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2280 CAMINO ROBLEDO; ; CB091527; Permit
09-17-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091527 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2280 CAMINO ROBLEDO CBAD PLUM 2552704100 Lot#: 0 i Construction Type: 5B BARR: REPLACE WTR. HTR. Status: ISSUED Applied: 09/17/2009 Entered By: JMA Plan Approved: 09/17/2009 Issued: 09/17/2009 Inspect Area: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 Owner: BARR SALLY A 2280 CAMINO ROBLEDO CARLSBAD CA 92009 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Q&TEAS,' 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 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 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. i x CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) CONTACT NAME (If Different Fom Applicant) (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 meapplicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)). f 0 Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: CD 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. S^Jhave and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation iysuranfce carrier and policy number are: Insurance Co. P^A^£-yV(JCi>1<<a Ml<«\q.r4.cffr\)rV ^ f PolicvNo. ^ ®f**\ 6 Q > > ^ fc? t) *> Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ 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 become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8,100,000), in addition to the cost of compensation, damages as provided for in Sectjsiu3706 of the Labor code, interest and attorney's fees. >eS" CONTRACTOR SIGNATURE -JL-~'^ S^—" — *- DATE 1 ~ M " <9 ation iysuranfce ( / I / / hereby affirm that I am exempt from Contractor's License Law for the following reason: n I, 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 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). n I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes n No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (incl ude name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): vfiTpROPERTY 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? O Yes n No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? d Yes d No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes CD No IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I hereby authorize representative of the City 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, 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit oc#tte building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 'APPLICANT'S SIGNATURE I J /" C/\_—-^"—"" ~ DATE *Q — f I City of Carlsbad February 23, 2010 SALLY A BARR 2280 CAMINO ROBLEDO CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: WATER HEATER Building Department Permit Number: CB091527 Issue Date: 09/17/2009 ADDRESS: 2280 CAMINO ROBLEDO PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 03/16/2010. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "EXPIRATION. Every 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 work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-27OO • FAX (760) 6O2-856O Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 PA Of Contractors LIcwieBoard Contractor's License Detail - License # 705790 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. » CSLB complaint disclosure is restricted by law (B&FLZ124jy. If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on (Pie link or button to obtain complaint and/or legal action information. -» Per B&P...7Q71J7, only construction related civil judgments reported to the CSLB are disclosed. * Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. DESCRIPTION License Number: 705790 Extract Date: 09/17/2009 HANNA PLUMBING & SUPPLY INC Business Information: 643 SOUTH SANTA FE AVENUE VISTA, CA 92083 Business Phone Number: (760) 726-2002 _ Entity: jSorpojafon _ Issue Date: 05/01/1995 _ ___ Expire Date: 05/31/2011 License Status: This license is current and active. All information below should be reviewed. Classifications:C36 PLUMBING This license filed Contractor's Bond number SC6018682 in the amount of $12,500 with the bonding company AMERiQAJiCOMBAQIQBSJNDEMNIIY COMPANY, Effective Date: 03/02/2009 Bonding: Contractor's BQndjng...Hjsto,ry ||jjpj|i^^ 1. The Responsible Managing Officer (RMO) EDWARD FRANK NELSON certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 05/01/1995 This license has workers compensation insurance with the PEMNSYLyANIAMAM^ Policy Number: 2009003396363 Workers' Compensation: Expire Date: 01/01/2010 Workersl.C..Q.rn.EensatiQn.HjstQ.ry Conditions of Use | Eriya_cxPo!icy_ Copyright © 2009 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 09/17/2009