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Home My WebLink About2616 LA COSTA AVE; MULTI-PERMIT FILE; CB090361; Permit03-10-2009 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB090361 Building Inspection Request Line (760) 602-2725 2616 LA COSTA AV CBAD PLUM 2162800300 Lot #: 0 Construction Type: NEW SILVER RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/06/2009 KG 03/10/2009 03/10/2009 PATRIOT PLUMBING STE 104 SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 772 JAMACHA RD EL CAJON CA 92019 619-579-8929 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: Inspector: $27.00 0 0 0 0 1 0 0 2616 LA COSTA AVE CARLSBAD CA 92009 $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 Payments To Date: $27.00 Balance Due: FINAL Date: 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 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 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 f es/ xacti n f hi h u have r vi I n iven N Tt E imil r hi r s to which h s t f limi tion has revio I the i x ire . Mar 06 2009 3:06PM HP LASERJET FA>< 619-441-7847 p.2 f Clt~.of Carlsbad (i) Plan Chedl. ✓.7Mf tJ 3~ / 1636 Faraday Ave., Carlebad, CA 92008 Est.Vllkle 760-602-2717 /2718/ 2719 Fax: 7-02-85!58 Plan Ck. Depoalt ./ Bulldl1111 Pennlt AppHcatlon Date ~--~ -er/ I /.-&, --2818.1.a Coeta Av•, Carlabad, CA -82G09 r· / . . • 1~·· 1-· r Y• UNITS r el'.Diwu,-I _ .. 1---·"· --= -lnstaU new 40 gallon water heater --·-·-I ... lwwc.-.GE (SF) PAll'UtilSF) IQE.,.""' 1<1r) "·--l"'ft~trr ..... , ...... 1 lt-ln.a....-nlNKlERS YES[],. •oCl ONO□ YES□•oCJ OCNITIOl'IIAMS ,,,....,..,_,...,__ .,.......,._ Kirk Pulsl!mer / PliblcltPlumblng M)ORESS ' AOOAESS m Jamac111 Rd., 1104 CITY STATE ZIP CITY STATE ZIP EICalon CA 92019 PHONE PHONE I"" IFAX ' 619-57N929 819-441-7847 EMAIL EMAIL patrtotplumbln~ Pllll'Bn'OIIIIB MME '--anlSllvlr ODll'mACTOlt-. Ula Pllrlot Plumblna. Inc """''" ADDRESS 2818 La Costa Ave 772 Jamacha Rd., 1104 CllY $TATE ZIP CITY STATE ZIP caitabad CA 92809 El Caion CA 92019 PHONE !'HONE 780-M2·1899 I"" 619-579-8929 1 • .. 819-441-7847 EMAJL •MAIL patrlotplumblnll4latl,.comA-/l / ARCWDGG•,.-••-1•r.1n,c.• s,,neuc.• la,,ss .. .AL,{J / ~ , · 7188119 C36 -,, - (Sac. 7081.15 B•lnwand PrDl'Wionl~~orCOu~whlffl ~ulres • ~1Dconltr'UC't,allar, lmprowe,detnollah 01nic:1ranL~r~ nog,~., .. ~ =1cantfDl'suct1perrnlttDl'll9a:«: antit Ndpu u1nt10tneprOY111on1ortneconuac1Dr"sUcaMOL1W~r , ~ n r Gf cft:119 MN and Pro11Nlo COCI or MlaltJllllrn ttlarefrcm,andthietllalltRlrtl1tal,eaadeztmpUan.M'fvlellatlonol8ectloll tiv•ny• • parmttubjectsth:e pllclnt:101 WOfll<EllS COMJ'ENSATION Wa'IIIII' Co. ; ,,_....,_:I ...,_,.111/frmlNll',-.rfJ,ol,-Jltonedl'llt lbllr:llltJfl~ □ I IIIIWll#lfwll ~ aCHIIIIIIII dCOIIMlllto ttlMlllllfl farlflltlltn'~rullll. • prow:lld ti, Sldlol\ 3100 of the l.lb)rCode, ftlrlht Pl'f0tmat101d Ill workforWKI! Ha pernl. ISIUlo. 1£1111 ..... 11w11 •1nt1M IIOtllWI' .-I ,. • raaulMd bit' Seclon 3100dltltl.lllOl'COdl. fllrfll perfnnnalCe ofh 'llf0r1tl0rlllhle:h a,g permit IIIUUld. MJworkanl' CIIIT1Jllllllon N.lraa.....,.npall,j 11111W11a l111LA1101Co 1-tfiilllt PollGyNo. iW.W IN EJpntk1n C. -- DIJLMCbl 11■-i nol btcomplMll:I Ir. permit Ill tronehm'ld dol .. {StOO)orlau. LJ Clllllclll ~bnflllNl:I Ol"lfy llll 11'1 lht~dtlllwrt t>rwhkttlhil IWl'Nt:lsiaued, I ahd not..__,,. peraon h any 11111111r so 11fDbeoelrN1ut.1■c1 tD lltWOINtl' Ca,..._tcfl lMII of Caaml■. WAIIIIICI: F,11 .. 111-. 9CIIM' liClllflllllCII CDlfll9Mll i1unllldll, Md 1h11 fi!lljlal ai emp!OyertocailnNI plltlltttll 111d dvll flaN 1111toonehulldtldWMIIICI Cloln (1111.00lt~ In allclllCIIIO ... ODltct'c r ................ ..,.,__~ mtofihelll:lorcode.lllllNltmddorM'llr.... ..s-- ,,.,.,.,._,.r, .. ,_,,1mm~Uc.iln8et..,o,,-~IINSQ'J: □ l,atlll9' Dlh pRJPlllrOl'fflY~Wlltl-s,11 MlllllraGII Galllp■IWlllan, wll do Ill woni: ft lhetlnmlln II IICll lrandld oroffnd fQrSIII (Sac, 7044, ei.....llld l'dllltnCode:: TIii Conbletr'°I l..iClnM Llwdotl notallPl,toancwnwd~ 'Mio bu~ ormpftMlflellOII, •dftaou1Ldlwark. lnselorthfculil hllowntl'IIClbVIR, P'O\llclldNadl ilnpft)vernlnlln DOI lnllncledorofflnd tr u1e. •• hclrfttlMf, t.t bl!Nl'I orilnpnMmllnt l1soldw1Nnone ~ atcompllMlon, 1111 o,mer-buld!lrwll hlJIII .. bUlo9nflfllftMro1hdntdld not t.uld rx nlPIQWl9t:>rlhepurpo11 rlllle). D 1,aOIIMll'ofbp'°""'1, an ....,mnacti,.wthllowedcorn:tlclto00111tnd thepafact(Sc 7044, BUSNIIA'III PrnssbnlCcdl: Th1Connctrw'll..lcen111..1#0)88 rGtllPllfVtoan.,..ot ~'I.ho buldlorlmPM191henlan, a,d ODntrm t:,rtueh pfOllm Mtl'l00m'Df(I} liowlllClpinu■nlto IIMI Conradllr'1 L.lclnN I.al). □ lnNJfflPl!undlrs.ctilll__BUllrllaandPrdlllioraCod•t:irllil"'90n: 1.1-po,~-,.--.,.-•,.,ca-•Gfttw,_ _ _,,,..._ [JYes 0No 2.l (IIMlll-lltll)lipelan8Pl)bllonfor•tul:lrvp1rmHforltllpapolldwork. 3.1 ..... CCll'llradld • ._folowlrll petlCll'I (lnn)b~ lie pl'Op:)lldo:r,ti\mn ~ncu!er, ... addrasJ lll',Onl /oor,n:1011' bnle numbel): 4. I plM D~ portlonsdbWl'Jfk. bl.II I hM hndbfal:lwq pnon acoon1Mte, SUP8fYIS8 and~ t.e fflljOrw:ilk (i0Jdtllll!II I md1911/ ~ I cootrtell:n' .._ 1M1111): 0. I Wiil pro,idt lCIN oflhew,lt, bit I ~IM oordrai:ad{hnd) tefol<MtV pnan& ID paldathe !Mllilrd3ad ~rcluda nm11 / aknal phaneJ t»ll9d1MJIIQ: Mar 06 2009 3:06PM HP LASERJET FA>< 619-441-7847 p.3 C:OMPL!:TE TH!5 SECTION FOf? NON RESIDENTIAL BUJLDING PERMIT5 ONLY , ..... CONl;lfllJ<.7JON l.l:NOING AGENCY I llnllJ-lhlltlln111 ' ~ -for lie po-co ofth■ W0Jt th~ porml i1 islutd (Soc. 3097 Ii) Ci,il Ccdo~ --' . l.Mldn-- APP'LICAN-r CEllTIFl(ATJON ,_.,.1_-■1 .. -•4-M1M--lo-llld--0111hl,,_.lo_l_•-""~ICIJ_,._.,. ___ IO __ I ~---ol111Cllrofc■11baiD-upo1ti'o--~forlnopldial,._,IM.SOAGREET06AVE,INOEMNFVNll!EPH,IRl,l.fSS TIIECl1Y CF 0IRS8Hl AG.IINST ILLUABIITES.JUllGloENT's.008TSAlllEJCPEIISESMIQI W.YIN Al«WAY ACCAUEAGf.NST S.W CllYIN ~EN<E CF THE GRANTING CF TltS PEIUT. oa-i.:AnOSW.-•req,iodlor--fadNpllld_.-..,..._.,,.._.,.,3_•_ EllPIRA'lltl't e.,y,,,,,__,,, ... Ulilllca:lll•ndor"",,_..,11i1Ccdlllllllla,piol"'_ ... _,..,nd,ollrt1111.Jldroor __ ,,,"""_" ... -- 18lcll!OlmllodoltoflUdl-d'~l ... ~pdc~ byadll8ffl(ls.,...-.tedor-•a,y1m1•tieall-tlr1polodof180dll,o(Sdln 10l!.4'4111ifarnaillir0Codl). ..es'APPLICNfl'IIMNAlUR! DATE ? • {#, Q m . • . . City of Carlsbad Bldg Inspection Request . . Permit# CB090361 For: 03/13/2009 Title: SILVER RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: 2616 LACOSTAAV Lot: 0 Inspector Assignment: Tv\/\., Phone: 6198437870 Location: Inspector: OWNER SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 Owner: SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 Remarks: ---- Total Time: Requested By: KIRK Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents _f;Q_ _____ _ -----------~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 03-26-2007 Job Address: Permit Type: Parcel No: Reference#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB070805 Building Inspection Request Line (760) 602-2725 2616 LA COSTA AV CBAD PLUM 2162800300 Lot#: Construction Type: SILVER RES-REPLACE WTR HTR 0 NEW Owrier: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/26/2007 LSM 03/26/2007 03/26/2007 FAST WATER HEATER COMPANY SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 12601 132ND AV NE KIRKLAND WA 98034 425 814 3124 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 0 0 0 0 1 0 0 2616 LA COSTA AVE CARLSBAD CA 92009 $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 Payments To Date: $27.00 Balance Due: Inspector: 1Z_g ' FINAL APPROVAL Date 'f~ /iJ.-,-(j, 7 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 this permit was issued to protest imposition of these fees/exactions. lf 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. From: 03/23/2007 13:05 1141 P.002/005 rvn. vrr,"a:; uoa:; vrn.1 PLANCHECKNO. (Us07 0%()~ PERMIT APPLICATION EST. VAL. ______ __, __ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 . Plan Ck. Oeposlt _-+--,.,----=.--- Valldated By __ .....,..,t ... ~~'!"------~I. Date ____ ~o=+"iJ=-.:.~4/~Q~:2~ ma 2616 b6 COSTA AVE -&mines Name (at 11111 ~) Lot No. SUbdlvlalon Name/Nl.rnber UnllNo. flhal9No. Total# Of unllll Exlsllnll UM DeacripllonofWork SQ.FT. #of8'°"91 # of Bedroom, # rt Bathrooms Remove/Replace Gas Water Heater Name Adel,.. City Fad 'A§j WATER H!TER COMPAN~ ~11 b2~~ !!I~, ·;;r .~l.,' -1•-,' J·•••~, ,,· ,· ,;•,J ',' , ,·• ,.·-, ' ; ; --, •.~ ,, .• •:; • <•~·-: -KIRKLANo;wA 98034 fll!fl~~614-R~R~ x ,53 Nama ~ C11y SlntJZlp Telaphone # SILVER.LEONARD . (?ARLSB!!, a 92009 ~ ' •••. -·, -~ ·, ' 'I I .j , . ... ..,. .. -. . -.. ' ,.. . ·. ' . . 'I. ~ -. , ...... ,., . ' ·,:: -!'R~i!H.11~!g Telephone# (Sec. 7031.15 Buslri-and PrufNllol,1 Coda: Arr, Cl!