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HomeMy WebLinkAbout2735 VICTORIA AVE; ; CB043121; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-06-2004 Plumbing Permit Permit No: CB043121 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2735 VICTORIA AV CBAD PLUM 1673912000 Lot #: Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 08/06/2004 AMA 08/06/2004 08/06/2004 Project Title: ALVILLAR RES-NEW H20 HEATER Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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 Issued: Inspect Area: Owner: ALVILLAR IGNACIO B&MARY S 2735 VICTORIA AVE 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 Inspector: 8341 08/06/04 0002 01 CGp 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 follow that procedure will bar any subsequent legal action lo attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified lees/exactions DOES NOT APPLY to water and sewer connection lees and capacity changes, nor planning, zoning, grading or other similar application processing or service lees in connection with this project. NOR DOES IT APPLY to any f /exa i n I whi h h v vi I n iv n N Tl imil r hi r whi h h a f limi i h I 02 p•J◊ PERMIT APPLICATION (i) FOR OFFICE USE Ofill PLAN CHECK No . l4) oLL3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 . EST. VAL. ________ _ . Plan Ck. Deposit -----~.......,, Validated By ---,,,.--,t-t--t---lt-'tl'J 1 Date _____ -,'l'--+-'"'-1H>"-=I- Address (Include Bldg/Suite t) Legal Desalption Lot No SubdM1lon Name/Number Unit No. Phase No Total t of units Existing Use Proposed Use # of Bedrooms # of Bathrooms Telephonet Fut 2735 Victoria Ave 729-1893 Address City Stele/Zip Telephonet ~NAIii! ___ _ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, aller, improve. demolish or repair any structure, poor to its Issuance. also requires the applicant for such permit to file a signed statement that he Is licensed purtuant to the provisions of the Contractor's License Law (Chapter 0, commending with Section 7000 or D1v11k>n 3 of the Busineas and Profe11ion1 Code) or that he 11 exempt therefrom. and the basis for the alleged exemption. Any violetion of SecUon 7031 5 by any applk:ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500D All Star Water Heaters and Plumb 17886 lakeshore Drive Lake Elsinore CA 92530 8007270977 City State/Zip Telephone t City Business License t 1210402 Oe1,gner Name Addre11 City State/Zip Telephone State Lk:enoa •--------- &. WORKERS' COMPENSATION Wort(ers' Compenution OeclaraUorr I hereby affirm under penalty of perjury one of the foOowing declarabOns D I have and wtll malntaln a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Lobor COde. for the Performance of the work for which thts permit 1, issued. D I have and will maintain workera' compensation, as required by Section 3700 of the L&R,Er Cod8J for the erformance ot the work for whk:h tti.11 permit Is issued My wor1<tf1 compensauon lnsuranoe earner ond pol,cy number are t. / {... ( ~ '( /0 q -l -Q<./ Insurance Company State Fund Polley No. 1&941}:()QQ Expiration Oate--Gi/01 '2h02 I ~IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EX.EMPTION: I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person m any manner so as to become subject to lhe Wort<era' Compensation Laws of Coliromla WARNING· Failure to secure workers' compensation coverage Is unlawful. and shall subject an employer to cnminal penalties and civil fines up to one hundred tllousand doltara ($100.000). In addition to the coSI or compensation, damages as provided for In SectJon 3706 ol lhe Labor eode, Interest and attorney·• lees. SIGNATURE ____________________________ DATI: _________ _ 7. OWNER-8UILDER DECLARATION I hereby affirm that I am exempt from the Contracto(1 Uoenae law for the following reason: 0 I, as owner of the property or my employees with wages as th8'r sole compensation, will do the work and the structure Is not Intended or offered ror aale {Sec. 7044. Business and Professions Code: The Contrector'1 Ucense Lew does not eppty to en owner of property who builds or Improves thereon, and who does such wonr. himsetf or through his own emp4oyees. provided that auci'I Improvements are not Intended or offered for sate. If, however, lhe building or Improvement Is sold within one year ol completion, lhe owner-bulidef will have lhe bunlen or proving that he did not build o, Improve !er the purpose or sale). D I. as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Bualne11 and Profeaalons Code. The Contractor's Ucense law does not apply to an owner of property who builds or improves threreon. and contracts for such projects with contractor(s) licensed purauant to the Contracto(t License Lew) 0 I am exempt under Section ______ Business and ProfessK>ns Code for this reason: 1. I personalty plan to provide the major tabor and materials for construction of the proposed property Improvement D YES D NO 2. I (have / have not) signed an applicant lo< a building permit lo, the proposed won<. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number) 4. I plan to provide portions of the ~fk. but I have hired the following person to coordinate, supervise and provide the major wo~ (include name I address I phone number I contractors lanse number) <_:N'-"'a"-m"-"e_> ___________________________________ _ 5. I will provide aome of the work, but I have con1racted (hired) the fofkJwlng perM>n to provkte the work 1ndicaled (tndude name I addntss / phone number I type olW0<1<): ---------------------------------------------- PROPERTY ~ ~""iilil>iioPl!Rlii'i'IONC Is the applicant or future buildlng occupant required to submit I business plan, acutety hazardous materials !!itslration form or risk management and prevent.On program under Sectlona 25505. 25533 o, 25534 of the Presley-Tanner Haurdoua SvbstanceAccounlAct? D YES D NO Is the applicant or fulure building occupant required to obtain a permit from the air pollution control distrlct or air quality management district? D YES O NO Is the facihl)' to be oonstructed within 1,000 reet of the outer bo<indary of school ~te? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. C()jjfffiUC~ A I hereby affirm that there 11 a con1tructloo lending agency for the performance or the wol1t lo< which this pem,lt Is Issued (Sec. 3087(1) Civil Code) I certify that I heve read the application and state that the above Information Is correct and that the information on the plans Is accuraie. I agree to compty with all City ordinances and State laws re~tlng to building construction I hereby authorize representatives of the City of Car1sbad to enter upon the above mentioned property lor Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY I AV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pem,lt 11 required lo< e and demolition or construction of structures over 3 stories In hetght. provisions of this Code ahall expire by IHTlitaOon and become null and void if the bulkUng or work the date of such permit or If the buUding or work authorized by such permit Is su!lpended or abandoned (Section 106.4.4 Unllorm Building Code). D DATI: 0 , J-07 (i) City of Carlsbad Bldg Inspection Request For: 08/18/2004 Permit# CB043121 Title: ALVILLAR RES-NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2735 VICTORIA AV Lot 0 APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: ALVILLAR IGNACIO B&MARY S Remarks: Total Time: CD Description 25 Water HeaterNents £:(;.Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: ~ Phone: 7607291893 ---.I Inspector: --J 'M- Requested By: IGNACIO Entered By: CHRISTINE