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Home My WebLink About2351 TERRAZA GUITARA; ; CB120905; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-14-2012 Permit No: CB120905 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2351 TERRAZA GUITARA CBAD PME Status: Parcel No: 2155820700 Lot#: 0 Applied: ISSUED 05/14/2012 JMA 05/14/2012 05/14/2012 Reference #: PC#: Project Title: FRANZ: REPLACE WTR. HTR. Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Plumbing Fees Electrical Fees Mechanical Fees other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: KREMEN WILLIAM S&FRANZ C 2351 TERRAZA GUITARA CARLSBAD CA 92009 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: _____ _ $0.00 t approval of your project includes the "Imposition• of lees, dedications, reservations, or other exactions hereafter ool~tively referred to as 'fees/exactions.· You have 90 days from the date this permit was issued to protest imposition of these lees/exactions. II 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 lT APPLY to arr,' t x tin f hih nivn NTI imir hi r whih 'i 'nh ~ /4f~~'> ~--1/ ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date5 J <-{ APN # BATHROOMS TENANT BUSI NESS NAME CONSTR. "M'E OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □ #__ NO □ YES □ NO □ YES □ NO □ CONTACT NAME ("Different Fam Applicant} APPL1cANrNAME Sc.ot-t Li-,..+ e..fTe. I cl ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL EMAIL fe..-....,, ts@ Awn~ ARCH/DESIGNER NAME & ADDRESS STATE LIC. # ClASS ~s" CITY BUS. UC.# l~l'Tc\71 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior lo its issuance, also requires the applicant for such permit to file a siitned statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is e•empt therefrom, and the basis for the alleged exemption. Any violation 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)). ;·\\,:0-R,KEJl'S.,.COMJHtNSATfON···. : .. , ... ·.· ': .'• ,':' ·. _,· . . ... . . " ,, ,~•Nt ' -••<' < p .... • •' •'t.!.A,, ij),_._., : .... , > ~ l ¥ ¥ • •• ~ ¼ ~--> Workers' Compensation Declaration: r hereby affinn under penalty of perju,y one of the following declarations: D I have and will maintain a certificate of consenllo self.insure for workers' compensation as provided by Section 3700 ol the Labor Code, for the performance of the wOf1! for which this perm 1t is issued. Yi have and will maintain workers' compe11sallan. as reouired by Section 3700 of the Labor Code, for the performance of lhe wodl for which this nnrmil is issued. My workers' compensation insurance ca_rrijf and policy numberare:lnsuranceCo. J;.os., Co. of The west PolicyNo. wsas~ao30300 ExpiralionDate I -, .. I ~ This section need not be completed if the permrt is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perf(l(lllance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Worl<er.;' Compensation Laws of California. WARNING: Failure lo secure workers' compensallon·coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000], In addition to the cost of compensation, damages as pro . ded for T Section 3706 of the Labor code, interest and attorney's fees. .LS CONTRACTOR SIGNATURE l!i,JJ;tl . mAGENT • I hereby affirm fhat 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, will do the work and the struclure is nol intended or offered for sale (Sec. 7044. Business and Professions Code: The Conltactor·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. lf, however, the building or impro•ement is sold within one year of completion, lhe owner-builder will have lhe burden of proving that he did not build or improve for the purpose ol sale]. □ I, as 0'M'ler 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 not apply to an owner of property who builds or improves thereon, and conlracts for such projects with conlraclor(s] licensed pursuant to the Conlracio(s License Law). □ I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personally plan 10 provide the major labor and malerials tor construciion of the proposed property improvement. 0 Yes □ No 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] lo provide the proposed construction (inclU<Je name address I phone I co nlraclors' license number): 4. I plan to provide portions of the work, but I haoe hired the following person to coordinale, supervise and provide the major work (include name I address I phone I contractors' license number): 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the wom indicated (include name/ address /phone/ type of work): _LS PROPERTY OWNER SIGNATURE 'IIJAGENT DATE J'.s-J"i""J'~/,","'1's"~'fZ•~· 1',t'~'' .. ,0. '""" .. "' "',1,,;•r, n,½ '' ,_ .. ,,,--.. ··• •}' .. ·{"""""$:'.i' .. ";-p.~-,,-,._...-:1'''\,~'"' ,+,,ir,'~,,n;-,-,c.,;,.~,,,.,,,,,.,,,,,.,.,.,;:•r,= ~r,r ,, <>~= ~,0 •;,, , ., , t·~:t'O·N(P, c;'r¥t t?' T RU ,.s'E .~ rH:, N F Q,R" JIM) N "D ,,i=rn: -~·UAL .:ij1U lL DI N (k P; E .RM .J T $ 0 N l V , , ' L_II" ~ -1..,, .. •0 ~" %u ~ , , , "' ' "''""'~'''• ,,.,l ' ' ~,.,_ '""~•oi' ~. 1:,..~"'--.....~"<", _ }.,., .., ,, .,,,;., ... ~ ""'.,. ~ d•q• ... tJ..t,,, , _,, ,, , ., ... ~" Is lhe applicant°' future building occupant required to submil a business plan, acutely hazardous malerials registration form or risk management and prevention program undei Sections 25505, 25533 or 25534 of the Presley-Tanner Haiardous Substance Accoont Act? □ Yes □ No Is the applicant or future building occupant required to oblain a permit from Iha air pollution control dislricl or air qua/i ty management districl? □ Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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 cenifythat I hll\le read the application and state that the above Information isconectand that the infonnation on the plans is accurate. I agree to comply with all Cifyon!inancesandState laws ll!latingto bulldlngi:onstructlon. I hereby authorize represenlative of the City of Carlsllad lo enter upon the above menooned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af.lY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA "'1 OSHA. permtt is required for excavations over 5'0' deep and demolition or oonstrucoon of s1ruclures over 3 slories fl heighl EXPIRATION: Every permit issued by the BuikJing Official under the provisoos of this Code shall expire by lrnitaoon ard become nuH and void if the bu!di"lg or work aulhoriled by such permit is not commenced within 180 days from the dale of such penrit orif lhebuid orwor1u,uthorized by such perrntt is suspended or abandoned al anytime after the work is commenced lor a period of 180 days (Seclian 1064.4 Uriibm BuikJing Cooe). ,@S'° APPLICANT'S SIGNATURE ~l. DATE Inspection List Permit#: CB120905 Type: PME Date Inspection lt_em 11/14/2012 25 Water HeaterNents 11/14/2012 25 Water HeaterNents 11/14/2012 29 Final Plumbing 11/14/2012 29 Final Plumbing Thursday, November 15, 2012 Inspector PY PY FRANZ: REPLACE WTR. HTR. Act Comments - RI CALL W/ETA PLS AP RI AP Page 1 of 1