¥ or Counly which Nqll'" ■ pwml 1D C0111buc1, llllw, Improve, demoYlh or r■pllr sry auatuni, prior ID Ila lsluance, no raquns 1119 appllcant lorlUC!l permlt1D11111 a signed l1lltllnant thall,a 111·'-d punaiarO>tla pl0l/1Slorwofhl Connc:tor'■Ucanu Lll'w{Ql■plerll, commending Wltl1 Secllon 7000 Of DMllon 3 ot Iha BUIIMu 1111d Profelllo111 Cocl9] or that ho le -,,t lharafram, and 1ho ball for the all■ged -ptlon. Anyviolallon ofSecl!on 7031.5 by any applk:anl for a permJt subfecll Iha applicant Iv I clvlJ pe1111ty of not more lhm'I 1MI hunind doll■rl l$500]). . FAST WATER HEATER COMPANY 12601132ND AVE NE. KIRKLAND WA 98034 425 814-3124 Name Addreae City SllltitlZlp Talephone # s1a111 Llcanae # 877 489 . License Clas& C36 City Buelnee■ Uoenae # 1222302 . t>Nigner Name Add1N11 City Telephone# StateUcenee# _____ _ Workera' Compeneatloo Oedmllon: I ho~ amm, 111def p■nafty ot petflJI)' ona af the followtng d9claladcxla: C I have and wlll mal~ • cm1lftca of conarit Ill Nlf-ln■ure for woritenl' compenatlon u pn,vtded by 8ec1lon 3700 or 1he Labor Code, for the performance of the work far Which thla permit II lltuad. J( I haw and wtK m■lnllln wolkel'e comper-■llon, u 1911Ufrad by Stcllon 3700 of the labor Coda, for the performance ot the WOl1c fOr which Ihle permit II IIBU8d. My WOrkW'a comp■nufon lneurance Oll!Wand policy number are: · lnllUl'IIIC8Company California State Fund PolcyNo.1761660 •. Explr■llono.1e._1_2/_1_/_0_7 ____ _ (THIS 8!CTION Nl!l!D NOT R COMPI.ETl!D !FntE PERMIT 18 FOR ONE HUNOIW) DOLLAR81$100J OR ai-, C CERTIFICATE OF EX&IIPTION: I certfy that In 1h11 perlbfflllllCI d the WOik for wl1ldl 1h18 p■nnll III llauad, I ahaU not employ any pnon In IIIY manner so n to become ■ubftlcl 1a Iha WDlkarl' Comp■nlllllon L■wa of Calll'omla. WARNING: Fallin to 1■cun worlmn' coinpeneatlon C01M111111 111 urlll:wful, and ehell subject an ~r III arfmlnal perallla a,d civil fin• up lo ane hancll'ICI thouafld :::;;>, In ~~~7provldedforln 9eetlon l70I oftt,e Labor Code,~~ 1111111_3_~_3_7_0 .. __ 7=--==-== :--~,. ',' _/!,-1':.._ !,~ ,, ' • • • •• • ' ,' ~ :. ~-· ···_ < '~··'/.,.,.:~- I h■Jeby afflm1 Iha! I .., -mpt from the Con1rlclol'e Uca,-Law for the fDllowtng ,-: C I, • owner or th• JIRIJl■ltY or my~ wfth WIIQN u lhelr 80le compenatlon, wtR d 1he work and lho IIIUCIIJnt la not ~ct.d or offwl'■d for ale (Sec:. 7044, Bu~ end f'lulWllona Code: The ConlraGtg(• Llclnaa Law does not apply ID 1111 ownar at popeny Who bUllda or lmPfOYN lheleon, and who cloee 1uah work lllmfflf or through hie own employ,,es. provided that such lmpro\l'lllllenl:s are not lnlendecl or ollonld for •'--If, 'lloWIWr, the bUlldlng or lmpn,vanant ltl 101d 'within one YNf' af completlon, the owner-tiullder w8I h-lhe burden of~ that he dld not buld or lmpn,w for Ille pu1po11 of sale). C I, • owner of the property, ■m exck!IIMIY conu.cllng wllh bnacl ccmlraclora ID conllM:t the proJIOt (Sec. 7044, BUSNSC and Prol'ealona Code: The Conlrac:tlX's Ucenae Law do• not apply ID an owner of PIIIJllltY wt,o builds or lmJllllll98 tllel9on, and oonlnlal9 for 9UOII proJIICls with contraC1Dr(s) loanaed PIJ!lluant ID the Contnlallor'• ueenae Lew). O I ■m exempt l.l1der Sacflon ______ Buelneu■nd Pruf9alons Code fllrlhls IIUl■OII: 1. I penionally plan to pnllllde the major llbor and ma.rial• fl>r cons1rucllon ol tti, propond property lmprOV9111ent C YES C NO 2. I (hllvwllave not) ■lgnecl m'l appllcdon fbr I bulklng permit for the proposed work. 3. I h1111e conlnlctied with the following pinon (firm) to pruVl<l91hll propoNd conalnldllin {lllclude name/ lddnta/ phone number/ contr■dors llcenae number); 4. I plan LO povlde po,1lon1 of the worft, but I hav9 hired the followq paiaon to ooordlnn, IUP'fVI• and Jllllvfde the ~r work (lnclUde neme / addreas / phone number/ lonlnlctonl 1i-numbw): __ ...;... ______________________________ _ L I w81 proykle some'o1'1h• work, but I haft conlnlCll6(Nnld) h fololR1g l)IIIIOnllo provld9 lhe work lndlcalad (Include n■me/ lldC:lntH I phone n111111er / 111>• Of worft): PROPERTY OWNER SIGNATURE. ______________________ DATE ________ _ From: CITY OF CARLSBAD BUILDING DE.PARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of2 03/23/2007 13:07 1141 P.003/005 ". : •• •• ' • .. •' ' ' • • I •'' • • • • • • : 18 the applicant or A.llura building occup1nt '9qund 1D llllbmlt a ~ plan, aMlly h&rardoull ralllllllall ragl8UaUon for or r1lk l!UIIUlgllm,nt 111d p,e1191111on Jll'OG1"'II under SectlOnt 2111106, 261133or255Mor11le P"llle)o-Tannw HazaldOus Subs11nce AccoulltAct? 0 YES Cl NO Is the applicent or future bulldlng occupent required-ID ~n a permit from the air polklllon conllol dbtrlcl or ff quality m111111Q9111anl. dlatrlct? C YES C NO Is the facility 10 be OOlllltruclad wlhln 1,000 r..l of the outar boundary of a echool 111111? C YES O . NO . IF AHY OF THI! ANS\Wll• AIU! YES, A FINAL CERTFICATE OF OCCUPANCY MAY NOT BE IUUEO UNUISI THE APPLICANT HAIi MET Oft 18 Mll!TING THI! RIIQUIREM&NT8 01' THE OFFICE OF l!IIIRGmlCY ll!RYICD AND ntE AIR POU.UTION CONTROL DISTRICT. LENDER'S NAME _______________ _ LENDER'S ADDRESS -I cartlfy lhat I ~ !Nd Iha appllcatlon and llalll ttwt th• abcM ~allon la comtct and 1hat 11111 lnfomldon on the plana la acanta. I IQNe ID comply with ail City onlnanou and Sta!A '-relallog to bulldlre conslrucllon. I hereby authorlre ,..entatlllll otille City ofCarllbad to enter upon the abow mentioned pn,petfyfor lnapectlon JMPOMS, I Al.110 AGREE TO SAVE, INDl!IIINIFY AND KEP HARMU!SS THa CITY 01' CARLSBAD AGAINST All LIAISIIJTIEI, JUDGSlll!HTS, COST'S AND EXPENSES WHICH MAY fl ANY WAY ACCflUI! AGAINST SAID CITY IN CONIIEQUINC. Of' Tl« QIIANTING 01' THta 1'191MIT. OSHA: An OSHA pennlt la reqofrad for .-vatfons of 5'0" dNp and damollllon or COIIICluctlon of lllnJcllns owr 3 ato_lle8 In height. l!XPIRA 110N: ~ pllffllt r ... d by the buU~ Ol'lk:IIII lftler 1h11 provtllions of 1h11 Code lhal mcpt'll ll'f llmllltlon and becom• nul and void If the bul~ or work ·autiorized by 9UCh pennlt Is notconunencedwllhln 180 days ftom the' date ofluch pennllor lflhe building orworlc authorized by such permit la~ or .i.ndoned at any time abr thl work ill commanced for a period rA 180 daya (Sedlon 106.4.4 Unllbnn Bullclng Code). APPtlCANT'SSIGNATURE __ .,;..~.;..:';.../_..:::'-'-:_,'--:>~;;;:.: ·""'L .... ;:,...,_'~""·L;.;:;;::"-}='·a;;.:~""';""<,=:s<"""/'-'-•. : ..... , --------OATE __ 03_1_23_12_00_7 ______ _ City of Carlsbad Bldg Inspection Request For 04/11/2007 Permit# CB070805 Title SILVER RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 2616 LA COSTA AV Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Inspector Assignment: Phone: 7609421699 Inspector: ---b, _ _. Owner: SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 Remarks: Total Time: Requested By: LENARD Entered By JANEAN 25 29 CD Description Act Comments / Water HeaterNents') C-c, A/I} JtcU,~tl(Vrl~ ~a~~ 9;.3e, f$ ~ Final Plumbing .f \ ~ f>q~ :ti,, /P~ _, "T"".J ~ fl f' -Ca,,,1 t. j/4e fr: a_, 2-ii<,: n~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/26/2001 Plumbing Permit Permit No:CB012505 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Applicant: A&J FOSTER, INC. 2616 LA COSTA AV CBAD PLUM 2162800300 Lot #: 0 Construction Type: NEW SILVER RES/ NEW WATER HEATER Owner: SILVER LEONARD&CAROL YN REVOCABLE TRUST 10-26-98 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/25/2001 CB 07/25/2001 07/25/2001 STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 2616 LA COSTA AVE CARLSBAD CA 92009 5743 07/26/01 0002 01 02 Total Fees: $27.00 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 lnspectora L Total Payments To Date: 0 0 0 0 1 0 0 $27.00 FINAL APPROVAL Date: g ·9 ·tJ/ Balance Due: $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 CGP 27-00 $0.00 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 specrued fees/exact~ns DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have oreviousl" been niven a NOTICE similar to this or as to which the statute of limitations has oreviousl" otherwise ex"ired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO . .:'...'f:2Q/2fill CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ______ _ Validated By .1.C-i;f?,2;.c_ _____ _ Date 7 ':) r,--Q } Address (include Bldg/Suite#) <Legal Descr> Legal Description <Assessor No> Assessor's Parcel # WATERHEATER INSTALL Description of Work llllililliiiil < ame> Business Name (at this address) <Lot> <Subdivision Name/No> <Unit> <Phase> Lot No. Subdivision Name/Number <Existing Use> Existing Use <SQ FT> SQ. FT. <Stories> # of Stories Unit No. Phase No. <Proposed Use> Proposed Use <Bedrooms> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms ~:~mllll!Xlmillill~lllll~~ejjlllll!ll'llljJIJlllllllllllllll-liliiiliil■llllllllllllllllfflllllm!l:aillllllll!--IHIIIIIIIIII <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip Ml~li~lb9l~~-~~·IIIIIUlllllmliil111&~'--: Name Address City State/Zip Telephone# •"lllllll'l'"""'"""Ti1"'""N""~lll1ltllJ!!LlLl-110j-••"""'"'k½llit,illl"1li:,,,:,:,,,·f''i'!"l!m!!\!J1!111!!llll½ll!llll'IIIILllll!ill ___ .,.,_1m1,m1m--flll"'lllllll"-lH1 . m1~1x~~,,11/li':~'!.)~:,~sv"f?'lmJllillHililllllml N~•rm;,; 1!libMffi/¥\ <d,,·ct::J, ,.,--i-~· ,, .. .1,, <fu.1:.1; \J!lmlllllHJ11HY~lml!mrn1rn11n■-m~1w1i<1:J:im01 &Mmm LEONARD SILVER 2616 LA COSTA AVE CARLSBAD CA 9209 7609421699 Name Address City State/Zip Telephone# ""'ll"'~d~'l'RA¢lhR1C~Wu••·"'·""li!!·-,!l!!l,fUl;J•¾'j:,!'11·1111,1i;;0;>1' i'l!liL !!Hif,.