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Home My WebLink About1613 STARLING CT; ; CB121494; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 08-08-2012 Permit No: CB121494 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1613 STARLING CT CBAD PME 2155906700 Lot#: 0 LEE RES= INSTALL TANKLESS WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/08/2012 LSM 08/08/2012 08/08/2012 LEE DEBRA N LIVING TRUST 09-17-09 LEE DEBRA N LIVING TRUST09-17-09 1613 STARLING CT CARLSBAD CA 92011 760-929-9932 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1613 STARLING CT CARLSBAD CA 92011 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPROVAL Date f · ;, Z.. • / Z-Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositio.1" 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 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 f 'h h I NTI i h liiinh rvi 1 hrwi THE FOi.LOWiNG APfROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMAT/APCD «~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. c..e f .;l_ I 4 <\ ~ CITY OF CARLSBAD JOB ADDRESS I t, I "3 S.-1-A\ \ ; VI C. t #BATHROOMS CONSm. 1'IPE OCC.GROUP DESCRIPTION OF WORK: fnclttdt -.,.,. feet of Aft'ec:tltd Aru(s) /-ldd vteltv fo111/<ie.S5 W"'tcr GARAGE (SF) PATIOS (SF) DECKS (SF) FlREPlACE AIR CO ONING FIRE SPRINKlERS YES N<O YES NO □ YES□No(J!] Le.e. APPLICANT NAME (Secondary Contact) ADDRESS CITY ZIP C/2003 CITY STATE ZIP PHONE PHONE FAX EMAIL O,.('.) l . ( O•""- EMAIL COHIRACTOR BUS. NAME STATE UC.# STATE UC.# (Sec. 7031.5 Business and Professions Code: Any~ or County Which requires a permit to construct, alter, improve, demollsh or r~peir any structure, prior to itS Issuance, also requires the applicant for such permit to file a siened statement that he Is licensed pursuant to the ~'lislons 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 exemi,t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any appHcanf"tor a permit subjects the applicant to a clvll oenaltY of not more than five hundred dollars rssoon. WORKERS' COMPENSATION Worbni' Col1.,a: Jialion Declaratlon: I hemb>/ afflnn ooderpenallydpetjuty 008 dlhe folltMing declamtions: 8 I have and wlll fflllntal a ....tlftcaD at coneenl to ...,_.nsura for wor1<er&' C0R1)8l"IS8lion as provided by Section 3700 of the labor Code, for lhe performance of the work for whidl lhls permit is iswed. I hl'lt and wll maintain Wllftl:en' ~. es recilired bv Section 3700 of the labor Code, for the performarN::e or the work for which this permit is issued. My workers' ~ llsurance carrier and pdicy number are: Insurance Co. PoicyNo. ____________ Expiation Date _______ ~ need nol be completed if the permit is for one hundred dolars ($100) or less. Certlllclte of Exemption: r CEnfy lhat 11 the performance d the work for Mich this permit is Issued, I sheH not ~ any person In any rnamer so as to become subjed. to !he Workers' Compensatioo Laws d WARNING: Falunl to secure..,,_., campansallon COVllfagl is unlawful, and ahall llUbfed an amplaywto crlmlnal penallies and dvil fine■ up lo one hundred thousand doll■n (&100,000), In addition to the COit of c:omplftNlion, ....... • ~ Secdon 37111 code, il'lllnll and attorney's fNs. _@$ CONTRACTOR SIGNATURE I htnby6rn lhat I am enmpttiom Contmctor's U:ense Law for the bYowi,Jg nmm: D I, as owner ol the property or my employees with wages as their sob WtipeiwalitN,, wil do the work and the sll\Jcture is not intended or offenld for sale (Sec. 7044, Business and Professions Code: Th& Contractor's License Law does not appty to an owner d property who ooilds or irqiruves tiereon. and who does such work himself or lhrul.9i his own employees, J)IUYidad that such ifl1)rovernents are not mended or offered for C1( sale. If, however, the ooilding or~ is sold Mlhll one ywd ~. lhe owner-btilderwiN havelhe burden d pnMng lhathe did not tllild or IJl)rOV8 forlhe purpose of sale). I, as owner oflhe prq:iarty, am exduslvely conlrading wilh licen&ed conlractm lo consbucllhe pojed: (Sec. 7044. Buu,egg and Profassions Code: The Contractor's License Law does not apply to an owner of property who builds or improves taeon, and mntrads for such proiects with oontractor(s) licensed pursuanl to the Contractor's License law). 