The URL can be used to link to this page

Home My WebLink About1698 DOCENA RD; ; CB154050; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-23-2015 Permit No: CB154050 Building Inspection Request Line (760) 602-2725 Job Address: 1698 DOCENA RD CBAD Permit Type: PME Status: ISSUED Parcel No: 2159103200 Lot #: 0 Applied: 11/23/2015 Entered By: SLE Reference #: Plan Approved: 11/23/2015 PC #: Issued: 11/23/2015 Inspect Area: Project Title: MICHELON: REPLACE WATER HEATER Applicant: Owner: ALL STAR WATER HEATERS & PLUMBING MICHELON RODOLFO M&SUSAN S 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 1698 DOCENA RD CARLSBAD CA 92011 Plumbing Fees $38.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $60.00 TOTAL PERMIT FEES $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: $0.00 ��'�/ FINAL APPROVAL Inspector: G� Date: 4r Clearance: NOTICE Please take NOTICE that approval of your project includes the "Irrpositiori' of fees, dedications, reserAcrrm , or other exactions hereafter collectively referred to as "Feestexactions." You have 90 days from the date this permit was issued to protest imposition of these feestexactions. If you protest them, you must falw the protest procedures set forth in Go✓errmx t Code Section 66020(a), and file the protest and any other required information Wth the Oty Manager for prooessing in accordance with Carisbad M.rrapel Cade Section3.32.030. Fail ure to timely follow that procedure veil) bar any subseqient legal action to attack, re,riew, set aside, vad, or annul their imposition. You are hereby FURTHER NOTI R ED that your right to protest the specified feeslexactions DOES NOT APPLY to water and saner connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or servioe fees in connection with this project. NOR DOES IT APPLY to any .� Plan Check No. , Building Permit Application ��- 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY Q F 760-602-2717 / 2718 / 2719 Fax 760-602-8558 rlan %,K. ueposix www.carlsbadca. CAR'ov L 9 Date t � - rZS" SWPPP _— lOBADDRESS 1698 Docena Rd. IN CT/PROJECT is L0. » (PI tF » UNITS I Or BEDR06AA�'s - p 1TyR00h1S TENANT L' St l�N�SNM CONSTR. TYPE OC GROItP-- DESCRIPIMN OF 1AfORK hWude Squaro Feet 4 Af oCtod Area(s) Replace existing water heater. Same size and location. EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESD NOD YES [:]NO YESF-]NO❑ CONTACT NAME (if Dlfferant Fom Applicant) APPLICANT NAME r Sierra Sprague ADDR— - 30300 Puerto Valla a CITY STATE-�� ZIP CITY STATE ZIP Menifee CA 92584 ' PHONE j FAX _— PHONEI FAX 951-301-0067 ' EMAIL PROPERTY OWNER NAME Rudy Michelon CONTRACTOR BUS. NAME --- ---- — --------- ADDRESS ADDRESS ......----- Same as iob_ CITY 30300 Puerto Vallarta _ STATE Zip Menifee_- CA 92584--i _ CITY STATE .... _._ZBP Car sb.ad-__ _ CA 92011 PHONE FAx PHONE FAX 760-814-1469 951-301-0067 ._.._...__.__.. EMAIL ..__..,.,._._.. ARQVDESIGNER NAME & ADDRESS STATE UC, » STATE LIC.» CLASS CITY SUS. Ln.e 812894 C 36 ' k—; . um 11— olrv, rruiaaauwna i uue: nny any ur k.uunty wmcn 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 031.5 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 atArm under penalty of perjury one of the following declarations: ❑ 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. 0 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 Cc American Insurance Company policy No. --—_C4809630A Expiration Date, Btt11n6 Thi section need not be completed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the performance cf 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 secure workers' compensation 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 provided for in Section 3706 of the Labor code, interest and attorney's fees. K CONTRACTOR SIGNATURE ��rr2�+.a: AGENT DATE 1 hereby affirm 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, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors 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) 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 ma;or labor and materials for construction of the proposed property improvement ❑Yes ❑No 2.1(have / have not) signed an application for a building permit for the proposed work. 11 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted ;hired) the following persons to provide the work indicated (include name / address / phone / type of work): .ESPROPERTY OWNER SIGNATURE []AGENT DATE Inspection List Permit#: CB154050 Type: PME MICHELON: REPLACE WATER HEATER Date Inspection Item Inspector Act Comments 12/21/2015 25 Water Heater/Vents RI 12/21/2015 25 Water Heater/Vents AEK AP 12/21/2015 29 Final Plumbing RI 12/21/2015 29 Final Plumbing AEK FI Monday, December 21, 2015 Page 1 of 1