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Home My WebLink About2893 SEGOVIA WAY; ; CB081308; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-08-2008 Plumbing Permit Permit No: CB081308 Building Inspection Request Line (760) 602•2725 Job Address: Permit Type: 2893 SEGOVIA WY CBAD PLUM Status: Parcel No: 2552803600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: GOTO RES REPLACE 75 GAL WATER HEATER JUST WATER HEATERS INC. 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 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 Plan Approved: Issued: Inspect Area: Owner: GOTO GARY A&SUSAN K 2893 SEGOVIA WAY CARLSBAD CA 92009 ISSUED 07/08/2008 SB 07/08/2008 07/08/2008 $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: f""\ ~ 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 lo as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fee,1/exaclions. 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 Cansbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will ba· dny 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 x i n f wh· h ' i h h f limi i n h ' . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. ~Of3\~ 08 EST. VAL. __________ _ Plan Ck. Deposit-----=------- Validated By----~::;,____=---==---- Date ---~-1-----8..a.,_.-_0_"8 __ _ Business Name (at this address) Legal Description lot No. SubdiviSion Name/Number Unit No. Phase No. Total# of units Assesso(s Parcel # Existing Use Proposed Use Name q State License# _§9-=-........_f_._3..c..;;;V:...._._ __ \'1 '.L,\'Tyl~~ne# City Business License# ....__..,L--:::;.... __ "-t'-"-:J_...J-_~1------ Designer Name Address City State/Zip Telephone# State License# ________ _ ..... Wori<ers' Compensation Oedar9tion: I hereby affinTt undef pe!\elty of perjury one of the following dedanttions: 0 I have and will maintain a certificate of consent to self-Insure for w0f1<ers' oompensation as prollided by Section 3700 of the Labor Code, f0< the performance of the worl< for Which this permit is issued. )t("' I have and wKI maintain WOl1ter's compenaation, as required by Section 3700 of the labor Code, for the perfonmance of the worlC f0< Which this penmit is issued My / wo":\er's oompensation in~ carrier and policy number are: fl 115 QD 1 II '1 <:J"1 I I -}-Q q Insurance Company __ TL)(-H...,.-.._ ___________ Policy No.\:t':ti lV /-: Qk:: Expiration Oate, __ "t__._-=-----f+----- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 CERTIFICATE OF EX£MPTION: I oeltify that in the perfonnanoe of the WOf1< for which this permit is issued, I shall not employ any person in any manner so as 10 become subject to the Wori<era' Compensation l.aw$ of California. WARNING: Failure to Mc:ure ' com.,.natH>n c~ i. u.nlawful, and ahall aubjec:t an employer to criminal !Mn■it»s and clvil fines up to on• hundred thousand dollal'S(S100,000), In addition compensation, da are p<oVid.cl for in Section S70& of~ Labor Code, i-t and atto,,,.y's(fMS. SIGNAT E iii.Ciiii . DATE _ P f'., ,. I tie~;by affirm that I am exempt from !he Contractor's License Law for the following reason: 0 I, as owner of the property 0< my employees with wages H their sole compensation, will d the work and the strudure 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 buildi. or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended 0< offered for sale. If, however, the building or improvement is SOid within one year of completion, the owner-bulder will have the burden of proving that he did not build or improve f0< tl'le purpose of sale). D I, as owner of the property, am exclusively contracting with lloensed contractors to construct the project (Sec. 7o«. E\usiness and Professions Code: The Contractor's License Law does not apply to an owner of property who bllilds or imJ)l'OveS 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: , . I personally plan to provide the major labor and materials f0< construction of tne proposed property improvement □ YES □ NO 2. I (have/have not) signed an application for a building penmitfor the proposed work. 3. I have contracted with the following person (firm) to provide the pmposed construction (indude name / address / phone number / contractors license number). 4. 6. I plan 10 provide portions of the work, but I have hired the following pel'$00 to ooordinate, supervise and provide the major work (indude name / address / phone number I /ontractors license number):---------------------------------------------- 1 will provide some of 1he wonc, but I have oontractad {hired) the following persons to provide the wor1< indicated (include ""me / address/ phone number/ type of worl<) PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit • buaineu plan. acutlllly hazardous Sections 25505. 25533 or 255~ of the Presley-Tanner Hazardous SubStllnce Account Act? D YES Is the applicant or future building occupant required to obtain a permit from the air pollution control d. Is the facility to be consll\lcted within 1,000 feet of the outer boundary of a school site? □ YES NO ~-'~7~ s registration for or nsk management and prevention program under N; quality management district? D YES ~O IF ANY OF nlE AJ'!SWERS ARE YES, A FINAL CERTIFICATE <;)F OCCUPANCY MAY ISSUED UNLESS nlE APPLICANT HAS MET OR IS MEETING nlE REQUIREMENTS OF nlE OFFICE OF EMERGENCY SERVICES ~D.nlE AIR POLLUTION CONTROL DISTRICT. w~~~. ;;...""~~.~-·.·,;. ""'·, ~~·,tf ~.:>-• ,.,, • I hereby affirm that there is a construction lending agency for the performance of the wor1( for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ___________________ _ LENDER'S ADDRESS ___________________ _ .•• , ,., . (t~, .. ~~i :::: I certify that I have read the application and slll18 that the at>o,;e infomlation is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating 110 building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO S~VE, INDEMNIFY AND KEEP HARMLESS nlE CITY OF CARLSBAD AGAINST ALL LIABILmES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF nlE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5·0· , and demolition or construction of structures 011er 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 wor1( authorized by such permit is not commenced within 180 days from the date of such permit or if the buMding or wor1( authorized by such permit ,s suspended or abandoned at any time after the wori< 1s commenced for a pet~iod of 180 106.-4 -4 Uniform BuMding Code). . APPLICANT'SSIGNA~""'"=~-==---"""'-qc:::tt:=:P--~-----------DATE l O ·5 -D t r · WHITE: File YELLOW: Applicant PINK: Finance ~ ~ City of Carlsbad Bldg Inspection Request For: 07/23/2008 Permit# CB081308 Title: GOTO RES REPLACE 75 GAL Descri ption: WATER HEATER Type: PLUM Sub Type: Job Address: Suite: Location: 2893 SEGOVIA WY Lot 0 APPLICANT JUST WATER HEATERS INC. Owner: GOTO GARY A&SUSAN K Remarks: Total Time: CD 25 ~ Description Water HeaterNents ~~-------- Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604368289 Inspector: f1 t.. Requested By: NIA Entered By: KATHY