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Home My WebLink About2815 EL RASTRO LN; ; CB130222; Permit, . City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-25-2013 Permit No: CB 130222 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2815 EL RASTRO LN CBAD PME 2551030600 SISK RES= REPLACE WTR HTR AFFORDABLE WATER HEATERS AND PLUMBING INC 28372 CONSTELLATION RD VALENCIA CA 91355 855-345-908 7 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: SISK SURVIVORS TRUST 03-18-96 P O BOX 235015 ENCINITAS CA 92023 ISSUED 01/25/2013 LSM 01/25/2013 01/25/2013 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NO approval of your project includes the "Imposition' off , 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 f · h I h' whi limi h «1./f> Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. (!8 l ~Od""o-d-- ~ CITY OF CARLSBAD JOB ADDRESS /PROJECT# LOT# Fax: 760-602-8558 www.carlsbadca.gov Est. Value Plan Ck. Deposit Date I ~ 13 SUITE#/SPACE#/UNIT# APN \;Y). " # OF UNITS # BEDROOMS # BATHRO MS TENANT BUSINESS NAME CONSTR. OCC.GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) AIR CONDITIONING FIRE SPRINKLERS NOD YES O NOD YES O NOD CONTACT NAME (If Different Fom App/leant) APPLICANT NAM~ ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME CITY EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# CLASS t.S'- CtlY BUS. UC.# I ~17~71 (SeC. 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 lss_uance, 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 fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or [hat he is exem_P.t 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 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decJarailons: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of Iha Labor Code, For the performance of the work for which this permit is issued. !l'j" have and wlll maintain workers' compepsatlan. as reQuired by Section_ 3700 of the Labof Code, for the perfoonance of the WOik for which this nemiit is issued. My workers' compensation insurance ca_rrier and polfcy ""mberare: lnsu,aaceCo._""Zwl I~ l\rnc:Vi ~ (~~ C.,., P~<yNo . .\NC:l,,S\eG>O 4GOc; _ Ex~,alionO.te f -( -I It This section need not be completed if the permit is for one hUndred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perfomlance of the WOO for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Wllfkers' Compensation Laws of California. WARNING: Failure to secure workers' compensatlon·coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition lo the cost of compensation, damages asp ed for In Section 3706 of the Labor coda, interest and attorney's feaL AS CONTRACTOR SIGNATURE !21AGENT I hereby affirm that I am exempt from Contractor's Ucense Law for t/Je following reason: o I, as·OWRer-of-lhe propel'ty-OJ--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 Yltlo builds or improves !hereon, 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 yea of completion, the owner-builder wiU have Iha burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exdusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Conlractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts la such projects with contractor(s) licensed pursuant lo the Conlractor's License Law). D I am exempt under SecHon usiness and Professions Code for lhis reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2. l (have I have not) signed an application for a building pemiit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (lndude name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired lhe following person lo coordinate, supervise and provide the major work (include name I address I phone I contraclOrs' license number): 5. I will provide some of the wock, but I have contracted (hi.'ed) lhe following persons to provide the work indicated (include name I address I phone I type of work): ,,I$ PROPERTY OWNER SIGNATURE !if AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL IIUILDING PERMITS ONLV Is the appbcanl or fulure building occupant required to submit a business plan, arutety hazardous materials registration form or nsk management and prevention program undet Sedions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes Cl No Is lhe applicant or full.Ire building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is Iha facility to be constructed within 1,000 feel of the outer boundary ot a school sile? 0 Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFlCATE 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 certify that I have read the appllcatlon and state that the above information Is conect and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building cortStntcllon. I hereby aulhorize represen"'we c, Ile Cl~ c, Cansbad b enter upon Ile above mentioned properly lor i,specoon puposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN/Vf'/WAY ACCRUE AGAINST SAil CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSAA pennit is required b excavations CM!!: 5'0' deep crxi demolition or coostrucli.m of structi.res over 3 mies rl herJhl EXPIRATION: Every permit issued by the Buikling Olfcial under lhe provism; of this Cede shall expire by linitatioo arxf becoole ool and void if tie buRdi,g or 'MXk authorized by such pemit is not COITI tier iced 'Mm 180days from~• dale ofsudl pemit orff Ile buldiiq orv.ori<aulhomBd by such perrntt is susperoed or abandooed at any lime after 118 v.ori< is cornrronced for a period<* 180 days (Sediln 106.4.4 lkliform 0.Jikling Code) . ..6! APPLICANT'S SIGNATURE DATE \ l I \1 ·Inspection List Permit#: CB130222 Type: PME Date lnspecUon Item 05/14/2013 25 Water HeaterNents 05/14/2013 25 Water HeaterNents 05/14/2013 29 Final Plumbing 05/14/2013 29 Final Plumbing 05/13/2013 25 Water HeaterNents 05/13/2013 25 Water HeaterNents Wednesday, May 15, 2013 Inspector PY PY PY Act RI AP RI AP RI CA SISK RES= REPLACE WTR HTR Comments 2PM PLS PLS CALL W/TIME Page 1 of 1