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HomeMy WebLinkAbout2343 PASEO SAUCEDAL; ; CB112356; Permit" 11-03-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112356 Building Inspection Request Line (760) 602-2725 2343 PASEO SAUCEDAL CBAD PME 2552723000 Lot #: JOHSTONE RES-REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/03/2011 LSM 11/03/2011 11/03/2011 AFFORDABLE WATER HEATER JOHNSTONE ELIZABETH K TRUST 04-03-94 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2343 PASEO SAUCEDAL CARLSBAD CA 92009 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpo itionn 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. 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 i n f v r vi I Tl i 'I r hi r h I «,~> ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Date Hl~J ,, JOB ADDRESS SUITE#/SPACE#/UNIT# APN Cl/PROJECT# l# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME NSm. Tl'PE CC. GROUP DESCRIPTION OF WORK: Include Square Feet of Atleeted Alea(s) 50 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLER YES □#~ YES D NOD YES D NOD CONT ACT NAME (« Dlt'ferent fom Applk:ant) APPLICANTNAME:S,c.ot-t L.i ,f-,f-e_ ,~,el ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME r CITY EMAIL EMAIL f'er,,,.., ts @ 14Wh6-• co,,,.. o\RCH/DESIGNER NAME & ADDRESS STATE L\C. # CLASS t.S(o CITY BUS. UC.# 1~1'71"71 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demollsh 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 (Chapter 9, commending with Section 7000 of DivlslOl'I 3 of the Business and Professions Code) or £hat he is exemP.t therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appllcant to a civil penalty of not more than five hundred dollars ($500}). WORKERS COMPENSATION Workers' Compensation Declaration: l hersby s!fimi under penslty of perjury one of the following declarations: □ I have and wll maintain a certificate of conaent to self-Insure for worilers' compensation as provided by Section 3700 of Iha labor Code, for the performance of the work for which this permit Is Issued. !{";' have and will maintain WOfk&ra' compaal\~'V'· as requirad by Section 3700 of1he Labor Code, !of lhe perf!lffllance of the wo.lll fllr~ this permit is Issued. My workers' compel'l9atton Insurance carrier and policy numbefare:lnsuranceCo. 't,e.l\\_i: h PolicyNo. 1:.Dt,1~Y'~f0 I:;, Expiration Date I -( • lol This section need not be completed iflhe permit is for one hundred dollars ($100) or tuss □ Certificate of Exemption: I certify lhel in the perfonnance of the work for which this perm ii is Issued, I shell nol emJJk>Y any persoo In any maooer so es lo become subject to I~ Workers' Compensation Laws of Galifornia. WARNING: Failure to aecure workers' compen&allon coverage Is unlawful, and shal! subject an employer to criminal penalties and cMI fines up to one hundred thousand dolws (&100,000), in addition to the co1t of compensation, damages aa pro ad tor{· Saction 3706 of !he Labor code, interest and attotney's fNII. AS° CONTRACTOR SIGNATURE /J()Jf , !ilAGENT I hereby affinn that I am exempt from Contractor's License Law for the following reBSOn: 0 I, as owner of the property a my employees ~th wages as their sole compensation, will do the WOO( and the slrUcture !snot intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply lo an owner of property who builds or improves thereon. and who does such work himself Of through his own employees, provided that such improvements ere not intended or offered ror sale. tr, however, the bu~ding or improvement is sold within one year of completion, the owner-builder wlll have the burden of proving lhal he did not build or Improve for the Pll'POS8 ol sale). □ I, as owner of the property, am eKdusively contracting with Hcensed contractors to construct the pro;ec:t (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply lo an owner of property who builds or improves thereon, end contracts fDf such projects with contraclor(s) licensed pursuant to the Contractors License Law). □ I am &Kempt under Section ____ Business and Professions Code for this reason: 1. I personally plen to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a building permit tor the proposed work. 3. I heve contracted with the folowing person (fi"") to provide the proposed construction (Include name address I phone/ contractors' license number): 4.1 plan to provide portions of the work, but I have hired lhe following person lo coordinate, supervise and provide the majorworic (include neme / address I phone f cootractofS' license number): 5. I will provide some of the work, but I have cootracted (hireD) the following persons to provide lhe work indlcaled 0ncluda name I address I phone/ type of work): AS° PROPERTY OWNER SIGNATURE IIJAGENT DATE •, , COMPLETE THIS SECTION FOlt NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant ot full.re buUding occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardoua Substance Account Acf/ □ Yes □ No Is the applicant or futu111 btildlng occupanl required to obtain a permit from the air pollulion control district or air quality management district? □ Yes □ No Is the facility lo be conslructed within 1,000 feet of the outer boundaiy of a school site? □ Yes □ No 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify tllat I have read the applk:atioo and state lhal:1he ab(;.oe lnfonnalloo Is coned: and that the lnfonnatlon CNI 1be plafls IS accurate. I agme to oomplyv.tt, all City OldllllllK:8S Wld State laws relating tD bulldilg construction, I hetOby aulholize 19""'8nla1Ml of Ile Cit/ of Carlsbad ~ '""' upoo Ile above menlilned property for i1specti,n pu!J)OS8S. I />J.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST AU. UABllrTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTINGOf THIS PERMIT. OSHA: All OSHA petri is required br excavatioos over 5'0' deep a,d demolDJn or conslrl.lcooo of structures over 3 sklries il heghl EXPIAA TtON; Every pennit issued by the Buildi'lg ()ftaal under the provisions of this Code shall expire by lnlilali:>n and become rd and Wid if Ile bulding or v.ork autiorized by such pemi is nat wnrnenaK1 wlhin 180days tom fledaleot such pemitQ' if tie buld or work aulloril.ed by su:h permit is suspended a abandoned at anytime after tie -1t Is ccmmenced fora period of 180 days (Secbl 106.4.41.tibm EkJiking Code). _.6' APPLICANT'S SIGNATURE NJJfl. DATE ID·.l8-II m . . City of Carlsbad Bldg Inspection Request . . Permit# CB112356 For: 11/16/2011 Title: JOHSTONE RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: 2343 PASEO SAUCEDAL Suite: Lot: 0 Location: APPLICANT AFFORDABLE WATER HEATER Owner: JOHNSTONE ELIZABETH K TRUST 04-03-94 Remarks: a m please Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604366964 Inspector: ---- Requested By: LIZ JOHNSTONE Entered By: CHRISTINE 25 Water HeaterNents {f._ _____ _ 29 Final Plumbing +------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments