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Home My WebLink About1807 PALISADES DR; ; CB133250; Permit• , City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-31-2013 Permit No: CB133250 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1807 PALISADES DR CBAD PME Status: Parcel No: 2073821500 Lot#: 0 Applied: ISSUED 12/31/2013 JMA 12/31/2013 12/31/2013 Reference #: PC#: Project Title: _IWASAKI: REPLACE WATER HEATER Applicant: CALIFORNIA DELTA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 /866-6925273 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: IWASAKI S&K FAMILY TRUST 09-15-03 1807 PALISADES DR CARLSBAD CA 92008 $33.00 $0.00 $0.00 $62.00 $95.00 ······"·------ Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: $0.00 Inspector: FINAL APPBPVAL Date: I -r v---1 \., Clearance: 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 fol/ow 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 sim'ilar appl'lcation process·mg or service fees in connection with this project. NOR DOES IT APPLY to any h v vi I Tl imil r hi i h f . i i i I h i . '. ····--·-. ------------ THE FOLLOWING APP.ltOVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING ~ ·,.l .• ~ .,, . ~ CITY Of CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEf/SPACEf/UNln □BUILDING □FIRE Plan Check No. Est. Value Plan Ck. Deposit Date CT/PRO.JECT # LOT# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) □HEALTH OHAZMATIAPCD SWPPP CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE PATIOS (SF) DECKS (SF) FIREPLACE YES0, AIR CONDITIONING No□ vesONoO FIRE SPRINKLERS YES□No□ APPLICANT NAME (Primary Contact) 87 fJ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY ZIP CITY STATE ZIP M1-=-c~-=-------~'-----=-c_-=.cc.=_-+==------~~-----------1 r--??szob PHONE FAX J 1cc-,==--i-:---'-"----=-=----'---'~-J__---------+c-----------'------------~ EMAIL 00 l 0 CONTRACTOR BUS. NAME n1 C<.-I e CITY J LATE STATE ZIP /JL Ss7ot> PHON FAX --SJ...1J FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.# 61 cc,J6 CfTY BUS. LIC.# 'I (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to c_onstruct. 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 1s licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on 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)). If~ ~ ~ -~ -" ~ -~ -·~ . -~,,, "" ~ pWORH:altS', COMl'aNSATlON ,--, ',~,, == "'--"""-""~""••~--~---~-~--* _ _,,,-' C ,o """~-=!:..'-""'""=""y,.;z.,,.. ___ /2U;SSj;.; '-'-"~• ~=A -"'• ll ~• 0 ---'~ -"'~ Workers' Compensation Dectarallon: I hereby affirm under penalty of perjuf'/ one of/he following declarations: ve 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. action 370!\_of the La r Code, for the performance of the wo/X for whic.h this permi ·s issu number are: Insurance Co , \ n. · Policy N & Expiration Date -4k-'LJµ=l--- This section need not be completed if the permit is for one hundre dollars ($100) or less. D 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 an~ 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 crlminal penalties and civil fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, da rovided for in Section 3706 of the Labor code, interest and attorney's fees. I hereby affinn Iha/ I am e:fempf from Contractors Ucense 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 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) licensed pursuant to lhe Contractor's License Law). I am exempt under Section _____ ,Business an:1 Professions Code for this reason: 1. I personally plan to provide Ille major labor and materials for construction of the proposed property improvement. OYes 0No 2.1 (have I have not} signed an ap~ication 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/ contractors' license number): 4_ I plan to provide portions of the work, but I have hired the follow·1ng 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 !he work indicated (include name/ address/ phone I type of walk): 85 PROPERTY OWNER SIGNATURE □AGENT DATE • Is the applicant or future building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the appl/cant or future bu!lding occupan! required to obtain a permit from the air pollution control district or air Quar11y managemerit district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. t cel1:ify that I have read the application and state that the above information ls correct and that the infomiation on the plans is accurate. I agree to oomply with all City ordinances and State laM relatl ng to building construction. I hereby aultlortze representabve of Ille City of Carlsbad to enter up-Jn ltle alxlve mentioned p-operty br inspection purposes. I ALSO AGREE TO SAVE, !NDEMNIFY 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: M OSHA perm rt is requred for excavafions over sa deep and demolit:On or C011stnJction of structures over 3 stories in height EXPIRATION: Every permit issued by the Buik::ling ial under ltle provisi:lns of ltlis C.ode shall expire by limitation and bea:Jme null and vok:l ~ the buikling or 'Mlrk aultlorized by such pennit is not commenced wiltlin 180 days from ltle date of such pennit or iflhe buik::l or · by such permij is susperoo:! or ct:iandoned at any time after Ille 'Mlrk is oommenced for a period of 180 days (Section 106.4,4 Uniform Building Code) _,a5 APPLICANT'S SIGNATURE -.::.---DATE rz ~ \ ·.~.·.•>·· ..• !-i 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 fCommercral ProJects on I y I 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. 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 PICK UP: 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 .65 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB133250 Type: PME Date lnspec_tion Item 01/14/2014 25 Water HeaterNents 01/14/2014 25 Water HeaterNents 01/14/2014 29 Final Plumbing 01/14/2014 29 Final Plumbing Wednesday, January 15, 2014 Inspector PD PD IWASAKI: REPLACE WATER HEATER Act Comments -----------·----- RI 8-10 AM PLS AP RI AP Page 1 of 1