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Home My WebLink About1173 CHESTNUT AVE; ; CB062273; Permit08-09-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB062273 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No; Reference #: Project Title: 1173 CHESTNUT AV CBAD PLUM 2052103900 . Lot#: Construction Type: BASCH RES- REPLACE WTR HTR 0 NEW Status: ISSUED Applied: 08/09/2006 Entered By: LSM Plan Approved: 08/09/2006 Issued: 08/09/2006 Inspect Area: Applicant: WATER HEATERS ONLY INC. 400S EL CAMINO REAL SAN MATEO, CA 94402 415-375-8751 Owner: BAASCH.HERBERT&ANTOINETTE A TRS 1173 CHESTNUT AVE CARLSBAD CA 92008 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 0 0 0 0 1 0 0 • $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date |1. PROJECT INFORMATJOtT 1173 Chestnut Ave Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel # Existing Use Replace 30 gal gas water heater Description of Work SQ. FT. Proposed Use # of Stories # of Bedrooms n of Bathrooms |2.: • CONTACT PERSON (if different from applicant) Name Address City State/Zip Telephone #Fax# 13. APPLICANT O Contractor El Agent for Contractor D Owner Jennifer Cole P.O. Box 711564 Santee O Agent for Owner CA 92072 619-405-2648 Name Address City State/Zip Telephone # |4. PROPERTY OWNER Herb Basch 1173 Chestnut Ave Carlsbad Ca, 92008 760-729-0590 Name Address City State/Zip Telephone** IS. CONTRACTOR -COMPANYNAME J (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 ttiat he is licensed pursuant to tr« provisioriscif the CkJnriaclor'sUcenseL^ [Chapter 9, comnriending 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Water Heaters Only 970 E. Main St. Ste 200 Grass Valley CA 95945 530-274-3001 Name State License #374573 Address License Class C36 City State/Zip City Business License #. Telephone # 122603 Designer Name State License # Address City State/Zip Telephone # IK WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I / I 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 permit is issued. n 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 is issued. My worker's compensation insurance earner and policy number are: Insurance Company Ca. Dept. Of Indust Relations Policy No.4503-049 Expiration Date None (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 performance of the work 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 California /~\ WARNING: Failure to secure workers' compensation coveftgej^iunlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars)*! 00,000), in addition to the cost of compensation^an^esafenraftlail for in Section 3706 of the Labor Code, interest and attorney's f SIGNATURE ^lu&AJ^J jk-Jr-^C/ <~*- DATE OWNER RATION •••/'~ • . ' • •' . '. . ~~~",;:'. ' . - ~| I hereby affirm that I afn exempt from the CcVrtractor'/License Law for the following reason: I, as owner of the-fJroperty 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sea 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 corrtractor(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 ranstn^on of the proposed property improvement, d YES Q NO Z 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 / 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 ihe major work (include name / address / phone number / /extractors license number): 5. 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 [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 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the fadlity to be oir^ttKtedvMthin 1.000 feet of the mrter boundary of a scrKX)! 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. gT~C^greUCTjgNLENDING AGENCY ~~ ~ .' " !" " ;~ | I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS . 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 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 stories in height EXPIRATION: Every permit issued by the building Official under the provisions of this Ge£te shall expire by limitation and become nun 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 th/building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period of 180 days/Section 106.4.4 Uniform aSkf — "/J-> ; APPLICANTS SIGNATURE /I I V IM I/' J I J( / f /..( J DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/21/2006 Permit# CB062273 Title: BASCH RES- REPLACE WTR HTR Description: Sub Type: 1173 CHESTNUTAV Lot 0 Type: PLUM Job Address: Suite: Location: OWNER BAASCH HERBERT&ANTOINETTE A TRS Owner: BAASCH HERBERT&ANTOINETTE A TRS Remarks: CALLW/ETA Inspector Assignment Phone: 7607290590 Inspector: Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comment Requested By: HERB Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments IB 39yd