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Home My WebLink About2822 RANCHO PANCHO; ; CB130043; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-07-2013 Permit No: CB 130043 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2822 RANCHO PANCHO CBAD PME 2225911800 Lot #: Project Title: GRAW RES -REPLACE WATER HEATER SAME SIZE AND LOCATION. 0 Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/07/2013 SKS 01/07/2013 01/07/2013 PLUMBING DOCTOR GRAW SANFORD F&KAREN L REVOCABLE TRUST 2049 FUERTE LN ESCONDIDO CA 92026 760-738-0900 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: 2822 RANCHO PANCHO CARLSBAD CA 92009 $31.00 $0.00 $0.00 $64.00 $95.00 $95.00 Total Payments To Date: $95.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTIC at 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 infom,ation 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 x i n f i h I imil r h' i h h f . i I ML-ST DC THE FO(LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING \(~, ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEI/UNITt □BUILDING □FIRE Plan Check No. Est. Value Plan C . Deposit PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME □HEALTH 0 HAZMAT/APCD SWPPP CONSTR. lYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Aft'ected An,a(s) ns.PL i"szs ,s c,,1n-,1..,o,.:::, L,..:if'<-1----gz__ ~---u....., f0-1/'W--{pc,., 1 s~ '5 ;--uz._ EXISTING USE PROPOSED USE GARAGE (SF) Doc ADDRESS 2-i '2.2 ... CITY EMAIL PATIOS (SF) DECKS {SF) FIREPLACE vesO AIR CONDITIONING NcCJ YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS STATE ZIP FAX CONTRACTOR BUS. NAME 7JtE,_. ADDRESS CITY STATE CA PHONE vc 311'-c,q c.o FAX -,~o-- EMAIL CLASS CITY BUS. UC.# FIRE SPRINKLERS YES□No□ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATEL7 L-{C/CS t, [t l.;L?ol-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 a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law fChapter 9, commending with Section 7000 of 0Wislon 3 of the Business and Professions Code} or ftlat he is 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 civil penalty of not more than five hundred dollars {$5001). Workers' Compensation Declaration: I hereby affirm under penalty of petjUf)' one of the following declarations: _ □ I have and will maintain a certificate of consent to self-insure for 'M'.lrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pem,it is issued. ~I have and will maintain workers' compensation, as reQUired by Section 3700 of the Labor Code, for the perfom,ance of the work for which this permit is issued. My workers' compensalio"/,su4ce carrier aod policy nombera~: lnsura""'Co £5/ 61,,£.S r 1,Jtt'OJ:'r,Jftb Polk:yNo 7& OCC'C CJtfC/J/Jd &p;ra11on Dale 7 ,r?O I?, ~, lb§.section need not be completed if the pem,it is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the perfomiance of the work for which this pem,it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING: Fallure to secu~~ rs' eriaa overage It unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation di In Sectl the Labor code, Interest and attorney's fees. ,6$ CONTRACTOR SIGNATU I hereby affirm that I am exempt from Contractor's Ucenss 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 Prolessiol\S Code: The Contractol'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 sale. If, hawever, the building or improvement is sold within one year of completon. the owner-builderwii have the burden of proving that he did not build or improve for the purpose of sale). 0 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 apply to an owner of property who builds or improves !hereon, 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. Oves ONo 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person {fimi) to provide the proposed construction (Include name address I phone I contractors' license number): 4. I plan to provide portions of the v«>rk, bJt I have hired the following person to coordinate, supeNise and provide the major work (include name I address I phone I contractors· license number): 5. I will proYm some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): ,85 PROPERTY OWNER SIGNATURE □AGENT DATE COMPL&TI! THIS SECTION FOR NON•RE$1DENTIAL BUILDING PERMITS ONLY rs the a~icant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acfl □ Yes □ No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district 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. CONSTIJUCTI.ON LENDING AGENCY I hereby affirm that there ts a construction lending agency for the performance of the work this permit is issued (Sec 3097 (1) Civil Code). Lender's Name Lender's Address APPI.ICANT C::ERTIFICATION I certify that I have read the application and state that the atxwe infonnatlon is correct and that the Information on the plans Is accurate. I agree to complyYitth all Clly ordinances and State lav.s relating tD building construction. I heret,,, aulhorize n,presentam.e of ~e City of Ca/obad to enter upon lhe above menooned property br ilspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HN1MLESS THE CITY OF CARLSBAD AGAINST ALL UABILmES, JUDGMENTS, COSTS AND EXPENSES WHIG AY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEG!JENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavatioos over S'O' d ltDn or oonstruction of slrucb.Jres over 3 stores in he~ht. EXPIRATION: Every permit issued by the Bu~ing ·a1 e · ions of this C.ode shall expire by limltalbn and boo:lme null and void if the OOik:ling orw:,rk authorized by sudl permit is notoommenred ~i1 180days from the date of such permit or· !lie bui · rized by such permit is suspended or abandoned at any time after the~ is oommenced for a pefOO of 180 days (Seeton 1013.4.4 Uniklrm Building C.ode) . • 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) 602-8560, Email www.buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPllONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) ZIP □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. UC. No. o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTIIUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ' . Inspection List Permit#: CB130043 Type: PME Date Inspection Item 01/08/2013 25 Water HeaterNents 01/08/2013 29 Final Plumbing Tuesday, January 22, 2013 Inspector Act PY AP PY AP GRAW RES -REPLACE WATER HEATER SAME SIZE AND LOCATION. Comments Page 1 of 1