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Home My WebLink About1377 SHOREBIRD LN; ; CB151346; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-04-2015 Permit No: CB151346 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1377 SHOREBIRD LN CBAD PME 2157901900 BURNS RES-REPLACE 2 WATER IN GARAGE TELFORD JONES INC STE 13A-400 25920 IRIS AV MORENO VALLEY CA 92551 760-727-4321 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Owner: PATTY BURNS 760 476-9166 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/04/2015 RMA 05/04/2015 05/04/2015 $35.00 $0.00 $0.00 $60.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Clearance: $0.00 E that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/e ions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f xac i n fwhi revio I b n i n a N Tl E similar hi s I which th tu e f limitation h x ir d. •. -, ~ □PLANNING . ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 ENGINEERING 0BUILDIN$ □FIRE □HEALTH 0 HAZMATIAPCD Ccityof Building Permit Application Plan Check No. (JJi/5/Jtj?, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value - Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov f&J--www.carlsbadca.gov Date 5 I L.J II r ISWPPP JOB ADDRESS / l 7 7 -Shorebird In, Carlsbad SUITE#/SPACE#/UNIT# rPN '! --- CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BA1HROOMS I TENANT BUSINESS NAME ICONSTR. T'fPE I OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace 2x Water Heater in garage. • I~ ' ,. EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) l DECKS (SF) YE~O IAIR CONDITIONING I FIRE SPRINKLERS NcQ YES □No□ YES□No□ APPLICANT NAME Patti Burns PROPERTY OWNER NAME .. ' Same p ... A~• "ontaet ' ADDRESS / 319--'laf1"Shorebird In ADDRESS CITY STATE ZIP1~ll CITY STATE ZIP Carlsbad CA PHONE I FAX PHONE IFAX 7604769166 EMAIL r1bv...v .. (1s <..fn-'7t h:J CLo l -e.G 1"1--, EMAIL , .. DESIGN PROFESSIONAL ~ CONTRACTOR BUS. NAME Telfordiones. Inc. dba Jones Service Co. ADDRESS ~ ADDRESS 25920 Iris Ave. Suite #13A-400 CITY s~ ZIP CITY STATE ZIP Moreno Vallv CA 92551 PHONE ~ I FAX PHONE IFAX 7607274321 EMAIL ~ EMAIL glenn~onesService.net ~ I STATE LIC. # STATE UC.# le°"' ICITYf~'1 tt'i 11 856936 C36 (Sec~ 7031.5 Business and P_rofe~ions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, qemolish or re a1J an structure, P.rior to its iss\J3nce, also re.q\Jires the applicant for such permit to file a sI~ed statement that he Is licensed pursuant to the provIsIons of the Contractor's License Law 1ct1pter ~. commending with Section 7000 of DIvIsI(m 3 of the Business and Professions Code} or fuat he is exemot therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}). "( WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affimJ under penalty of perjury one of the following dedarations: 0 I have and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for which this pennit is isS1.Jed. [Z] I have and will maintain workers' compensation, as reQulred by Sec~on 3700 Of the Labor Code, for the performance of the work for which this permit is issued. Mywor'Kers' compensation insurance carrier and policy number are: Insurance Co. Norguard Ins, Poiicy No. tewc550314 Expiration Date 8/23115 l,!li§,section need not be completed if the permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfoonance of the work for which this rmit Is issued, I shall not employ any parson in any manner so as to become subjact to the Workers' Compensation Laws of California. WARNING: Failure to secure w ers' com sation coverage is unla ul, and shall subject an employer to criminal penalties and.civil fines up to one hundred tho sand dollars (&100,000), in addition to the cost of compensation, damag for in Section 370 oft e Labor code, interest and attorney's fees. ,/i! CONTRACTOR SIGNATURE I h6reby affimJ that I Mi exempt from Contractor's 1./cense Law for □ [Z] □ I, as owner of the property or my employees with wages as their sole nsation, will do the work and the structure 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 bulldll'lQ or Improvement Is sold within one year of completkln, the owner-builder will have the burden Of proving that he did not build or improve for the purpose of sale). \, as owner of the property, am exclusively contrac~ng 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 thereon, 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 materia~ for construction of the proposed property improvement. Oves 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license nuinber): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5. I will ptovide some of the work, but I have contracted (hired) the followtng persons to provide the l'Klrk indicated (include name I address I phone I type of work): ..@! PROPERTY OWNER SIGNATURE □AGENT DATE COMl'LETi: THIS SECTION FOR NON-RESIDENTIAL BUJtDJNG PllRMITS ONLY Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 Of the Presk3y-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 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. I certify that I have read the application and state that the above infonnation is corradand that the lnfonnatlon on the plans is accurate. I agree ID comp1yd all City ordinances and State laws relating ID building construction. I hereby authorize representative of the City of Carlsbad to enter upon the atove mentioned property for inspection pul"jXJS8S. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is re'.!Uired for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issue.:! by the Buikling O'fdal under the provisions of this c.ode shall expire by limitation and ba::ome nul and ...okl W the buik:ling or work authorized by such 1)3(!Tlil is not oonmenced within 180 days lium Ito dale of such permit or I ~,: or wcrk ~ by wch pem,i is wspeoded or abanoonoo at any bme after ire w"1< • comrner<:ed for a period of 180 days (Se::tiorl 106.4.4 Uniform Bui~ing Qide) ,ltf APPLICANT'S SIGNATURE ~ DATE ..::r----.;2_...0 / s" Inspection List Penni!#: CB151346 Type: PME Date Inspection Item . 05/12/2015 25 Water HeaterNents 05/12/2015 25 Water HeaterNents 05/12/2015 29 Final Plumbing 05/12/2015 29 Final Plumbing Wednesday, May 13, 2015 Inspector Act PY PY RI AP RI AP BURNS RES-REPLACE 2 WATER IN GARAGE Comments GC 4343/ AM PLEASE GC 4343/ AM PLEASE Page 1 of 1