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Home My WebLink About2613 LA GOLONDRINA ST; ; CB062941; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-11-2006 Plumbing Permit Permit No: CB062941 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2613 LA GOLONDRINA ST CBAD PLUM Status: Parcel No: 2155621800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: ZIMBLER 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: BROWN SHARON ZIMBLER 2613 LA GOLONDRINA ST CARLSBAD CA 92009 ISSUED 10/11/2006 LSM 10/11/2006 10/11/2006 $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 f~; :,·':RED PERMIT Inspector: Vi''" 1n 1iAS EXPIRED IN ACCORDANCE WITH C.B.C. ,frt' ·-.ci'I. :,d ~.4 AS AMENDED BY C.M.C.18.04.030 GA;:, _.\Q\O~ SIGNATIIRE_..Q¼-""'.,_'/' ___ _ 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. lf you protest them, you must fo11ow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required infoITT1ation with the City Manager for processing in accordance with Cartsbad Municlpal 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 seNice fees in connection with this project. NOR DOES IT APPLY to any PERMll'. APPl,ICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Address (include Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel # Existing Use FOR OFFICE USE ONLY PLAN CHECK NO. a2> {)(o .;:;fl 4 / EST. VAL. __________ _ Plan Ck. Deposit _ _,_.,,,__~,.__ __ _ Validated By ____ ~~------- Date ____ _,_jo(li{c=+-'-'\ l'-+-"0:..,,y,£..-- Phase No Total# of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3. AP►UCAHT ' . C Con,acl:ii',· ;:• (lzf ~tnt ,1dli:.iibli ·. . ;;;:' ;'I;! :a..ii,,;:im:,:, i?i/;: ii ; ,'f:j]:i!llo~t~i~iiliiii.-:r: ' .. Name Address City State/Zip Telephone# 4, P£Ptir:£~ :.f/!l~z'~i}r__ 1~: Jllit!izii~~~;;.o 0 c:/fdJ~: ·. Name Address City State/Zip Telephone# 'e~;;<, '¢:otttifAi'tl~~;lil.7:Qi!J&fiii~¼¥1!~i(f]iji1)1~?."~~r:~k~4yfU_m~El:/!1j!~~~iitli~j]~Jlf~~,r.~815~~,~tlil!mllf;:'f=i(i~;,E#:r,~ml:l!1fft~~';!il~i(i("ii1iij,~3;;;;,:;;~E~1_:;'1:~ ;~:p;:pt;! (Sec. 7031.~ Busine11 and Prof111ion1 Code: Any City or County which r1quires a p1rmit to construct, alter, impro\le, demolish or repair any structure, prior to ita issuance, also requires the applicant for such permit to file a aign8d at1t1ment that he is \icenHd pursuant to the provisions of t,e Contractor'• license Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Profe11iona 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 a civil penalty of not more than five hundred dollars ($500]). ~ t"'"'!.t._ r ./ 8/.-LS~.&>c-Tc:Z--HE1tfr€-'iU 3a2>CQ Pucino I/~ /4~.J, r1. ( 7 :1 e, .. Name d , ·7 !-n t,/ Address /I ~ / City State/Zip/ Telephone# $'£4,• 1 'Z--'7 ct""j'"): State License# __ _Q---::r;;a_~~~~l__ License Class __ L.u===---,b:.._______ City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATION' Workers'. C;mpens~tio'n D~cia~citi~~':. i 11e·~eb;i ~ff1rm □ 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 o I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the pertormance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: . Insurance Company S7ATc ·Ft>) 0 Policy No f ] 6 / fu '{(O '{ Expiration Date 9 ~ (-0] (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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' Compens dollars($100,000), In addition to the c;,.,..e,v• SIGNATURE 7. · OWNER·B.~ILP;Jl:'.pl;\1 C ·fornia tJv age ls unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand amages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees. DATE lo ✓s,'-o i. I hereby affirm that I am exempt from t reason· D I, as owner of the property my employees with wages as their sole compensation, will d 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). □ 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) □ 1 am exempt under Section ________ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES D NO 2. I (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 I address/ phone number/ 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 (include name t address I phone number t /ontractors 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 I address/ phone number I type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _