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Home My WebLink About2034 ARENAL RD; ; CB053904; Permitth City of Carlsbad b 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 1 1-09-2005 Plumbing Permit Permit No: CB053904 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2165911200 Lot #: 0 Applied: 11/0912005 Reference #: Plan Approved: 11/09/2005 Issued: 11/09/2005 Project Title: ALESIA RES- REPLACE 2 WATER Inspect Area: 2034 ARENAL RD CBAD Construction Type: NEW Entered By: LSM HEATERS Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DlEGO CA 92121 858-677-5455 Owner: ALESIA FRANK&SHARON C/O GRANT GOLDMAN 10960 WlLSHlRE BLVD #938 LOS ANGELES CA 90024 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair 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 .oo $0.00 $0.00 $0.00 $14.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 ~ ~ ~ ~~ ~ ~- ~~ ~ ~ ~~ ~~ Total Fees: $34.00 Total Payments To Date: $27.00 Balance Due: $7.00 Inspector: Date: Clearance : NOTICE: Please take NOTICE that approval of your project indudes 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 feeslexactions. 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 feeslexactions 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 '6 PaP%m-hi (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any strvcture, 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 Codel or that he is exempt therefrom, and the basis for the alleged hu red dollars 1$5001). a677 6% Name Addrd City StatelZip Telephone # State License 7Ci I Lijm License class C 29 CSb City Business License t lD&7aD Designer Name Address City StateEip Telephone FOR OFFICE USE ONLY PLAN CHECK NO. @k?O 3- 390 EST. VAL. Plan Ck. Deposit l 'Y 'I Date fll4l Oh I I Validated By , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 'hb I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Gued. My worker's compensation inburance carrier and policy number are: Insurance Company 1. Policy No. 243w -01 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subjec WARNING: Fallu thousand dollars 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 orkers' Compensation Laws of California. magra aa provldrd for In Section 3706 o J hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, as owner of the property or my employees with wages as their sole compensation, will do 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 ownar 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 brlrden of proving that he did not build or improve for the purpose of sale). 0 1, 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). 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. 0 YES UNO I (have I have not) signed an epplication for a building permit for the proposed work. I have contracted with the following pehon (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 6. of work): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide tha major work (include name I address I phone I will provide some of the work, but I have contracted (hired) the following parsons to provide the work Indicated (include name I address I phone number I type 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? 0 YES NO 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 a school site? 0 YES 0 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. 0 YES 0 NO 097(i) Civil Codel. LENDER'S NAME LENDERS 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 Cit). 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. I JUDGMENTS, 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 r EXPIRATION: Every permit authorized by such permit is n at any llme after the work IS c APPLICANT'S SIGNATURE DATE structures over 3 stories in height. City of Carlsbad Bldg Inspection Request For. 1 1 /29/2005 Permit# CB053904 Inspector Assig nment: Title: ALESIA RES- REPLACE 2 WATER Description: HEATERS Type: PLUM Sub Type: Job Address: 2034 ARENAL RD Suite: Lot 0 Location: APPLICANT ARS Owner: ALESIA FRANKLSHARON Remarks: AM PLEASE 2 WATER HEATERS Total Time: CD Description 25 Water HeaterNents Phone: 7604318880 lnspec Requested By: FRANK Entered By: JANEAN Ach Comment Associated PCRslCVs Inspection History Date Description Act lnsp Comments CERTIFICATE NUUBER CERTIFICATE OF fNSURANCE CH1mm9412d, 1 THIS CERTFICAT6 IS ISSUED AS AMATER OF IHFORMATION OWLf MD CONFERS S erdiceM aster Cemficate Team MARSH CISA. Inc. 500 VV Monroe St. Chicago. IL W61 I ~ttn F~X. a77-732-n~ . NO RffiHTS UPON THE CERTlFlUTE HOLDER OTHER THPW THOSE PROVIDED Y THE POLICY. MIS CERTFICATE DOES NOT AMEND. EXTEND OR ALTER ME COVERAGE PFiOROED BI THE POLIUESOEBCRIEDHEREIN. I I -- COMP ANlES AFFORDING COVERAGE 0112 YSURED (MI 12)ARS AMERICAN RESlOENTlAL SERVlCES OF CALIFORNIA INC. dba ARS OF SAN DIEGO MEMPHIS, TN 38120 a60 RIDGE LAKE BLVD. cw2 ph‘ A ZURICH AMERICAN INSURANCE COMPANY ---- I cw=.4v B ILLINOIS NATIONAL INSURANCE COMPANY HIRN) AUTOS NOYMED AUTOS PRORRTY OMAGE UMeREU A FCRM (XWEQ WAN UMBRELLA FORM I