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Home My WebLink About2824 Carrillo Way; ; CBR2016-0152; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 05/10/2017 Residential Permit Permit No: CBR2016-0152 www.carlsbadca.gov Job Address:2824 Carrillo Way Permit Type:BLDG-Residential Work Class:P/M/E Status:Closed -Finaled Parcel No:2226622100 Lot #:Applied:11/21/2016 Valuation:$0.00 Reference #:Issued:11/21/2016 Occupancy Group:Construction Type:Finaled: # Dwelling Units:Bathrooms:Inspector: Bedrooms:Orig. Plan Check #: Plan Check #: Project Title: Description:DUPREE: REPLACE WATER HEATER Owner:Contractor: TRUST SINGER DONALD R TRUST 04-11-14 WATER HEATERS ONLY INC 2871 Rancho Cortes C/O Sarah Dupree CARLSBAD, CA 92009 970 E Main St, 200 Grass Valley,CA 95945-5845 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $98.00 Total Fees:$98.00 Total Payments To Date:$98.00 Balance Due:$0.00 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. _OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING ClENGINEERING 0 BUILDING 0 FIRE HEALTH 0 HAZMATIAPCD Building Permit Application Plan Check No.C8R/a0 1p 0(5a.(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value /oo -arlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Depositemail: building@carlsbadca.gov www.carlsbadca.gov Date //-q .149 SWPPP SUREVSPACEVUNIT#APN ADDRESC2 8e2 j•40 60aL. - CT/PROJECT0 LOT#PHASE # OF # BEDROOMS #BATHROOMS #/ TENANT BUSINESS Pi/nix CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK:Include Square Feet&AffectedArea(s) REMOVE ,REPLACETSG WATER HEATER SAME LAOATION t7 afag QJ EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESOft NOD YESp NO YESE3NOD APPUCANT RASE SEE CONTRAKTOR •PROPERTY OWNER NAMS.'Miner" Contact ala ICJi) ADDRESS ADDRE _ )11P6I eary.'116. CITY STATE ZIP CITYj d STATE ^a7 ZI P12.109 PHONE FAX FAX :g23.aZf6.0770 I EMAIL (DESIGN PROFESSIONAL CONTRACTOR BUS. NAME WATER HEATERS ()DUX,TNC _ ADDRESS ADD6E.SS0 E MAIN STREETR#200 f crry STATE ZIP CITY GRASS VALLEY,CA 9545 ZIP PHONE FAX PHONE FAX 800-835-8345 530-274-3096 EMAIL EMAIL permits@whoquick.com r STATE UC.#STATE UC.#CLASS CITY BUS. UC.# 374573 C36 07303 (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'sLicense Law jOhapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exemW.herefrom, 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 (S500)). IIVORKERS'COMPENSATION •'Compensation Declaration: I hereby affirm ender penalty of perjury onesift following declarations: F.:Ihave 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. II Ihave 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.Poky No.Expiration Date This section need not be completedifthe permit is for one hundred dollars ($100) or less.0 CertificateofExemption: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.WARPING: 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,.•-as provided for in .••-3706of the Labor code, interest and attorney's fees. ,e5 CONTRACTOR SIGNATURE eai°•.ar a-0 AGENT DATE ti!O-WNER -BUILDEl.DECLARATION I hereby affirm that!am exempt from Contractor's MP"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 buiding or improvement is sold wit in one year of completion. the owner-budder will have the burden of proving that he did not build or improve for the purposeofsale). I,as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sea 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).0 Iam exempt under Section Business and Professions Code for this reason: 1. I personal). plan to provide the major labor and materials for construction of the proposed property improvement.Dyes [ato 2.I (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (indude name address / phone / 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 / phone / contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name !address /phone/type of work): AcPROPERTYOWNER SIGNATURE DAGENT DATE •- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 „-. - Is the applicant or futureiitsignioccupent tasked kr starlit a &aims pier.,waren Incanyien watenser .nnievanirNor or risk Managemem and prevention actenter :owe Sections 25505, 25533or25534of the Presley-Tanner Hazardous Stint'ance Arcuate AO?1.71 RE:..4rIrreIs the applicantor future budding occupant required to obtain a pen*tarn theatepoison Iwo*•er *area management district?CI YES/4(NCIs the facialy to be constructed %thin 1.000 feattitheouter boundaryof ay:heel see?triASCIFANY OF THE ANSWERS ARE YES.A FINAL CERTIRCATE OF OCCUPANCY NAY ISSIKEM UNLESS THE APPLICANT HAS MET OR IS NEERAIRWE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESANDRE ARPOLLMXION 03WIRCIL DISTNCT. I hereby rifr-rnthartitiens is a leen nding agency -kettlepalformnYce or*ens&intiiiynSaarnamea =inn 30970)CM Dods). LENDER'S NAME ADDPEW •'.AtiglataWIRWRINE7 -vg;47.M1W.r...,r L-7 7::7 I certify that I have read the aspiraton and state that the above Liu”cr.ia..1 is coven and kw me "WV-NM'an the pans is arcuate.agreewg comp ordinances and State laws Mating to butteringcombo:ton.I hereby autorize repassentadvesSteCrtv $Careisest toender uponthe above mentioned propertyto neencreor purposes.I ALSO AGREE 10 SAVE, INDEMNIFY AND KEEP HARMLESS NE CITY OF CARLSBAD AGAINST ALL UNWIRES, JUDGEMENTS,oasts mai EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY*CONSECIUBICE OFREGRAVING OF MRS PERMIT. OSHA An OSHA perm* is requiredfixexcavations ofStrdeep and demotion or coreimoice sidscases *ter 3 sidles in height. EXPIRATION:Every permit Issued by the Ornate!=alertsprovisions oftieCode Mal emit by Twin-fort and become nut and void*the butang orwork stAbrietate by such permit is not commencedatria days from the dateofsuch permit °rite keihstragorcrack sumo alastbrsuch penult Is suspendedorabandoned at anp*rat Ow the work is commencedfor a period days (Section Bolding Can::. APPLICANT'S SIGNATURE ATEIhI71k WHITE: File YELLOW: Applicant PINK Finance PERMIT INSPECTION HISTO •PORT (CBR2016-0152) Permit Type:BLDG-Residential Application Date:11/21/2016 Owner:TRUST SINGER DONALD R TRUST 04-11 -14 Work Class:P/M/E Issue Date:11/21/2016 Subdivision: Status:Closed -Finaled Expiration Date:11/06/2017 Address:2824 Carrillo Way Carlsbad, CA 92009-3026 IVR Number:384 Scheduled Actual Date Start Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Complete 05/10/2017 05/09/2017 BLDG-25 Water 022754-2017 Passed Peter Dreibelbis Complete HeaterNents Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-Final 022753-2017 Passed Peter Dreibelbis Complete Inspection Checklist item COMMENTS Passed BLDG-Plumbing Final Yes May 10, 2017 Page 1 of 1