HomeMy WebLinkAbout2421 LA COSTA AVE; B; CB061537; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
~ .
06-02-2006 Plumbing Permit Permit No: CB061537
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2421 LA COSTA AV CBAD St: B
PLUM Status:
Parcel No: 216240552~ Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: CAIN RES-REPLACE WTR 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:
JUREWITZ LEE I
2421 LA COSTA AVE #C
CARLSBAD CA 92009
ISSUED
05/31/2006
LSM
05/31/2006
06/02/2006
$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: $0.00
EXPIRED PERMIT
Inspector:
FINAL APPROVAL
Date:
PERMIT HAS EXPiflIO IN 11:;r:OFffiANCE WITH C.B.C.
SECTION 106.4.4 /'.S />.M!:N0W BY C.M.C.18.04.030
lJATE~o JSIGNATIJRE&-,ll:la~'A...,v1-C----
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred lo as "fees/exactions." You have 90 days from the date this pennit 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 wilt 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
in fwhih hv rvi I Tl E imilr hi r hihh flimi in h r i I
FOR OFFICE USE ONLY
PERMIT APPLICATION
PLAN CHECK NO {]£o(o 1 '5!47
l:.ST VAL
Plan Ck Deposit __ l 11 _ • 1
Validated By ___ ~ CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008 Date ____ O_-__, 3 l / Ofo
..
ACd1H, (lndl.ld~ Sldg/Surlo #) l3usinose Nam11 (at this ~dress)
Loi No. SubdMaion Namen-lumbo1 Unit No. Pnase No,
Existing Use ProposecJ Use
o-;.c,,puon of wor--;:-"" --,--
WATER HEATER REPLACEMENT
SQ.FT. # of S1or"" II of Bedrooms .1ct ba, o
'J.. CONT~CT Pt:R~Qti (It dJffilrgnt f!QIUA-R!l ... c .... 1n ... t1 _____ -·--------
___ .MIO:!Ell.E..CAU~,I 2421 LA COSTA AVENUE #81 CARLSBAD, CA 92009 760-635-8602
1,ame Address Cil)' Slate/Zip
~-APPUC:AAT ~AIIMtf9f.Cootradpr' •
Name Add.-.u -Ccty --Telepnone ~
City State/Zip Telephone#
L. QmJBA!il (Sec 7031 5 8u11neu tnd ProleslloN Cod•. Any Cit, or County Wfiic:h requires a permll to constM:~ alter, Improve, dOmollsh or r,opa,r any .vuctur,• p, • 'J
al10 reqwes lho applieanl lor SU.ch pormtt 10 Ide • 1igned statement that he It llccn•ed purauant to the provisions of U1e Con\/l1Clor'1 L,cen,e Law (Chaptc, 9 .-
Sec~on 7000 or Division 3 o( 1h•8ualm.t1 end ProfeuioN Code) or I.hath• 1, exempt ll'lo,.trom, end Ille b•si1 for 1he alleged exerr.pt,or Any" ,.,t '-,. • ,
1AL~s'rAt w rni;t~i'fArrnsppltcanl to 301oo'i~~tR'fbVAtt1MflW~ t1olt~iijl\lh CA 92584 800-72 7-0977
Name tv.>dress City -State/Zip lu,ci,r.:~ ,,
State License # BJ 2B94 License Class ___ C36 City Bus,ness ltCc1n~"' 11 _Q;l. I Ll I cg'
Designer Namo: Address Cny Stale/Zip
S:ate L1~nse II _______ _
6, _-.y~~~.C~..f.!f.~%:UON "' ;-,( / · i >, • • ,·'ii·,>:,·,.,, · ' .
•'-"'ke·,· Com~,msauon O.d1111uon· I heruby alflon under 1)61\Gtty of peryury ono of !ho lollowlng doc:tara\lons
o rui.o and will ma,ntall\ • een;fi(:a1e of C011sent 10 setl•in,ure for w0<kers· comp<inga!lon as prov,dod by Soc.uon 3700 ot 1ho l•u0r Cu.:e •~• ·1, pe,•
for wh;e!l 1h11 ~rrmt ,s IHUOd. ,Jr!!" I n •• a a~o will ma111\a111 wo,ket'a compe-Mabon, H required by Secuon 3700 of tho labOr Code. for the pc,111,m1JrtC¢ "' tM .,v,, 1,1 ,11 " ,
,,o,;,.ura ::omp,on~ton 1n•~'•Ef(j~l3 and P01k:y number aro: 176164104 9/2006
111•utanc<1 Company _STAT ______ Polley No-_______ _ E""' ~~c11 C!.11.;
\THIS SECltON NEEO NOT 13E COMPLETED ff THE PERMIT IS FOR ONE HUNOREO DOLLARS ($100) OR L.l:SS)
0 CERTIFICATE OF E!XEMPTION: I c:ef1ify 111111 In the perforJl'lorice of tM worl< for which this penn~ IS IS$U04. I sh,d 'IOI u" ~-~, u 1y .,.,,,
:,,, -omt 1wbJOC1 11> Uld WO<kera• Compe lion Laws of C;iJ1/om.a.
WARNING: F11lutt 10 Ht ute workera'
uo,llr<{SI00,000), In ad\llOon 10th• cot ol co
SIGNATURE
!•.S~Jl!li3U I h6telly affirm tna1 t am
□ 1, aa oNner ol the propeity or my cmproyees With wages aa theit wle C(IJT1pOn$11UOn, will d lhe work end tile structure 1s not ,nten<!id or otte,ce, 10• •• ~ '3~:
u.s.oeu and ProhUSJOIIS Cod&. The ContraCll>l't License law doet not '!)ply to 1n ownor ol property who builds or 1111pro11as u,oreon. and wno doos ,,,,. "'"' • n
wough n1s 014-n emp10-1eea, provided lhllt $UC!\ 1n1provomer1ta are not Intended or ollert<I ror 111110. It, however. the building or ,mp,ov .. m~r.1 , , .,u .. ,., , , ,
comple1ooo, tile owne<,bu~der wiU ha~ th• burden of prOVl/lg that he did not bYid or lmprovo for lho purpo~o of sale)
□ I. a. owner ol thl propeny, em excJusively contracting with hconsed contn\1:tors to c:ooWuct !he pro;ect (Sec. 7044, Bua.n11s. ;,Jld i'rotes,><>r • c~~• ;n ••
Leena. Law don not apply to.,, awner of propeny w110 bvird• or lmpro,111 thorl)On, and contraciJ for suci\ projects w1lll contractor(s) 1 :or.<ud purs,.J, 1 , ..
L Ctr\M LIN)
D I am •.emp\ urn!er Soe1'0n ________ 811&lno1 and Prole;.sians Code for 1h11 reason.
l pti<SOna,ty pf:ao tc pro,r.oo the maJot labC1 and materials !or e¢n$1/\lC11on of Ille proposoo propcny im~rov11m~111 □ Yl· S U •,.,
1 \~&,e-~e.e no1) s1neJ an appt,caoan tot a b~lcMg permit !or lh,i propo$od work.
~ 1 ~•,u c.ontracted v,,111 uw lotlQW1n9 pur$on (fum) to provide U1e propoae<l conatrucuon (,neJude n3mo I oddreu I i,non~ numu~,, "'~ • , "' , I •
, p,an IQ p,o,11de porl!OOS ot U'le work, txJt I have hired the following per$On lo ooordmotc, supervise ond ptov,ao tn., m.i.v, ,.,c,,. 1,11elu,1c r,in.e, u~~·•
1on11ac10rs li..-ruo number): ________________________ _
s I wit pro-,1,de ,ome of !he worl<.. bul I have c:ontracte,S (hired) !toe fotlow,ng poisons lo provide the wo<k md1calcd (u1Cluuu nam~ I uciU: us. 1 ;,1:J1 t • u·, . • ...
l'RCP(h TY 0'.-\/1,ER SIGNATURE _____________ _ DATE
WHlTE: File YELLOW. Applicant PINK-F,n,,1,cc