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Home My WebLink About1023 DAISY AVE; ; CB162238; Permit06-08-2016 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 162238 Building Inspection Request Line (760) 602-2725 1023 DAISY AV CBAD PME 2144011700 MCDANIEL: REPLACE WTR. HTR. Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/08/2016 JMA 06/08/2016 06/08/2016 MY PLUMBER I SAN DIEGO LLP MCDANIEL LIVING TRUST 03-12-03 7150 CONVOY CT SAN DIEGO CA 92111-1019 858-433-2565 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1 023 DAISY AVE CARLSBAD CA 92011 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: Clearance: $0.00 I\OllCE: Please take I\OllCE that apprOIIal of your prqed includes the "lrrposition" of fees, dedications, reservations, or other exactions hereafter CXliledively referroo to as "fees' exactions." You have 00 days from the date this pernit IN8S issued to protest irrposition of these fees/exactions. If you protest them, you rrust foiiCNVthe protest procedures set forth in <?ovemment Code Section 66020(a), and file the protest and any other required inforrration IMth the City l\llanager for procESSing in acrordanre IMth Carisba:l M.midpal Code Section 3.32.030. Failure to tirrely foiiCNV that procedure \Mil bar any subsequent legal action to attack, revie.v, set aside, void, or annul their irrposition. You are hereby Ft..RTl-ER I\OllAED that your right to protest the sr:edfia:l fees/exactions IJCE) NOr JIPA... Y to water and rewer CXlllneciion fees and capacity changes, nor planning, zoning, grading or other sirrilar application procESSing or servire fees in CXlllneciion IMth this prqed. NOR IJCE) IT JIPA... Y to arry fees'exactions of IMlich have · ousl been iven a NOTICE sinilar to this or as to \Mlich the statute of linitations has ·ousl ·red. []PLANNING 0ENGINEERING UILDING OF IRE Plan Check No. Est. Value Plan Ck. Deposit CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Date SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT # #BEDROOMS #BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) K ~W'~ 40 G-kL-~ vJi''rrt:P_ ~~- EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL STATE FAX GARAGE (SF) PATIOS (SF) ZIP '70#1/ CONTRACTOR BUS. NAME ADDRESS ZIP STATE UC. # AIR CONDITIONING NoD YES0No0 ZIP 9;;J-il/ OCC. GROUP FIRE SPRINKLERS YEsONoO ) L/_;{J (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 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 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' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I&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. :M ~ C.ITN ·-~-<.J2J (!r} Policy No. UJ C. / D 9 ·z_. "5b ~ Expiration Date OS"' /D I / 'k)t ?t This section need not be completed if the permit is for one hundred dollars ($1 00) or less. 0 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to 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 Section 3706 of the Labor code, interest and attorney's fees. KS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D D D 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 or offered for 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 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 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) l'lcensed pursuant to the Contractors 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. DYes DNa 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) to provide the proposed construction (include name address I phone I contractors' 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 I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated 0nclude name I address I phone I type of work): KS PROPERTY OWNER SIGNATURE DATE I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every pennitissued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such penni! is not commenced within 180 days from the date of such penn it building or IM)rk authorized by such penni! is suspended or abandoned at any time after the IM)rk is commenced for a period of 180 days (Section 1 06.4A Unifonn Building Code). ~APPLICANT'S SIGNATU DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY !Commercial Projects Only! Fax (760) 602·8560, Email building@carlsbadca_gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICKUP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg, 1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION ~APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB162238 Type: PME Date -~l_l1_!p~~tioriJ~m ___ -------···-- 06/14/2016 25 Water HeaterNents 06/14/2016 25 Water HeaterNents 06/14/2016 29 Final Plumbing 06/14/2016 29 Final Plumbing Wednesday, June 15, 2016 Inspector PO PO MCDANIEL: REPLACE WTR. HTR. Act Comments ----------·----------·--·--- Rl AM PLEASE AP Rl AM PLEASE AP Page 1 of 1