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Home My WebLink About2720 GROVE AVE; ; CB030954; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 04-02-2003 Plumbing Permit Permit No: CB030954 Job Address: Permit Type: Parcel No: Reference #: Building Inspection Request Line (760) 602-2725 2720 GROVE AV CBAD PLUM 1563324300 Lot#: 0 Construction Type: NEW Status: ISSUED Applied: 04/02/2003 Entered By: RMA Plan Approved: 04/02/2003 Issued: 04/02/2003 Project Title: WELDON RES-REPLACE WATER HEATE Inspect 1.~ 04/02/03 0002 01 02 Applicant: ALL STARS WATER HEATERS & PLUMBING 26867 PELHAM PL HAYWARD CA 94542 51 0-583-1300 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: GORDON FAMILY TRUST 03-22-97 11477 BOOTES ST SAN DIEGO CA 92126 $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: $0.00 Balance Due: Inspector: Date: Clearance: CGP 27-00 $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 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 · h h r vi n i • • i • PE,RMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. C/JtJ) C) C/. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit ---~r-:.-::,----- Validated ~ 4 /'~ Date tt,fk{ cj Address (inciude Bldg/Suite#) Business Name (at this address) legal Desr.ription Lot No. Subdivision Name/Number Unit No. Phase No, Total # of units Name Address City StatelZip Telephone# Fax # ~Jittt~;,m;;·;lj·~W..;Ai:J.%¥W{fla?~Jif?tftt'''9 ''~~6)·/&·•¥gt;;:r-:·•;•·-gr··,s;;cf •''.''·F'iMl'Y:N;&JH""'''}Slf Name Address City State/Zip Telophone # :.;-···.-.. Rtil@itjjilW@W···.-.,.-(::··,,·,,\{.,u,!:::·(i,bm:.\·;·)\'t·:,::F,;:i;'.J:/N'.=:·=.:,m/:.··::/th·:l+Nf.JL../::tI?t==:}) . ..'..,::' ......• '.'\:.·.\. .. ·.-.. ' ..•. .:.:.x .. Tracy Weldon 2720 Grove Ave Carlsbad CA 92008 7607294825 Name Address City State/Zip Telephone# f~<;S~fft*Ytfft\~mr• :i :;:c;---1; ;~;;~~~~~::::::(;;:;ii:-~%,;/'? . .*:(:.;',K. ;,., ~(f:)>~c..tJ.t,;~~~::~/\//~. ( ~:,;:· Y;.\:.;,:;:(:~~(':::( .... J\:"::c.: .. -x..:: ........ &.:.;,.-M.;.;.;:, (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 file a signed statement that he is Ucensed pursuant to the provisions or the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ or that he is exempt therefrom. and the basis for the alleged exemptfon. Any vlolaUon of Section 7031.5 by any applicant for a permit subjects the appllcant to a civil penalty of not more than rrve hundred dollars [$5001). All Star Water Heaters and Plumb 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 Name Address City Stalo/Zlp Telephone# Stale License• 778156 Licanso Class C36, HIC City Business License# 1210402 __ Oesigne, Na:ne Address Clly State/Zip Telephone State Licence • -'7 __ 7 __ 8'-1'-'5'-6'----- 6. WORKERS' COMPENSATION Workers' Compensation Oeclaralion: I hereby affirm under penalty or perjury one of the fof!owing declarations: D I have and wHI maintain a certificate of consent to sert•lnsure for workers' compen~llon as provkted by Section 3700 of !he Labor Code, for the Performance of !he work to, which this permit Is Issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and po!lcy number are: Insurance Company State Fund Policy No. 159113900 Expiratton Dato 08/01 /200/ :$ (THIS SECTION NEED NOT BE COMPLETED IF E PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I ify a In the performance of the work for which !his permit Is IHued, I shall not employ any pers.on in any manner so as ti n L s of Califomla. ensa n coverage Is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred cos of compensation, damages as provided for In Section 3706 of the Labor ~e, Interest a:!nomey's fees DATE (.,,.L::"' ( -ru 7. I hereby affirm mat am exe pt from e actor's License Law f01 the following reason: 0 I, as owne of the pr. perty or m employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale {Sec. 7044, Bus· oss an rofesslons Code: The Contractor'& Ucense Law does not app!IJ to an owner of prope,ty who bullds or Improves thereon, and who does such work hims If or !hr ugh his own empk)yees, provided that such improvements are not Intended or offered ror sale. If. however, the building or improvement Is sold within oriP. y ar of mpletion, !he cmner•builde< will have the burden of proving that he cld not buiki or improve for the purpose of sale). D I, as owner or the property. am excluslvely 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) Ucensed pursuant to tile-Contiactor's License Law). 0 I am exon~pt \1nder Section ______ Business and Professions Code for this foason: 1. I persvnal!y plM to provide the major labor and materials for construction of the proposed property Improvement. D YES D NO 2. I (h..i11e / h~we nol) signed an applicant for a bullding permit for the proposed work. 3. I have r.1):1trac1ed with the following person (Nrm) to provide the proposed construction (include name/ address / phone number I contractors license number): 4 I pl..m to ,•rovlde portions of the work, but I htlve hired thR following person to coordinate, supervise and provide the major work (include name I address I phone number I contra,;tors license number):-.,..,------.,-----:--:--:--:------:--:----:--:--:---:-----:--:---::---,----- 5. I will p,0111,10 some of the work, bu! I have cont,acted (hired) the following person 10 provide the work indicated (indude name/ address I phone number / type of work):------------------------------------------------ PROPERTY OWNER SIGNATURE _____________________ DATE·========c= lf~W>t~rit·r111~·~i::~:ooifii.ii.~¥.$.~,.,ffilf,@Kiii!@ffl:i.if.®t!'i'iffi¥/::/;;:,:;;x:.7::; ·;:;.::;:;:;.·:·:n.:.:(.:/;:;~\(,:.:.::.·,~ •. ·-:/=.:;:.;·.:::;;;,.:,x:c: .• ·:,:·:;·:.::..:·:.:::·:;·;::.::.::.,~·; Js the applh.:ar,: 1r .future building occupant required to submit a business plan, acutely hnsrdous materials !_!91~tratlon form or risk management and prevention program wx1.~1 ~ .. -1,ons 25505, 25533 or 25534 of the Presley~Tanner Hazardoos Substance Account Act? LJ YES D NO ts the app:,cam , fJture building occupanl required to obtain a permit from the air POiiution control dl3trlct or air quality management district? 0 YES O NO Is the facilu, to be constructed wlthln 1,000 feet of the outer boundaf')' of school site? Oves O NO IF ANY OF THC ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEN: S OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL OISTRICT: I hereby Rl!1rm :r.,11 there ls a construction lending agency tor the performance or the work tor which this permit is issued (Sec. 3087(1) Civil Code) LENOEP·s N/,,,,e -------------LENDER'S ADDRESS ----------------------- I ceftlfy ·: ,1· I 1 • e 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 au City ord,~;,r :,: md Slate laws relating lo building construction. I hereby authorize representatives of the City of Carlsbad to enler upon the above mentioned property fc, ,,. action purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGE MEI :rs :osrs AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An 0S1 EXPIRATIOri· authoriz.,J 1 .• at any t;::1"' ,·,, APPLICANl ,. ,NATURE o •o~ deep and demolillon or construction of structures ove, 3 stories in height. lclal nder the provisions ot this Code shall expire by !Imitation and become null and void if the bullding or work da s from the date of such permit or if the building or work author1zed by such permit is suspended or abandoned f 1 0 days (Section 106.4.4 Uniform Building Code). DA"IE [ I -_ (.; 2 I City of Carlsbad Bldg Inspection Request For: 05/27/2003 Permit# CB030954 Title: WELDON RES-REPLACE WATER HEATE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2720 GROVE AV Lot 0 APPLICANT ALL STARS WATER HEATERS & PLUMBING Owner: GORDON FAMILY TRUST 03-22-97 Remarks: Total Time: Act Comment Inspector Assignment: Phone: 7607294825 Inspector: 4 Requested By: TRACI Entered By: CHRISTINE CD Description 25 Water HeaterNents & _____ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments