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Home My WebLink About2413 LA COSTA AVE; C; CB101581; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-25-2010 Plumbing Permit Permit No: CB101581 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2413 LA COSTA AV CBAD St: C PLUM 2162405534 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 BRODERDORF RES-REPLACE WATER HEATER 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: CINDY BRODERDORF 2413 LA COSTA AVE STEC 92010 619 544 6839 Issued: Inspect Area: ISSUED 08/25/2010 LSM 08/25/2010 08/25/2010 $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: fNI: ~~ FINAL AP,ROVAL Date: <=>~ oL/ Iv 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 th'1s pem1it 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 f"~"1"u~~1inn1: nf whirh "'"' h::ivP nr,,.'Ji"' '"I h.-v-.n niven ::i NOT/f'C simil::ir tn thi<: nr ::i<: to whir:h th,c, stat• '1" "f limit::ition<: has nri:,.y/ni 1slv ntherwise exnirAd. ~ . «r-.~ ~ CITY OF CARLSBAD EXISTING USE Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadc3.gov SUITE#/SPACE#/UNIT# Plan Check No~ IO Est. Value Plan Ck. Deposit # BATHRO MS TENANT B INESS NAME D f, GARAGE {SF) PATIOS (SF) DECKS (SF) FIRE SPRINKLE NO □ YES O NO CONTACT NAME (If Different Fom Appllt:ant) APPLICANT NAME ADDRESS , s s. CITY CITY j Vt~n PHONE \ '°:)-(ooJ EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS CITY 0 --, ARCH/DESIGNER NAME & ADDRESS STATE UC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, improve, demolish or repair an~ structure, prior to Its Issuance, also r~u/res 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 exem;;,t therefrom, and the basis for the alleged exemption. Any violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (j500}). WORKERS" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty ofpeljury ooe of the following dedarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensa6on as provided by Section 3700 of the Labor Code, for the performance of the wOlk foc which lhis perm ii is issued. '!ii I have and will maintain workers' ,omp~satlon, ao requ;,ed by S"t37dV)e Labor~~, penormance of~• wo.-k for wt;ch ~?, pem,lt is issued. My wo.-1<8"' compensatittt; r,im« ("" poflCJ '(\numbe,ere:lnsuranceCo. ~'f ~ %V11l C m PdicyNo. oUJ I o003J94'15'23 Ex~rationDale l o/ This section need not be completed if the pennil is for one hundred dollars ($100) 01' less. ' □ Certificate of Exempflon: I c · in the performance of the work for which lhis permit is iSsued, I shall not employ any person in any manner so as to become subject to the WOlkers' Compensation laws of California. WARNING: Failure secu workers' compensation coverage Is unlawful, and shall subject an empfoyer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In ages as provided fo In S tlon 3706 of the Labor code, Interest and attorney's fees. I hereby affirm that I am exempt from Contractcr's Ucense Law for th& folkYwing reas-0n: D I, as owner of the property°' my employees with wages as their sole compensation, wiU do the work and the structure is not intended or offered foc sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds°' improves !hereon, and who does such work himself°' through l!iS 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 lhat he did not build or improve for lhe purpose of sale). D I. as owner of the property, am exdusivety coolracting with licensed contractors lo construct lhe project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not a~y to an owner of property who builds or improves thereon, and contracts for such projects with contraclo((s) licensed pursuant to lhe Contractor's License Law). D I am exempt under Section _____ ,Business and Professions Code for lhis reason: 1. I personally plan lo provide lhe major tabor and materials for construction of the proposed property improvement D Yes D No 2. I (have I have not) signed an applicalion foc a building permit for the proposed work. 3. I have contracled with the following person (firm) to provide lhe proposed construction (include name address I phone/ contractors' lic:ense number): 4. I plan to provide portions of the WOO:, but I have hired the following person to coordinate, supervise and provide lhe major work (include name/ address/ phone I contractors' lic:ense number): 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the opplicant or h$ure building occupant required to submit a business plan, acutely hazardous materials registration fcnn or risk management and prevention program under Sections 25505, 25533 or 25534 of the . ~esley-Ta1V181' Hazardous Substance Account Act? □ Yes D No Is the applicant or Mure building occupant required IO obtain a pennit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be 00!'\Structed within 1,000 feet rlthe outer boundary of a school site? □ Yes 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION lce,tify111atl,_"'1dlhe.,,,,._.and_111atlhe,_lnfunnationls00m!Ctandlhatlhel-on111eplansoaccurate.lagreetoCOffljllywlthallCltyollilnancesandSlalelawsl9latlngtobulldlng-..:1 lherebyaullorizerepresentaliveoflheCllyofcalisbadl>enleruponlheabovemeni>nedprope!\/i:lri"<pedion""'°""'.IALSOAGREETOSAVE,INOEMNIFYANDKEEPHARMLESSTIECIJYOFCAALSIW) AGAINST ALL LIABLITIES, JUDGMENTS, COSTS AND EXPENSES l'w!ilCH MAY ti ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GAANTtlG OF THIS PERMIT. OSHA "'1 OSHA pemil o reqt.hd i:lrexcavalions CNe(S'O' deep and demolilion orOll'oSbu:lilnof silucl.lesOYer 3 stxies h heig'I. EXPIRATION: El'BI)' pemil Issued byl>e'l!lillcg Official irderlhe proYisiolls of tis Codeshal e,pie by-and becareool and ,acl Jf,e bt.ti1g or""'1< ""1orized bysudl pemili; no(a,,11,.,IOOd v.ilil 180 days Ian Iha dal, of sud! · or W bt.ti1g or ""'1< aulhorizsd by sud! pennl is suspeooed orabandcoed at any tine aller tie WOik i, """'"' I08d i:lr a period of 180 days (Sectia1 106.4.4 \rlbm Buidiig Coe -------'!S' APPUCANT'S SIGNATURE ~ DATE [f'~d).r~/o City of Carlsbad Bldg Inspection Request For: 08/31/2010 Permit# CB101581 Title: BRODERDORF RES-REPLACE Description: WATER HEATER Type:PLUM Sub Type: Job Address: 2413 LACOSTAAV Suite: C Lot: Location: APPLICANT HANNA PLUMBING Owner: Remarks: AFTER 4 PM PLEASE Total Time: Description 0 Act Comments Inspector Assignment: Phone: 7605003312 Inspector: M C. ---- Requested By: CINDY/ KATY Entered By: JANEAN CD 25 29 Water HeaterNents Final Plumbing ..J'!§!_ (3.xi~rt-,J,,tq l,....oC.A.~ __fL_ $retlf.S b\?. Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments