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Home My WebLink About2219 PASEO SAUCEDAL; ; CB163565; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-19-2016 Permit No: CB163565 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2219 PASEO SAUCEDAL CBAD PME Status: Parcel No: 2552603500 Lot #: 0 Applied: Reference #: PC#: Project Title: Applicant: LEWIS: REPLACE 50 GAL WATER HEATER IN SAME LOCATION AFFORDABLE WATER HEATERS AND PLUMBING INC STE 698 28358 CONSTELLATION RD VALENCIA CA 91355-5044 855-345-9087 / 9048 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: LEWIS DOUGLAS&STEPHANIE 2219 PASEO SAUCEDAL CARLSBAD CA 92009 ISSUED 09/19/2016 SF 09/19/2016 09/19/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: FINAL APPROVAL Date: re -2 e;-16 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 pennit 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 vi sl hrwie xir THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ENGINEERING [JBUILDING 0FIRE □HEALTH 0 HAZMAT/APCD c·cityof Carlsbad Building Permit Application 1635 Faraday Ave .• Carlsbad. CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email building@carlsbadca.gov www.carlsbadca.gov I-Plan Check No. CM_b3'::)~-- Est. Value Plan Ck. Deposit Date q A t(o APN . JOB ADDRESS , SUITEI/SPACE#/UNIU L--~--·2. 1 \_'j[ f',, s: I: 9~ O_~ e_c\ Cl__l__1. ______ __ _ -~-- ICT/PROJ~c:_ __ ----LOT# --~~=E# _l~-~F-UNITS~rEDROOMS ·--11.BMHROOMS --rNANTBUSINESSNAME DESCRIPTION OF WORK: Include Square Feet of Affected A,ea(s) P._e,V \ C\ Ce.. c. r, \ \ 0 '0. EXISTING USE PROPOSED USE GARAGE (SF} PATIOS (SF) DECKS (SF) SWPPP -e... FIRE SPRINKLERS FIREPLACE YES[]# AIR 0NDITI0NING NO□ YESONoO YESONoO i DESIGN PROFESSIONAL ADDRESS jc1TY STATE reHONE I FAX ~MA~,,--~----------~ . -STATE LIC. # (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for sucn permit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law )Chapter 9, comme_nding with Section 70_00 of DIvIs1on 3 of the B_usiness and Professions Code) or that he Is exempt 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 cIvII penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one offhe following declarations: Q 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 kS issued ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the WOO for which !his permit is issued. My workers' compensation insurance earner and policy a,mber affi '"'""""' eo \ D S l I v: a; o c e, Qi . (:' . .(--fu_e_ \\i e SJPolcy No. S u .,, i .L\ CJ 1 D \) &plralioo Date-~·~-~\___.__ __ _ ~ section need not be completed ii the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify that in the performance of !he work for which this pennit Is issued, I-..;:hall 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 clvil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages a provided for in Section 3706 of the Labor code, interest and attorney's fees. £S CONTRACTOR SIGNATURE ( g{GENT I hereby affinn that I am exempt from Contractor's License Law for the following reason. □ □ D 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 bti1ld or improve for the purpose of sale). I, as owner of the property, am exclLJsively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfesslOns Code: The Contractors 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}. I am ex.empt 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 QYes ONo 2. I (have I have not) signed an ap?icaUon let a build'1ng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construcUon (include name address I phone I contractors' license number): 4. t plan to provide portions of the work, but 1 have hired the following person to coordinate. supervise and provide the maier work (include name I address I phooo I contractors' license number)· 5. I wHI provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (include name I address I phone I type of work) ·1 ~ PROPERTY OWNER SIGNATURE '--------------------·--------~-- " Is the applic~t or future building occupant required to submit a b!Jsiness plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley.Tanner Hazafdous Substance Account Act? 0 Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes O No Is the facility to be constructed within 1,000 feet Of the outer bOunctary of a school site? 0 Yes O No IF ANY OF THE ANSWERS ARE YES,AFINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFlCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL OtSTRlCT. I certify that I have read the appllcalion and state that the above information is oonect and that the information on the plans is accurate. I agree to oomply\Wth all Ofy' orcinances and State laws relating to building oonstrudion. I hereby authorize representaHveoflhe City ct Carlsba:l to enter ufXJn the atxive mentioriOO property forinspe,:::fi(xl pufJX)SE!s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN COO SEQUENCE OF THE G9ANTING OF THIS PERMIT. OSHA: An OSHA perrntt is requred brexcavations Ovef 5'0' deep and derrolHOO or construction of structures over 3 stories in height. EXPIRATION. Every permitt'3SU€d by the Buik:ling Official under the provisions of this Code shall expire by rimitalion and become nuU and void if !tie building or work authorized by such permit is noto:rnmenced wiltlin 180 days from the date of such permit or iflhe building or 'NOrk authorized by such permit is suspended or abaridonOO at any time after the w:,rk is commenced ix a perbd of 180days (Section 100.4.4 Unibm Buik:ling Co:!e) ~ APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB163565 Type: PME Date Inspection Item 10/25/2016 25 Water HeaterNents 10/25/2016 25 Water HeaterNents 10/25/2016 29 Final Plumbing Wednesday, October 26, 2016 Inspector Act RI JW AP JW AP LEWIS: REPLACE 50 GAL WATER HEATER IN SAME LOCATION Comments Page 1 of 1