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Home My WebLink About2757 INVERNESS DR; ; CB081402; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2008 Plumbing Permit Permit No: CB081402 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2757 INVERNESS DR CBAD PLUM Status: Parcel No: 2081112700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: SALTZ RES REPLACE WTR HTR Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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: SALTZ STEVEN A&LORI H 2757 INVERNESS DR CARLSBAD CA 92010 ISSUED 07/18/2008 KG 07/18/2008 07/18/2008 $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: Inspector: t:. '~/ ~-1/t;, FINAL APPROVAL 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 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 .... , .. ,hi"h ''"' • h"VA ""'Vi"' '"I" hnnn niv"" " ~lf"ITlf'C .. 1..,il::ir In lhj.<! "r "'l tn whir.h thn ....... ,+n nf . · '- City of Carlsbad 1635 ~raday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS T/PROJE T # LOT# DESCRIPTION OF WORK: "' P ace. EXISTING USE PROPOSED USE CONTACT NAME (If Different Fom Applicant) ADDRESS PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS CITY STATE GARAGE (SF) ZIP Plan Check N Est. Value Date APN ENANT BU INES NAME PATIOS (SF) APPLICANT NAME J • St..ett ""' ADDRESS EMAIL Sc.ott @ AWHA-P, Co~ AIR CONDITIONING YES D NOD STATE ZIP FIRE SPRINKLERS YES O NO D f---~~~-=-'-----'c__~~~~~~~~-,~~~--"-'---~~~e~A~·~~ii3JJ,~~-PHoNE FAX FAX ARCH/DESIGNER NAME & AODRESS STATE LIC. # STATE LIC.# ")., 3 C>i' CITY BUS. UC.# /)..17J.71 life. 7031.S Bu1ine11 and Pro~uion1 Code: Any City or Coun~ which requim a permi1 10 conurucL ~l!r improve, demolish or rt?,air any s1rucrur1 prior 10 its inuance, also requirts !he applianl for such ptrmi1 10 filt a signed s1a1emen1 lha1 he is ficensed J)Unuant to lhe pro,isions of the Contractor's License law {Chapter 9, commending wi1h Section 1000 of Drvision 3 of 1he Businen and Prolmions Code} or 1ha1 he is mmpt dlerefrom, and the ba111 for the alleged mmption. Any viola1ion of !ec1ion 703 1.S by any applicant for a permit sub~cu the applicant to a civil penalty of nor more than fi,e hundred dollan ($100}). Workor1' Compen11tlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: CJ 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. ~ have and will maintain workers' compe~utl n, as required by Section 3700 of the Labor Code, for the performance of the work I r ich this ermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. I Policy No. 0 Expiration Date _,_I _•_,_J _• ______ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. CJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaatlon cover1ge Is unl1wful, and shall subjectan employer to crlmlnal penaltles and clvll fines up to on, hundred thousand doll1ra (&100,000), In addition to the cost of compensation, damage as prov1ed for In Section 3706 of the Labor code, Interest and attorney's fees. ,6$ CONTRACTOR SIGNATURE (!i}Jt'l , I hereby affirm that I am exempt from Contractor's License Law for the following reason: a 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 nol 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). a 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). a 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. a Yes a No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the fol!owir.g pers('n (firm) to pro·,ide !he proposed ccnzt·uction 1ir.c!ude neme ad~ross I ph,ne I contra;;icrs' licenso 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 I address I phone I 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 I address I phone I type of work): ~ PROPERTY OWNER SIGNATURE DATE • <J"' • • ~ ...... ' ,. ~ < ' • ~ ,~ ' ~ • "' ---;f ,, ,.,.,. 1 C O M P L E T E -T H I S S E C T J O N F O R N O N • R E S I D E N T I A L B U I L D J N G P E R M I T S O N L Y ·. " 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? a Yes a No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes a No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a 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. I certify thatl have read the application and state that the above lnfonnation Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to bulldlng construction. I hereby authorize representative of the City of Cansbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ES$ THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ar1 OSHA pennlt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennlt issued by lhe Building Official under the provisions of this Code shall expire by limitation and become nul and void W the building or WOik authorized by such permit is not coovnenced within 180 days from the date of such pennlt or~ th~build· or work authorized by such penntt is suspended or abandoned at any time after the WOik is conmenred for a period of 180 days (Section 106.4.4 Unform Building Code). Ji5 APPLICANT'S SIGNATURE w-!, DATE ---