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Home My WebLink About2763 VISTA DEL ORO; ; CB050606; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-28-2005 Plumbing Permit Permit No: CB050606 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 2763 VISTA DEL ORO CBAD PLUM 2153506202 Lot#: 0 Construction Type: NEW FERRER RES REPLACE H2O HEATER Owner: ALL STAR WATER HEATERS & PLUMBING FERRER SERGIO Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 17886 LAKESHORE DR 92530 1-800-727-0977 691 1 WATERS END DR CARLSBAD CA 92009 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 TOT AL PERMIT FEES 0 0 0 0 1 0 0 ISSUED 02/28/2005 KG 02/28/2005 02/28/2005 $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 2756 02/28/05 0002 01 CGP Inspector: fi FINAL APPROVAL Date: lf-tt'-o 5..-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 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 02 27-00 PE:RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Address (lndude Bldg/Suite #) Business Name (at this address) FOR OFFICE USE ONLY /,. {j t, PLAN CHECK NoeloS-0 f ~ EST. VAL. _________ _ Plan Ck. Deposit -tnr+-------- Validated By __ ..:._-,,.::;.....,...---,c-:::----::=-- Date _____ _!..._.I,£_~=---=-=-- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # WA:rEiZ H '=ArE;iZ Description of Work c/o Existing Use Proposed Use SQ. FT. # of Stories # of Bedrooms # of Bathrooms 2. Name Address City State/Zip Telephone# Fax# 1?006 l.A<c>/-fCJU-CA Ac,, "J2-2 0'7 7, Name Addre11 City State/Zip 51?7 Ot<- Address City (Sec. 7031.5 Bualne11 and Profe11lon1 Code: Any City or County which requires a permit to construct. alter, Improve, demolish or repair any structure, prior to its issuance, also requlrea the applicant for such permit to file a algned statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 ol Division 3 ol the Business and Profession• Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation 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)). flLJ.....S7.,.,'jl.. vJ<'IJ(::g fft;AJ<;IW nre, LA~ HoU ~cJ.-S l-.:,o.'--'<: C..A CfLJtJo State/Zip f3oo 7 "2-7 CA ?7 Telephone# Name O .I Address (,,,,? ~ City State License# nl~ ~ License Class --~!J-~k2~------City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 6. WORKER'S C Workers' Compensation Declaration: □ I have and will maintain a certlficate 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. ~ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit 1s issued My worker's compensation Insurance carrier and policy number are: ., / Insurance Company ST PrTt::::-,?J.J O Policy No. 17' / {, L{ l CJ °'t Expirabon Date OJ-I -U \0 (THIS SECTION NEED NOT BE COMPLETED IF TME PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person ,n any manner so as to becoma subject to the Workers' Compen lion Law, of California. WARNING: Failure to Hcure workers' pens dollars($100,000), In addition to the co. of co SIGNATURE 7. I hereby affirm that I am e Is unlawful, and shall subject an employer to criminal penalUes and civil fines up to one hundred thousand H are provided for In Section 3709 of the Labor Code, Interest and attorney's fees. --DATE z_-z.:z__-c;, ) □ I. as owner ol the property or my employees with wagea as their sole compensation, will d the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor'• 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 exduslvely 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 the Contractor's License Law). D 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. □ YES □ NO 2. I (have/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 I address / phone number t contractors license number) 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name /address/ phone number 1 /ontractors llcenae number): ----------------------------------------------- 6, I will provide aome of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work) PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/31 /2005 Permit# CB050606 Title: FERRER RES REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2763 VISTA DEL ORO Suite: Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: FERRER SERGIO Remarks: Total Time: Act Comment Inspector Assignment: Phone: 7608456799 Inspector: __ ___:./-_ _8 Requested By: SERGIO Entered By: CHRISTINE CD Description 25 Water HeaterNents fl£ __ ---------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments