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Home My WebLink About2643 SAUSALITO AVE; ; CB111779; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-17-2011 Plumbing Permit Permit No: CB111779 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Building Inspection Request Line (760) 602-2725 2643 SAUSALITO AV CBAD PLUM 1675117200 Lot#: 0 Construction Type: NEW DAVIDSON: REPLACE WTR.HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/17/2011 JMA 08/17/2011 08/17/2011 Applicant: ARS STEA KAPLAN SARAH B LIVING TRUST 03-02-07 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 Total Fees: $27.00 0 0 0 0 1 0 0 2643 SAUSALITO AVE CARLSBAD CA 92010 $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 Payments To Date: $27.00 Balance Due: Inspector: 1:1'.'t, ~<, 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. FaHure 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. NOA DOES IT APPLY to any I x i n f hi h h v r vi n iv n N Tl E im'I r hi r hi h he I Ii i h h rw· -~ ·~{ ~+". •· 11-~ .. ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.callsbad_@@Y SUITEll!SPACE# ·UNIT# Plan Check No I l \ 77 Est. Value Plan Ck. Deposit Date (7 I( 'l·Sl\ 11 OF UNITS II BEDROOMS # BATHROOMS TE,\/ANT BUSINESS NAME CONSTR. TYPE acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) r EXISTING USE PROPOSED USE GARAGE iSF) PATIOS (SFJ CONTACT NAME (If Different Fom App/leant) ADDRESS CITY PHONE 79 ARCH/DESIGNER NAME & ADDRESS STATE LIC, # 00 (Sec. 7031.5 Business and P_rofessions 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 s1i;tned statement t11at he Is licensed pursuant to the provisions of the Contractor'_s License Law {Chapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). I hereby affirm under penalty of pequry one of the following declarations. have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sec1ion 3700 of the Labor Code, for lhe performance of Iha work for which this perm it is issued. , , I have and will maintain workers\compen ation, as req ·red by Section 3700 of the Labor Code, for the performance of lhe work for ~1~this permit is rssued. My workers' compensalion in ranc earner and policy number are: Insurance Co. L-.~ (" Policy No.'] (o3 \ 5~ lo 3 l O ID Exp1rat1onOate _l_.\.;'-/-_ILJ'._J_f_ ___ _ This section need not be completed if the permit is for one hundred dol ars ($100) or less. D Certificate of Exemption: I certify that in the performance of the wori< for which this permit is issued. I s/lall not employ any person in any manner so as lo become subject to the Wori<ers' Compensation laws of California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pena!lies and civil fines up to one hundred thousand dollars {&100,000), in addition to the cost of compen, bor code, interest and attorney's fees. _,g CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: :J L as owner of the property or my employees with wages as their sole compensalion. will do !he work and the s1ructure 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 that 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 wll have the burden of proving that he did not build or improve for lhe purpose of sale). :J I, as owner of the property. am exclusively contracling with licensed con1ractors to conslruct the project (Sec 7044, Business and Professions Code: The Contraclor"s License Law does not apply to an owner of property who builds or improves thereon, and contracts for such proIects with contractor(s) licensed pursuant to the Conlractor's License Law). :J I am exempt under Section _______ Business and Professions Code for lh1s reason· 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. :J Yes :J No 2. I (have I have not) signed an application for a building permit for the proposed work. 3 I have contracted wilh the following person (firm) lo provide the proposed construction (include name address i phone I contractors· license number) 4 I plan to provide portions of the work. but I have hired the following person to coordinate, supervise and provide the maior work (include name I address I phone / contractors' license number): 5.1 will provide some of lhe work. but I have contracted (hired) 1he following persons to provide the work indicated (include name i' address I phone I type of work)· ,N$ PROPERTY OWNER SIGNATURE □AGENT DATE , ' Is the applicant or future building occupant required 10 submit a business plan. acutely hazardous matenals registration form or n sk managemenl and prevention program under Sections 25505. 25533 or 25534 of lhe Presley-Tanner Harardous Substance Account Act? ::i Yes ::J No Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or air quality managemenl district? :J Yes :J No Is the facility lo be construc1ed W1lhin 1,000 feet of 1he outer boundary of a school site? :J Yes :::J 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 I 1 EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. : ~~1"J1~ .ltllll ~·,1 ' I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the appllcation and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with a!! City ordinances and State laws relating to building construction. I hereby aulhoriz.e representative of lhe City of Carlsbad to enter upon !he above mentOned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ar, OSHA permit is required for excavations over s·o· deep and demoliUon or construction of structures over 3 stories in height EXPIRATION: Every permi1 issued by the Building Official under the provisions of this Code shall expire by limitation and become null and vcid if the building or work au!horiz.ed by such permit is not commenced within 180 days from !he date of such permi1 or if !he building or work authorized by such perm~ is pended or abandoned al any lime after ltie work is commenced for a eriod or 180 ys (Sec!iol1 106.4.4 Uniform Building Code). ,25 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 11/15/2011 Permit# CB111779 Title: DAVIDSON: REPLACE WTR.HTR Description: Type:PLUM Sub Type: Job Address: 2643 SAUSALITO AV Suite: Lot: 0 Location: APPLICANT ARS Owner: KAPLAN SARAH B LIVING TRUST 03-02-07 Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 4195752700 Inspector: tvfl Requested By: SARA Entered By: JANEAN 25 29 Water HeaterNents Final Plumbing ~ ~~srt~ I orAflpN _:fl_ ___________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments