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Home My WebLink About1386 SPARROW RD; ; CB101345; Permit-City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-19-2010 Plumbing Permit Permit No: CB101345 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1386 SPARROW RD CBAD PLUM 2156410700 Lot#: 0 Construction Type: NEW KACHOREK RES REPLACE WTR HTR WITH TANKLESS/NEW GAS LINE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/19/2010 KG 07/19/2010 07/19/2010 CHRIS ERBS PLUMBING KACHOREK JOHN J&EDMISTON ELAINE A 29955 PECHANGE DR TEMECULA CA 92592 760-580-17 41 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: Inspector: $27.00 0 0 0 0 1 0 0 1386 SPARROW RD CARLSBAD CA 92011 $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: Clearance: $0.00 NOTICE: Please take NOTICE hat 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. 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 !T APPLY to any f x tin ofwhih ouh I N Tl E imilr thi or whihth st e flimi in has rvioul ohrwis xird. -•··-------·---------·----- «~~ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov DESCRIPTION OF WORK: Include Square Feet of AW.cted Atea(s) ADDRESS CITY STATE ZIP PHONE FAX EMAIL ZIP EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# Plan Check N~/6 /y Est. Value Plan Ck. Deposit Date YES □ NOD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an;t structure, prior to its iss e, 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 exempt 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 Workers' Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declarations: □ I have and will maintain a certificate of consent lo self-insure for workers' compensatioo as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. □ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ____________________ ~ Policy No.-------------~ Expiration Date _________ _ ~ section need not be completed if the pennit Is fot one hundred dollars ($100) or less. ~ Certificate of Exemption: I certify that in the perfomiance of lhe work fof whicli lhis permit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of Galifornia. WARNING: Failure to secure workers' pensatlo rage is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand doBars (&100,000), In addHlon to the cost of compenHtlon, damage In S km 3706 of the Labor code, Interest and attornay's fees . .A!S cONTRACTOR SIGNATIJRE I hereby affirm that I am exempt from Contractor's Ucense 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 OI' offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to en 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 OI' offered for sale. II, however, the building or improvement Is sold wllhin 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 property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Cootractor'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). 0 I am exempt under Section _____ Business and Professions Code for this reason: 1. I pen;onally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have I have not) signed an application for a buildlng permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide lhe proposed conslruction (indude name address I phone I conlractors' license number): 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 I address I phone/ contractors' license number): 5. I will provide some ot the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work): _,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenllon prcvam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf? □ 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 feel 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. CONSTRUCTION LENDING AGENCY I hereby affinn that there 1s a construction lending agency for the perfonnance of the work this permit 1s issued (Sec 3097 Q) Civil Code) lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with all Clfy oldlnances and state laws relating to bulldlng construcllon. I he°"'Y auroize represenlalM> ol lhe Ci1y of Garlsbad ~ ri>r upoo ~, above rrenlilned property b-ilspedb, purposes. I />I.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST />I.L LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: HI OSHA pe,mil is ,equred b excavations over 5'0' deep and demolition or construction of slruclures over 3 sk:lries fl height EXPIRATION: Every pennlt issued by lhe Building Offdal under the provist::lns of this Ccx:le shall expire by linilalk>n and become null and void if lhe buildi,g or v.ork. authorized by such permit is not o::mnenced mil 180 days from lhe dale of sud\ pemil er if lhe buidilg or · by permit is suspended or abandoned at any time after lhe y,ak is commenced for a perkxl ol 180 days (Sedb"I 106.4.4 lklibm Builclilg Code). ~ APPLICANT'S SIGNATURE DATE '-I City of Carlsbad Bldg Inspection Request For 07/29/2010 Permit# CB101345 Title KACHOREK RES REPLACE WTR HTR Description: WITH TANKLESS/NEW GAS LINE Type:PLUM Sub Type: Job Address: Suite: 1386 SPARROW RD Lot: 0 Inspector Assignment: PY --- Phone: 7605801741 Location: Inspector: ----- OWNER KACHOREK JOHN J&EDMISTON ELAINE A Owner: KACHOREK JOHN J&EDMISTON ELAINE A Remarks: Total Time: Description Act Comments CD 25 Water HeaterNents Afkf .. ~. 2-3 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 07/28/2010 25 Water HeaterNents Act lnsp Comments CA PY Requested By: NA Entered By: CHRISTINE