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Home My WebLink About1285 SHOREBIRD LN; ; CB110229; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-01-2011 Plumbing Permit Permit No: CB110229 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1285 SHOREBIRD LN CBAD PLUM 2157801100 Lot#: 0 Construction Type: NEW DUSSIN RES-INSTALL TANKLESS WATER HEATER Owner: BERCKS OLD TIME PLUMBING DUSSIN SUSAN M 38415 INNOVATION CT PO BOX 8108 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: STE E 92563 RANCHO SANTA FE CA 92067 951 676 7197 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 ISSUED 02/01/2011 LSM 02/01/2011 02/01/2011 $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: $27.00 Total Payments To Date: $0.00 Balance Due: -;;;:_,. ::2 Inspector: ~ FINAL A VAL Date: z,., I Clearance: $27.00 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 Clty 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 the!r 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 c i n I h' I n iv n a N ! hi r hi h h f I' i i n h h rwi ~ .· Plan Check No. (2,81100-~ Building Permit Application «~~) 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718/ 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.Qarl~QadQ§.gov Date a-.j \ 1 1 \ lswPP JOB ADDRESS )'7 v.-e/n'r ,:{ SUITE#/SPACE#/UNIT# I"" t. q,-,e,. ---I,? G'5' CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,',, >r'I II 7"t1,rl(/.e~f w ., t",, ff ~,,1 .. ~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE \AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES O NO □ YES □ NO □ CONJ:'CT NAME (tf Dlff•rent Fo?' A(!Pllcant) .,,.Y't..hf ()/ ,/ , .... t: 0/.1,.1,..,.1.,·.,~ il.~r,-., _.. #I'-APPLICANT NAM~tl,,/ ~ ADDRESS . ADDRES"-5 ,rs---~ A ?fl'tff I nh/') //4T,'g,-, er #E" Io p.,-,..--t (.,._ CITY STATE ZIP CITY,,,,-;;, STATE ZIP ,111v1-,1~t1 C"f "'{2>{] eneu .. {tA. ~ei 1"< r-uJ PHONE I"' PHONE l'AX C(<;t t 7( 7111 qs-1 ~,,~ s~,.,3 ttf-10 _')1t~ EMAIL EMAIL PROPERTY OWNER NAME >t15''fn /Jt,,5f,'n CONTRACTOR BUS. N!~~/ l!e.rCh~ r,,~~ "t..-,-,L,~-, U-,:~--.,; ,1./,C. ADDRESS S '1 vrt: 1,/r ,( ADDRESS I Zit;" l'fh<.. J'Ylf IS' /1111 ,,,,,7,-,,, er tf E CITY C,r.,k/,r/,1 STATE ZIP CITY STATE ZIP Cq "'f t()t1'1 Mvrr,'eT'I C')' ,rz,FC.Y PHONE l'AX PHONE l'AX 1.s-1 t'/f 57Pf 7ttJ 't 1t 'IZ?<-f '?S'I 6 7' 71'11 EMA!L EMAIL ARCH/DESIGNER NAME & ADDRESS ISTATELIC.# STATE LIC.# I CL.ASS l CITY BUS. LIC.# B22t?& q,, e-16 1 zz.,-ro7 (Sec_. 7031.5 Business and Professions Code: Any Crty 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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem11t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workm' Compensation Dec;:laration: I hereby affirm under penalty ofpetjury ooe of the following declarations: □ I have and will maintain a certfflcate of consent to self-Insure for mrk.ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the WOl1( for which this permit Is Issued. (ii I have and will maintain workn' compensation, j\ :i,ulred by Section 3700 of the Labor Code, for the performance of the mr,c; for which this permit Is Issued. My mrkers' compensation Insurance carrier and policy oumoero:e:losuranceCo. ~I Git ,f !JPL.Q":, Pol<yNo. 01/Jk(M 1240 9"'1 7 ExoratiooD,~ t, ,Z.t // This section need not be completed if the permit is for one hundred dOllars ($100) or less. □ Certificate of Exemption: I certify that In the ormance of the 'M)nl for which this pennit Is Issued, I shall oot employ any person In any manner so as to become subject to the Workers' compensation L.rNS of California. WARNING: Failure to secure wo compensation coverage is unlawful, and shall subjed an employer to criminal penalties and civil fl nee up to one hundred thousand dollar& (&100,000), ln addition to the cost of compensation, dam pro ed for In Section 37 bor code, interest and attorney's fees. AS CONTRACTOR SIGNATU I, as o'Mler of the property or my employees with wages as their sole compensation, will do the mrk crid the stn.cture Is not intended or offered for sae (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to a, 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 sae. If, however, the building or Improvement Is sold within one year of completion, the O'Nller-bullder will have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exclusively contracllf'lil with licensed contractors to construct the proiect (Sec. 7044, Business and Professions Code: The Controctor's license Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractor(s) Hcensed pursuant to the Contractor's license Law). □ ram exempt under Section ____ Business and Professions Code for this reason: 1. I person.lly plan to provide the major labor and materials for construction of the proposed property improvement □ Yes □ No 2. I (have/ have not) signed an application for a build Ing pennltforthe proposed mrk. 3. I have contracted with the foHow!ng pen;on (flnn) kl provide the proposed construction (Include name address/ phone/ contractors' license number): 4. l plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address/ phone/ contractors' license numbe~: 5. I will provide scxne of the 'MJrk, but I have controcted (hired) the following persons to provide the mrk. Indicated Onclude name/ address/ phone/ type ofmr1<): AS PROPERTY OWNER SIGNATURE i!IAGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applieant or future bulld!ng occupant required to submit a business plan, acutely hazardous miierials registration form or risk ma:,agement and prevention progran under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazcl'dous Substan::e Account Act? □ Yes □ No Is lhe applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management dlstnct? □ Yes □ No Is the faclllty to be constructed within 1,000 feet of the outer boundary of ascl"oOI 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 ttiat I have read the appllcatlon and statethatthe abCM Information Is conect.and that the Information on the plans Is acarate. I &greetD comply with all City odnances and State laws relating to bulldog construction. I heraby aulhorize repmsentatiw ol lhe Cify ol Carlsbal '"''"' upon Ille allc>w menti:Jned property for lnspecibn JlU'l'l""· I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PER~T. OSHA: All OSHA pem,lt is required b" excavations (J'lf:I 5'0' deep cl'ld derrdition or oonstruclion of structures over 3 stores in he~ht. EXPIRATION: Every pmnlt issue:! by Iha Bultling . the pl"O'ASiOOs of !his Ccxle shall exiia by lmltatbn and becoole nuH and VOKl W the buildhg or work all1l"alzed by sud1 permit is not comrrenced within 180days frool the dall of such permit or If the bui authaized by SWl pem,k Is suspended or abandcxled at anytime after lhe'M'.llk Is canmenced tir a perbd of 180 days (Sectioo 106.4.4 UnOOITTI Buitlhg Cede). ~ APPLICANT'S SIGNATURE ~ DATE j_ -I -( I City of Carlsbad Bldg Inspection Request For: 02/17/2011 Permit# CB110229 Title: DUSSIN RES-INSTALL TANKLESS Description: WATER HEATER Type:PLUM Sub Type: Job Address: 1285 SHOREBIRD LN Suite: Lot: Location: OWNER DUSSIN SUSAN M Owner: DUSSIN SUSAN M Remarks: PLEASE INSPECT A M 0 Inspector Assignment: TP --- Phone: 9516767197 Inspector:£ Total Time: _____ Requested By: GREG BURKE Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents _£_ ____________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments 02/11/2011 29 Final Plumbing NR TP NO ONE HOME