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Home My WebLink About2755 WILSON ST; ; CB120189; Permit,.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 01-31-2012 Permit No: CB120189 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2755 WILSON ST CBAD PME Status: Parcel No: 1561423500 Lot #: 0 Applied: ISSUED 01/31/2012 LSM 01/31/2012 01/31 /2012 Reference #: PC#: Project Title: BLAINE RES-REPLACE WTR HTR Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-72 7 -09 77 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: BLAINE STEPHEN E&CHERYL A FAMILY TRUST 2755 WILSON ST CARLSBAD CA 92008 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 oval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/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 x i n I whi h h v r vi n iv n N Tl i ii r hi r whi h f limi i n r vi I «~ > Building Permit Application Plan Check No.~ ( .;l.01 <?.°t ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF 760-602-2717 I 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date I ( & \ \ \ ~ lswPPP JOB ADDRESS SUITE#/;:,e,._;t#/UNII # I~" 2755 Wilson St. --- CT/PROJECT # I LUI# I """"t # 1• OF UNITS 1• BEDRuuM~ # BATHRvv.,,., I I tNANT BUSINt;:,;:, NAME ICON;:,1R. ·c I""'-uRuUP This fa 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 DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[]# NcQ YES □No□ YES□ NO□ CONTACT NAME (If Different Fom App/leant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE IFAX PHONE IFAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Cheryl Wilsorr-6 ~.....e.. CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS ADDRESS 2755 Wilson St 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Menifee CA 92584 PHONE IFAX PHONE I FAX 760-729-8118 951-345-4083 EMAIL EMAIL ARCf\/DESIGNER NAME & ADDRESS I STATE UC .• STATE UC.# I CLASS I CITY BUS. UC.# 812894 C 36 (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 !hat he is exemQt 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 ($5001). Worke"' Compensation Declaration: / hereby affirm under penalty of perjlX'f one of the following declaralions: D I have and will maintain a ctrtlficate of conunt to u lf-lnsura tor v.or1<ers' compensation as provided by Section 3700 of the Labor Code, for the perfonmance ot the v.or1< fo, which this pennit is issued. 0 I have and will maintain worke"' co,np1n11tlon, as reQuired bV Section 3700 of the LabO< Code, fo, the perfonnance of the wor1< for which this pennit is issued. My wor1<ers· co,npensation insurance camer and policy number are: Insurance Co Granlto St.to Ins. Co. Policy No. 1646160 Expiration Date ,...v,012 ~ section need not be completed tt the permh is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the v.or1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calilomia. WARNING: Failure to secure wor1<e"' co,nptnsatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hu_ndred thousand dollar$ (&100,000)r·n addition to the cost of compensation, damages II provided for in Section 3706 of the Lab r code, interest and attorney's fees. • ( ~ CONTRACTOR SIGN;_--~~:.:,_~==::::====--t-------==~= □AGENT DATE :t I I;)..__ I hereby affirm that I am exempt from Contractor's License LBw for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the structvre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracm(s License Law does not apply to an owner of property who builds or improves thereon, and who does such wor1< himsett o, through his own employees, provided that such improvements are not Intended o, offered for sale. If, however, the b\Jilding or Improvement Is sold within one year of completion, the owner-builder will have the bulden of proving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting 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 o, improves thereon, and contracts fo, such projects with contracto,(s) licensed pursuant to the Contracto(s License Law). I am exempt under Section ____ Business and Professions Code fo, 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 / have not) si)ned an application fo, a building permit for the proposed wor1<. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractO<S' license number): 4. I plan to provide portions of the v.or1<, but I have hired the following person to c:ooldinate, supervise and provide the major wor1< (include name / address / phone/ contractors' license number): 5. I will provide some of the v.or1<, but I have contracted (hired) the following persons to provide the v.or1< indicated (include name /address/ phone I type of wor1<): ~ PROPERTY OWNER SIGNATURE □AGENT DATE . . ' Is the applicant or future building OCCllpant required to submit a bosinessJ!!IDJ, acutely hazardous materials registration form o, risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acri D Yes LJNo Is the applicant or future building OCCtJpant required to obtain a permit from the air pollution control district or a~ality management district? [Jves D No Is the facility to be constructed within 1,000 feet of the ooter bounda,y of a school site? O Yes 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 AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and state that the aboYe lrtonnation is c:orrea and that the infonnation on the plans Is aa:urate. I ai,eeto comply with all City ordinances and State laws relating to btilding construdlon. I hereby authorize representative ol the Qty ol C.r1sbaj to enter upoo the atxlve mentioned property l:x ilspeclal puposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY a: CARLSBAD AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 'NHICH MAY IN ANY WAY ACCRUE AGA.INST SAID QTY IN CONSEQUENCE a: THE GRANTING a: THIS PERMIT. OSHA: An OSHA permit is required l:x excavations OYer 5'0' deep ood demolition CJ( oonstrucoon of structures 0111?1: 3 stories in height. EXPIRA TIOO: Eve,y permit issued by the Building Official under the pro-.isons of this Code shal expire by limitation ood berone nun and void ~ the building CJ( \\011< authaized by such permit is not C()(nmenced withil 180 days from the date of sudl permit orif • • thorized bysudl • is suspended CJ( aboodoned at anytime afterthe\\Ofi<is commenced l:x a period of 180 days (Secoon 106.4.41.klmn Buildilg Code) . ..@f APPLICANT'S SIGNATURE DATE A ( I ) A m City of Carlsbad Bldg Inspection Request . . For: 02/09/2012 Permit# CB120189 Title: BLAINE RES-REPLACE WTR HTR Description: Type: PME Sub Type: Job Address: Suite: Location: 2755 WILSON ST Lot: 0 APPLICANT ALL STAR WATER HEATERS & PLUMBING Inspector Assignment: Phone: 7607298118 Inspector: ,Y Owner: BLAINE STEPHEN E&CHERYL A FAMILY TRUST Remarks: OR 805-8118 Total Time: Requested By: CHERYL BLAINE Entered By: CHRISTINE CD _D_e_s_c-ri-pt-io_n _______ ~_c_o_m_m_e_n_ts ________________ _ 25 Water HeaterNents ~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments