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Home My WebLink About288 CHINQUAPIN AVE; A; CB120566; Permit03-30-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Piumbing/Mechanical/Electrical (PME) Permit Permit No: CB120566 Builcling Inspection Request Line (760) 602-2725 Job Address: Pemiit Type: Parcel No: Reference #: PC #: Project Title: 288 CHINQUAPIN AV CBAD St: A PME 2060203504 Lot#: AMSBURY RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/30/2012 LSM 03/30/2012 03/30/2012 Applicant: ALL STAR WATER HEATERS & PLUMBING Owner: 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $30.00 $0.00 $0.00 $65.00 TOTAL PERMIT FEES $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: lf1/[. Date: ^ FINAL APPROVAL Clearance: NOTICE: Please take NOTICE that approval of your project includes the *lmposition" of fees, dedications, reservations, or other exactions hereafter collectively refen'ed to as lees/exactions." You have 90 days from the date this pemiit 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenvise expired. ^ CITY OF CARLSBAD Plan Check No. CS I TPS^^ Est. Value Plan Ck. Deposit Date g>[S<0/l^ JOB ADDRESS 288 Chinquapin Ave. PHASE* I # OF UNITS I # BEDROOMS SU[rE#/SPACE#/UNn* ;#/sPAc a/PROJECT # LOt# # BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: fne/uda Square Fast of iUTectod Ana(t) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YESD # NOD AIR CONDH'IONING YES • NOD FIRE SPRINKLERS YES • NOD CONTACT NAME (U DHtoitnt Fom Applicant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY Menifee STATE „ . ZIP CA 92584 PHONE FAX PHONE 951-345-4083 FAX EMAIL EMAIL PROPERTY OWNER NAME Rose Amsbury CONTRACTOR BUS. NAME AU star Water Heaters ADDRESS 288 Chinquapin Ave. ADDRESS 30300 Puerto vallarta CITY Carlsbad STATE CA ZIP 92008 criY Menifee STATE ZIP CA 92584 PHONE 760-730-3134 FAX PHONE 951-345-4083 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE Lie. # 812894 CLASS C36 crrv BUS. LIC.# civil penalty of not more than five hundred dollars ($500)). WOU KM RS- COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one ofthe following declarations: Q I have and will maintain a certificate of consent to self-Insure for waiters' compensation as provided by Sectbn 3700 of the Labor Code, for Ihe performance of the work for which this permit is issued. El I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfonnance of the work for which this pemiit Is issued. My workers' compensation insurance carrier and policy number ate: Insurance Co. Granite State Ins. Co. Policy No. 1646180 Expiration Dale 08/02/2012 This section need not be compleled if the permit is for one hundred dollars ($100) or less. n Certificate of Exemption: I certify that in the perfomiance of the work Ibr 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 tha.Labor code, Interest and attorney's fees. Jt^ CONTRACTOR SIGNATOfiT' O W H.g'M • B li I L D E R DECIARATION AGENT DATE / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: O I, as owner of the property or my employees with wages as their sole compensation, wiii 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 buikling or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he dkl not buiid or improve for the purpose of sale). CJ I, as owner of Ihe property, am exclusively contracting with lk»nsed contractors to constmct the project (Sec. 7044, Business and Professions Code: The Contractoi's License Law does not apply to an owner of property who builds or improves thereon, and contracts Ibr such projects with contractor{s) licensed pursuant to the Contractor's Lx^nse Law). • lam exempt under Section Business and Professtons Code for this reason: 1.1 personally plan to provkle the major labor and materials for constniction of the proposed propeity improvement • Yes • No 2.1 (have / have not) signed an applicaton for a building pemiit for Ihe proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provkle portions of the work, but I have hired Ihe foiiowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 wiii provide some of the work, but I have contracted (hired) the following persons to provkle the work indkated (include name I address / phone / type of work): ^PROPERTT OWNER SIGNATURE AGENT DATE COMriiTE THIS SECrtOH FOW NOHi^ttEilOBNTlAt BUltOlHG P S t T S O N L r Is Ihe apptent or future building occupant required to submit a business plan, acutely hazardous materials registratton fbmi or risi( management and preventon program under Secttons 25505,25533 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? OYes ONo Is the appltoant or future building occupant required to obtain a pemiit from the air pollutton control distrtot or air quality management distrtot? • Yes • No Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? OYes ONo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. i:5C.O,W,S:.:T.R UC TION LENDIN G .. A G'M I hereby affirm that there is a constmction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address SA P P t r C:A l*T CERTIFICATION IceitifythatI have read the appllcadonaiKl state thM the above Infonnation Is correct and that the Infbnn^ I hereby authorize representativa of the City of Calsbad to enter upon the above mentioned property Ibr inspectton puiposes. 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 pemiit is requiied fx excavations over S'C deep and demolition or constmctton of stmctures over 3 stoiies in height EXPIRATION: Eveiy pennit issued by the Building Official under the piovistons of this Code shall expire by limitation and become null and void if the building or woik authoized by such pennit is not commenced within 180 days from the date of such per?||orifttie building or work authorized by such pemnit is suspended or abandoned at any time alter the vrork is commenced for a period of 180 days (Sectton 106.4.4 Unifomi Building Code). .fiS"APPLICANT'S SIGNATURE DATE Inspection List PermM: CB120566 Type: PME AMSBURY RES- REPLACE WTR HTR Date Inspection Item 09/24/2012 25 Water HeaterA/ents 09/24/2012 25 09/24/2012 29 09/24/2012 29 08/24/2012 25 Water Heater/Vents Final Plumbing Final Plumbing Water Heater/Vents Inspector Act Rl MC AP Rl MC Fl MC CO Comments AM 9-11 PLS UNIT A EXISTING LOCATION NO CARD NO ACCESS Tuesday, September 25,2012 Page 1 of 1