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HomeMy WebLinkAbout2903 AVENIDA VALERA; ; CB054146; Permit12-08-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB054146 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2903 AVENIDA VALERA CBAD PLUM 2164614200 Lot#: 0 Construction Type: NEW HENSON RES- REPLACE H20 HTR Status: ISSUED Applied: 12/06/2005 LSM 12/08/2005 12/08/2005 Entered By: Plan Approved: Issued: Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: HENSON JAMES D SR&FARALENE L 2903 AVENIDA VALERA CARLSBAD CA 92009 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 $0.00 $0.00 $0,00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector:-J l^-v.—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 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 vou 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. Oft OS EST. VAL. PlanCk. Deposit. Validated By _ Date Address (indude Bldg/Suite #}Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel ft Existing Use Proposed Use Description of Work SQ.FT.# of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # 'tier Fax# 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 file 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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]}. J-;, i . - ' Name State License # o |2-fo* Designer Name State License # Address '1 */ License Class (--> J ( Address ^ City City 7 State/Zip City Business License # r State/Zip Telephone # V|^L*-£P Telephone # Workers' Compensation Declaration: 1 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, (or the performance of the work for which this permit is issued. Jg__ 1 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 permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ^SZAT^1 ^OoO Policy No. i~)(=J £,t//Q>/ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) a CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, ! shall not employ any person in any manner so as to become subject to the Workers' Compensation kSWsQf-California. WARNING: Failure to secure workery cdnjpensaUoncoverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), In addition to the cwTofjfompjawitTon, damages are provided for in Section 3706 of the Labor Code, Interest and attorney's fees. S!GNATURE_ ,^~77P-t~*t'* " DATE // £ -2- 'CJ J" I hereby affirm that! am exemptTrom the Contractor's License Law for the following reason: D 1, 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 contractors) licensed pursuant to the Contractor s License Law). a l 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 E have hired the following person to coordinate, supervise and provide the major work (indude 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 (indude name / address / phone number / type of work}: PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/14/2006 Permit* CB054146 Title: HENSON RES- REPLACE H20 HTR Description: Inspector Assignment:\JV*V 2903 AVENIDA VALERA Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: HENSON JAMES D SR&FARALENE L Remarks: Phone: 7604769274 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comment Requested By: JAMES Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments License Detail Page 1 of2 "California Home Tuesday, December 06, 2005 Welcome to California - images of Golden Gate Bridge, ocean sunset, waterfall, flowers, and city skyline License Detail Contractor License # 812894 CALIFORNIA CONTRACTORS STATE LICENSE BOARDi DISCLAIMER A license status check provides information taken from the CSLB license data base. Before relying 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 to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. • Per B&P 707117, 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. • Due to workload, there may be relevant information that'has not yet been entered onto the Board's license data base. * * * Extract Date: 12/06/2005 Business Information * * * ALL STAR WATER HEATERS INC 30300 PUARTO VALLARTA WAY MENIFEE, CA 92530 Business Phone Number: (951) 301-0067 Entity: Corporation Issue Date: 09/19/2002 Expire Date: 09/30/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description C36 PLUMBING * * ** * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 9055643 in the http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/06/2005 License Detail Page 2 of 2 amount of $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JEFFREY DUANE SPRAGUE certified that he/she owns 10 percent or more of the voting stock/equity of the 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 STAmcOMPENSATIONJNSURANCEFUND Policy Number: 1761641 Effective Date: 08/02/2005 Expire Date: 08/02/2006 Workers Compens^tipnJHlstQry PersonneJ List I License Number Request •Contractor Name Request •Personnel Name Request Salesperson Request ^Salesperson Name Request © 2005 State of California. Conditions of Use Privacy_Policy hnp://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 12/06/2005