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Home My WebLink About2904 RANCHO BRASADO; ; CB140552; Permit03-12-2014 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: CB140552 Building Inspection Request Line (760) 602-2725 2904 RANCHO BRASADO CBAD PME 2226500100 Lot#: 0 KLAERICH RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/12/2014 LSM 03/12/2014 03/12/2014 ALL STAR WATER HEATERS & PLUMBING KLAERICH JAMES J&JULIA M 30300 PUERTO VALLARTA WY 2904 RANCHO BRASADO CARLSBAD CA 92009 MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: $95.00 Total Payments To Date: $33.00 $0.00 $0.00 $62.00 $95.00 $95.00 Balance Due: 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 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 f hih I TE iii hi r ' . THE FOLLOWING >'PPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO ~ ·< •:.~ -~ CITY Of CARLSBAD CT/PR J Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEf/UNITf DESCRIPTION OF WORK: JncfudeSqua,eFfffot.AffiJcfN.Area(s) r , )~- _,A/ ,._,,_ Io.er Plan Check No. c..8 (LfO '55° Est. Value Plan Ck. Deposit SWPPP CONSTR. TYPE ROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SFJ DECKS (SF) FIREPLACE YES[} AIR CONDITIONING N,0 v,s□No0 FIRE SPRINKLERS vesONoO APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROP£R1YOWNER NAME CONTRACTOR BUS. NAME ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# 8" J")._ 8C/ <--t CC-3 (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 e signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commendin& with Section 7000 of DMsion 3 of the Business and Professions Code} or that 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 applicant to a civll penalty of not more than five hundred dollars {$500}). rWORKERS' COMPENSATION ' Work .. ' Compensation Declaratlon: / hereby affirm under penally of perjury one of the following declarations: O>,tiave and wlll maintain a c1rtlllcatl of consent to Hlf.lnsur1 for 'Mlr1cers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ,g) I have and will maintain workers' compensation, as required ~)JOO of~ labor Code, fOl' the performan? wo; for wh!')!lis permit Is Issued. My 'M>Fkers' compensatlo~rance carrier~ policy numberarv:lnsuranceCo. <t.J-P <Sd PofoyNo. fJ=:.-m 1/v Ex;rationDate {,!__/-;Jf---f<j p!ll.section need not be completed if the permit is for one hundred dollars less. U C1rtlflcate of Exemption: I certify that in the performance rk for this permit Is issued, I shal not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' co lltion e It unlawful, and shall subject an emptoyer to crtmln■I penaltlt1 and cfvll flnn up to one hundred thousand doll1t11 {&100,000), In addition to the coat of compensation, d■mag• .,,.,,.,;g,11;1'1~-S.."1,on 3706 of , n ttomey's feet. Mf CONTRACTOR SIGNATURE □ □ 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 ContractOl"s License Law does not apply to an owner of property who builds or improves thereon, clld who does such work himseW or through his own employees, provided that such Improvements are not intended or offered for sate. 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 build or improve for the purpose of sale). l, as owner of the property, am exclusively contracting with licensed contractors to construct the pro,iect (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant lo 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 proJXJsed property improvement Oves Oo 2. I (have/ have not) signed an aPPlication for a building permit for the proposed WOfk. 3. I have contracted with the following person (firm) to provide the proposed coostruction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the 'MJrk, but I have hired the following person to coordinate, supervise and provide the major work (include name/ 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 I phone/ type of work): /IS PROPERTY OWNER SIGNATURE □AGENT DATE -. Is the applicant or tutura building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pntvention program under Sections 25505, 25533 or 25534 of the Plesley-T aMef Hazardous Substance Account AG'f? Yes No Is the applicant Of future building occupant required lo obtain a pemiit from the air pollution control district or air quality management district? Yes No rs 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. I oerttry1hatl NM nNld the appllcatlon and state that the abcM Information Is conactand that the lnfonnatlon on the plans ii accu,ata. I agn,e to comply with all Chy on:llnancas and Smla lav4 relatlng ID builclnt c:onstruction. I hereby auroiie representaM of the Clly of Carlsbad kl enler upon the abcM! mentioned property !Jr "'~ i>Jf!lOS8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AGAINST AU. LIABILITIES, JUDGMENTS, CCSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 09-lA: AA OSHA permk is requred b' excavations over 5'0' deep and Of aJlStn.dion of sru::tures over 3 stlries n heijrt. EXPIRATION: Every permit issued by the Buikling Olfr:ial under of this Code shaR e>q:>ie by Imitation and become nun and YOO ~ lhe buikjing or Wll'k autiorized by sudl ~ is not comrnenaid 'Mttli"I 100 days from lhe da1e of such -ltor ii the ruldilg or au1horiald by such · · aflertheV<llf< is commenced tir a period of 100 days (Secoon 106.4.4 Unifomi Buidng c.ode). AS APPLICANT'S SIGNATUR!l DATE CD~/B--1 STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-ll560, Email buildinq@carlsbadca.gov or Mall the completed fonn to City of cansbad, Building DM~on 1635 Faraday Avenue, cansbed, California 92008. CO#: (Office Use Onty) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP ClTY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1.) OCCUPANT (Listed above) MAIL/FAXTOOTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED ca,,._ __________ _ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB140552 Type: PME Date lnspe_ctio_11 Item 04/25/2014 25 Water HeaterNents 04/25/2014 25 Water HeaterNents 04/25/2014 29 Final Plumbing 04/25/2014 29 Final Plumbing Monday, April 28, 2014 Inspector Act PD PD RI AP RI AP KLAERICH RES-REPLACE WTR HTR Comments Page 1 of 1