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Home My WebLink About2813 FOREST VIEW WAY; ; CB163566; PermitCity of Carlsbad , 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-19-2016 Permit No: CB163566 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2813 FOREST VIEW WY CBAD PME Status: Parcel No: 1563201600 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: COOK: REPLACE 50 GAL WATER HEATER IN SAME LOCATION AFFORDABLE WATER HEATERS AND PLUMBING INC STE 698 28358 CONSTELLATION RD VALENCIA CA 91355-5044 855-345-9087 I 9048 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: COOK BRUCEW 2813 FOREST VIEW WAY CARLSBAD CA 92008 ISSUED 09/19/2016 SF 09/19/2016 09/19/2016 $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 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, 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 service fees in connection with this project. NOR DOES IT APPLY to any . h h I N I i ·1 h f Ii THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING LJ ENGINEERING 0BUILD1NG OFIRE QHEALTH D HAZMATIAPCD Ccityof Carlstiad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov JOB ADDRESS SU 1/SPACEI/UNITI Plan Check No4\~'3'.Xb~ Est. Value Plan Ck. Deposit Date 1q 1'1 SWPPP APN --ici1::i forte::\: \litw vJ°''-1 t:: CT/PROJECT• J'o" I'""" I' or"''" H""'f5"5= , BATHROOMS___ neNANT aus,Ness NAME CCC. GROUPl -~~~-i CONSTR. TYPE DESCRIPTION OF WORK: lncl11de Square Feet of All'ected Atea(s) Re.-?\°'ce. SG EXISTING USE PROPOSED USE APPLICANT NAME h · c ~ A ~-re\f ~~t EMAIL ADDRESS CITY STATE ~0\10 GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESQ PROPERTY OWNER NAME e R CONDITIONING YES0No0 Cr I) \(_ \/ If \Ll CA ZIP FIRE SPRINKLERS vesQNoO ' I i STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which reQuires a permit to. construct, alter, improve, demolish or r~pair any structure, p_rior 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, commendmgwith Section 7000 of Divtsion 3 of the Business and Professions Code} or that 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 {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration·. / hereby affirm under penalty of perjury one of the following declarations: Qi 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 pertormance of the work for which !his permit is issued. ~ I have and will maintain wor1tets' compensation. as requited by Section 3700 of the labor Code, for the performance of the worlc for which this permit is Issued. My workers' compensation insurarice carrier and policy n""'be,are, Insurance eo I D S ll r a o c e Ct, , Cl .f-fu e \f\\ e Sf POiicy No 5 il ?i 2 A "'11 D D Expiration Date l , \ , \ :J • Jh§.section need not be completed if lhe permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the worlr: for which this permit is issued, !~hall not empoy any person in any manner so as to become subject to the Walkers' Compensation laws of California. WARNING: Failure to secure wortlen:' 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 a provided for In Section 3706 of the Labor code, interest and attorney's fees. RS CONTRACTOR SIGNATURE g'i\GENT I heieby affirm that I wn exempt from Contractor's l.icense Law for the following resson: D D D 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 ProleSSions Code: The Contractor's license Law does not apply to an owner of prq>erty who builds or improves thereon, and who does suet, work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the buildfng or improvement is sold within one year of completion, the owner-builder will have the bun:ten of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exdus'1vely contracting with licensed contractOl'S to construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply lo an owner of property who builds or improves thereon, and contracts for suet, projects with contractor(s) licensed pursuant to the Controctor's License Law) I am exempt under Section Business am:! Profe~ons Code for this reason: 1. I personally plan to provide the major lator and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an appUcation 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' lleense riumber): 4. I plan lo provide portions of the work, but I have hired the following person lo 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/ phone f type of work): I ' I I Rf PROl'ERTYOWNERSIGNATURf 0AGENT OATE j L__==-=---------------~-------=-----~ -----------· COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appl'cant or future building occupant required to submit a business pl..-., acutely hazardous materlals registration form or risk management and prevention progran under Sections 25505, 25533 or 25534 of the Presley .r anner Hazardous Substance Account Act? O Yes O No ls the applicant or future buildlng occupant required to obtain a permit fmm the air pollution contrci district or air quality management district? O Yes O No Is the facility to be constructed within 1,000 feet Of the outer boundary of a school site? D Yes D 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 AND THE AIR POLLUTION CONTROL DISTRICT. I CElllffythatl have read the applcallon aOO statethal:the aboYe information Is conect:and that the infonnation on the plans Is accurate. I agieeto comply with all Cltf otdinancesan::I stale laws reetingto bulldingconstruc:tion. ! hereby aulhorize representative oflhe Cityof Carlsbad benter upon lhe atxive menooned property br inspectioo PJIJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY CF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. I OSHA: An OSHA penni is requred br excavalioos over 5'0' deep and demolitbo or construction of structures over 3 stories fl her;Jht EXPIRA TIO\!: Every permit issuoo by the Buik:ling Olfcial under the provisbns of this Code shall expire by imitaoon and berome nul and '.00 ~ the buikling or 'MJk auth::rize:l by such pennlt is not ccmmenced 'Mttlin , 180 days fi'om the daE of such pamit or if lhe bulding or 'AO.'k authaized by such i:erm~ is suspended or abandoned at any time after the 'AO'k is commenced hr a pen:xt of 180 days (Section 106.4.4 Unibm Buikling Code). 1 1 ..@S'APPLICANT'SSIGNATURE .~ DATE u, \ \ C) \. \ V ~ • Inspection List Pennit#: CB163566 Type: PME Date Inspection Item 10/03/2016 25 Water HeaterNents 10/03/2016 25 Water HeaterNents 10/03/2016 29 Final Plumbing 10/03/2016 29 Final Plumbing Tuesday, October 04, 2016 Inspector Act PD PD RI AP RI AP COOK: REPLACE 50 GAL WATER HEATER IN SAME LOCATION Comments AM PLEASE AM PLEASE Page 1 of 1