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Home My WebLink About1332 BULRUSH CT; ; CB131133; Permit05-03-2013 City of Carlsbad 1635 Faraday Av Carlsbad.CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No CB131133 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1332 BULRUSH CTCBAD PME 2158501000 BELSHER/WROBEL RES- REPLACE WATER HTR Lot# Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/03/2013 LSM 05/03/2013 05/03/2013 Applicant AFFORDABLE WATER HEATERS AND PLUMBING INC Owner BELSHER ROBERT 28372 CONSTELLATION RD VALENCIA CA 91355 855-345-9087 1332 BULRUSH CT CARLSBAD CA 92011 Plumbing Fees Electncal Fees Mechanical Fees Other PME Fees $31 00 $0 00 $0 00 $64 00 TOTAL PERMIT FEES $95 00 Total Fees $95 00 Total Payments To Date $95 00 Balance Due-$0 00 Inspector FINAL APPROVAL Date ,7' / "3 Clearance NOTICE Please take NOTICE that approval of your project includes ttie 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 m 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 nght 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 fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired & if ^ CITY. 0,F, CARLSBAD Buiiding Permit Application 1635 Faraday Ave , Carlsbad, CA 92008 -760-602-2717/2718/2719 . . - Fax 760-602-8558 - • wj\N carlsbadca aov '' ... JOB ADDRESS Plan Check No.(2g) I ^ ll 33 Est. Value Plan Ck. Deposit , Date SUITE)(/SPACE#/UNn« CT/PROJECT « # OF UNITS # BEDROOMS tt BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK /nc/ude Square Feet of Affectetl Are3(s) EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAIVIE (If Different Fom Applicant) ADDRESS PATIOS (SF) DECKS (SF) FIREPLACE YESO tt NOD AIR CONDITIONING YES • NO • FIRE SPRINKLERS YES Q NO D APPLICANT NAMF ADDRESS E-e-tauJ CITY STATE CITY STATE ZIP PHONE PHONE EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS NAME ADDRESS CITY PHONE STATE 6A ZIP ADDRESS CITY STATE EMAIL PHONE ZIP ^L^^_ FAX EMAIL ARCH/DESIGNER NAME S. ADDRESS cmss CITY BUS LICK (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)) -Mi Workers' Compensation Declaration / hereby alfirm under penally of perjury one of the fotlowing declarations , (3 I have and will maintain a certificate of consent to self-insure for workers compensation as provided by Seclion 3700 of the Labor Code for the performance of the work for which this permit is issued S^have and will maintain workp'^' conc-saLcr, as 'equirer' bv Section 3700 o( Ihe Labor Code, for lhe performannp c' S'C 'vo-H for whi'~h this Demnit is issued My workers compensalion insurance earner and policy number are Insurance Co _ _ Expiration Date _ This section need not be completed if Ihe pennit is for one hundred dollars ($100) or less Cl Certificate of Exemption I certify lhal in Ihe performance of the work for which this pennit is issued 1 shall nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as projrfded for in SectH)Tr37I&«f the Labor code, interest and attorney's fees ^eS" CONTRACTOR SIGNATURE } (SIAGENT I hereby affirm thai I am exempt from Contractors License Law for the tollowing reason ... 0'" I, as owner of the property or my employees with wages as Iheir sole compensation will do Ihe work and the struclure is not intended or olfered 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 Ihereon and who does such work himself or through his own employees provided that such improvements are not inlended or offered for sale If, however, lhe building or improvement is sold within one year of compielion, the owner-builder will have'lhe burden of proving lhat he did not build or improve for Ihe purpose of sale) • I, as owner of the property, am exclusively conlractmg wilh licensed contraclors to construct the project (Sec 7044. Business and Professions Code The Contraclor s License Law does nol apply to an owner of property who builds or improves lhereon„and conlracis for such projects with conlractor(s) licensed pursuant to the Contractor s License Law) , • I am exempi under Section _ .Business and Professions Code (or this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement • Yes • No 2 I (have) have not) signed an application for a building permit for the ptoposed work 3 I have ccntraded with the following person (firm) to provide Ihe proposed construclion (include name address / phone / contractors license number) 4 I plan lo provide portions ol the work bul I have hired Ihe (ollowing person to coordinate, supervise and provide the major work (include name / address / phone / contractors license number) 5 I will provide some ol Ihe work, but I have contracted (hired) the following persons lo provide ihe wori< indicated (include name / address / phone / lype of work) ^PROPERTY OWNER SIGNATURE tef4r:FMT Is the applicani or fulure building occupant required io submii a business plan acutely hazardous matenals regislralion form or nsk management and prevention program under Sections 25505,25533 or 25534 of ihe Presley Tanner Hazardous Subslance Accouni Acf OYes ONo Is the applicant or fulure building occupani required lo obiam a permit from the air pollution control distnci or air quality managemeni distncf • Yes • No Is Ihe facility to be constructed wiihin 1 000 feel of the outer boundary of a school siie'' • 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 I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 1 certify that I have read the application and state thatthe above infonnation is conect and that the infonnation on the plans vs accurate I agree to compty with all City oidinances and State laws relating to building construction I hereby aulhonze representative of the City of Carlsbad to enter upon ihe 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 perniit IS required for excavations over 5'0' deep and demolition or constnicton of staictures over 3 stones in height EXPIRATION Every pennil issued by ihe BuWing Ofiicial under the provisions of the Code shall expire by limitation and become null and void if ihe building or work aulhorized by such pemiit is nol commenced wiSiin 180 days from Ihe date of such permit or if ihe buiding^or wortt aulhpfeeiljy such pemjitJMasfi^ded or abandoned at any time after ihe vwric is commenced for a penod of 180 days (Section 106 4 4 Unifomi Building Code) ^gS*APPLICANT'S SIGNATURE DATE Inspection List Permits CB131133 Type PME BELSHER/WROBEL RES- REPLACE WATER HTR Date Inspection Item Inspector Act Comments 07/09/2013 25 Water HeaterA/ents - Rl CALL W/ETA PLS 07/09/2013 25 Water HeaterA/ents PD AP 07/09/2013 29 Final Plumbing - Rl 07/09/2013 29 Final Plumbing PD AP Thursday, July 11, 2013 Page 1 of 1