~;--°'",--.1«ui!'mf1J!j~~HJll#Hrn:HJlll7Jlllllll1r1(, ,t;.;>,,:1i,, ,1, :.,'.;',: .r, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, or 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 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 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 [$5001). A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name Address City State/Zip Telephone# State License# "6~3~0~1~2~0~-----<Name> License Class _c_3_6 _______ _ <Address> City Business License # 121 0836 <City> ST <Zio> <Phone> Designer Name Address City State/Zip Telephone State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. li2I I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: lns"'ance company State Comp Ins. Fund Polley No. 00506395 Expiration Date 05/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 don.~-~"1), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE _____________________ DATE..,0:..:7..:./.!e19e,/_,,2ce0ce0..:.1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 l, 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have/ have not) signed an applicant for a building permit for the proposed work. □ YES O NO 1. 2. 3. I h~~ contracted with the following person (firm) to ~rqvi.de the proposed construction (include name l iltldr~sU phone number/ contractors license number): <Name> <Aaaress> <vvorK 1-'lione> <State License> 4. I plan to provide portions of the ~Qrk, but I have hired the following person t,p ~ordinate, supervise and provide the m_ajqr work {include name / address / P.h,one number, contractors license numberJ:<Name> <Aaaress> <work Phone> <State License> 5. I will p..rQvide some of the work, but I have contracted (hir~d} the following person to provide the work indicated (include name/ address/ Rh.Qne flLJ.Wber I type of work): <Name> <Aaaress> <Work Phone> <WorK I ype> PROPERTY OWNER SIGNATURE _____________________ DATE ________ _ 2,gt:1,~ffl-lDlilllffllllr;/,~ll!,~J.ll~:lilF~IIIM-lllllHll■mJllimJlli,,~-lll-lllm 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollutlon control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? DYES 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. 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 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, JUDGEMENTS, 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. 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 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~-------------------DATE -'0'-7-'/-'1-"9'-'/2""0'-0'-1'--------- City of Carlsbad Bldg Inspection Request For: 08/08/2001 Permit# CB012505 Title: SILVER RES/ NEW WATER HEATER Description: Type:PLUM Sub Type: Joo Address: 2616 LA COSTA AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Inspector Assignment: Phone: 7609421699 lnspector(t£___ Owner: SILVER LEONARD&CAROLYN REVOCABLE TRUST 10-26-98 Remarks: Total Time: CD Description 25 Water HeaterNents ----------- Associated PCRs Act Comments Requested By: LEONARD Entered By: CHRISTINE ~---- Inspection History Date Description Act lnsp Comments