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Home My WebLink About2751 Palmetto Dr; ; CBR2019-2236; PermitPERMIT REPORT Print Date: 03/26/2020 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Bathrooms: Project Title: 2751 Palmetto Dr BLDG-Residential 2131800300 $ 0.00 Residential Permit Work Class: P/M/E Lot#: Project#: Construction Type Orig. Plan Check#: Plan Check#: (btyof Carlsbad Permit No: CBR2019-2236 Status: Applied: Issued: PermitFinal Close Out: Inspector: Final Inspection: Closed • Expired 08/20/2019 08/20/2019 Description: SOKOLOWSKI: REPLACE 50 GAL WATER HEATER; SAME SIZE/LOCATION IN GARAGE FEE WATER HEATER PERMIT Total Fees: $ 98.00 Owner: ERIC A SOKOLOWSKI 2751 Palmetto CARLSBAD 92009 Total Payments To Date : $ 98.00 Contractor: AFFORDABLE WATER HEATERS AND PLUM Bl NC INC 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 Balance Due: AMOUNT $98.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition ofthese 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. EXPIRED PERMIT PERMIT HAS EX~tRr.:~·• IN ACC!JRDANCE WITH C.B.C. SECTION 106 4.4 AS ;>iMENDU1 BY C.M.C.18.04.030 -:? Ll.,.,,2-C> . J. I'.,) /-DATE:;,_· _______ SIGNATU!U:..j?.:f'Y "15q)-?, c::,S;,.., Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Page 1 of 1 {cicyof Carlstiad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit-------- Date --'g,,,__-z_D_-....... la....;..< __ _ ____ APN: _________ _ CT/Project#: _________ Lot#;. ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no ,K BRIEF DESCRIPTION OF WORK: -'--'---'-f--'-""'"'--~'--...:..;..!a.--_~~~~--.Jkc..i/1,_t,.;i,!--tt:...1,-r;..k:--1):....i'.J~f:, .... (illA....(.+-1e.....L.r----s 1m ,.r 0 Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, If yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No O Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _ O Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground , Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: _________________________________ _ E°-Plumblng/Mechanlcal/Electrlcal Only: __ t_AJ___;;_g_._+__,,t'--"Jr-----'-h-'--"'e_a=· ...,_±_e,_ • .Lv_.L.r-.:.e➔P__._l .... c.._1 .,_(_,:f.~O'.JL..L-...._f,.__,,n....._.±:'--- f l1l Other: Y c,,1 l U 0 ± \ 'G O ~ Name: 7-t2,SC\ ~~a Name: FJLl( Sakt~IQLl'j~\ fx1APPLICANiPRIMARY} _ PROPERTY O"YNER ,t" ~ . Addres; =w~ Cot¾k.i)~ ¥dtC\~drem '27 5\ fu\ffif )ilJ \1t'L City: \lfl.letud'a, State:Cfl Zlp:<}['3 5,, City: c ci v I }er Pt /2 . Stat;: C .1 Ztp:cl 2t,)t.L \ Phone:~S,415-~°=B Phone: 7fr,t>· ,J7(c · .c, l I. :J Email:~\§ ~~i\af.CDm Email: _____________ _ DESIGN PROFESSIONAL Name: ----------------Add re$ S: _______________ _ City: _______ state: __ _.Zip: ___ _ Phone: _______________ _ Email: _______________ _ Architect State License: __________ _ CONTRACTOR BUSINESS Name: fffD c d@ b I? Wa± e. v: d <-tL fe. r:J' Address: 2[ ..\ ,;er C l.l!Q J±e t L o,..fj o r::J ./? d ·-# & 1 r City: \(Ci It; k:::7 e, 1' a.,,. State: C-t Zip: q /,rss Phone: S"'S ~ • ._'3 ':(,~ -· ~ ~ l, Emall: f.eZ ij.r Gh ~ ~-L 0 ;;; r . State License: lR 2, 7.3 {,p 8: Bus. Ucense:6 L D S 11-I 7 2. 7 / {Sec. 7031.S Business and Professions Code: Any Cltv or County which requlres a permit to construct, alter, Improve, demolish or repair anv structure, prl0f to Its Issuance, ,1so requires the appllcilnt for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the BuslMs, and Professlciis Code} or that he/she Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllOJnt for a permit subjects the applicant to a cMI penalty of not more t11an five hundred dollars {$S00}), 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bui1dlns@carl3badca.gov B-1 Page 1 of 2 Rev. 06118 ( OPTION A): WORK~RS'CQMPEN~ATIQN QECLARAJION: I hearby affirm under penalty of perjury Qat of the followlng declarations: 0 I have and w\H maintain a certificate of consent to self-Insure for workers' compensation provkled by Section 3700 of the Labor Code, for the performance of the work which this permit 1s issued. p I have and wlll maintain worker's cornpen511tlon, as required by Section 3700 of the Labor Code, for the performMce of the work for which this permlt Is Issued. My workers' compensation lnsur,mce carrier and policy number are: Insurance Company Name: lru u t "t1 [ e C Q • D £ th e uU e <.l'-f Policy No. 5 D 3 L 'f q 1 t) 3 Explratlon Date: I • I • 2, 0 □ Certtflnte of