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Home My WebLink About2871 RANCHO CORTES; ; CB102290; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-01-2010 Plumbing Permit Permit No: CB102290 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2871 RANCHO CORTES CBAD PLUM 2226602200 Lot #: 0 Construction Type: 5A SINGER RESIDENCE REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/01/2010 MOP 12/01/2010 12/01/2010 HANNA PLUMBING DENEROFF FAMILY REVOCABLE TRUST 10-25-02 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 2871 RANCHO CORTES CARLSBAD CA 92009 $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 Payments To Date: $27.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE ttiat 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 tees/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 le I wh· h h v r vi I b en i n N I E "mil r h' r hi h h s I ·mi i h I 1r «,~ ~ CITY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# s Plan Check No. o- Est. Value Plan Ck. Deposit Date APN CT/PROJE # LOT# #BEDROOMS # BATHRO MS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUF EXISTING USE PROPOSED USE CONTACT NAME (H Different Fom App/Jc-ant) CITY CITY ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) I AIR CONDITIONING YES O NO □ FIRE SPRINKLERS YES □ NOD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. improve, demolish or repair any structure, prior to Its issuance, also r~uires 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 Division 3 of the Business and Professions Code) or fuat he Is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a civil penalty of not mOfe than five hundred dollars {$500)). WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penaty of perjury one of the following declarations: D I have and will maintain a certificate of consent to setf•lnsure for won<.ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis pe ~ I have and wUI maintain workers' com ensaUon, tis req • d by e, for the performance of_the work for which th!s e_n}it is issued. My workers' compensation· policy I -rn.mber are: Insurance Co. ~Icy No. a O I (Qd) ?,7'i7JI fY! :3 Ex~ration Date -''-4--'-,'.J-""'--'-''-- tion need not be com pl if the rmil is for one hundred dollars ($100) or less. rtlflcate of Exemption: I certify that in the performance of the work for 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 Cabfom1a. WARNING: Failure to se workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and clvU fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensatlo , d ages as pr Ide on 3706 of the Labor code, interest and attorney's fees. ,.i!S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law tor the following reason: □ I, as owner of the property or my employees wilh wages as their sole compensation, will do the work and the structure is not in.tended 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 sate. If, however, the building°' improvement is sold within one year of completion, the owner-builder will have the burden of proviilg that he did not build or improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License law does not a~y 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 exempt 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 □ Yes □ No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (indude name address I phone/ contractors' license number): 4. I plan to provide portions of the work. but I have hired the following person to coordinate. supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. twill provide some of the work. but I have contracted (hired) the f~lowing persons to provide the work indicated (include name I address/ phone/ type of work): ,.i!S PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ' Is the applicant or fulin building occupant reqLired to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of .lhe Presley-T anrri!r Hazardous Substance Account Adi □ Yes □ No lz; !tee applicant O(future building occupant required to obtain a permit from the Sir pollution control disbict or air quality management district? □ Yes □ No , Is the facility to be constructed within 1,000 feet of the outer boundary 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 lcertifylhatlhaYereadlheappllcatlonand-lhatlheabo,el-lsc:onmandlhatlhelnlonnatlononlheplansisaco,131e.lagieetocomplywllhallCllyoollnancesandStalelawsrelatlogtobulldlngconslruclloo. I herebyaullaize represenlali'le of the Cllyof cailsbad m enter upon lhe aboYe menlioned property l,r i1specliof1 puposes. I ALSO AGREE TOSAVE, 11-DEMNIFY ANO KEEP HAIMES$ Tl£ CITY OF CAAl.SBAD AGAINST All LIABILITIES, JJOGM COSTS ANO EXPENSES WHICH MAY IN 1./NWAY ACCRUE AGAINST SAD CITY IN CONSEQUENCE OF THE GRANTtlG OFTHIS PERMIT. OSHA: "'1 OSHApemils reqmd i,r · CNer 5'0' deepand de!oolillon or cons1ruction of slructues over 3sbies il hel;hl EXPIRATION: EYOI)' pe,nitissued by Olf<ial lllderlhe pro,isi)ns of llis Code shall expie by inllalkln and becone ool and >oid llhebtfi,g or-aullorizl,d by such pemilis r<A w111e"'1 wilw1 180 days tan Ile dale of such pemil · or-~;; susper<led or-al8fl/ lire al\erlhe-is wmemi i,r a period of 180days (Section 106.4.4 lkmm Buicilg Code). ,fS' APPLICANT'S SIGNATURE j,,l,----DATE _ ~ City of Carlsbad Bldg Inspection Request For 03/28/2011 Permit# CB102290 Title: SINGER RESIDENCE Description: REPLACE WATER HEATER Type:PLUM Sub Type: Job Address: 2871 RANCHO CORTES Suite: Lot: 0 Inspector Assignment: Phone: 3232522706 Location: Inspector: ---- OWNER DENEROFF FAMILY REVOCABLE TRUST 10-25-02 Owner: SINGER DONALD R Remarks: Total Time: CD Description Act Comments Requested By: SARA Entered By: BINSPECT 25 Water HeaterNents ~---- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments