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Home My WebLink About2779 Palmetto Dr; ; CBR2017-2839; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 12/07/2017 Residential Permit Permit No: CBR2017-2839 Job Address: Permit Type: Parcel No: Valuation; Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Description: 2779 Palmetto Dr BLDG-Residential 2131802500 $0.00 www .carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: KARTSUB: REPLACE SO GALLON WATER HEATER, SAME LOCATION Owner: Status: Applied: Issued: Finaled: Inspector: Contractor: Closed -Finaled 11/28/2017 11/28/2017 COOWNER KARTSUB STEPAN AND LORI B 2779 Palmetto Dr AFFORDABLE WATER HEATERS AND PLUMBING INC CARLSBAD, CA 92009 760-473-8118 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 28358 Constellation Rd, 698 Valencia, CA 91355-5044 661-259-7131 Balance Due: 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 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 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. $0.00 $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING 0BUILD1NG □FIRE □HEALTH 0 HAZMATIAPCD Ccityof Building Permit Application ~~he_c~~_C,~~i0L~f5lff3_J 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value " Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date II ~ .-:l 17 -j'.,J lswPPP JOB ADDRESS e_ SUITE#/SPACE#/UNIT# ,PN l-±9r,r· I --- CT/PSO/ecT•~-1-1 1::l.--Cl /1~.e # OF UNITS # BEDROOMS # BATHROOMS I TENANTBUSINESS NAME . I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Aree(s) /{ ef/a ce. So t} o//on w l7 fer he C(_ i er <.f (.) IY) e_ Io C a -t-1 Ofc -'! C,( y °'9-fl-' I - EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1DECKS (SF) FlllEPLACE I AIR CONDITIONING I FIRE SPRINKLERS v,so N<O vESONoD v,s□NoD :;::_:,~~:M•As bl t/t/~1 o __ !_conn_e_/ 1 PROPERTY OWNER NAME ka r f--Jw 1= ······················--:........L.ny I -----ADDRESS I ADDRESS li:lf _ 3 5 Z CD nJ' t e. a t i__12n _ .fr!.. r1 Ft /.JJ q a CITY l J J '1 f c,_st,t;:J-e -tq, Or CllY STATE ZIP "f 20D'1 Ve, Jen/',,,.__, ,, ;t C/ 1 , 5 < ;; a.rl d'b Cl d. r'/'/ / IPHONE : \ rAX p/"t' ,\ t I 'AX <?cc ,'ic-qo'-1? _ 1.9 IP!) 2 S '1-"! S cc Lt loD L./72,-1/,f c• cMAILf -re) .EMAIL 7 ev~,-tJ' C1'"hac, ; Corn DESIGN PROFESSIONAL , - CONTRACTOR BUS. NAME (f _ ... ?I Q t'.<i a b I e vJ/.afec JLt:CJte ADDRESS ADDRESS _;zs3sg c~yi,st-e JI a. t12o_f!..cL. _1fip9 e-·cn-•i· . ------------.. .. ------. -----. STATE ZIP CITY STATE ZIP V -I e.o CI. C"-... {.-ff '7 1-3....5...5... PHONE l 'AX PHONE ~AX - -· -:z.s2-S: 5 S (_p 'ifs..,_1_J_'i.S..-cz o g Jo 10 1 l -EMAIL !EMAIL , .STATE LIC.# P,,rrn i t=,r c;:, "" L.AJ h a f' , c c =:-._ ____ ICLAC:3LPl"IYlus;•l7 2, \ STATE UC.# IP213v ? (Sec. 7031.5 Business and Professions Code: Any City or County whlch requires a permit to construct, alter, improve, demolish or repair an~ 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 Oiat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION --l Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of/he following daclaralions: D l ,ltive and wlll 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 GJ'i' have and wlH maintain workers' compensation, as reau!red by Section 3700 of the Labor Code, for the performance al the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo./a,'i/tV:?ZOCC: Co,oftht t'Ye1rt: PolicyNo. S0,:32LJc:.z100 ExpiralionDate /, /,/,L This section 1'18ed not be completed If the permit Is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance or 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 La~ of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to one hundred thousand liars (&100,000), in addition lo the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. /. 25 CONTRACTORSIGNATURE av/ fil.(GENT I hereby aff,rm Iha/ I am exempt from Contractor's Ucense 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 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 lhe burden of proving that he did not build or improve for the pLJrpose of sale). I, as owner of the property, am exclusively contracting with Rcensed 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). I 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. Oves 0No 2. I (have I have not) signed an application for a building permit for the p~oposed 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 lo provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ 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/ address I phone/ type of work): 25 PROPERTY OWNER SIGNATURE ~T DATE V ls lhe applicant or future bu!ldlng occupant required to submit a business plan, acutely hazardous materials regls1ra!ion form or risk managemen! and prevention program under SecUons 25505, 25533 or 25534 of lhe Presley• Tanner Hazardous Substance Account Act? D Yes D No Is lhe applicant or future building occupant required to obtain a permit from the air pollution con1rol dis1rk:1 or air quality management district? □ Yes □ No Is the faclHty to be constructed within 1,000 feet of the outer boundary of a school si!e? O Yes O 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 DISTRICT. I certify that I have read the application and state that the above infonnatlon Is correct and that the lnfonnatlon on the plans Is accurate. I agree to comply v.ith all Cify oldinances and state laws relating to bcildlng construction. thereby authorize representative of the City of Carlsbad to enteru~m the above mentioned property for inspection purp:>ses. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGA-tNST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN COOSEQIJENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pennl is requred brexcavaijons over5'0' deep and demolition or construction of structures over 3 s1ories in height. EXPIRATION: Every pemilt issued by the Buik!ing Ofocial under the provlSk:lns of this Code shall explre by limitation and become null and void if the building or y,ofk authorized by such pennit is not commenced within 180 days from the dale of such permtt or 11 the bu11d1ng or v.ork authorized by such penntt 1s suspended or abandoned at any time after the v.ork is commenced fi:lr a pen:xl of 180 days (SectlOO 106 4 4 Uniform Building Cooe) _g APPLICANT'S_s~~ATURE_ c.,,1.,t) __ --CATE I I ! I 1_/_r1 ___ _ \ ' 't" h •~~, ,:f • , , c f I 't ' < ( i ' ' ¾' , ;,: ,,'!::/ .~·:," ~.: "~E~Mll] INS,PECTIQf1,HJST. fY,fi(ij~O~Jr'(CBR2017-2839l , . ::} Pcnrnt Type; Work Cluss: Status: Scheduled Date BLDG-Residential PIMIE Closed -Finaled Actual Start Date Inspection Type Application Date: 1112812017 Issue Date: 1112812017 Expiration Date: 06/0512018 IVR Nurnber: 7961 Inspection No. Inspection Status Owner: COOWNER KARTSUB STEPAN AND LORI B Subdivision: CARLSBAD TCT#02-14 BRESSI RANCH UNIT#06 Address: 2779 Palmetto Dr Carlsbad, CA 92009-3081 Primary Inspector Reinspection Complete ------------------------------------------------------ 12/07/2017 12/07/2017 December 07, 2017 BLDG-25 Water HeaterNents 042680-2017 BLDG-Final Inspection Checklist 1tem BLOG-Building Deficiency 042681-2017 Checklist Item BLDG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLOG-Structural Final BLDG-Electrical Final Passed Paul Burnette COMMENTS Passed Paul Burnette COMMENTS Passed Yes Passed No Yes Yes No Yes Complete Complete Page 1 of 1