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Home My WebLink About2772 CARLSBAD BLVD; 104; CB162147; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-02-2016 Permit No: CB162147 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2772 CARLSBAD BL CBAD St: 104 PME 2031722515 Lot#: Project Title: CLARKIN RES-REPLACE WATER HEATER 0 Applicant: Owner: DEBORAH CLARKIN · DEBORAH CLARKIN Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 2037 WEST FLETCHER STREET CHICAGO IL 60618 2037 WEST FLETCHER STREET CHICAGO IL 60618 760 822-7639 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 760 822-7639 ISSUED 06/02/2016 RMA 06/02/2016 06/02/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: FINAL A:P~Orl Date: 1 f t · f /,.; Clearance: $0.00 NOllCE Please take NOllCE that approval d yrur project includes the "llllJCSitiori' d fees, dedicatialS, reservatialS, or other exactialS hereafter oollectively referre:J to as "fees'exac:l:ialS." You have 00 days from the date this perrrit 'J\aS issued to protest illlJCSiticn d these fees' exactions. If yru protest them, you rrust fdiONthe protest procedures set forth in G:lvetTYl'l3!1t Code Sed:icn 60020(a), and file the protest and any other required inforrraticn Vlith the Oty l\1:mgerfor proressing in accadanre Vlith 03rlsbad MJnidpal Code Sed:icn 3.32.030. Failure to tirnelyfd\ONthat procedure VIi II bar any sua,equent legal action to attack, review, set aside, void, or annul treir illlJCSition. You are hereby FLRTHER f\OllRED that yrur right to protest the specified fees'exactialS COES Nor .APPLY to water m:l SEMer ronnecticn fees and capacity changes, nor planning, zoning, grading or other sirrilar applicaticn prtXESSing or servire fees in ronnecticn wth this project NOR COES IT APPLY to any fees'exactialSdW1ich have evioosl been ·venaNOllCEsirrilartotns orastoWlichthestatutedlirritaticnshas evioosl other'llise ·red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BULDING OF IRE DHEALTH DHAZMAT/APCD I {_ Cicyof Carlstiad Building Permit Application Plan Check No. ( i/b/ 6/J / tj 7 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value l / Ph: 760-602-2719 Fax: 760-602-8558 fl 1-p- 1 --C-k_D ____ t ________ _ email: building@carlsbadca.gov V,A an · eposl www.carlsbadca.gov d ~1-Date & I a I) h SWPPP JOB ADDRESS CT/PROJECT # LOT# PHASE# #OF UNITS I# BEDROOMS #'tlAI HROOMS I TENANT BUSINESS NAME ICONSTR. TYPE _, occ. GROUP D.E:fRjPTIONfF WOrK: lnc~ude Sq~~re Fret of Affected Area(s) W~kr-heater 1'\\~ll~ EXISTING USE rROPOSED USE _rARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE AIR CONDITIONING 'FIRE SPRINKLERS YEs[)!_ NoD YES0No0 YEsONoO APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL STATE ZIP STATE ZIP rAX STATE LIC. # PROPERTY OWNER \\ \ I I' 'l \ )e to ra" \...... a.r I::,.; I') PHONE lFAX r1Z~D 82.2.-163_9 CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE I FAX EMAIL STATE LIC.# 'CLASS I CITY BUS. LIC.# (Sec. 7031.5 Busmess and Professions Code: Any C1ty 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 petjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this 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 the Labor code, interest and attorney's fees. 25 CONTRACTOR SIGNATURE 0AGENT DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: f:::f 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 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). Q/1, 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). @1 am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes 0No 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 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): 25 PROPERTY OWNER SIGNATURE DATE I certify that! have read the application and state that the above infonnation is correct and thatthe infonnation on the plans is accurate. I agree to comply with all Cilyordinances and State law.; relating to building construction. I hereby aulhorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CI1Y OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CI1Y IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXPIRATION: Every pennitissued by lhe Building Official under lhe provisions of !his Code shall expire by limitation and beoome null and void if the building or work aulhorized by such penn it is not oommenoed within 180 days from lhe date of such penn it or iflhe building or work authorized by such penni! is suspended or abandoned at any time after the work is oommenoed for a period of 180 days (Section 106.4.4 Unifonn Building Code). ~APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadlca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. (Office Use Only) CA DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#------------ o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: _________________ _ o CHANGE OF USE/ NO CONSTRUCTION Af APPLICANT'S SIGNATURE DATE Inspection List Permit#: C8162147 Type: PME Date _ __lr'l_spectiQn ltem_~~~-- 07/19/2016 25 Water HeaterNents 07/19/2016 25 Water HeaterNents 07/19/2016 29 Final Plumbing Tuesday, July 19, 2016 CLARKIN RES-REPLACE WATER HEATER Inspector Act Comments PO PO Rl AP AP Page 1 of 1