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Home My WebLink About2725 LYONS CT; ; CB041435; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-29-2004 Plumbing Permit Permit No: CB041435 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2725 L VONS CT CBAD PLUM Status: Parcel No: 1673913100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: GALLUP RES NEW H20 HEATER 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: GALLUP FAMILY TRUST 12-20-00 2725 L VONS CT CARLSBAD CA 92008 ISSUED 04/29/2004 SB 04/29/2004 04/29/2004 $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: Clearance: $27.00 at 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 i n I hi I hi r I h i PERMIT APPLICATION FOR OFFICE USE O~ ,S6 PLAN CHECK NO. ~ H CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit--,,...._.------- ,•PRO-z_~~ ~j;gj~~:Smt*aE~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories II of Bedrooms # of Bathrooms Address City State/Zip Telephone II Fax II Name ame ~ . . N:.~O , . . ,, (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 licensed pursuant to the provisions of the Contractor's Licensa Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) or that he ls 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 ($5001). CJ$, 9 0 State License II --C-.c:>.,....\-'-1...,Zec;..o,Ga>,'Y ... ?....__,t-(,__ Address City State/Zip Telephone # City Business License # / Z / 0 c./ O 2._. Designer Name Address City State/Zip Telephone ate License # .....!/WDN.rJJMo,.!.~Q!,!\tQMl!~T N· . . ' . ' " " ' . • ' .• orkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of ~e work for which this permit is issued. _,,,,.cJ._ 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 c~mpensation insurance carrier and policy number are: 6 Insurance Company C:,,,-A:'7]'.:;: F«~ a Policy No. /2 t/6 Gf/P,I Expiration Date c ~/ ..... ¥,- nH1s SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 hat 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' omp sati n Laws of California. WARNING: Failure to secure w etlon coverage 11 unlawful, and lhal 1ubjact an employ_er to criminal penaltle1 and clvU flnH up to one hundred ou1and doll11r1 ($100,000), I II co1t of compan1■tlon, damage, a1 provided for In Section 3706 of the a coda, lnterut and ttomey'1 fea1. SIGNATURE DATE c, w.tt.~&.!J.1 · "De , .• , , • ,, I hereby affirm tha I a-;;~·xe,,;-ptf ro~ the Contractor's Licensa Law for the following reason: 0 I, as owner f e 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 ia sold within one year of completion, the owner-builder wlll_have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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). 0 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. 0 YES ONO 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/ contractors 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 work): ________________________________________________________ _ 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 Act7 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 district7 O YES O NO Is the facility to be cb{lstructed 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. r~ c tH.im.U£:'®N..!ism:>!NG ffllf~v.~·'!l1%\fflfflFE!b'll!ffl'.ft~4Z$:;1!&;~~~...t.~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code). 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 t building construction. I hereby authorize representatives of the Cit.t of Carlsbad to enter upon the above mentioned property for inspection purposes. I A O AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES W ICH MA NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit ls required for e cavatio 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permil Issued by th build' g Olli al under the provisions of this Code shall expire by limitation and become null and void If lhe building or work authorized by such permil is not commen d w· In 180 ays from the date of such permit or if the building or work authorized by such permit is suspended or abandoned any time after the work is c ced r period o 180 days (Section 106.4.4 Uniform Building Code). \\ PPLICANT'S SIGNATURE ----,'-f~===~;::_:_______________ DATE czl-2-2 c:9'y YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/11/2004 Permit# CB041435 Title: GALLUP RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2725 L VONS CT Suite: Lot 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: GALLUP FAMILY TRUST 12-20-00 Remarks: Total Time: Inspector Assignment: ~ Phone: 7604344389 Inspector:~ Requested By: ART Entered By: ROBIN CD Description 25 Water HeaterNents 42_o_m_m_e_nt _______________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments /