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Home My WebLink About2820 CARRILLO WAY; ; CB121848; Permit09-17-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB121848 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2820 CARRILLO WY CBAD PME 2226622000 Lot#: LAUGLE RES-REPLACE H20 HEATER SAME LOCATION, SAME SIZE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/17/2012 SKS 09/17/2012 09/17/2012 Applicant: ANDERSON PLUMBING INC.WALTER 1150 N MARSHALL AV EL CAJON CA 92020 619-449-3852 Owner: LAUGLE EDWARD T&GLENDA G REVOCABLE INTER VIVOS T 2820 CARRILLO WAY CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $31.00 $0.00 $0.00 $64.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refenred 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 Govemment Code Section 66020(a), and file the protest and any other required Infonnation with the City Manager for processing in accordance with Carlsbad fvlunicipal Code Section 3.32.030. Failure to tinnely follow that procedure will Ijar any sut)sequent legal action to attack, review, set aside, void, or annul their Impositton. 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 semice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviousiv been given a NOTICE similar to this, or as to which the statute of limitations has orevrouslv othenvise expired. ^ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carisbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date SWPPP JOB ADDRESS PHASE # I # OF UNITS |#SE0ROOMS SUITE#/SPACE#/UNIT# CT/PROJECT # # BATHROOMS | TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: bicfude Squara Feet of Affected Area(s) /M&kuMbfi'dn op TS^on ui/U-eitMefi— EXISTINQ USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[~|* Nd I AIR CONOmONING YES I |NO| I FIRE SPRINKLERS YES I |NO| I APPLICANT NAME (Primary Contact) APPLICANT NAME (Saeonifary Contact) ADDRESS ADDRESS Ci nn<a^j_ CITY EMAIL,—. « ^.--s STATE FAX STATE ZIP PHONE FAX DeDW nuAimuAHB I'. . . r t EMAIL PROPERTY OWNER NAME ADDRESS 7i r I i vAAjfATE /I CONTRACTOR BUS. NAME ADDRESS CITY ike CITY ^ „ STATE ZIP,~. EMAIL m FAX PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 5i OJSS l«TYBUS.UC.# (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 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 Ucense Law (Cnapter 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 applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). WORKERS COMPENSATION Wolken' Compensation Declititlon: / hsre/iy affimi under penalty of pe/jwy one of tfie following declarations: Ijave and will maintain a certificate of consent to seif-iniure for worl(ers' compensation as provided by Section 3700 of the Labor Code, for the perfomiance of the work for which this pennit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfomiance of the work for whidi this pemiit is Issued. My workers' compensation insurance can; • llja, Udlhw number are: insurancecA iv(X^ i->rY^ r\ \ ind policy . Policy No. _ Expiration Date isation insurance canj^i piis sectmn need not be completed if the pemiit is for one hundred dollars ttlOOl or less. [} I I Certificate of Exemption: i certify that in the perfomiance of the work for which this pennit Is issued, I shall not employ any person in any manner so as to become subject to the Wod<eis' Compensation Laws of Califomia. WARNING: Failure to sscura 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, dannges as provided lor in Sectloi)41)e of the Ijbor code, interest and attorney's fees. CONTRACTOR SiONATURCv->^3V|q g ^ tl J f^JfiElfr DATE O W N E R - B U I L D E R DECLARATION / hereby affimi th^ t am exempt from Contractor's License Law lor the following reason: I I 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 Lfcense 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 complelion, the owner-builder will have the bunlen of proving that he did not build or Improve for the purpose of sale). I I I, as owner of the property, am exclusivelv oonttacBng with Ikansed contractors to constnid the prqect (Sec. 7044, Business and Prdessions 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) Gcensed pursuant to the Contractor's License Law). I I I am exempt under Section Business and Professions Code for this reason: 1.i personally plan to provide the major labor and materials for constructton of the proposed property improvement I Ives I INO 2.1 (have / have not) signed an application for a building permit for the proposed wort(. 