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HomeMy WebLinkAbout2735 WILSON ST; ; CB071850; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2007 Plumbing Permit Permit No: CB071850 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2735 WILSON ST CBAD PLUM 1561423300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: SCHUPP RES REPLACE WTR HTR Applicant: JUST WATER HEATERS INC. 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 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 Owner: SCHUPP ROBERT 0 2735 WILSON ST CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 07/11/2007 KG 07/1 1/2007 07/11/2007 $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: $27.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NO approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' Yo 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 FOR OFFICE USE ~~y/\7/f~ 0 PLAN CHECK NO. (.;-=-✓W_::;...._ ___ _ EST. VAL.----'--------PERMIT APPLICATION Plan Ck. Deposit..,c.....,_ _______ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Validated By +-~~.-......--r----::-......,....--- Date ---~-.___~.____.::;.~.__ __ _ 1. PROJ~ o 'o uu \ Address (include Bldg/Suite #) Legal Description Assessor's Parcel # Lot No. Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use De~n~;c:Q_ 40 ga_l ~~h ~~----#-o-f -Bed-roo..-m_s _______ #_o_f _Ba-t-hr_oo_m~s~~, 2. cofTACT P-ERSON.(lf dm,r,nt trom..JP~~---~-----....... -------..-..-------_, Name Address City State/Zip Telephone # Fax# 5. CONTRACI9R -COMe~~..._,N,,...J,...~.,E.._ ______________________________ ~------ (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 J~ll~mit ubject the a pl:n~ a O{)nalty of not mor th~~un red dolla s [$5 Jxt_rJ _ q C(~ Name -:1 State/Zip Telephone # State License # --->.J...J.~==-'---License Class (! u0 City Business License # ____________ _ Designer Name Address City State/Zip Telephone # State License# ________ _ I . WORKER'S COIIPENSATION Workers· Compensation Ded-a-ra_ti __ o_n_:_l_h_e_re_b_y_a_ffinm under penalty of perjury one of the following dedarations: O 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 ~hich this permit is issued. ,/1'-I have and will maintain worker's compensation, as required by Section 3700 of the labor Code. for the perfonmance of the work for worker's compensation ins~~ crm~d policy number are: I I L Insurance Company __ ~-=-=-==-~--------Policy NoO\l> \llZH \ \ 00 \Ot"{O Expiration Date __ '--t _ _.._--1---=---- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) My o 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 10 the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shA!r subject an employer to criminal penalties and civil fines dollars($100,000) ~d_itl!'rflo J,._h'--foat o co provided for in Section 3706 of the L.abor Code, intere1t and attorne s SIGNATUAE.___ll.L~~~~~~'--..J:::::._;~~~::.1..:~~~~~~~----~------DATE. __ _..,.-+----1-1-----+ 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: o I, as owner of the property or my employees with wages 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'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). O 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O 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. D YES O 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/ 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 / /ontractors license number): s. I will provide some 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 j& PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIOBt11AL=BU~,ILDING__,_,;;;;.,P.;;E .. R;;;II .. ITS.;;,.;;ONL=Y.;__ _ __. ___________ _ ts the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air qual~ management district? D YES D NO ts the facitlty to be constructed within 1,000 feet of the outer boundary of a school site? D 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 ---- 1 hereby affirm that there Is a construction tending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS ____________________ _ 9. APPLICANT~J"-!' ___________________________ __. _________ _ 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 C~ 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stones in height. EXPIRATION: Every permit 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 tt the building or work authorized by such permit is suspend or abandone at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Bu· ding Code). APPLICANT'S SIGNATURE ....:~~~'.'....:~~::::::~'--_.f::::::Ji.,.J,LL::J~~~~:::::'.~~~~---DATE ----'---l'-----'~+.--(0 __ 4-__ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/28/2007 Permit# CB071850 Title: SCHUPP RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2735 WILSON ST Lot: 0 APPLI CANT JUST WATER HEATERS INC. Owner: SCHUPP ROBERT 0 Remarks: Total Time: CD Description 25 Water HeaterNents Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604343002 Inspector: ---- Requested By: SHEILA d By: CHRISTINE