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Home My WebLink About2868 RANCHO GANADERO; ; CB112200; Permit10-13-2011 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: CB112200 . Building Inspection Request Line (760) 602-2725 2868 RANCHO GANADERO CBAD PME 2225910100 Lot#: VENIER RES-REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/13/2011 LSM 10/13/2011 10/13/2011 AFFORDABLE WATER HEATER VENIER WILLIAM C&GIANNA 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2868 RANCHO GANADERO 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: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE the.I approval of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/exactions." Yo1J 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 fort!-\ in Government Code Section 66020(a), and file the protest and any other required information with the City Manager tor 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 f i ii r f i i h «~~' Building Permit Application Plan Check No. ~ \l d""~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760.602-8558 Plan Ck. Deposit www.carJsbadca.gov Date ,01,~(,1 I JOB ADDRESS 12.o."d•o SUITE#/SPACE#/UNIT # rPN Jf~ G,c.""' el_ '1-r-o --- CT/PROJECT# rOT # I PHASE# I# OF UNITS I# BEOOOOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Aff&cted A,ea(s) 0.oO'-"'" 7f oc..t\o-"~ l~o,t,,-t..1..,._-1-9 r .., ~ '-e..Mt.. loc.o..+i or-. = 6.,_r-i.o.L _, EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES O NO □ YES □ NOD CONTACT NAME (II Different Fom App/leant) APPLICANT NAME /,.. + I e,( St.ot-t ,-t e.ffe.( ADDRESS ADDRESS %~'···· CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE FAX EMAIL EMAIL 'PC.f'Mi-tS @AWMAP, C.t>lr\ PROPERTY OWNER NAME a, . di v11..,..;f.r CONTR~CTOR eus., NA~E-. I I• I • -r I I -. r< ADDRESS ADDRESS ~~!,,!( (2,:,."Ll-,c ~ N>..J..«u-o ...... ~ P.o..i I ror..J.. 11\ve. CITY STATE ZIP CITY STATE ZIP to..<"\~ \,e..J, Cl/ '1200"' tJt.wh,._11 (I ~. qi ~i I PHONE PHONE FAX 11o0 '-1~1 ~lc"lfc IFAX lat.\· ~5q.113\ r..t,\• J.s-,. , 5"5"~ EMAIL EMAIL fe.r-,,.,-ts@ AWh,1.p, co,,., ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# CLASS I Cl7ii"1~ i 1 lo~i~l..1'-~s~ (Sec. 7031.5 Busmess and Professions Code: Any City or Courity which requires a permit to construct. alter, improve, demolish or repair any structure, prior to Its issuance, also requires the appllcant f°' such permit to file a si£ned statement that he is licensed pursuant to the provisions of the Contractor's license Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section ?031.5 by any applicant for a permit sutijects the applicant to a civil penalty of not more than five hundred dollars {$5001). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty d perjury one d the following decJ8rst/ons: D I hav, and wil maintain a c"1iflcat1 of consent to self-ln1ur1 for worker.;' compensalioo as provided by Section 3700 of lhe Labor Code, for the pefformanca of the work for which lhis pennit is issued. ~ have and wil maintain workers' compeg~. as required by Section 3700 of lhe labor Code, for the performance of the~ f5jf .:,hjal this permit is issued. My workers' compensation insurance carrier and policy number n: lnslnnce Co. "t.£.1\ I j" h P•icyNo. 'l.Olt1'r'IV-7 () k_ &piraton Dale I ~ I • 11-, This seclioo need not be com~eled if the permit is lor one hundred dollars ($100) or less. D Certlficall cf Exemption: I certify that in the performance of lhe work for which lhis permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensalion Laws of California. WARNING: Failure to secure workers' compensatlon·coverage is unlawfu~ and shall subject an 1mployer to criminal penalties and civil f11es up to one hundred thousand dollars {&100,000), in addition to the cost of compensation, damages as pro . Id for T Section 3706 of the Labor code, interest and attorney's fees. AS CONTRACTORSIGNATURE alJJtt . MAGENT I hereby affirm lhBt I an exempt tom Contractor's l.icense Law for the folwing reason: □ I, as OVt'llel"of lie property.or my employees \Wh 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 Conlraelor's License Law'does not apply lo an OY«ler of property 'MIO buids Of 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, howewr, lhe building or improvement is sold within one year of completion, lheClWller-builderwi~ have the burden ol proving lhal he did not build or improve for the purpose of sale). D l, as owner of be property, am exdusively contracting with licensed conlraclora to cooslruct the project (Sec. 7044, Business and Professions Code: The Contractor's License law ooes nol apply to an owner of property who btilds or improves lhereon, and contracts fer such projects wilh conlractor{s) licensed purs1.1ant to the Contractor's License Law). □ I am ~empt undef Section ____ ,Business and Professions Code for lhis reason: 1. 1 personalty plan lo provide lhe major labor and malerials for construction of the proposed property improvement. □ Yes O No 2. I {have I have not) signed an al)pication for a building permit for the proposed work. 3. I ha¥e contracted with lhe following person (firm) to provide the proposed construction (indude name address I phone I contractors' license number): 4. I plan lo p-ovide portions of the work, but I have hired the following person lo coordinate, supefVise and provide the major work (include name I address I phone I contractors' license number): 5. I wil provide some of the work, but I have contracted (hired) the following persons to provide the wotll indicated (include name I address I phone/ type of work): ,,/!$ PROPERTY OWNER SIGNATURE IIJAGENT DATE m City of Carlsbad Bldg Inspection Request For: 11/16/2011 Permit# CB112200 Title: VENIER RES-REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: 2868 RANCHO GANADERO Suite: Lot: 0 Location: APPLICANT AFFORDABLE WATER HEATER Owner: VENIER WILLIAM C&GIANNA Remarks: Total Time: CD Description Act Comments Inspector Assignment: :J" M Phone: 7604312898 Inspector: ---- Requested By: NA Entered By: CHRISTINE 25 29 Water HeaterNents Final Plumbing fi_ ___________ _ -!------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments