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Home My WebLink About2857 SEGOVIA WAY; ; CBR2018-2769; Permit(city of Carlsbad Residential Permit Print Date: 11/02/2018 Permit No: CBR2018-2769 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2857 Segovia Way BLDG-Residential 2552804500 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Fina\ed 10/10/2018 10/10/2018 Plan Check#: Final Inspection: 11/2/2018 1:29:3SPM Project Title: Description: GOULD: REPLACE WATER HEATER, SAME SIZE AND LOC Owner: Contractor: TRUST GOULD FAMILY TRUST 08-03-04 2857 Segovia Way ALL STAR WATER HEATERS INC CARLSBAD,CA 92009 WATER HEATER PERMIT Tota\ Fees: $98.00 Total Payments To Date: $98.00 30300 Puerto Vallarta Way Menifee, CA 92584-9256 800-727-0977 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008· 7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 /4~ Plan Check No. ('.Ill<,,'. ... I X .. 'ri. l-l . -,~---·· Building Permit Application /( p ·A!ir. >,, '7 ~:· 'c:/, Est. Value ~::~~:: 1635 Faraday Ave., Carlsbad, CA 92008 CITY or 760-602-2717 / 2718 / 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558 --. -·--··-·~ -•-"" www.carlsbadca.gov Date /6 /,1 /1 X lswPPP_ " .. ,~ --~ JOB ADDRESS r· 2857 Segovia --- I \;T/1-'RvJc.v, # llv, # 1,-r,A51; # l#utU,.,,S l'f!Bt.uRvvM:::i # BATHROOMS J TENAr.T BUSINESS ,,,...,E rQ,,..,,R,., E f wv. GROUP DESCRIPTION OF WORK: Include Square Feet of Ai ccted Area(s) Replace existing water heater. Same size and location. EXISTING USE J PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) F1REPL..M,CE 'AIR CONDITIONING I FIRE SPRINKLERS YEsO NO□ YES □No □ YES□No□ CONTACT NAME (ff Different Fom Appl/cant) APPLICANT NAME Sierra Sprague ADDRESS ADDRESS 30300 Puerto Valla.+, CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE IFAX PHONE I FAX 951-301-0067 EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME Mark Gould All ~[ ~-" ADDRESS ADDRESS c:•m~ as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carl~hArl CA 92009 Menifee r.A 92584 ?MONE !FAX PHONE I FAX 760-814-5026 951-301-0067 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# l'L'Sc 36 I CITY BUS. LIC.# 812894 (Sec. 7031.5 Business and Professions Code: Any City or County whrch 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 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commendinl! with Section 70_00 of 01vis1on 3 of the Business and Professions Code} or that he is exem~t therefrom, and the basis for the alleged exemption. Any violation of Secuon 031,5 by any applicantfor a permit subiects the applicant to a civll penalty of not more than five hundred dollars {$500)). Worker5' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a cartlfleata of consent to self-insure for workers' compensation es 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 workers' compensetlon, as reQlflred by Sec lion 3700 of the Labor Code, for the performance of the work for v.tilch this permit is issued. My workers' compensa!Kln insurance carrier and policy numberanr JtlS!Jrance Co Mklwht Polity No-, BMIJWi;o1mzt Expration Date Wl)int1t This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Cartlflcate of Exemption: I certify that in the pelformance of the work for which tflis permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of Calltimla WARNING: Fa!lureto secure workers' compensation coverage is unlawful, and shall subje~ an employ8fto criminal penalties and civil nnes up to one hundred thiusa d dollars (&100,000), In addition to the cost of compensation, damages prov for in Section 3706 of the Labor code, Interest and attorney's fees. / ,IS CONTRACTOR SIGNATURE -,,_.,....,.= ==_,,.□•GENT DATE /0// 0 / fl' I hereby affi!m that I am exempt from Contractor's License Law fortha following reason: □ □ D 1, as owner of the property or my employees with wages as !heir so!e compensation, will do the work and lhe 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 bu~ds or improves thereon, arid 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 completlon, the owner-builder wi1I have the burden of proving that he did not buM or improve for the purpose of sale). I, as owner of the property, am exclusively contracli'lg with Wcensed contractors to construct the project (Sec. 7044, Business aod Professions Code: The Contrector'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). I am exempt Linder Section ____ ~,usiness and Professions Code for this reason: 1. I personally plan lo provide the major labor and materials for construction of the proposed property improvement. QYes Oo 2. I (have/ have not) signed an application for a lllfilding permit for the proposed work. 3. I have contracted with the foHowing person (firm) lo provide the proposed construction (include name address I phone/ contractors' license number): 4, l plan to provide portions of the work, but I have hired the folbwing person lo coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5, I will provide some of the work, but I have contracted (hired) the follOWlng persons to provide the v.tirk indicated (include name I address I phone I type of work): ! MS' PROPEKTY OWNER SIGNATURE □AGENT DATE ~------- i i I 9 Is the appl~ant or futtJre building occtJpant required to submit a busineSSJU!J, acutely hazardous materials registration form or risk management and prevenlfon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acl1 D Yes L.JNo Is the applicant or future blJilding occ.upant required to obtain a permil from the air ponution control dislricl or a~allty management district? Oves 0No Is the facllify to be constructed Within 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 cerllfythatl have read the application aod state that the above Information is correct and tlnit the Inform atlon on the plans Is accurate. I agree to complyv.4th all City ordinances and State laws relating to bdlding construdlon. I teeby authofize representaliwoflhe Ciy of Carlsbad to e11ter upoo the above mentioned property for inspecoon purµ:ises. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AG.AJNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES l'IHICH MAY IN ANY WAY ACCRUE AG>IINST SAID CITY IN CONSEQUENCE aF THE GRANTING OF THIS PERMIT. OSHA: Afl OSHA pemiit is reguired for excavatoos OYer 5'0' deep and demoll~on or construction of structures over 3 stories in height. EXPIRA Tla-J: Every permil issued by lhe Building Ofllclal under lhe prtMSions of !his Code shall expire by ~mitation and become null and VJki if the bl.llld'111g or WOO( authaized by such pennit is not COOlmenced within 180 dais from the dat,, of such pemit or if the wilding or IIOlk th<Yized by such pemit is suspended "abaoooned at any lrro affer the IIOlk • coom,nced filr 700 of, dfJ/S (Secloo 106.4.4 Uofonn &i~,ng Code) as'APPllCANT'SSIGNATIJRE ~ _____ -----DATE /t,_&/11" , ,c f•'' ~ j.Jl , ~ " 4 ' ' . • ,: ',;~ , v • " IERMlt INSPECTION HISTORY REPORT (CSR2018-2769) ", • Sa' ¼ ' ' ' "" ' Permit Type BLDG-Residential Application Date: 1011012018 Owner: Work Class: PIMIE Issue Date: 1011012018 Subdivision: Status: Closed -Finaled Expiration Date: 05/0112019 Address: IVR Number: 14543 Scheduled Date Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector 11/02/2018 November 02, 2018 BLDG-25 Water HeaterNenb 075033-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 075034-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLOG-Electrical Final Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS TRUST GOULD FAMILY TRUST 08-03-04 CARLSBAD TCT#88-03-03 ARROYO LA COSTA UNIT#03 2857 Segovia Way Carlsbad, CA 92009-8243 Re Inspection Complete Complete Passed Yes Complete Passed Yes Yes Yes Yes Yes Page 1 of1