislrici? □ Yes □ No Is the facility to be constructed within 1,000 ftlel of the outer boundaiy ol 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 OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY. I hereby affirm that there is a conslruction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) CMI Code). Lender's Name Lender's Address APPlJCANTCERTIFICATION I certify that I haw readtlleapplicatlon andsmtelhatthe above lnfllnnation ls correct and that the Information on Ille plans isacc:urate. l agree to complywitll all atyonllnanc:es and State laws relating to bulldlngconslludlon. I hereby aulhorize representalMl of tie City of Carlsbad to enter Up;lll lhe above menooned ~rty for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /WY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA Ari OSHA permit is requiBd t;r excavalkxls over 5'0' deep and demolioon or construdi:m of Slructu'es over 3 stories n height EXPIRATION: Every permit issued bylhe Buikling OffdaJ under1heprovi;ions of1his Code shall~ by Imitation and become nut and wi:l if the buldng orWOl1\ au1hmzed by such pemil is notcomnenced v.im 180 days from the date of such pemitor if the buicf or work autiorized by such permit is suspended or abandoned at any time after1he work iscommeooid for a period of 180 days (Secoon 106.4.4 Urmm Build'ing Code). ,.«S' APPLICANT'S SIGNATURE (!J}lli. DATE ~-3-1~