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Home My WebLink About2524 LA COSTA AVE; ; CB032559; Permit. ··---··-·------ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 69-17~2003 Plumbing Permit Permit No: CB032559 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2524 LA COSTA AV CBAD PLUM 2163600300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 09/17/2003 RMA 09/17/2003 09/17/2003 Project Title: SOROUSH RES-NEW WATER HEATER Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Total Fees: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: AZAR HELENS 2524 LA COSTA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 FINAL Date: Issued: Inspect Area: 4334 09/17/03 0002 01 CGP $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 Balance Due: Clearance: $27.00 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 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 feeslexaclions 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 xinfhih imilrhi 'h 'h 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.a C{J d 5.5:7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ____ ...,,,. ____ _ Validated By /IC.i- Date q / I 7 r@- Business Name (at this address) Legal Description ubdivislon Name/Number Unit No, Phase No. Total # of units Assessor's Parcel , Existing Use Proposed Use I of Bathrooms Name J, City State/Zip Telephone I Fax I S"::- Na e Name 6. CONTflACTOR~ COf,/IP.ANY.Ni\ME , ,,1.;;)t\, • ., __ .1-~' ~--\ .. . ~ ,:,-. ; !Sec. 7031.5 Business and P,olessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure. 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 Code) or that he is exempt therefrom, and the basis for the alleged oxe tion. Any violation of S ctio~ 7',31 .5 by any ppl~nt for~ ermlt subj c1s;.ha,.,pplicant to a civil pe al~y f not mo than Jive hu_ndre~olWs 1$5001½ , ,".) .f.' (I.} ;/_.l),(li}1 · \ · iJ.. · '.,l l . · ~ ov .>,U. Cli /,J.l..;i Address City State/Z~ Telephone II ~'3 &/7•7 5J{ State License II _~..,...~ ...... ~~---License Class -'"-'-...._...,,__,.._-t--"--"'~..., City Business License II /0 '.3.Q '] 0-0 Designer Name Address City State/Zip Telephone State License # _________ _ 6. woR1<1:11s· col',1eENSAT101t-,,.· ,,., • ,. • ._. • ,Jd _,..._ ... ,. · ., ,4 ~ ·wr.c _...., , . 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. b I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic this permit is issued. My worker's c~~e~s~~-~ i~surance car!!eAnd policy number are: ' ng ~ 0 , .( 12 ·-' \ . 0 I - Insurance Company UV 1 ( ::::> B IJ ,;:, t'\ Polley No. O\_ =2 D lJJ j .. :J O _ Expiration Date._.-1--=-l -+ ___ v:.J;:;.__ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tha 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 aecure workers' compensation coverage la unlawful, and shall subject an employer to criminal pen thousand dollars 1$100 0001. In.ad lion to the coat of compensation, damages aa provided for In Section 3706 of the abo SIGNATURE ,\ DATE __ .._,1-<'--'=--1-..,_-~ ~ he;~~v:~~~Bt~~t~Ea¥ ~~;~~!~Nth•~-~~~~ -;,J.~lct'!~s~~ii::~fN ~~~~•:!-;;~; :1;,: •. t~/;L .,l~ · : ,, ., • L 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and tha 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 salel. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project !Sec. 7044, Business and Professions Code: Tha Contractor·s license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Law), 0 I am exempt under Section ______ Business and Professions Coda for this reason: l . I personally plan to provide the major labor and materials for construction of tha proposed property improvement. 0 YES ONO 2. I (have / have notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person lflrml to provide the proposed construction (include name / address / phone number / contractors license number): 4, I plan 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 number / contractors license numberl: ______________________________________________ _ 5. I will provide soma of the work, but I have contracted lhiredl Iha following persons to provide the work indicated (include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ COr,1PLETE THIS SECTION FOR NON..-R.fSIPP{.T/AL IIJl~QINQ_;fiRMtTl;QN!.Y~:t~·it'Vr.~ ~.;,.,:~, ~• _it-..L .i...:,: • '• .:....... 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 25506, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act 7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CON~TRUCTION LEr,IDIN(i ['GE_N\'.:Y •1, ,,1, , ,,.._ • · :,. ,. ~ --~~ f, ,:', .. :../ .J, 1 q ,· , ;, ,. I hereby altirm that thoro is a construction lending agency for the performance of the ~9rk for which this permit is issued (Sec. 3097(il Civil Coda). LENDER"S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 9. APPLlCANl'. CElrnFICATION . ,', ,(• .... ,. . ' .., 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 Cltt of Carlsbad to enter upon the above mentioned property lor 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building OHiclal under the provisions or this Code shall expire by limitation and become null and void ii 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 sue permit is suspended or abandoned at any time alter the work is com'ref ced for a e d of 180 days (Seer n 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE U ' \ I ' ' z_ DATE --'-++->~+.>..,_..,_~----- PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/26/2003 Permit# CB032559 Title: SOROUSH RES-NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2524 LA COST A AV Suite: Location: APPLICANT ARS Owner: AZAR HELEN S Remarks: PM PLEASE Total Time: CD Description 25 Water HeaterNents Lot 0 ~Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604368930 Inspector: ..J\iv-__ Requested By: HEATHER Entered By: CHRISTINE