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HomeMy WebLinkAbout2890 RANCHO RIO CHICO; ; CB120390; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-05-2012 Permit No: CB120390 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2890 RANCHO RIO CHICO CBAD PME Status: Parcel No: 2226101500 Lot#: 0 Applied: Reference #: PC#: Project Title: SIDHU RES REPLACE WTR HTR Applicant: SIDHU JAS PAUL SINGH&JYOTI 2890 RANCHO RIO CHICO CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: SIDHU JAS PAUL SINGH&JYOTI 2890 RANCHO RIO CHICO CARLSBAD CA 92009 ISSUED 03/05/2012 KG 03/05/2012 03/05/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL AP.PR VAL Inspector: YY\. ~S Date: i"'S-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposrtion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest Imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their Imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection wlth this project. NOR DOES IT APPLY to arry f x i n f i n i ·1 r hi h h l'mi i n ,. . «1'» Building Permit Application Plan Check No. ~ 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Cfft Date"3-'S ~/2--!swPP I JOB ADORES$ C:.HIU, Chu ~~'I,, SUITE#/SPAC£#/UNIT# 1'3i~ ~/P -/~ CIO lZ-i't o t.lH'\JC..Ho ~, o - CT/PROJECT # I LOT# l' .. '5£# I# OF UNITS l # BEDROOMS # BATHROOMS rENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP \ I \ DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \I f- l,1~T1: I hC.//1--r Cit.. f¥'0 C\C.e tnt' fl I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I-FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NO □ YES □ NO □ APPLICANT NAME (Primary Co11tactJ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE I FAX PHONE l'AX cMS>C cMA,C iOPERTY OWNER N,: S,1 IIHU CONTRACTOR BUS. NAME :1' l}-S Y->-v·, s,,.,c,, ADDRESS ADDRESS ..z-~ 'l 0 ("" ,_, C..."10 ~,o C..t-\1<-LJ CITY STATE ZIP CITY STATE ZIP Cf,,'-<.--<; (2./)r C\ CA a~""' 9 PHONE l'AX PHONE I 'AX -r,6 7 2--l. s--,,P. ... ,.,AIL EMAIL '1'CH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. LIC.# (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 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 jCha'fter 9, commending with Section 7000 of Division 3 of the B_usIness and Professions Code} or that he is exem_P.t therefrom, and the basis for the alleged exemption. Any violation of Section 03 .5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars {$500}). * * -*** 1 WIUUUi-RS' JOMl!E'IIISA"rllJN Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensa~on as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. □ I have and will maintain workers' compensation, as required by Section 3700 of tile Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurar.ce carrier and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ This section need not be completed If the permit is for one hundred dollars ($100) or less. □ Certificate 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' Compensatjon 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 the Labor code, Interest and attorney"s fees. A:5 CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 111at 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 oot build or improve for the purpose of sale). ~. as O'M1er 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 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 exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally Jjan to provkle the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ 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 constrt1Cfon (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supetvise and provide the major work (inclllde name I address I phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone I type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE 2-- . . m • . City of Carlsbad Bldg Inspection Request . ' For 04/30/2012 . Permit# CB120390 Title: SIDHU RES REPLACE WTR HTR Description: Type:PME Sub Type: Job Address: 2890 RANCHO RIO CHICO Suite: Lot: 0 Location: OWNER SIDHU JAS PAUL SINGH&JYOTI Owner: SIDHU JAS PAUL SINGH&JYOTI Remarks: Please call with ETA Total Time: CD Description Act Comments Inspector Assignment: Phone: 7607225918 Inspector: ~ 'ft,i~ezn,a,./ 6,S C,~<-A- 11-z'1 ¾--l '3 Requested By: JAS? Entered By: CHRISTINE 25 Water HeaterNents ~ B'XlSnJ1q i..oCA O?r,,I ---- ~ I Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# CV071156 CLOSED O-B.B.HOOP!NR.O.W.; Inspection History Date Description Act lnsp Comments