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Home My WebLink About2860 ENGLEWOOD WAY; ; CB100821; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-10-2010 Plumbing Permit Permit No: CB100821 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2860 ENGLEWOOD WY CBAD PLUM Status: Parcel No: 1674802014 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: COLLINS RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: COLLINS DARRELL&HIROKO OKA 2860 ENGLEWOOD WAY #118 CARLSBAD CA 92010 ISSUED 0511012010 KG 0511012010 0511012010 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27. 00 Balance Due: Inspector: FINAL APPROVALO Date I/---' ;2... ,.. C 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. «~~) ' (rJ() A • Building Permit Application Plan Check No 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value OF 760-602-2717 / 2718 / 2719 ~ CITY CARLSBAD Fax: 760-602-8558 Plan ~~-Deposit ,r/ www.carlsbadca.gov -r../JJ-/ () IA Date !f JOB ADDRESS E ""l I e woool. SUITE#/SPACE#/UNIT # IAPN /_ .;!&lJJO -- CT/PROJECT# l'°'' I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0.oO'-~" YO Qo,.\\o" O.CI> 1,1 .... +,r al_ •-r r ~ .., <J (.e._mt. loc.~+i OI'\ :: G.6\., °'-" L v EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {Sf) I DECKS (Sf) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES0 #_ NOD YES O NOD YES O NOD CONTACT NAME (ff Different Fom Applicant} APPLICANT NAME L., t-· f eJ. !,c.ot -t , + e.fTe. l ADO RESS ADDRESS • '1,f._la .. 1 CITY STATE nP CllY STATE ZIP PHONE IFAX PHONE FAX EMAIL EMAIL 'Pe.r-MitS @AW"Af, C.Olr\ PROPERTY 0~: NAME \ eolli"S CONTR~«:_!~ BUS.:.. NA~E a -I I • - - • I - . rni f'"( ADDRESS ~O.~ll ADDRESS --· • ~ Ro..i I roo..t#.. """€. CITY STATE ZIP CllY /TATE ZIP ,Jt_w h1,,.I\ II,. qpt~I FAX PHONE IFAX PHONE 1 ,~ri g5,; !?'-{ lo;:).. 1,,r.1. ~sq -1 t31 "r.' ~ J.5'"~ "5!"'- EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATELIC.# ClASS l Cl~ 0ii"'717 1 C.,~"1 lll I.. I> esc, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demohsh 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 License Law JChaoter 9, commending with Section 7000 of DiviSiOn 3 of the Business and Professions Code} Of that he is exem9-t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 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 Dedaralion: I hereby affirm under penalty of petjury ooe of the foHowing dedaralioos: D I have and wlU maintain a cedificate of consent to self-Insure for workers' compensation as l)l'ovided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued. "'7 have and will maintain worbrs' compe»5fi0Jl· as required by Section 3700 of the Labor Code, lor Ile performance of the~ jw ~ lhis permit is issued. My workers;' cornpensati~n insurance carrier eOO policy numberare:lnsuranceCo. 't.£.h\~ h PolicyNo. ,Z:.Ol,1~Y'7C> Expiration Date ( -I,.. I\ This section need not be competed ithe permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which lhis pemiil is issued, I shall not employ any person in any manner so as to become subjecl lo the Workers' Compensation laws of California. WARNING: Falktre to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolars (&100,000), In addition to the cost of compensation, damages as provid for in Section 3706 of the Labor code, interest and attorney's fees. AS CONTRACTOR SIGNATIJRE -L-MAGENT / hereby affirm that Jam exempt fran Contractor's Ucense Law fol /he following reason: D I, as owner of lhe property or my employees with wages as their sole compensation, will do the work and the slructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply b c11 owner of property ¥ffiO builds or improves lhereoo, aOO who does such WOik himself or through his own employees, provided Iha! such improvements are not idended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder '!MU have the burden of proving lhat 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 Contractor's license Lew does not apply to an owner of property who builds or iml)l'(l','eS thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). D I am exempt under Section Business and Professions Code lor this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes O No 2. I (have I have not) signed an application for a building permit for the proposed WOik. 3. t have contracted wilh the following person {firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. J plan to provide portions of the work, but I have hired the following person IO coordinate, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the wo,·!(. but I have contracted (hired) the following persons to provide the work indicated (indude name I address I phone I type or 'Mll"k): ,/iS PROPERTY OWNER SIGNATURE DATE ' I : : Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registratioo form or risk management and prevenll(l(I program unde{ Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad.? 0 Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qua lily management district? 0 Yes O No Is the facility lo be constructed within 1,000 feel of the outer boundary cf a school site? 0 Yes O No • F ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS T~APPUCANT HAS MET OR IS MEETlfm WE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have iead the application and state that the aboYe Information isconect and that the infonnation on the plans is accurate. I agree to comply wlln all City ordinances and State laws relatingm building oonstructlon. I hereby aulhorize n,presenll!Ne of tt,, Cit/ of Cal;bad ~ enler '-"" lro allow rronli:Jned property 1or ,,specoon pl.lpOS<lS. I ALSO AGREE TO SAVE, l'IDEMNIFY AND KEEP HARMLESS THE Cm' OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHCH MAY IN ANY WAY ACCRUE AG.AJNST SAJD Cm' IN COOSEQUENCE OF THE GRANTN'IGOF THIS PERMIT. OSHA: AA OSHA. peonit is required br excavatioos over 5'0' deep and demoliion or construction of structures over 3 stJries rl lle,IIL EXPIRATION: Every permil issued by,.. Bukl,ig Olfcial \l1der,.. prtN0015 of lh< Code sMI expie by lm""""1 am becorre oJ aoo ,>l I Ile buid,ig °'-a"1h<Jlized by such pemit • oo1 cornnenced wilhn 180days fi1lm lro dale of such permi10< I Ile 0<-au1horized by such permit• suspeooed ocabar<loned al anylml alErlle""" is cornnenced lor a period of HIil days(Sediln 106.4.4 Unil:xrn ~;klilg Code). AS APPLICANT'S SIGNATURE PJJlll. DATE 5"'-'-/-10 City of Carlsbad Bldg Inspection Request For 11/02/2010 Permit# CB100821 Title: COLLINS RES REPLACE WTR HTR Description: . Type:PLUM Sub Type: Job Address: Suite: Location: 2860 ENGLEWOOD WY Lot: 0 APPLICANT AFFORDABLE WATER HEATER Owner: Remarks: DID NOT SAY WHAT WAS NEEDED Total Time: Act Comments Inspector Assignment: Phone: 8583371455 Inspector: ______M- Requested By: YUROKO Entered By: CHRISTINE CD Description 25 Water HeaterNents _t1P~~~~~~~~~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments