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Home My WebLink About2743 VICTORIA AVE; ; CB122691; Permit12-17-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB122691 Building Inspection Request Line (760) 602-2725 2743 VICTORIA AV CBAD PME 1674206500 Lot#: 0 ZAMORA RES -REPLACE WATER HEATER. SAME SIZE AND LOCATION. Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/17/2012 SKS 12/17/2012 12/17/2012 ALL STAR WATER HEATERS & PLUMBING ZAMORA FAMILY TRUST 12-05-04 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2743 VICTORIA AVE CARLSBAD CA 92010 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL A Date: ---=-/-1--'---+-........ "-Clearance: _____ _ $0.00 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 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 I x i whi h v r vi I T imil r hi r hi h h f limi i n h «~~ Building Permit Application Plan Check No. i\'1· o~( ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-271 7 I 2718 / 271 9 CARLSBAD Fax 760-602-8558 Plan Ck. i;>eposJt www.carlsbadca.gov fs\f) 7 7i t1j lv lswPPP Date JOB ADDRESS SUITE#/~~A<;t#/UNIT # 1AM 2743 Victoria Ave. --- I CT/PR0JECl # ILVI # l"MA>• # I # OF UNITS I # BEDROOMS # tlAIHRUVMS I TENANl BUSIN<~~ NAME IW'"''"· """ I V\,I.,. l>MVUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s/ Replace existing water heater. Same size and location. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I OECKS (SF) FIREPLACE ' AIR CONDITIONING I FIRE SPRINKLERS YESO N<Q YES □NO □ YES□ NO□ CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE I FAX PHONE YAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Arnoldo Zamora CONTRACTOR BUS. NAME 4U ~+~r Wat~r 11 "' ADDRESS ADDRESS Same as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carh:h~rt CA 92010 Menifee ('fl 92584 PHONE I FAX PHONE I FAX 760-729-6915 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# l CLASS lcnf~.:,,t1~{ t 812894 C 36 (Sec. 7031.5 Business and Professions Code: Any City or County which reQulres 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 1031.5 bY any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Worker1' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: D I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance or the work for which this permit is issued. [Z] I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance or the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Oak River Ins. Co. Policy No. 2200062086121 Expiration Date oe.<121a ~ section need not be oompleted if the permn is for one hundred dollars ($100) or less. LJ 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 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 dollar1 (& 100,000), In addition to the cost of compensation, damages as provided for In Section 37 6 of the Labor code, Interest and attorney's fees. Jl'5 CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm /hat 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 Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who does such wof1c himse~ 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 or the property, am exdusively oontracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contracto(s License Law). 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. 0 Yes 0 No 2. I (have I 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 or the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name I address/ phone / type of work): £S PROPERTY OWNER SIGNATURE □AGENT DATE ' . Is the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance ACCO\Jnt Acri D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a!Lll!!ality management district? Dves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 AJR POLLUTION CONTROL DISTRICT. I hereby affinm that there is a construction lending agency for the performance of the work this penmit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certlfythat I have read the application and state that the above information Is correct and that the Information on the plans Is accurate. I ai,-ootx> oomply with all City ordinanoes and State laws relating to blildingconstruction. I hereby authorize representali~ of the Oiy of Gar1sbad to enter upon the above mentioned property kl< inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. OSHA: An OSHA permit is required klr excavations~ 5'0' deep and demolition or oonstruction of structures o~ 3 stories in height. EXPIRATION: E~ permit issued by the Building Official under the pro,.;s1ons of this C,ode shall expire by limitation and becoole null and -.tid if the building orv.urk authortzed by such perm~ is not commenced within 180 days from the date of such permit or if the building°' wol1( authorized by such perm~ is suspended°' abandoned at any time after the v.urk is commenced kl< a period of 180 days (Section 106.4.4 Uniklrm Building c.ode) . ....__ 2$ APPLICANT'S SIGNATURE DATE l::L ( I \ / 1 c_ Inspection List Permit#: CB122691 Type: PME Date Inspection Item 01/18/2013 25 Water HeaterNents 01/18/2013 29 Final Plumbing Tuesday, May 21, 2013 Inspector Act PD AP PD AP ZAMORA RES -REPLACE WATER HEATER. SAME SIZE AND LOCATION. Comments Page 1 of 1