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Home My WebLink About2657 VANCOUVER ST; ; CB110445; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-01-2011 Plumbing Permit Permit No: CB110445 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2657 VANCOUVER ST CBAD PLUM Status: Parcel No: 1674421000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: MARTICH RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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 Owner: MARTICH LIVING TRUST 06-20-90 2657 VANCOUVER ST CARLSBAD CA 92010 ISSUED 03/01/2011 KG 03/01/201 1 03/01/2011 $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: $27.00 Balance Due: Inspector: FINALAPPR Date: 3. /I> 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 «~" '~ CI TY OF CARLSBAD JOB AOORESS CT/PROJECT# EXISTING USE Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www .ca rlsbadca .gov SUllE#/SPACE#/UNIT# Est. Value Date # BATHROOMS TENANT BUSINESS NAME PROPOSEO USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD CONSTR. lYPE AIR CONDtTI NING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME!) c. O t 1" l.. j t-t e. fl e. ( el ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CITY t.W h,._I\ PHONE .. ,t3\ EMAIL EMAIL fer Mi t-s @ AWh~ ARCH/DESIGNER NAME & ADDRESS STATE UC.# CllYBUS.UC.# 1~17c)."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 to its issuance, also requires the applicant for such permit to file a signed statement that he is lieensed pursuant to the provisions of the Contractor's Ucense Law !Chapter 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). . . ' WORKERS ' C_~_ MP~~ SAT ION . .. _ . . . _ / __ ' Workers' Compensation Declaration: / hereby aff,nn under penalty ol perjuty one ol the following declarlllions: 0 I have and will maintain a certificate of consent to sett-Insure for worken;' compensation as provided by Section 3700 ol the Labor Code, for the performance of the work for whidl 11is permit is issued. ~ have and will maintain workers' compegsati<y>, as required by Section 3700 of the Labor Code, for the performance of the 9 !llr ~ial this perm~ is issued. My wor1<ers' compensation Insurance carrier and policy number are: Insurance Co. 'tt." \ :t " Policy No. -tc1,1 ¥9'\Y' 7 C> Expiralion Date I -I p tl,.. This section need nol be compleled tt the permit is for one hundred dollars ($100) or less. D Certlficate of Exemption: I certify that in the performance of the wor1< for wllich this permit is issued. I shall not employ any person in any manner so as lo becorne subject 10 the Worl<ets' Compensation Laws of California. WARNING: Failure to secure workers' compensaUon coverage Is unlawful, and shall subject on employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addttion to the cost of compensation, damages as pro ed for f Section 3706 of the Labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE (!i)tf'l . tifAGENT I hereby affinn thal I am exempl from Contractor's License Law for the following reason: □ I, as owner ot the property or my employees with wages as their sole compensation, will do the wor1< and the struc1ure is not intended or offered for sale (Sec. 7044. Business and Prolessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wor1< himseff or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder wil have the burden ci proving that he did nol build or improve for the purpose ol sale). □ I, as owner of the property, am exdusively contracting with licensed contractors to conslruci 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 contracior(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section -------'Business and Prolessions Code for this reason: 1. I pen;onally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes O No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have conlracied with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan lo provide por1ions of the WOO<. bul I have hired the following person lo coordinale, supervise and provide the major wor1( {include name/ address/ phone/ contractors' license number}: 5. I will provide some of the WOO<, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone I type of work}: ~ PROPERTY OWNER SIGNATURE !ifAGENT DATE Is !he applicant o< future building occupant required to submit a business plan, acutely hazardous materials registration fonn o< risk management and prevention program under Sections 25505, 25533 o< 25534 of !he ' Presley-T a~ner Hazardous Substance Account Act? D Yes D No Is !he applicant o< future building occupant required to obtain a permit from the air pollution control district o< air quality management district? D Yes D No ts !he facility to be constructed v.ithin 1,000 feet of !he 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I haYe read the application and state that the above infonnation lsconectand that the infonnation on the plans Is accurate. I agree to comply with all atyominances and State laws retatlnglD building construction. I hereby autlorize represeolative of Ile Qty of Carlsbad b enler upon the above mentbned prtt>erty b-nspediln JllfPOSeS. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY Of CARLSBAD AGb.lNST All LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA: AA OSHA permit is required b-excavations O'vef 5'0' deep and demolition or construcoon of struct.xes (Ne( 3 sbies ii heighl EXPIRATION: Every permit issued by Ile Buikjing Offr:ial IM1der the l)llMSQlS ol lhis Code shall expi'e by linilatioo and become rul and YOO l t,e ruiding or woc1t aullorizfd by such permit is not conmenced v.im 160 days from the date of such permit or ij Ile buicf orwoc1t authorized by such permit is suspended or abandoned al arry tine after Ile woc1t is coomenced b-a peood ol 180 days (Sec:fun 100.4.4 Ll'libm 8.Jildilg Code) . .NS APPLICANT'S SIGNATURE ~l. DATE Q_ City of Carlsbad Bldg Inspection Request For: 03/08/2011 Permit# CB110445 Title: MARTICH RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2657 VANCOUVER ST Lot: 0 APPLICANT AFFORDABLE WATER HEATER Owner: MARTICH LIVING TRUST 06-20-90 Remarks: BEFORE 1 PM PLEASE Total Time: Act Comments Inspector Assignment: Phone: ~496 Inspector: Requested By: MARGE MARTICH Entered By : CHRISTINE CD Description 25 Water HeaterNents L ______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments