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2711 CHESTNUT AVE; ; CB052267; Permit
06-20-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB052267 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: • 2711 CHESTNUT AV CBAD PLUM . , • 1673930300 Lot #: 0 Construction Type: NEW KURST RES- REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/20/2005 LSM 06/20/2005 06/20/2005 Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: HURST LIVING TRUST 10-11-02 2711 CHESTNUT AVE CARLSBAD CA 92008 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 $20.00 0 ' ' , $0.00o ; $0.00 o . •• - ' • v $0.00 ' 1 '".'••"• : •:'• \.-: $7.00, o ....-:• " „ $6.00' "•.•".V-../CT. - • '.--".- '--- "'",-". I-'--.-' ''•' ', $0.00 ; '0:'-.-.:.'' * •;.".•-'-"' •"-'-•••'• " "'/-'' , •';. "' $0.00 • ".;;; " ' • /; ; "" ,. ••" •,', :'-";--;$o'.op--- . • .-. '.'-• "•>:•"' •••"' •'."•• • ': ••-'- $0:00' .' A'!-j •.•":;;-,- - ,---' . ,-'- -.' ;. • '" ^$0.00" ; / ; '. :' ; .'.' /',.-r"'--.'-X ,? /• ' ; $0.00', ; TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:.:$0.00 Balance Due:$27.00 0967 06/20/05 0002 01 02 CGP 27-00 L Inspector: FINAL APPROVAL Clearance: NOTICE: Please take NOTICEtfhat 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit. Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number,'Unit No.Phase No.Total it of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ. FT.# of Stories # of Bedrooms # of Bathrooms State/Zip Telephone #Fax* 72? State/Zip Telephone # (Sec. 7031.5 Business and Professions 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 Tile 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 exemption. Any violation cf Section 7031.5 cy any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). c. 7 Name State License # Address License Class City State/Zip City Business License #. Telephone # Designer Name State License it Address City State/Zip Telephone # . 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 .voi:-: for which this permit is issued. 0" I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permii is issuec. ivv. worker's compensation insurance carrier and policy number are: Insurance Company . , Policy No. 1/6 / 4 W t O ^Expiration Date (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' QOmpensjawTTcoverligT^ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred mcusand dollars($100,000), In addition to the costrof coo^Mnsatlon, damages are provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE s~~^^ / S ^~- --- ""'" _ DATE _. __ - ___^ _ I hereby affirm that I am e>&mprfrom the Contractor's License Law for the following reason: O I, as owner of the property or 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). D 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), D I 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. D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) 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 / /ontractors license 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 / phone number / type of .VOIKJ PROPERTY OWNER SIGNATURE.DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/07/2005 Permit# CB052267 Title: HURST RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: 2711 CHESTNUT AV Suite: Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: HURST LIVING TRUST 10-11-02 Remarks: SIDE GARAGE DOOR WILL BE OPEN Inspector Assignment: Phone: 7607209850 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comment Requested By: BRENT __ Entered By: CHRISTINE^ A Associated PCRs/CVs Inspection History Date Description Act Insp Comments License Detail Page 1 of 2 California Home Monday, Ji License Detail Contractor License # 812894 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071.17. only construction related civil judgments reported to the CSLB are disclosed. • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. , r • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. * * * Extract Date: 06/20/2005 Business Information ** * \ ALL STAR WATER HEATERS INC 17886 LAKE SHORE'DRIVE LAKE ELSINORE,CA 92530 : Business,PhonerNumber: (800) 727-0977 Entity: Corporation f Issue Date: 09/19/2002 Expire Date: 09/30/2006 **<* Licerisle Status^* This license is current and active. All information below should be reviewed. * * * Classifications * * * Class C36 Description PLUMBING * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 9055643 in the air $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 06/20/2005 License Detail Page 2 of 2 AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JEF DUANE SPRAGUE certified that he/she owns 10 percent or more of the voting stock/equil corporation. A bond of qualifying individual is not required. Effective Date: 09/19/2002 * * *Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1791641 Effective Date: 08/02/2003 Expire Date: 08/02/2005 Workers Compensation History ' Personnel List H License Number Request %B Contractor Name Request | Personnel Name' Request • B Salesperson Request .• Salesperson Name Request , © 2005=State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 06/20/2005