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Home My WebLink About2769 SOUTHAMPTON RD; ; CB131872; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-06-2013 Permit No: CB131872 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2769 SOUTHAMPTON RD CBAD PME Status: Parcel No: 2081402400 Lot#: 0 Applied: Reference#: PC#: Project Title: LORD: REPLACE WTR. HTR Applicant: ARS OBA RESCUE ROOTER STE B 9895 OLSON DR SAN DIEGO CA 92121 858-457-6572 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: LORD PATRICIA M 2769 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 08/06/2013 JMA 08/06/2013 08/06/2013 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: Date: J' -2,. 2-tJ 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. 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 hih h I imi!r hi whihh I h 4~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 271812719 Plan Check No. C:f3 ( '3 · l J-9-2.-"'-~';~· ~ CITY OF CARLSBAD Fax 760-602-8558 www.carlsbadca.gov SUI E#/SPACE#/UNIT# Est. Value Plan Ck. Deposit # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) GARAGE (SF) APPLICANT ADDRESS CITY ZIP PHONE EMAIL ADDR CITY FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES[]# AIR CONDIT10NING No0 YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL FIRE SPRINKLERS vesONoO a (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which reQuires a permit to_ construct, alter, 1mprove, demolish or repair an)'. structure, p_rior to its issuance, also requires the apphcant tor such permit to file a signed statement that he ts licensed pursuant to the provIsIons of the Contractor's License Law JChapter 9, commending with Section 7000 of DIvIs1on 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vIolatlon of Section 031.5 by any applicant for a permit subJects the apphcantto a civil penalty of not more than five hundred dollars {$500}), I have and wlll maintain a certificate of consent to self-Insure for wori(ers' compensation as provided by Section 3700 of \he Lalxlr Code, for the performance of \he work for which this pennit is issued. I have and will maintain work'l5' :pensatio~ reauired by Section 3700 of tl'le Latxir Code, for the performance of t_he work f?r which this oermil is issued. My workers' compensation i '"m"'"'" I"'"""" Co LI I-) :E' <:L¼ Pol;cy No. '7 loo\ 5C::f(, lo ?ii (). 'L Expl,afion Date __...,"""--+-'--1-+--'--- J.biS.seclion need not be completed if the pennit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhat in the perfonnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensalion Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subj act an employer to crlmlnal penalties and civil fines up to one hun d tho and dollars (&100,000), In addition to the cost ofcompensa~es as provided for in Section 3706 of he La ode, tn st and a ,6 CONTRACTOR SIGNATURE U (57 c.....9.-, I hereby afflnn that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, wift do the work and the structure is not intended or offered lor 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 empKlyees, provided ll'lat stx:tl improvements are not intended or offered for sale. If, l'lowever, the building or improvement is sold within one year of compleUon, the owner-bullderw'ill tiave the burden of proving that he did not buikl 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 Contractor's License law does no! apply kl an owner of property who builds or Improves tl'lereon, and co.ntracts 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 materials for construction Of the proposed property improvement. Oves ONo 2. I (have I have not) signed an application for a building pennit tor the proposed work. 3. I have contracted with the following person (ftnn) to provide the proposed conslruction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the foUowing person to coordinate, supervise and provide the major work {Include name I address/ phone/ contractors' license number): 5. l will provide some of the wofk, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE I certify that I have read the application and state that the at>ove Information Is correct and that the Information on the plans is accurate. I agree to comply'Mth all City ordinances and State laws relating to building construction. I hereby authorize representa~ve of the City ofCa1sba:l to enter upon the aoove mentioned ~party for inspecoon pu,poses. 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 pennlt is requred for excava\ioos over 50' deep and derrolioon or conslruc1km of stroctures over 3 stories in tieight. EXPIRATION: Every permit issued by the Building Official under the proviskms of this Code shall expire by Umitalion and b8::ome null and void tt lhe building or work authorized by such pennil is not oommenced Within 180 days from the date of such pennlt orif lhe Wilding or\\Olk authorized by such permit is suspended or abandoned at any time after the YKlrk is commenced for a period of 180 days (~ion 106.4.4 Unttorm Building Cooe). ~ APPLICANT'S SIGNATURE C'SJo..Jl. ...✓.J ~ DATE Inspection List Permit#: CB131872 Type: PME Date Inspection Item 08/23/2013 25 Water HeaterNents 08/23/2013 25 Water HeaterNents 08/23/2013 29 Final Plumbing 08/23/2013 29 Final Plumbing Wednesday, August 28, 2013 Inspector PB PB LORD: REPLACE WTR. HTR Act Comments RI AP RI AP Page 1 of 1