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Home My WebLink About2842 AVENIDA VALERA; ; CB162649; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical {PME) Permit 07-08-2016 Permit No: CB162649 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2842 AVENIDA VALERA CBAD PME Status: Parcel No: 2164610300 Lot#: 0 Applied: ISSUED 07/08/2016 SLE 07/08/2016 07/08/2016 Reference #: PC#: Project Title: ENG: REPLACE WATER HEATER Applicant: ENG CURTIS&YUME REVOCABLE TRUST 03-16-07 1687 FISHERMAN DR CARLSBAD CA 92011 714-369-7309 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: ENG CURTIS&YUME REVOCABLE TRUST 03-16-07 1687 FISHERMAN DR CARLSBAD CA 92011 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: ~ FINAL Date: Clearance: $0.00 NOllCE Plea<38 take NOTlCE that approval of your prclject includes the "lrrpcsition" ci fees, dedications, reservations, or cther exoctions hereafter collectively referred to as ''fees' exactions." You have 00 days from the date this pemit was issued to protest irrpcsition of these fees'exoctions. If you protest them, you rrust foil ON the protest prooedures set forth in C?overrvrent Code Section60020(a), ard file the protest and any other required infooration \Mth the Oty M3nagerfor pwessing in aam:lance \Mth Car1sbad 1\t\.Jnidpal Code Section 3.32.030. Failure to tirrely fdiONthat prooedure \Mil bar any subsequent legal action to attack, review, set aside, void, or annul thair irrpcsition. You are hereby FLRTHER i'011RED that your right to protest the spedfied fees' exactions COES NOT APPLY to water and <seNer oonnection fees and capacity changes, nor planning, zoning, grading or cther sirrilar application pwessing or service fees in oonnection \Mth ths prcljed. NCR COES IT APPLY to any f exactions ci '11klich have eviousl been ·ven a NOTlCE sirrilar to ths or as to Wlich the statute of !irritations has eviousl other\Mse e ·red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILDING OF IRE 0HEALTH 0HAZMATIAPCD Building Permit Application Plan Check No. (\_i)]I\()2Lo49 City of 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 1-'6-I U1 jSWPPP JOBA~f2S Avt.Aitb4 1/!(Lll(/ SUITE#/SPACE#/UNIT# IAPN .2. 2 - -- CT(PROJECT # I LOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) f!E.17Ctl /C£Pt4tE evtt/IAJC1 wAre/( EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YEsO_ NoD YES0No0 YEsONoO APPLICANT NAME PROPERTY OWNER Primary Contact ADDRESS ADDRES-~2 et./ G AvtJI);o4 1/Jit.-EM CITY STATE ZIP CITY c AfiJ' (54 b STM ZIP Cl..Joo9 PHONE I FAX PHONE{ ?I 3''1 73o Oj I FAX EMAIL EMAIL f J~Tr J.£ N6 iJ JtJe{1 LcBI!/L. I()CT DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE I FAX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# (Sec. 7031.5 Bus1ness and ProfessiOns Code: Any C1ty or County which requ1res a permit to construct, alter, 1m prove, demolish or repa1r any structure, pnor to 1ts 1ssuance, also requ1res 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 that he is exempt 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 Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I 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 performance of the work for which this permit is issued. 0 I have 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. Policy No. Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($1 00) or less. · 0 Certificate of Exemption: 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. WARNING: 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. _g CONTRACTOR SIGNATURE 0 AGENT DATE 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 the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed 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). 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. DYes 0No 2. I (have I have not) signed an application 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' 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 I phone I contractors' license number): 5. I will p · e som oflhe , but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): ,vJ _g PROPERTY OWNER SIGNATURE 0AGENT DATE I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to complywith all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF 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. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height. EXFIRA TION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and beoome null and void if the building or IMlrk authorized by such permit is not oommenced within 180 days from the date of such permit or if the building oriMlrk authorized by such permit is suspended or abandoned at any time after the IMlrk is oommenced for a period of 180 days (Section 106.4.4 Uniform Building Code). /ES APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008 . • (Office Use Only) CA FAX DELIVERY OPTIONS PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o ASSOCIATED CB#------------MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION .Kf APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB162649 Type: PME Date h1spectio~n lt~m --~ ... _. _ _ ... 07/12/2016 25 Water HeaterNents 07/12/2016 25 Water HeaterNents 07/12/2016 29 Final Plumbing 07/12/2016 29 Final Plumbing Tuesday, July 12, 2016 Inspector AEK AEK ENG: REPLACE WATER HEATER Act Comments --------·----·----------- Rl EARLY AM PLEASE (91SH) AP Rl GC 5678 Fl Page 1 of 1