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Home My WebLink About2654 SAUSALITO AVE; ; CB063352; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB063352 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2654 SAUSALITO AV CBAD PLUM Status: Parcel No: 1675610400 Lot#: 0 Applied: Reference #: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: LEE 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: LEE RONALD 13616 S ISIS AVE HAWTHORNE CA 90250 ISSUED 11/27/2006 LSM 11/27/2006 11/27/2006 $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: 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 f hih h I n ivn N imilr whihh i in h hrwis I I I PERMIT APPLICATION PLAN CHECK NO. <lBO(o & =3 'S~ CITY OF'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _....,.._'.'"'""'--='.'"'""'-- Validated By ___ ~-6,i,'-="="-...i..;;a---- Date. ____ _,l"-'~\'-+-"""--'--+'-9"''3s- h, ,.PROJECT•INFQRMP.,TIO w:ilf ,5tftlstttt!1J ~ Address (include Bldg/Suite II) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Amsor's 1 Parcel # {? Q cg__ :':xisti~ Use W rktg/\L H:Ettzceh ., 1 Descriptton of Work SO. FT. ' L ~ Pr'bposed Use Sc¼rVl.1 ow IM #of Stories II of Bedrooms II of Bathrooms Fax II (Sec. 7031.6 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 pi n. Any iolati n f Secti n 7 31. b an appl nt f r rmi sub' cts the applicant to a civil nalty of run.more than five hun red do I 6001), , , V\. () . rvw hell 1 City State/Zip. Telephone II (Alt--ti) l 3 2.. / State License II _....._-'-----'---'=-=--""--License Class ----~-~~--City Business License II J 1.,,/] 2-] I Designer Name Address City State/Zip Telephone State License II _________ _ (e. · oRJ{~Rs: coM~$ATJ, .... ~---__ .__ .. u~....... ..Ml ~ ~ ·.!- workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. '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 permit is ~ed. My worker's comps sation I ranee car er and policy number are: . 7 /r\/ ~ 7 a ()\ OJ O I . . I ,.;...1--o ·7 Insurance Company . Policy No._~---------~-..D-:=...!~ _ _Q~-~---Expiration Date ________ ,__ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 coveraga la unlawful, end shall subject an employar to criminal penalties and civil flnH up to one hundred thousand dollars 1$100,000), In addition to the coat of compan11tlon, damagH aa provided for In Section 3706 of the Labor code, lnterHt and ettorney'a faea. SIGNATURE~lIDl~ooi~~~ffil~~wwri~ii~iji;;~m:i~ii~;;;~;::~~m DATE lz,"' ~.QWNm:AVJLQ~Rm~TJQN ~~~~~~~~~ig~!!,;_. ~i I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 doas not apply to an owner of property who builds or Improves thereon, and who doas 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 thet 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, Busine11 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). 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): ______________________________________________ _ 6. 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): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ [COMPLETE "('HIS SECTIOtf ~Ofl'.i()N.:JlE$/DEN™!,'.B!.)ILDltfQ1P.ERMl[~Nl!Yi:tii~d;,r i:' 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 26605, 26633 or 25534 of tha Presley-Tanner Hazardous Substance Account Act? 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 district? O YES O NO Is the facility to bedllnstructed 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. [6,1:;J.t,\:;Q~~TRUCTIQ.tiL~NP.!N!f ~Gl;N,lfr;;_,..,,...:.::: ... _:..............~ ..... :.-; .... .e-1.~.c-; .... ....:.:. "': . ~• · ' .. ~I.IL.~~; •• ,._,. --• • ...d.,,,,i, _ ,. '"' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Civil Code). 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 to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS 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: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is not commenc within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time alter the work is com ed f a · of 180 days (Section 106.4.4 Uniform Building Code). DATE {(J /~f~ / APPLICANl S SIGNATURE _,._.c-.,,_1-+1--------------------~U4,a WHITE: FIia YELLOW: Applicant PINK: Finance