EJ<emptlon: I certify that ln the performance of the work for which this permit Is issued, 1 shall not employ any perlon in any manner so as to be come subject to the workers' compensation Laws of California. WARNING: Failure to secure worllers compensation cove1119e Is unlawful, and sMlhwJed: an emplc,ver to crlmfnal penaltles and clvH fines up to $100,000.00, In addition the to the cost of ~mpensatlon, danases as provided for In section 3706 of the Labor Code, lnterestandattorney'1fees. &l1r~ r\/1' 0 / I'~ CONTRACTOR SIGNATURE: ----------~.,_..,__~LJ-t--(--------'4AGENT DATE: J:2 / \l;, / 1 v ( OPTION B ): OWNERMBUILDER DECLARATION: I hereby affirm that I om exempt from Contractor's License Law for the following reason: □ I, 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 Contractor's License law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or throush 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-bullder will have the burden of proving that he did not build or Improve for the purpose of sale). □ 1, as owner of the property, am exduslvely contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfeJaslons Code: The Contractor's license Law do~ not 11pply to an owner of property who builds or improves thereon, and contracts for such projects with contracu,r(s} licensed pursuant to the contractor's License law). □ I am exempt under Section ______ .......;Business and Professions Code for this reason: L I personally plan to provide the major labor and m3terials for construction of the proposed property Improvement. □ Yes O No 2. I (have/ have not) signed an application for a bulldlng permit for the proposed work. 3. I ha11e contracted with the followlng person (firm) to provide the proposed construction (Include name address/ phone/ contractors' lleen,se number): 4. I plan to provide portions of the work, but J have hired the following person to coordinate, supervise and provide the major work (lnciud e name/ address/ phone/ contractors' llcense number): 5.1 wlll provide some of the worli:, but I have contracted {hired) the following persons to provide the work Indicated (Include name/ address/ phone/ type of work): OWNER SIGNATURE: □AGENT -------------------------DATE: _____ _ CQNSTRUCTIQN LENDING AGENcy, IF ANY: I hereby affirm that there Is a construction lendlns agencv for the performance of the work this permit Is Issued (Sec. 3097 Ill Clvll Code). Lender's Name: ____________________ Leruler'• Address: ___________________ _ ONLY COMPLETE THE FOLLOWlNG SECTION FOB NON-REStDENTIAL BUH.QING PERMITS QNl,.Y: Is the applicant or ruture building occupant required to submit a business plan, acutely hazardous materials registration form or risk manageme11t and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applirant or future bulldlng occupant required to obtatn a permlt from the air pollution control district or air quality management district? □ Ve! □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 ANO THE AIR POLLUTION CONTROL DISTRfCT. APPLICANT CERTIFICATION: I certify that I ha...e read the application and state that the above Information Is correct and that th11 Information on the plans IS acturate. I a11ree to comply with all City ordinances and State laws relatln9 to building construction. I hereby authorize representative of the CltV of carlsbad to enter upon the above mentlonad property for Inspection purpos1!$, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARlSBAO AGAINST ALL UABILmES, JUDGMENTS, COSTS ANO EXPENSES WHICtl MAY IN Alff WAY ACCRUE AGAINST SAlD cnv IN CONSEQUl:NCE O' THE GRANTING Of THIS PERMIT.OSHA: An OSHA permit Is required for excavations over S'O' deep and demoltlon °' construction of structures over 3 stories In height. EXPlRA TJON: Every permit Issued by the Bulkllng Official under the provisions of this Code shall expire by limitation and become null and 110id If the buHdins or work authorized by such permit Is not commenced within 180 days from the date ohuch permit or If the bu•dil'IB or work authoriied by such permit Is suspended or abandoned at anytime after the work ls commenced for a period of 180 days (Section 106.l~rm BuDd1n1 Code). / ?(. APPLICANT SIGNATURE: l!11L~ DATE: ? / /'1 /i"I v r 1 1635 Faraday Ave Carlsbad, CA 92008 B-1 Ph: 760-602-2719 Fa><: 760-602-8558 Page2 of 2 Emall~ §.ulldlng®carlsbadca.aov Rev.06118