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Home My WebLink About2862 RANCHO PANCHO; ; CB162332; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 06-15-2016 Permit No: CB162332 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2862 RANCHO PANCHO CBAD PME Status: Parcel No: 2225912800 Lot#: 0 Applied: Reference #: PC#: Project Title: KING: REPLACE WATER HEATER Applicant: WATER HEATERS ONLY INC STE 200 970 E MAIN ST GRASS VALLEY CA 95945 800-835-8345 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: KING 2862 RANCHO PANCHO CARLSBAD CA 92009 ISSUED 06/15/2016 SLE 06/15/2016 06/15/2016 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: Date: Clearance: $0.00 ct )OJ prtject irdl.des tte "hrµ:etiorl' ti'-declcaicrs, reseMiicn;, er cth!r exa:fu"s -rolEdively reterred lo as "fees'exa::ticr&" Yoo 00 CB"yS Iran tte date ttis perrrit v.as i""-'ld lo pictesl ilTJX)6iticn ct ttese fees'exa::ticr& If )<JU pictesl Item )<JU nu;t fdlONttepicteslproa,cl.ressetforlhin<?o.ermrtCooef'edicn60020(a).a--dfilettepictesta--d~cth!rreq.iredinfamiicnwlhtteOtyM,._-for i,a:ess;rg ;, , amdal cewlh Calsbad M.rid~ Cooe f'edicn 3.32.C:OO. Failuetoti,reiyfdlONIIB ~wll tB" ~Sll:seq.Jrt legi octonlo~ re.AeN, set asiOO, \A'.ld, a an.J tteir inµ::siticn Yoo ae t-erecy FlRll-ER I\OllFIEDltat )OJ ri[tt lo pictest tte specified fees'exa::ucrs !US r-.or APA. Y lo""1ier a--d '""""ocnnEdicn fee; a--d capa:ity c:tag,s, ncr plmrg, mrg, ga:lrg er cth3r sirrila-,wicaicn i,a:ess;rg er ser.ire fee; in ocnnEdicn wlh !tis prtjed. r.'.R !US IT APA. Y to~ fi vJi 'nila-W1 Ii . I i HE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING OARE □HEALTH D HAZMAT/APCD C City of Building Permit Application Plan Check No. CJ:>LlD 2~ 52- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~- Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck._ Deposit email: building@cartsbadca.gov r ,, . lsWPPP www.carlsbadca.gov Date u -~ " SUIIH/SPACE•IIJNIT• IAPN '.IOB ADDRESS r9. 8 6 J tfo()C/lo /6n(Y){) LP--Jto-/l.J) - .. CT/PROJECT# ILOT# I PIIASE. I # OF UNITS I # BEDROOMS #BATHROOMS I TclWfT IJUSINESS NAME I CONSTR. Tl1'E I ocx:. GROUP DESCRIP110N OF WORK: Include Sq,_. Feet of A/fecftd Atea(s) REMOVE, REPLACE 1JG WATER HEATER SAME L90ATION 3a /(/ S-V EXISTING USE PROPOSED USE GARAGE (SF) CITY STATE ZIP PHONE I FAX I · EMAIL I DESIGN PROFESSIONAL CONTRACTOR BUS. NAME .~DDRESS ! STATE ZIP ZIP jPHONE FAX PHONE 800-835-8345 FAX 530-274-3096 EMAIL EMAIL perm.its@whouick.com STATE UC.# STATE UC.# CLASS 374573 C36 (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 tor such permit to file II sll!lled statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of DMslon 3 of the Business and Professions Code) or that he ls exempt 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 c:ivil penalty of not more than fllie hundred dollars {$500)). WORKERS ' COMPENSATION Wortcers' Compensation Declaration: I hen!by affirm under penalty of perjury orre of the following declalaoons. ~ have and wiU maintain a certificate of consent to self-insure for workera' compensation as provided by Section 3700 of lhe Labor Code, for lhe perfonnance of the wor1< for which lhis permit is issued. 0 I have and wil maintain worlcers' compensation, as reQUired bv Section 3700 or lhe Labor Code. for lhe pelfom1ance o/ lhe work for which !his pe,yn~ is ISSUed. My workoo' compensation insurance earner and policy r-.itnberare: Insurance Co. __________________ Pclicy No. ____________ Expiration Date ________ _ jll!§,section need nol be completed~ lhe permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I oertify lhat in the onnance of the work for which lhis permit is issued. I shall not employ any person in any maMer so as lo bealme subjed to the Worl<ers' Compensation Laws of California. WARNING: Failuni to ~~~F•' compensation Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolars (&100,000), in addition to the cost of com~satic>njtla!Jlj~ as · for In 3 06 of the code, interest and allomey's fees. _85 CONTRACTOR SIGNATURE I hereby affirm that I am erempl from Contrador's License Law for the following reasoo: □ I, as <:NIOef ol lhe property o, my employees with wages as !heir sole compensation, wil do lhe worl<. and lhe structure is not intended o, offered fo, sale (Sec. 7044, Business and Professions Code: The Conlractol's License Law does not apply to an owner cl property who builds or in1>roves !hereon, and who does such wonc himsett or through his own employees, provided lhat sudl inµovements are not intended or offered for sale. If, however, the bulding or improvement is sold within one year of~-the owner-wider wll have lhe burden of proving lhat he did not buid or~ for the purpose of sale). D I, as owner ol lhe property, am exclusively contracting with licensed c:onlrac:IDrs to construct lhe project (Sac. 7044. Business and Professions Code: The Conlracair's License Law does not apply ID an owner of property who bulds or improves thereon. and conlracls for such projects with c:onlracto!(s) licensed pursuant to lhe Corrtraclo(s License Law). □ I am exempt under Section _Business and Professions Code for !his reason: 1. I personaly plan to provide lhe major labor and materials tor construction of lhe proposed property improfflnenl O ves Ol<> 2. I (have / have not) signed an application for a building permit for the proposed WOt1t 3. I have contracted with Iha folowing poBOn (fiITTI) to providG the proposed construction (include name address/ phone/ contractors' 6cense number): 4. I plan to provide portions o/ lhe worx, bul I have hired lhe followilg person to coordinate, superviSe and provide lhe major wori< [include name/ address/ phone/ contractors' license number): 5. I wil provide some ol lhe work, bul I have conlr3ded (hired) lhe f0lowing persons to pro,,;de lhe wor1< indicated [tnclude name / address I phone / type ol worl<.): _25 PROPERTY OWNER SIGNATURE □AGENT DATE PERMIT APPLICATION CITY OF CARLSBAD BUlLDfNG DEPARTMENT 1635 Faraday Ave., Cartsbad-CA 92008 Page2 of2 ls lhe.....,_.«._lllalllill...,,._...,...-._._ • ..._....,.....,MZallbm~ O f1-faror.W.1w...,.m11cad..-.,.,pog,a,ntndar Sedion&25Sl5,25&13o,25534of .. ~II dw.SI w~ND D VES NO ls1he8Allca'tor.._llllilfllgoca481l.....,1Ddllllila....-1aa ... ,..___. •qialJ---•cMicO D ~ NO lsthefacllytolllhX..-uCIBd ..... tJIIIOfllalafta~........,afamlllllllilll? 0 YES JtiHD F Nf'f OF TIE • s am .!IE 'YES..,.._ C&OWCAIEOFOCu r!ICYMrdl!E...., aaas 1IE ~ IMS ET m IS 111EET1NG THE REQII ,rs OFTIEOFRCEOF a E C. IEIIIIE&Mm'JIJE-POU.UIDlc:ammt...-..:T. I hereby....,._._ •• _ 11 caii-,,.agenc,tr.., ....... wwww.:l._-"fanotidltis,-aitis isaed(Sec. 31197(1)Cio1Ccde). l.ENOER'SNoWE ~P}C::.,. l.BO:R'SAIDESS _____________ _ lcertifylhatl'-ll!lld .. 11FA ,..S_. ........ iub11iiilc:Gis-:aadt11ti.&ia4 5 ,(lfttie,._is __._ 1..-tDCDlllll,' ... al Cly onlnancesand~..,rellllilg1Dl:iuMv,_dm l...,llllaizes+ t f es rlt11e<=-,dC.W.S1D.-.-.._.__.._p!qll!ftyforinspection supcw. I M.90 ..a 10 SME_ MID~ ,vns...,_ 'WE Cl1Y OF C:C:M..,. JlSMIST AU. lM8UIES,. .JIUIIIIDCIEIIIElflll~S. C0SJS AND EXPBUESwtlCIIIMYllllf'/IMYACClaENINIISrSM>mY•ct11 1-M:FOF'IIEGUIIDIGOFlaSFBMT. OSHA: MOSHApmalis ....... tlr_llllll_Gf5Vclllpad ..... c'.)j'CU I • d..._w3 ... nlll!igbt. EXPIRATION: e-y,__ ..... .,,._ <llkill ...... ___..dtlisCodaallll..-llJlillitllbtadt.a..flllltaid.clftabailllllgor-'tduizBd by sucltpeffllilislllll ■al---_,..._.... ,-aitor ... llllilllllg«--...._IIJsudlpm■ill.sas,M■ted .. abiiiibedat-,timeafter" ==-.. =·~·!:,,,,£J£..da,s~~~___::::....J,~.C::.81Mag.;___Codo),. ________ OIUE" __ C;:r:..__/ 0 ___ 1_!f=------- WHITE: Fde YELLOW: AIJUlk;ar1t PINK: Anance Inspection List Permit#: CB162332 Type: PME Date Inspection Item 06/29/2016 25 Water HeaterNents 06/29/2016 25 Water HeaterNents 06/29/2016 29 Final Plumbing 06/29/2016 29 Final Plumbing Friday, July 01, 2016 Inspector Act PY PY RI AP RI AP KING: REPLACE WATER HEATER Comments Page 1 of 1