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HomeMy WebLinkAbout176 CHINQUAPIN AVE; ; CB163990; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-24-2016 Permit No: CB163990 Building Inspection Request Line (760) 602-2725 Job Address:176 CHINQUAPIN AV CBAD Permit Type:PME Status:ISSUED Parcel No:2060131200 Lot #:0 Applied:10/24/2016 Entered By:SF Reference #:Plan Approved:10/24/2016 PC #:Issued:10/24/2016 Inspect Area: Project Title:DUFOUR: REPLACE 50 GALLON WATER HEATER IN SAME LOCATION Applicant:Owner: AFFORDABLE WATER HEATERS AND PLUMBING INC DUFOUR PAUL&MARSHA 2005 TRUST STE 698 28358 CONSTELLATION RD 176 CHINQUAPIN AVE VALENCIA CA 91355-5044 CARLSBAD CA 92008 855-345-9087 / 9048 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 , . if •FINAL AP77 .2n_,,,._4. Inspect9r.I )Date:/ /Clearance: , NOTICE:Please take *TIC hat apps:of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively/referred to as "fees/exa'ions."ou 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 pro tiures et forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accorda -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 fees/exactions of which you have previously been given a NOTICE similar to this. or as to which the statute of limitations has previously otherwise expired. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE:0 PLANNING .ri ENGINEERING El BUILDING 0 FIRE 0 HEALTH El HAZMATIAPCD Building Permit Application Plan Check No.Ct.tc„."3ec.c).(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date (of2.4 It (0 SWPPP JOB ADDRESS SUITE#/SPACE#/UNIT#ApN•-\U \(\\n t3-•'a \n?(k_\V(e.- CT/PROJECT \ Lc #;)PHASE ##OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE oCC. GROUP - I I I DESCRIPTION OF WORK:Include Square Feet of Affected Area(s) „C. p \ 0\C e.J0 .(0‘\ \ 0 YTh,W 0\-\--• •• -r V1RA "e at -t r . " Same \C a t \Y - 1 :LI CI GI r 0 6 -1)• EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESDi NOEI YES ONO El YES0 N01 - 1v•APPLICANT NAME PROPERTY OWNER NAME Prinary COntliet A lr-\1 -e \G\V--\p,ou.s.,.._fn. a r ks Ie-\a.0 u,--To a r ADDRESS ADDRESSqq95(C OYA &---•t \ \04-\Ola Zd •#-S)C1'?-k 1 U)CYt\ning---ukotf In Ave • CITY -STATE ZIP CITY STATE ZIP a\\ t rN C \(?--CA 61 ":-)5 Ca r 14\9 ct c‘.-Ck '1_20 0 13 -- PHONE FAX PHONE FAX$3 -b1?`1 0 u 0 2 °I -ot 5 s Li?tS:5S'V;)'A —S 1 —EMAIL AIL Per Pow I-1 a p -Con DESIGN PROFESSIONAL CONTRACTOR BUS. NAME A. .-._-0 \c \N\1 a k. ADDRESS ADDRESS '2-3.)Z C\n s -re 11 o -H 011 kJ --. - LP Or ' CITY STATE ZIP CITY STATE ZIP Von fnCI a_Ck '9'1 S S PHONE FAX ,PHONE,FAX -/1 '‘'',AILS),2)21 5 -°IV C '... l r tT1c\)S ci —°ISS LP _ EMAIL EM P e yrr)1 --f-S 0 ot tiuh a p -o r)--) STATE LIC. #STATE LIC.#CLASS 1 CITY BUS. LIC.# ll) 21 LP g.c C9)(_,(9 1 7-\1 /- 1.\ (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 theapplicant 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 theBusiness 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 fora permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). WORKERS'COMPENSATION ...... Workers' Compensation Declaration: I hereby affirm under penalty of perjury oneofthe following declarations: Elhave 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 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.r\S U \ra r\c e..a •Orr--\--V\e.\I\-e SI- Policy No.t/'...3)2_ -4 `I 1 D Expiration Date 1 ••VI ..._ This section need not be completed if the permit is for one hundred dollars ($100) or less.0 Certificate of Exemption:I certify that in the performance of the work for which this permit is issued, 1,,hall 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 (5100,000), in addition to the cost of compensation, damages a provided for in Section 3706 of the Labor code, interest and attorney's fees. RS.CONTRACTOR SIGNATURE l.'4 AP .A 0 #e n --F \[GENT DATE k o t 1 \. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason:ElI,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).0 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).0 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.[Yes OW 2.I (have / 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 / 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 / phone / contractors' license number): 5.I will provide some of the work, butI have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): .lePROPERTY OWNER SIGNATURE ['AGENT DATE i _; COMPLETE THIS SECTION FOR NON -RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?0 Yes 0 No Isthe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary ofa school site?0 Yes 0 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. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION I certifythatIhave read the application and state thatthe above infamiation is correct and that theintonationon the plans is accurate.Iagreeto comply with all City oninances and State laws relatingto builffing construction. I hereby authorize representative of the CityofCarlsbad 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 MAYIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisionsofthis Code shall expire by imitation and become nut and void if the building or work authorized by such pentis not commenced within 180 days from the dateofsuch pentor if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced bra period of 180 days (Section 106.4.4 Uniform Building Code). .JEcAPPLICANT'S SIGNATURE (DATE \ Inspection List Permit#:CB163990 Type:PME DUFOUR: REPLACE 50 GALLON WATER HEATER IN SAME LOCATION Date Inspection Item Inspector Act Comments 11/02/2016 25 Water HeaterNents PY AP 11/02/2016 29 Final Plumbing PY AP Wednesday, January 11,2017 Page 1 of 1