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Home My WebLink About2642 SAUSALITO AVE; ; CB090070; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-13-2009 ' Plumbing Permit Permit No: CB090070 Building Inspection Request Line (760) 602-2725 Job Address: 2642 SAUSALITO AV CBAD PLUM Status: Permit Type: Parcel No: 1675116500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Plan Approved: Issued: Project Title: SISMONDO RES-REPLACE WTR HTR Inspect Area: Applicant: ARS STEA 9895 OLSON DR SAN DIEGO CA 92121 858 457 6557 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 0 0 0 0 1 0 0 Owner: SISMONDO CHARLES L&ANDRIE D 2642 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 01/13/2009 LSM 01/13/2009 01/13/2009 $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 Fees: $2700 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE t at approval of your project includes the "Imposition" of fees, dedications, reseNations, 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 8.re 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 Ix inf hih h I n ivnaN Tl imilr whi h fli insh rvi 1 the is Cit~ of Carlsbad 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS l&:> 4--2-~'SA-1-,\ 1 O ~.e,_ LOT# DESCRIPTION F WO~~ Plan Check No. Est. Value Plan Ck. Deposit Date SUITE#/SPACE#/UNIT# APN EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECl<.S (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D #_ NO D YES O NO D YES D NOD CONTACT NAME (If Olff'erent Fom Appl/e11nt) APPLICANT NAME Uw \l,A /1),A--t(t,£ ADDRESS CITY FAX <ti b 71-5'-f 11 EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # .ec. 1031.5 Bu1int11 and Prore11ion1 Code: Any City or CountY, which requim a permit 10 con11ruct, alter1 improve, demolish or rtP,air any structure, prior to its issuance, also requires the appliant lor such ~it to file a signtd stattment that ht ~ ctnstd Jl.Ul'luant to tht provisions or tht Contractors license uw {Chapter 9, commending with ltcrion 000 of Oriision J or the 8111int11 and Protn1ion1 Code} or that ht ~ nempt dltn!lrOm, and the basis lor the ahlff trtmptiofl. Any Yiolltioft of t<tion 7031.5 by any applicant for a permit subjtcts the applicant to a civa penalty of not more than five hundred dollars {SSOO}). WOfbn' Compensation Decllrlllon: / hereby affirm under penalty cl perj,ry one of the following declarations: 0 I have and will maintain • certificate of consent to self-Insure fOf workers' compensatioo as provided by Section 3700 of the LabOf Code, fOf the performance of the work for which this permit is issued. ';If" 1 have and will maintain worken' c Nllon, as required by Section 3700 of the Lab0f Code, for the pefform:::x Q!.111e w:o[k for whk:h t~is .lfl".lttoi~ iy•r .... workers' compens,AI~ ,. sulnce Cjl(rier and policy numberare:lnsuranceeo._L~~~~l,C::_ __________ PolicyNo.)M;,,JbtzlSD(b.?f I Expiration Date~ U I <YI __ This section need not be completed if the permit is for hundred dollars ($100) or less. 0 Certificate of ExempUon: I certify that in the perfOffflance of the work fOf which this permit is issued, I shall not employ any persoo in any manner so as to become subject to lhe Workers' COfnpensation Laws of Califomia. WARNING: Failure to secure wo compensation coverage Is unlawful, and shall subject an employer to crimln■I penaltln and clvll nn up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da vldtd for In Section 3ffl~bor cod-. Interest and attorney's fees. 8$ CONTRACTOR SIGNATURE // f ~ I hereby afflrm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the properly Of my employees with wages as their sole compensation, will do the wor1< iwid the structure is not intended Of offered fOf sale (Sec. 7044, Business and Professi011S Code: The Contractor's License Law does not apply to an owner of properly who builds Of Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended Of offered for sale. If, however, the building Of 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). □ I, as owner of the properly, 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 properly who builds or improves thereon, and contracts for such projects with contract0<(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ____ ...,usiness and Professions Code for this reason: 1. I personally plan to provide the major labOf and materials for construction of the proposed properly improvemenl □ Yes □ No 2. I (have / have not) signed an application fOf a building permit for the proposed work. 3. I have contracted with the following persoo (firm) to provide the proposed construction 0nclude name address/ phone I contractors' license number): 4. I plan to provide portioos of the work, but I have hired the following person to coordinate, supervise iwid provide the major work (include name I address/ 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/ type of work): .,/i5 PROPERTY OWNER SIGNATURE DATE ~ ~ Y '! t-..:,..--...... ,.,.p.;-•V .. A T O • ~ C OM P L E TE TH I S S EC TI O N F O ·R NO N • R E S I D E N TI A L B U I L D I N G P E R M I TS O N L Y Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registratioo form Of risk management and prevention program under Sections 25505, 25533 Of 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future· building occupant required to obtain a permit from the air pollution control district Of 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. I certify that I have read the application and state that the above Information ls correct and that the Information on the plans Is aa:urate. I agreetommptywHII all CttyOllllnanoesand Slate laws llllatlnglll buUdlngainstnldlon. I hereby aJtluize represenlalM! cl the City cl Calsbad to enter upon the abOlle mentioned propelty for i1spection purposes. I ALSO AGREE TO SA VE, INDEM'IIFY AND KEEP HARM.ES$ THE CITY OF CARI.SSAD AGAINST All UABILITlES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMT. · · OSHA: An OSHA penTit is requied for ex:~iioiil~ 5'0' deep 111d demolition a cons1rudion cl struc1IJ'es CM/I' 3 sbles i'1 height. """"""'""'_....,,, . . .............. -...... ,_ .. _,.. .. ..., '";.9'"'_ ...... _ .......... _ 180 da'is fn:m Ile dail cl such pemit . . a WOik by penTit is suspended a abclldoned at any tine aller Ile wa1(is r 1;_ ~ cl 180 da'is (Section 100.4.4 lklifam lltiWJ Code). ~ APPLICANT'S SIGNATURE L--"' ~..... DATE J ,w I cf? ' City of Carlsbad Bldg Inspection Request For: 07/01/2009 Permit# CB090070 Title: SISMONDO RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 2642 SAUSALITO AV Lot: 0 Inspector Assignment: Phone: 7607298261 Location: Inspector: OWNER SISMONDO CHARLES L&ANDRIE D Owner: SISMONDO CHARLES L&ANDRIE D Remarks: P M PLEASE ~ Total Time: CD Description Act 25 Water HeaterNents Comments/Notices/ olds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: CHARLES Entered By: CHRISTINE