0 I am~ under Sedion, ____ Busntss and Professions Code for this reason: 1.lpe,,ooalyplanm-tt,em,jo,labo,...,_fo<_aflhe_,._ty_ (]Yes [),o 2. I (have I have not) signed an ~lcalion for a bullding permit for the proposed work. 3. I have contracled with the following person (firm) to provide the proposed mnstrucllon Qnclude name address / phone / contrac:tors' license nuntlet): 4. I plan to provide portions d lhe work, but I have hired the follcM1ng person to coordinale, supeMse and provide lhe major work (include name / address I phone / contracton;' license number): 5. I will provide some r:A the work, but I have contracted (hired) the following persons to provide the work indicated (IOdude name / address I phone I type of work): _@$ PROPERTY OWNER SIGNATURE DATE J COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is tie applicant or fdunl lllildlng ~ reqt.ired to submit a business plan, acutely ha:tardous malarias regisb'alion form or risk management and prvv9ntlon program under Sections 25505, 25533 or 25534 d the Presley-Tamer Hazardous SUbstance Account Id'/ Yes No Is lhe applicant or ft1ure bulling OCCt4)8l1t required to obtain a permit from the air pollullon contrd cistrict or air quality management cislrict? Yes No Is the facility to be constructed -.ffljn 1,000feel oflhe outer bomday d a school site? Yes No IF ANY OF THE ANSWERS ARE YE$, A FINAL CER1FICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TIE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUllON CONTRDL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that lhere 1s a coostruction lending agency for the performance of lhe work lh~ pennlt is issuoo (5ec-3097 (1) CMI Code). Lender's Name Lender's Address APPLICANT CERTIFICATION lcatlfylhallhMtelNdh!appicatloltlllKlsllle1hllt1heaboweWonnation ismrlldandthatthelnbmallon onlheplmsism:an1B.l-,,ee1Dcon1)1ywktl aRCllyonlnanesandSllllelawsll!bdtnCtotoklngconstrudlon. , __ ,.......,.....or111eC11yor~ .. --... ---lor-JUl)OSOS. IAI.SOAGREETOSAVE, t-llEM'IIFY ANOKEEPHAAl.t.ESSTlECITYOFCARlSBAD AGAtlST All UABUTIES, J\llGM8'ITS, COSTS ,nJ E)(l'ENSE511HCH MAY N NlYWAY ACCRUE AGAINST SAil CITYIN CONSEQUENCE Of 11-IE GRANmG OF 1HS PERMIT. OSHA: AA OSHA perml: is reqlftdbexawatialsOYer5'0' deepclld demollion orcmslrudi>n d5'ualesover3 suiesii hegrt. EXP1RATION: Ew,y-lssued byllle Bl.tilg Official Lnferllle-dlis Codeshal Olqli&by.,_ and becomeool and wJicl WIile "-tilgor--by--is not-- 180daystan Ille 11a1eor,..;, pemitorlllle~or-autioria>d by,..;, pemi1 •-orabandcrled al"'!line allerllle""' •-for• perildd180days(Sedm 106.4.41.nbm Bl.tilg Code) AS' APPLICANT'S SIGNAl\lRE ~ /1 \./, DATE ~ STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the followin!I ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mall the completed form to City of Carlsbad, Buiding Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY SIATE ZIP CITY SIATE ZIP ca~sbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY- PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONlRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAXTOOTIIER: _______________ _ A{ APPLICANT'S SIGNATURE ASSOCIATEDCBf __________ _ NO CHANGE IN USE/ NO CONSTRUCllON CHANGE OF USE/ NO CONSIRUCTION DATE 1635 Faraday Ave., Carlsbad, CA 92008 Inspection List Permit#: CB121494 Type: PME Date Inspection Item 08/22/2012 25 Water HeaterNents 08/22/2012 25 Water HeaterNents Wednesday,August22,2012 Inspector Act RI PD AP LEE RES= INSTALL TANKLESS WATER HEATER Comments Page 1 of 1