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Home My WebLink About2504 VIA ASTUTO; ; CB031047; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-11-2003 Plumbing Permit Permit No: CB031047 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2504 VIA ASTUTO CBAD PLUM Status: ISSUED 04/11/2003 CB 04/11/2003 04/11/2003 Parcel No: 1673600800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MOBERLY RES-NEW WATER HEATER Inspect Area: Applicant: ALL STARS WATER HEATERS & PLUMBING 26867 PELHAM PL HAYWARD CA 94542 51 0-583-1300 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 ~~~~~LY ROBERT A&JAN M 2630 04/l1/03 0002 01 02 CGP 27-00 2504 VIA ASTUTO CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 LAPPROVAL '"...4--~..,.._-DATE g~'1 &·rfy FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NQ.,-f2G_)jQ47 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ______ _ Validated By ~c.~e,_._ ____ _ Date ?{:-11-02> Addre.as (include Bldg/Suite #) Bu!iness Name (at this address) legal Description lot No. Subdivision NameJNumber Unit No. Phase No. Total # of units Existing Use P,oposod Use SQ. FT. # of Stories # of Bedrooms # or Bathrooms Name Address City State/Zip Telephone# Fax# yg~::mrirmfkii0•1AA•Alg]:=Ni!im{¥tMP~~t @~trorov=❖,p,=,~11$1il*AtftimJv%wJwY§~wB"'':,,,,,,,,,,,*M¥2'6'9o/¥th9'·i=·,❖=,=; Name Address City State/Zlp Telephone# ii·:·:-··,-i'i,#~liWWiC_7 .-;·--,,-.y:x:;····,·,·,·-,-,··\_-·,·:·=<···.-;-:;···:··w,-.---:--;·,·,···;·.,.-:·;;-,· .. ._..;,-, .. ,-··.·,..-···,-. ....,-··,-,·:··:····,····,·-;:··;;-,---·:<··,·r··~---.yr·:·'·".;:,·•·:;_-~-·t··7····:':'(:"'½ Bob Moberly 2504 Via Astute Carlsbad Ca 92008 7604387541 Name Address Clly State/Zip Telephone# ~i:-..-=.: .. ~~!~: -~-t.ffl~-rn\ ::.; .. :,..:.;.;. :·:.; ... /;-:~; .... ;.: .... = .. ,.=. .. ~·:•~·::.: ... ~;;:( .. /.l-½f\:-:-•·· .\.\em·./,·! ./(Ad )/.}~~-{~~~<·~\-.v. -~~-</p:\,A\-;, .:,.\-~✓-~ .:,<./ .. •~ (Sec. 7031 5 Business and Professions Code. Any City or County which requires a permit to con!ltruct, auer, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant tor such permil to me a signed statement I.hat he is licensed pursuant to the provisions or the Contractor'A license Law fCflapler g commenc.Jing with Section 7000 of Division J or the Business and Professions Code] or thet he is exempt therefrom and !he basis for the alleged exemption Any violation of Section 7031 .5 by any applicant for a permit subject~ 1he applicant to a civil penalty of not more than five hundred dollars {$500]l. All Star Water Heaters and Plumb 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 Name Address City State/Zip Telephone# S1a1e License# 778156 License Cla.s C36, HIC City Business license# 1210402 0esigne< Name Address Clly State/Zip Telepoone State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declara11on I hereby affirm uncSer penalty or perjury one of the follow5ng declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as proYldttd by Section 3700 of !he Labor Code, for the Perfonnance of the wofl< tor which this permu 1s 1ssuea. 0 I have and will mainlain workers' compensation, as requlrecJ by Section 3700 or the Labor Code, for the performance of the work for which this permit is 1~suea My worker's compensa1ton insurance earner and policy number are Insurance Company Stale Fund Polley No. 1591 13900 Expiration Date 08/01/200i 3 (THIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED 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 perr.on in any manner so as to become $Ubject to the Workers' Compensation laws of Celifomta, ers· compensatton coverage is unlawful, and shall subject an employer to criminal penalties and clvlt fines up to one hundred n to the cost or compensation, damages as ptovlded for ln Section 3706 of rhe Labor code, Interest and attorney's fees DATE 04/09/03 7. 0 I a~ owner th property or my employees with wages AS 1heir sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec 7044. Business and ProfeMiona Code The Contractor's License Law does not apply to an owner of property who buitds or improves !hereon, and who does such work himself or through h1s own employees. provided 1hat such improvements ere not intended or offered for sale. It, however, rhe bulldlng or impro\lement Is ::.old w1thrn Ol'le year of completion, the owner-builder wlll have the burden or proving that he did no1 build or Improve for the purpose of sale). 0 I, as owner of the property. am exclus!vely contracting wilh licensed contractors 10 construct the project (Sec. 704◄, Buslneas and Proresslons Code· The Contractor's License Law does not apply 10 an owner of property who builds or improves lhrereon, 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 Gode tor this reas.on 1. I personalty plan to provide the major labor and materlals for conatruction of the proposed property improvement. D YES D NO I (have / have not) signed an applicanl ror a building permit tor the propcsed work. I have contracted wtth the te>ilowing person (firm) to provide the proposed construction (include name I address/ phone number/ contractors license number): I plan to provide portions of tne work, but I have hired the following person to coordinate. supervise and provide the major work (include nama I address / phone numbet f contraclors hcense number)·---------------------------------------- 5 I will provide somP. of the worK, but I have contracied (hired) the followmg person to provide the work indk'.ated (indude name/ address/ phone number I type of work) ------------------------------------------------- PROPERTY OWNER SIGNATURE ----------------·-----DATE ________ _ ll~Bl;~a:;n;llli $1lt:m<llff.'l'J\Mlll~~t/ll.i=Blllt;ll8\IG:P.Elll,'ll'!S:Wl!Xi-'· '. ... ;':'// :,: .:_>., ._: ·. · · -:--·.·\ : .. -~·:·':: :_:::: :,;::: :; ._:_:: ... : .•. : .. ,;.:.; .... ,:.~. · · · ·'· · :. · -~·:.·.·>-.. .:'._ ... = .. '.: .. :.'.: • • Is the applicant or future building occupant required to submit a business plan. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 o, 26534 of the Presley .. Tanner Hazardous Substance Account Act? D YES D NO Is lhe applicant oMuture building occvpant required to obtain a permit from lhe air Pollution control district or air quaHty management district? OYES □No Is the facility 10 be constructed within 1,000 feel of lhe ou1er boundary of school slto7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT Mt:·$:~~~!~~@~!'f:1:i~~Mimf1/?:=:=={'::rn:=:nn·:=:==•::·n•n·•'W~•=•m'='td:n=~•~/•t•tN•''''}"""'t':'''''~'::•·•r•·•nrn•4•··~•:=·•·n•rn=:•rn•:•:~·:•}:i::=:::,:·:•:::•rn•:"•~·~•:•r•:inn•: I he,eby affirm that there is 1:t construction lending agency for the performance or the work for whk:h this pe,mit Is \::.sued (Sec. 3087(i) Civil Code) LENDER'S NAME ______________ LENDER'S ADDRESS ________________________ _ I certify that I have reac1 the application and state that the abo\le information Is correct and that the Information on the plans Is accurate. I agree tn compty with all C11y ordinances and State laws relating to bullding construction. l hereby authorize representali\ltS of !he City of Carlsbad 10 enter upon the above mentioned properly for lnspecllon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS ANO EXPENSES WHIC AY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required fore EXPIRATION: Every permit issued b authorized by such permit is not co at any time after the work is er 5'0" deep and demolition or con~truction of structures over 3 stories In hoight. 1cial under the provisions of this Code shall expire by limitation :md become null and void if the building or work 0 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned of 180 days (Sec1ion 106.4.4 Uniform Buil<Jing Code). DATE 04/09/03 . . I (D<.o -r-f-3 City of Carlsbad Bldg Inspection Request For: 06/25/2003 Permit# CB031047 Title: MOBERLY RES-NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2504 VIA ASTUTO Suite: Lot 0 Location: APPLICANT ALL STARS WATER HEATERS & PLUMBING Owner: MOBERLY ROBERT A&JAN M Remarks: Total Time: Act Comment Inspector Assignment: Phone: 7604347980 Inspector: ---- Requested By: JAN Entered By: CHRISTINE CD Description 25 Water HeaterNents _€_ ______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments