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Home My WebLink About1325 BUENA VISTA WAY; ; CB032516; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB032516 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 156231 1700 Lot #: 0 Applied: 09/11/2003 Reference #: Plan Approved: 09/11/2003 Issued: 09/11/2003 Project Title: DUNN RES-REPLACE WATER HEATER Inspect Area: 1325 BUENA VISTA WY CBAD Construction Type: NEW Entered By: RMA Applicant: ALL STARS WATER HEATERS & PLUMBING 26867 PELHAM PL HAYWARD CA 94542 510-583-1 300 Owner: THOMAS URSULA C 1325 BUENA VISTA WAY CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $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 3963 W/W03 0002 01 02 CGP 21.00 Clearance: Jh Inspector: NOTICE: Please take NOTICE that approval of your project includes the ‘Imposition” of fees, dedications, reservations, or other exactions hereafter collectively referred to as “feedexactions.” You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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. PERM IT AP P LI c ATI o N CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I FOR OFFICE USE ONLY I I I EST. VAL. Plan Ck. Deposit Date Business Name (at this address) Lot No. / Subdivision NameINumber Unit No. Phase No Total # of units W/ Assessols Parcel # Existing Use Proposed Use Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms W Name Address City Statelzip Telephone # Fax # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name Address City Sta te/Zi p 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, pnor 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone # State License -17-4 Designer Name Address City State/Zip Telephone State Licence # 6. WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of e work for which this permit is issued. Insurance Company State Fund Poiicy ~0.455" Expiration Date !i&!&iz ' issued. My worker's compensation insurance carrier and policy number are' All Star Water Heaters and Plumb I7886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 License Class C36, HIC City Business License # 121 0402 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 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 i793ZV7 d (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). 0 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). 0 1 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement, I (have / have not) signed an applicant for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I Contractors license number): Business and Professions Code for this reason: 0 YES 0 NO 4 number I contractors license number) 5 of work) 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 I address I phone I will provide some of the work, but I have contracted (hired) the follmng person to provide the work in&%ted finclude name I address I phone number I type PROPERTY OWNER SIGNATURE DATE 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of school site? 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. 0 YES 0 NO c] YES 0 NO 0 YES 0 NO LENDERS NAME at any time after the work is APPLICANT'S SIGNATUR City of Carlsbad Bldg Inspection Request For: 10/07/2003 Permit# CB032516 Title: DUNN RES-REPLACE WATER HEATER Description: Type: PLUM Sub Type: 1325 BUENA VISTA WY Job Address: Location: APPLICANT ALL STARS WATER HEATERS & PLUMBING Suite: Lot 0 Owner: THOMAS URSULA C Remarks: Total Time: Inspector Assignment: PY Phone: 7604355591 Inspector: 3Gn Requested By: IRSLA OR CAROL NEGLEY Entered By: KAREN 2 Comment CD Description 25 Water HeaterNents Associated PCRs/CVs Inspection History Date Description Act lnsp Comments