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HomeMy WebLinkAbout2639 MARQUITA PL; ; CB121127; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-18-2012 Permit No: CB121127 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2639 MARQUITA PL CBAD PME 2162511200 Lot#: 0 THOMPSON RES-REPLACE 40 GAL WATER HEATER -SAME LOCATION -GARAGE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/18/2012 RMA 06/18/2012 06/18/2012 AFFORDABLE WATER HEATER THOMPSON REVOCABLE TRUST 11-05-97 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2639 MARQUITA PL CARLSBAD CA 92009 $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: u-2c-I Z-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 seNice fees in connection with this project. NOR DOES IT APPLY to any . h I Tl E hi tr h i «1~ Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. ~ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gqv Est. Value JOB ADDRESS SUITE#/SPACE#/UNIT# # OF UNITS # BEDROOMS #BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPlACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NO □ YES □NO □ YES O NOD CONTACT NAME (If Different Fom Appllcant) APPUCANTNAME!,C.Ot't l-i f"T e_ffe_(cJ. ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL EMAIL f'e.-...,,-rs @ I\Wht1. , CO/>'l ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS ~S'1 CITY BUS. UC.# ,~,7~71 (Se<:. 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 sl,1,!ned 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 {$500}). WORKERS' COMPENSATION Workars' Compensation Da<:laratlon: I hereby affum undar penalty of perjury one of the following declarations: 0 I have and wiU maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfol'rnance of the work for which this permit is issued. ~ have and will maintain worken,'_ compeosatlon. as rewired by Section 3700 of the Labor Code, lot Iha performance of the wor:k for which this oennil is issued. My workers' compensation insurance carrier and policy aumbernelas"'anceCo. :Ios-Cp. of Toe.. We!i.:t PrnlcyNo. ul§As:oa.0?>0300 E,piratonDate I -, -I'$ This section need not be completed if the pennit is for one hi.Jndred dollars ($100) or less. D Certificate of Exemption: I certify that in the perfoonance of the work for which this permit is issued, I shall not employ any persoo in any manner so as to become subject to the Workers' Compensadon Laws of California. WARNING: Failure to secure workers' compensation-coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand do Oars (&100,000), In addhlon to Iha cost of compensation, damages asp ad for T Section 3706 of tha Labor code, Interest and attorney's feas. _N$ CONTRACTOR SIGNATURE (!,(}Jf'l . ii!AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property Of-my employees with-wages-as their-sole compensation, will do lhe wost: and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's 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 employaes, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one ye81 of completion, the owner-builder wiU have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'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). O I am exempt under Section ______ ,,.usiness and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials fa construction of Iha proposed property improvement. O Yes D No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I 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 I have hired the following person to coordinate, supervise and provide the major work (include name/ address I phone I contractors' ~cense number): 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address f phone f type of WOfk): ,6$ PROPERTY OWNER SIGNATURE ilfAGENT DATE co MP LET e TH 1 $ s E c TI o Ill F o R No N. RE s Io ENT, AL 8 u IL o·, NG PERMIT s o NL v ls the applicant or Mure 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes D 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 lSSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code). lender's Name lender's Address ;APPLICANT CERTIFICATION I certify that I have read the application and state that the aboYe lnk>nnatlon is correct and that the infonnatlon on the plans is accurate. I agree to comply with all City ordinances and State laws !elating to building construction. I hef8by aulhorize represenlalive of lhe City of Cansbad lo en~r upon lhe above -property for '1Sl)eClion purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAJNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN f<NYWAY ACCRUE AG/>JNST SAJD CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA: An OSHA pennlt is required for excavations over 5'0' deep and demolioon a construction of structlres over 3 silries fl height EXPIRATION: Eveiy permit issued by the Buikling Ollk:ial under the provisions of this Code shall expi'e by liTiitation and become ooM and VOO W the buidhg or 'M)lk authorized by such pem,il is not o:,mmenc:ed v,;ttw, 180 days from #le dale of such perrrit or if lhe bukf or work authc:rized by such permit is suspended or abandoned at any time afu lhe work is commenced for a peood of 180 days (Secft>n 106.4A l.kliform 8.Jik:ling Code). _g-APPLICANrs SIGNATURE e,a,,I. DATE Inspection List Permit#: CB121127 Type: PME Date Inspection Item 06/27/2012 25 Water HeaterNents 06/27/2012 25 Water HeaterNents 06/2712012 29 Final Plumbing 06/27/2012 29 Final Plumbing Wednesday, June 27, 2012 Inspector Act PB PB RI AP RI AP THOMPSON RES-REPLACE 40 GAL WATER HEATER· SAME LOCATION• GA Comments 8-10 AM PLEASE MRS THOMPSON Page 1 of 1