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Home My WebLink About2125 BASSWOOD AVE; ; CB080162; Permit01-22-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080162 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2125 BASSWOOD AV CBAD PLUM 2051602100 Lot# Construction Type COLLINS RES REPLACE WTR HTR 0 NEW Status ISSUED Applied 01/22/2008 Entered By KG Plan Approved 01/22/2008 Issued 01/22/2008 Inspect Area Applicant ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1 800 727-0977 Owner COLLINS FLOYD E TRUST 03-30-07 2125 BASSWOOD 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 / 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 nght to protest the specified feestexactions 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 1 PROJECT INFORMATION >"1 f " «* / 'fjoao( FOR OFFICE USEO^JLY, PLAN CHECK NO EST VAL Plan Ck Deposit^ Validated By Date /Address ^include Bldg/Suite tf) L-c,al D scription ^sse sorsParcdl fl _ A /./ )/L7/A JtiLdTZ* Business NameTat this address) ^ Lot No Subdivision Name/Number Unit No Phase No Total * of uni s ^^ y Existing Use Proposed Use j-scnp i no 'or SQ FT # of Stories # of Bedrooms K 01 Bathrocn 2 * CONTACT PERSSM(IMS^lM Name 3 APPLICANT D t- ame 5 .^CONTRACTOR j;q/viKflilYJ!(ABniS^«3,USi{S4aSj!ifei,^VMfc i »*» <JL& jaik_jMa. - "ski, U^SA. (Sec 70 1 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure prior o it a! o requires tne applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License taw [Chapttr 9 commeMi i Sec ion 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 Sectioi n i an, applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) ,, ?? Name Sa.cLccnsc* Address License Class City State/Zip City Business License'1 Telephone Designer Name S 316 License rf Address City State/Zip Telephone * , - .1 Vorkers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D I ha e and ill maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance o forwnicn us permit is issued Q^ I nave aia \, ill maintain workers compensation as required by Section 3700 of the labor Code for the performance of tht wort to Ahich ihis pcrmi s, workers compensation insurance carrier and policy number are _^ Insurance Company 3 -fc^.l'' f-lJs\£\ Policy No ( T C* / U 710*$~ Expiration Date f1. 2- O ffj (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 an, rmnner s become subject 'o the Workers Compensation Laws of California \ ^RMNG Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and cuil fines up to one hundred t oj dallars($100 000) in addition to th/rtost of^ompensatton damages are provided for in Section 3706 of the Labor Code interest and attorney s fees SIGNATURE // ^— **~*-=^- DATE / / 5~ 7 < • ~ • — I hereby affirm that I am exempt from the Contractor's License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sJe vSec n Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon and who does such worr, nirn tit or tnrough ris own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within out. / <. u ccrnplet on ne ^.vner builder will have the burden of proving that he did not build or improve for the purpose of sale) D I as owner of tne property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Co 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 tne Coi ti o L^cnse LaA, D ' am exempt under Section Business and Professions Code for this reason 1 I persona1!/ plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 2 i (ha e/ha e not) signed an application for a building permit for the proposed work I r_ e con acted with the following person (firm) to provide the proposed construction (include name / address / phone number/ contractors licensi. numterj -. I pi=n to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone n mo^r /onjactors license number) __^ 5 I v i'l provice some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of orf.) 0"/l 'ER SIGNnTURE _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 FpR^WON^RES/OEW^jCBUIJ.D^JjPElCMIJS^ONL,^ ^ ^ £, ^ * J "" * 1 n° applicant or fu'ure building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention proo:_ i S- ticns 2 ^Oa 2a533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES D NO I the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO is tne tocility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D NO Ir ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING I REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCTION LENDING AGJNqY^ ^jflJIT l ,&k," hW l'f i|f * ^ ^~ fl i > " «% I nerecy rf rm thd' mere is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097VI) Civil Code) t ENDeRS NAME_ LENDER S ADDRESS 9 APPLICANT CERIIFICATIOM/L {'t* \it l&l. /'-I.*.-,1*!!, „ ~Z,l«. '3,' *' i er ry r at ! ha^c read the application and state that the above information is correct and that the information on the plans is accurate i agree to comply 11 t ^ ir rce a^d State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned proper*; rr ,; rposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGEMENTS COST» ,- EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA -.n OShM permit is required for excavations of 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION E ery permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wo k ji me DJ suci permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned a any : n n= "orr is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^PP' C^\TS SIGNATURE ^*-/ / S^ r^i DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 03/04/2008 Permit* CB080162 Title COLLINS RES REPLACE WTR HTR Description Inspector Assignment 2125 BASS WOOD AV Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER COLLINS FLOYD E TRUST 03-30-07 Owner ARMSTRONG ELAINE Remarks A M PLEASE Phone 760X293536 In spec. Total Time CD Description 25 Water Heater/Vents Act Comment Requested By FLOYD COLLINS Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/28/2008 110 Signs (CE) Cl SR ILL BANNER / SEND TENANT A NOV CMC SEC 21 41 030 #22 RE CK 3 5 08