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Home My WebLink About1864 OUTRIGGER LN; ; CB030955; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-02-20()3 Plumbing Permit Permit No: CB030955 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1864 OUTRIGGER LN CBAD PLUM Status: ISSUED 04/02/2003 RMA 04/02/2003 04/02/2003 Parcel No: 207 4012200 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ECKERT RES-REPLACE WATER HEATE Inspect Area: Applicant: ALL STARS WATER HEATERS & PLUMBING Owner: ECKERT FAMILY TRUST 10•15;ijlji5 04/02/03 0002 01 26867 PELHAM PL HAYWARD CA 94542 510·583-1300 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 Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 1864 OUTRIGGER LN CARLSBAD CA 92008 $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 Payments To Date: $0.00 Balance Due: EXPIRED PERMIT HAS ryr•:::~;11. : . SECTION I UGA.4 CGP $27.00 DATE 0\ tz,e. l,o::,_ SIGNATW!E .. &< FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.~ You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. lf you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any f h. ' I w i 1i i . I 02 27-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C:/x,ao Cf. ~ EST. VAL _______ _ Plan Ck. Deposit L Validatery , /4.q::_ Date ':'( (J. { g r Address {lnciude 81clg/Suite #) Buskleae Name (at this addr8$s) Legal Description Lot No Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use PfO?O&ed Uae S FT. # of Stories # of Bedrooms # of Bathrooms N.ime.,..,.,..~ Address City State/Zip Telephone# ffiWL~~tl!tJltWfE@H#iff:fiWJff@EKM2E!&?&ff&I®rfiiWZ4£ID1NfWlfu\1lfh1%fJB1¥ittlJ¾l {Sec. 7031 5 Buslnei;s and Professions Code: Any City or County which requires a permit to construct, al!er, Improve, (lemoUsh or repair any structure, prior to its issuance, elso requires the appllcanl for such permit to lile a signed statement that he is licens&(.I pursuant lo the provisions of the Contractor's License Law /Chapter 9. commending w!!h Section 7000 of Division 3 of the Business and Profeulons Codej or that tie Is exempt therefrom. and the basis for the alleged exemption. Any violation of Six:tlon 7031.5 by any appllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars J$500]) All Star Water Heaters and Plumb 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 Name Address C!ty State/Zip Telephone# Staie License# 778156 License Class C36, HIC City Business license# 1210402 __ Oesi11ner Name Address City Stale/Zip Telephone State Licence# ~7~7~8~1~5~6 ____ _ 6. WORKERS'COMPENSATION Workers' Compensation Declaration I hereby amrm under penalty of perjutY one o1' the following declarations. 0 t 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 P8ffonnance of !tie won\ for which this permit is issued. liZI I have and will main!ain workers' compensatlon, as required by Section 3700 of the labor Code, for !he performance of the work for which this permit is issued. My worllel's compensatiori insurance carrier and policy number are. Insurance Company 0S~l•~l=•~F~u~n~d~------------Policy No. 159113900 Expiration Date 08/01/200/ :'.:? • (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE: HUNDRED DOLLARS ($100) OR LESS) D CERTIFICATE OF EXEMPTION: I certi that In the perlormance of the work for which !his permit Is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Com lion s of Galifomla. mpensat n coverage is unlawful, end shell subject an employer to criminal panamas and civil fines up to one hundred oost f compensation, damagee as provided fol" In Section 3700 of ltie;.a~or code, inte;rest an<:l attorney's fees ~::;:;:,==j,;:::r,-=---:-"S,"'-=::,::-__ :-,----------!><TE ~-/~OJ 7. O I. as o ner of th property or my employees with wages aa their sole compensation, will do the work an<:l the structure ii; not Intended or offered for sale (Sec. 7044, slnass nd Professiona Code. The Contractors License law does not apply to an owner of property who bu!lds or Improves thereon, and who does such worl( hi elr through his own employees, provided that such improvements are not Intended or offered for sale. If, howevef, th€I bu!lding or improvement Is sold within 0<1e year ot completion. the owner-bulldi,r wrn hlllle the burden of proving thut he did not bulld or improve for the purpose of sale). D I, as owner of the property, am e~cluslvety contracting with liceriaed contractors to construe! the project (Sec. 7044, Busine11s and Professions Code: The Contractor's Licert11e Law does rtol apply to an owner of property who builds or improvei; threreon, and contracts lor such projects with contractor(s) licensed pursuant 1o the Contractor's License law) O 1 am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for CO/\!ltrucflon ol the proposed property Jmprovement □ YES ONO 2. I (have I have not) signed an appllcant !or a buHding permit for the proposed work J. ! have COfltracted with !tie following person (firm) to provide the proposed construction (Include name I address I phone number I contractors !icense number): 4 I pl"n to provide portion.$ ol the WOOi, but I have hired the following pel"$0n to coordinate, 5uperv~e and provide the major work (include name / addreo,s I phone riumber I contractors license number): -,--------,,-~----ccc-------,---,--~-,-----,~~--~~--,---,-----5 I will provide some of the woli<., but t have corttracted (hired) the foltowini;i person to provlda the work indicated (include name I address I phone number I type of work):------------------------------------------------- PROPERTY OWNER SIGNATURE _____________________ !><TE ________ _ ~t®.-fffl~9.lf.ff.M!~ff!R!et~t,§DWfH:~imffiMMM®.-1&lfJ.MtWUfii¥MM@fJdH1MMf.¥fMIM¾N%@H@ Is the applicant or _future building occupant required lo submit a business plan. acutely hezardous materials ~istrallon form or rlak managemen! and prevention program under Sections 25505, 25533 or 26534 ol the Pr'e!lley-Tanner Hazardous Substance Account Act? LJ YES D NO Is the applicant or future building occupant required to obtain a permll from the eir pollution control diatrict or air quality management district? □YES □No Is the facility to be constructed within 1.000 feet of thi:t outer boundary of school site? DYES 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 M@AAI~~~~~t(!1W.JfflfffEHtt.@ili@~M?:[t1l@@fMMM@~rnun&t:~~rntwri.@¥.@t!f41MtWi¥fJJtMNMMMffMH11M@HMi I hereby affirm that there is a construction !endlng agency for the perlormance ol the work for which this p8'mlt Is Issued (Sec. 3087(1) Civil Code) LENDER'S NAME ___ =---------LENDER'S AODRESS ----=~--------------- MRf~~tffffilfi}jfM@l¥tf.1UMM!HiliWffiWJBUFSMJ.?tJJ1MfMiW@:mrfiff@l@J@HWftUtH1filUl?HM I certify that I have read lhe application and elate that the abo~e Information is correct and that the lrtformat!on on the plan11 is aCCIJrate. I agree to comply with all City ordinances and State laws relating to building constructlon. f hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGEMENTS, COSTS ANO EXPENSES WHI H MAY. ANYWAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE GRANTING OF THfS PERMIT. OSHA: An OSHA perm\! Is required for excava ons o 'O" deep and demolltlon or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by the bu! Ing I under the provisions or thls Code shalt expire by limitation and become nun and void if the building or work authorized by &uch permit is nol commericed •1 •• th •.• ,,,,·,·r::VS, from the date of such permit or ii the building or work authorized by wch p-,rmlt is suspended or abandoned at any tlme after !he work is com~_n 180 days {Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~---~l-flf>t-/'----''c--?'L-----------DATE _l/-~--(_-e-_.,,3~--