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Home My WebLink About2628 COLIBRI LN; ; CB161121; Permit03-23-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit Permit No: CB161121 Building Inspection Request Line (760) 602-2725 2628 COLIBRI LN CBAD PME 2155341800 Lot#: 0 MARSH RES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/23/2016 RMA 03/23/2016 03/23/2016 ALL STAR WATER HEATERS & PLUMBING MARSH CURTIS D&KIERSHA M 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2628 COLIBRI LN CARLSBAD CA 92009 $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 NonCE Please take NOllCE that approval of your prqed: includes the "lrrpcsition'' of fees, dedicatims, reservatims, or other excdims hereafter rollectively referred to as "fees' exactions." You have 00 days frcrn the date this pemit 'MIS issued to protest i I'TfXJsitim of these fees' exactions. If you protest them, you trust foiiCMtthe protest procedures set forth in <?ovemrrent Code Sectim60020(a), and file the protest and any other required informatimwth the Oty1V1anagerfcr prcressing in aa:crclance wth Carlsbad M.Jnidpal Code Sectim3.32.030. Failure to tirrelyfdiCMtthat procedure v-.111 bar any subsequent legal action to attack, review, set aside, vdd, cr annul tl'eir irrpcsition. You are hereby FURTHER t\OllRED that your right to protest the specified fees'exactioos [XES NOT APR... Y to \M:lter and S£J.Ner mnnectim fees and capacity dlanges, ror plannirg, 2Dilirg, gradirg or other sinilar applicatim prcressirg cr service fees in ronnectim wth this prqed:. NCR DOES IT APPlY to any fees'exactims of \i\llid1 have · ousl been ·vena NonCE sinilar to this cr as to Wich the statute of linitatims has eviousl otherWse ·red. Cl TY 0 f ARLSBA Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718/2719 Fax 760-602-8558 www.carlsbadca.gov 2628 Colibri Ln. Est. Value SWPPP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (Sf) FIREPlACE YESQ. AIR CONDITIONING FIRE SPRINKLERS NU vesONOO YEsONoD CONTACT NAME (ff Different Fom Applicant) ADDRESS Sierra Sprague -------------~--=-------------------l Menifee 92584 PHONE PHONE 951-301-0067 PROPERTY OWNER NAME CONTRACTOR BUS. NAME Curtis Marsh ADDRESS ~-=:=.,---------~SAme as iob ____ _ ADDRESS ~--~·-·-·-------··---... -,___AljAfar_W!iterJieat_e.L>L.-.._----1 30300 Puerto Vallarta CITY STATE ZIP CITY ·-----------....... , .... ----·~ATE ZIP Carlsbad CA 92009 Menifee CA 92584 PHONE FAX PHONE FA.X 760-929,.9625 951-301-0067 EMAIL hA'"R"'CHcrV;;;DES:;;; .. ~IG"'N"'E'>;R"NAM=E"'&""m=ornR"'ESS"""'"--·--.. ---·------··r;st"'A;;;J;roE7U:C.II ----STATE UQJI -.. -----------r;;=:;;----T===-:-=c--------.......J 812894 (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 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis permit Is issued, 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ol the work for which lhis permit is issued, My workers' compensation Insurance carrier and policy number are: !nsuram:e co American lns;,~rance Company Policy No: C4l3096:'iOA E.xpiraUon Dale 8101!111 This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for whichlhis permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 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 addition to the cost of compensation, damages as provided for in Section 3706 of lhe Labor code, Interest and attorney's fees. / filS CONTRACTOR SIGNATURE DATE :J'/.;?,2 I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D l, as owner 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 Contractors license 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 sale. If, however, 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 of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Conlractors 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 exempt under Sectkm Business and Professions Code for lhis reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement DYes 0No 2. l (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I 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 I type of work): ~PROPERTY OWNER SIGNATURE DATE I cettifylhatlhallareadllleal)plicatroninf slalethat1heabo'le lnfutllatli'mlsCOJJeet.and that the information on the plans is accurate.! agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City ol' Carlsbad to enter upon the above mentioned property for inspectbn purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or worn authorized by such penn it is not commenced within 180 <lays from tne a ate of such permit or if the building or worn authortzed by such penni! is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 100.4.4 Unifonn Building Code). 25APPLICANT'SSIGNATURE~~ DATE ::J'~PJ~(p Inspection List Permit#: CB161121 Type: PME Date Inspection Item 04/04/2016 25 Water HeaterNents 04/04/2016 25 Water HeaterNents 04/04/2016 29 Final Plumbing 04/04/2016 29 Final Plumbing Monday, April 04, 2016 Inspector Act Rl PO AP Rl PO AP MARSH RES-REPLACE WATER HEATER Comments AM PLEASE AM PLEASE Page 1 of 1