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Home My WebLink About1888 HIGH RIDGE AVE; ; CB054143; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-08-2005 Plumbing Permit Permit No: CB054143 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1888 HIGH RIDGE AV CBAD PLUM Status: Parcel No: 2073851400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MILAZZO RES-REPLACE H20 HTR Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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: MILAZZO SAM TR 1888 HIGH RIDGE AVE CARLSBAD CA 92008 ISSUED 12/06/2005 LSM 12/08/2005 12/08/2005 $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: FINAL A Date: l Clearance: $0.00 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 fffe 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 ser.iice fees in connection with this project. NOR DOES IT APPLY to any f ' n f hi h h v r vi I b n iv n N I E i 't r h' i h h f II i i n h J'l/ FOR OFFICE USE ONLY PLAN CHECK NO. Q&oS l.J I '-f:?) PERMIT APPLICATION EST. VAL __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit ---+t:::r,::=-;_---,--=----- Validated By---~~------- 1. 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 Proposed Use Descnption of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms Wkft/LJKA-re(__ 2. Name Address City State/Zip Telephone # Fax# ·g~tfgr:.Qwner , • .-~----~ Name Address City State/Zip Telephone# 4. PROPERTY QWNE&:,, , ~ S A""" ~ul'."z.-z.o ;;.;.,,-v( Name Address Telephone# 5. GQM.~it-;_§.QjEjffi~=:z:::;...:::::===-=..:....~.:............:.::..:..._....:...__:~_;.,,.,..._. (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 an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). 8,:<, 7c 7 crt~ J,r.,; rCc2-. .?o~ E:'l-"C"o VA/..ln<l.'T/1 ,1-/r·-v1 ?<c:(-C/Z.1}1 V d77 7 Name Address /,? / City State/Zip Telephone# State License# 8 t2-8'll/ License Class __ L--~~2..."--_..lg._______ City Business License# frP '7 L,1.,-e.P Designer Name Address City State/Zip Telephone# State License# _______ _ 6. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. ~ 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 carrier and policy number are: , Insurance Company SrATf: &~c Policy No. /]6/ (. t//ci✓ Expiration Date er-I -cJ 0 (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 WARNING: Failure to secure worke dollars($100,000), In addition to the c sye lifomia. n erage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand lion, damages are provided for In Section 3706 of the Labor Code, Interest and atto,y~•• fees. DATE //-Z -L -o_;--SIGNATURE 7. OWNER-BUILDER I hereby affirm that I am D I. as owner of the property or my employees wilh 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 (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). 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 construction of the proposed property improvement. D YES □ NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted wilh lhe following person (firm) to provide lhe proposed construction (include name/ address/ phone number/ contractors license number). 4. I plan to provide portions of the work, but I have hired lhe following person to coordinate, supervise and provide the major work (include name I address / phone number/ /ontractors license number): ----------------------------------------------- 5. I wlll 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 City of Carlsbad Bldg Inspection Request For: 01/18/2006 Permit# CB054143 Title: MILAZZO RES-REPLACE H20 HTR Description: Type: PLUM Sub Type: Job Address: Suite: 1888 HIGH RIDGE AV Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: MILAZZO SAM TR Remarks: DID NOT SAY WHAT WAS NEEDED? Total Time: CD Description Act Comment 25 Water HeaterNents Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments / Inspector Assignment: Phone: Inspector: ---- Requested By: SAM CHRISTINE '