3.1 have contracted with the following person (finn) to provide the proposed constmction (include name address / phone / contractors' license number): 4.1 plan to pravWe portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Indudo name / address / phone / contractors' license number): 5.1 will provide some of Ihe work, but I have contracted (hired) the foltowing persons to provide the work indicaled (include name / address / phone / type of work): ^PROPERTY OVVNER SIGNATURE Q AGENT DATE COIVIPLETE THIS SECTION FOR N O N - R E S I D E N T I A L BUILDING P E R IM I T S ONLY Is the applicant or future buiMing occupant required to submit a business plan, acutely hazardous materials regisfratkm form orriskmanagementand preventton program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? ^3 Yes I INo Is the applicant or fiiture buMing occupant required to obtain a cemiit from the air pollution control district oralrguallhrmanaoement district? QYBS I I No Is the facility to baconstnidad within 1,000 feet o^the outer boundary of a school sits? OYes QNO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTRa DISTRICT. CONSTRUCTION LENDING AGENCY I hereby afflim that there is a construction lending agency for the performance of the work this pennit is Issued (Sec. 3097 (i) CM\ Code). Lender's Name Lender's Address : APPLICANT CERTIFICATION I certiiy that 1 have lead the applicatkm and state that the above infbimalkm is correct ami that the inftm^ i hereby authorize repiesentativs of Ihe City of Cailsbad to enter upon the above menttoned property for Inspedk^ AGAINST Aa UABILITIES, JUDGHeJTS. COSTS AND DCPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSIHA periiA is required for excavations over SV'deep and denwiitlon or oinstnjctkin of stnj^^ EXPIRATION: Eveiy pemiit Issued by Ihe Buldhg Ofildal under the provistons of tNs C^ 180 days from the date of such permit or If Ihe bulMIng or WDrit authorized by such pernit Is suspend^ >eS'APPLICANT5 SIGNATURE V^-.-'^^^y^.^l^'I^J^J^tN^ DATE Inspection List PemM: CB121848 Type: PME LAUGLE RES-REPLACE H20 HEATER SAME LOCATION, SAME SIZE Date Inspection Item Inspector Act Comments 10/09/2012 29 Final Plumbing - RI 10/09/2012 29 Final Plumbing PB AP Wednesday, October 10,2012 Page 1 of 1 CF-IR^ALT 0 4pf S^wn** ^^•^^c Q OmilU) UJAY Cock «h* IW<7XMBMiaB: N.B,S,W.ar4k0MS CoofittanfedFlMO' Ana RiMlwiMirt «f Chaw Owt Q Ewlaft OPwto JiuB aXo«raHVAC DPwctlUriiniiiinit • WaterHvitK WATER m^llNG UEtf >t«r«r hmatwn anctboXanfor hoA domtsOc hot taatv (DHttJ htaUn and kydronle sp SB orgropoMfirti. Hot wottrplp* btstilaHonJhom th* DHIVhtottr to Oi« Uteh*n(s) < ^S^SSSSLBSSS&S^^i^S^lmSSSammmama^mmmammmmm ihmMng. ^OtvtdUatdwttlngDBff^ltnttnmmlbe t all toutarffoimd hot wottr pipm Is rtgulrtti tn oil Water Heater Type/Fbel Diieitnsiaa 1>pe (StantetiL Reciiaihitiag)' Number lo System Eneisy Factor or TbenMipgdeocy EztenuJ Tnk Insuiatiaa R-VaUie» /. buScat* Typt (Stongt Gio, HtatPmp, iutantamous, ate) 2.It*etrvtaiitg3ystmistrvtngmulepkdw«lU>igwatsshttaiit^ Tht Prtscrtpttvo ngtilrmnnis Jo not alltrw ih» bistBUottmt o/aroebiidattitgwottrhtotlngsystmHjbrsbigfoamlUng^ }. Jh* txttmal ynUr htattn tankendp»«Aall b* bistileUd to mt^ At nauhmmts qftlSQp}. Oocnmcatalioo AM«h<»-*« Pthratioa Statomcnt • I cwnay Hat tys CtrtUieMtt of CtmtiStntt docM»«»taaoa is «caa-«f aai c—pi Name: AiMress: Pi Sigpaf"'' If Applicable a CEAdOCETE (C<ttificitiott #): . Oty/StagZip: ^^^^ Cf» ^90^0 For assistmee or qu€stio»s regartlmg rite Energy Standards, contact Ae Energy aotUne ai: I-80Q'772'3300. RMgbtratton Nionber: 2008 Rasidontial CompHanco Forms . Reglstratton Date/Tim*: MBJtS Provider: August 2009