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Home My WebLink About2704 WATERBURY WAY; ; CB013224; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-11-2001 Plumbing Permit Permit No:CB013224 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2704 WATERBURY WY CBAD PLUM 1674411000 Lot#: 0 Construction Type: NEW SHEFFER -REPALCE WATER HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/11/2001 JM 10/11/2001 10/11/2001 Applicant: SOUTH COAST HEATING AND AIR CONDITIONING SHEFFER SHIRLEY E REV(l§~l:1.le;~T ~f3(ft9 2664 VISTA PACIFIC OCEANSIDE CA 92056 760-941-7000 Total Fees: $27.00 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 Inspector: 2704 WATERBURY WAY CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 1 0 0 FINAL APPROVAL Balance Due: $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 Date: Clearance: CGP $27.00 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. 02 27 -00 FOR OFFICE USE ONLY PERMIT APPLICATION P LAN C H ECK No.@( J zz CITY OF CARLSBAD BUILDING DEPARTMENT 1635 F araday Ave., Carlsbad, CA 92008 ES T. VAL. _______ _ Pla n Ck. D epos"""· ""H--:----...--,t- Validate d By D ate _______ _,,_~-IL"l.,.-=-I 1. PROJECT INFORMATION 2704 WATERBU RY WAY CARLS B AD CA 92008 <Suite> <N a m e> Business Name (at this address) Address (include Bldg/Suite#) 1674411000 0 <Subdiv isio n N a m e/No> <Unit> <Phase> Legal Description <Assessor N o> Assessor's Parcel # REPLACE WATER H EAT ER Description of Work Lot No. Subdivision Name/Number <Existing U se> Existing Use <SQ FT> SQ. FT. <Sto ries> # of Stories 2. CONTACT PERSON (If different from applicant) Unit No. Phase No. <P rop osed Use> Proposed Use <Bedrooms> # of Bedrooms <Tota l> Total # of units <Bathroom > # of Bathrooms <N a m e> <Address> <City> S T <Zip> <Phone> <Fax> Name 3. APPLICANT NetClerk Inc Name □ Contractor 4. PROPERTY OWNER S HIRLEY S H EFFER Name 6. CONTRACTOR· COMPANY NAME Address City State/Zip Agent for Contractor □ Owner 720 D ubuque Ave □ Agent for Owner South San Fr; CA 94 080 Address City State/Zip 2704 WAT E R B URY WAY CASRL SBAD CA 92008 Address City State/Zip Telephone # Fax # 8883301777 Telephone # 7607298663 Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires 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 7031.5 by any applicant for a penmit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). South coast A\C 2664 V is ta Pacific Drive Oceanside CA 92056 76094 17000214 Name Address City Stale/Zip Telephone # State license # -'7'--'9::..4..:.0:..:..7...:4 ____ _ <N ame> license Class C4,2O,36,38 HIC <Ad d ress> City Business license # 697600 <City> S T <Zip> <Pho n e > Designer Name Address City State/Zip TeO!phone State Licence # _________ _ 6. WORKERS' COMPENSATION Workers· Compensation Declaration: I hereby affinm under penalty of perjury one of the following declarations: D I have and will maintain a certificate 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 penmit is issued. liZI I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company A m e rican Home Policy No. WC7O83869 Expiration Date 01/0 1 /2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the perfonmance of the work for which this penmit 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 doll-~);f;.i.~-~-1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _.........., _ __:_-;,,y-.!..,_ _____________________ DATE _1'--'O"--/O.c....8'-'-/=2-'-OO.c..1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affinm that I am exempt from the Contractor's License Law for the following reason: D 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 Contractor's 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). D I, as owner of the property, am exclusively 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 threreon, 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have I have not) signed an applicant for a building penmit for the propcsed work. □ YES O NO 1. 2. 3. I hay!? contracted with the following person (firm) to ~rgvi,de the proposed construction (include name ~ i;!Qdr~sV phone number I contractors license number): <Na m e> <Aaaress> <WorK 1-'hon e> <State License> 4. I plan to provide portions of the >yQrk, but I have hired the following person tp cqordinate, supervise and provide the m_aj9r work {include name / address I P.hpne number/ contractors license number}:<N am e> <Aaaress> <Work P ho n e> <State Licen se> 5. I will p.rQvide some of the work, but I have contracted (hir~d) the following person to provide the work indicated (include name I address / Qh,qne /1UJJJber / type of work): <Nam e> <Aa d ress> <Work P h o n e> <WorK I ype> PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from !he air pollution cor.trcl district er air quality managemen: district? □YES ONO Is the facility to be constructed within 1.000 feet of the outer boundary of school site? 0 YES D 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affinm that there is a construction lending agency for the perfonmance of the work for which this penmit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ 9. APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every penmit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE _1;_0;;.;./..;:.0..;:.8;.../2cc0:....;0c...1;.._ _____ _ City of Carlsbad Bldg Inspection Request For: 10/1 9/2001 Permit# CB013224 Title: SHEFFER -REPALCE WATER HTR Description: Type: PLUM Sub Type: Job Address: 2704 WATERBURY WY Suite: Lot 0 Location: Inspector Assignment: Phone: 7607298663 Inspector: ;1J F APPLICANT SOUTH COAST HEATING AND AIR CONDITIONING Owner: SHEFFER SHIRLEY E REVOCABLE TRUST 04-13-99 Remarks: Total Time: CD Description Act Comments Requested By: MRS SCHAFER Entered By: KAREN 25 Water HeaterNents _M_ _______ _ Associated PCRs Inspection History Date Description Act lnsp Comments