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Home My WebLink About2761 SOUTHAMPTON RD; ; CB030956; PermitCity of Carlsbad 04-02-2003 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB030956 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2761 SOUTHAMPTON RD CBAD PLUM Status: ISSUED 04/02/2003 RMA 04/02/2003 04/02/2003 Parcel No: 2081402800 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ENGLAND RES-REPLACE WATER HEAT Inspect Area: Applicant: ALL STARS WATER HEATERS & PLUMBING 26867 PELHAM PL HAYWARD CA 94542 510-583-1300 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: 1855 04/02/03 0002 01 02 ENGLAND FAMILY TRUST 05-15-96 CGP 27 ,00 2761 SOUTHAMPTON RD CARLSBAD CA 92008 $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: $0.00 Balance Due: $27.00 Inspector: EXPIRED PERMIT PERI'· , HilS EXPIRED IN ACCORDANCE WITH U.B.C. SE.G·1 i:_iJ iuo.4.4 01\TE ~ 1,-.ql Q)> j SIGNATURE _,c__,\,,.,µ __ ..._ FINAL APPROVAL Date: 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 inforniation 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 nf wh:"" ,.,,,, i.. ... v .. 1, .... ~ :1 t..1r.r1"'~ ... :-:1 ... rtn ,i.: ... nr :i<! tn ... 1.: ... 1. • • • , nr"··=-··-•·· ........ ~.,: ...... ---irtin FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. . CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 . . (i) EST. VAL _______ _ . Date Addre8& (indude Bldg/Suite#) Buslneu Name (at this addre&s) Legal Description Lot No. Subdivision Name/Number Unlt No. Phase No. Total # of units Assessor's Parcel # w Proposed Use Desctlptlon of Work Existing Use sd. FT. # of Stories # of Bedroom a # of Bathrooms Name Addreas City State/Zip Telephone# fgf~t&¼Wffilffifilf§fff&fll&mrn:&JltNffiiftr{fffWBJmtfJ'Jf[Nfflfff®tJf&[fffJW:Wtrtmn (Sec. 7031.5 Buslnesa and Professions Code: Any City or County which requires a permit to construct, aller, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to Ille a signed statement that he is license(! pu"uant lo the provisions of the Contractor's License Law !Chapter 9. commending wl!h Section 7000 of Division 3 of the Business and ProfeHlon& Code] or that he is exempt therefrom. and the basis for the alleged exemption, Any violation of Section 7031.5 by any appllcllnt for II permit subjects the applleant to a civU penalty of not more than !Ive hul'ldred dollars [$5001). All Star Water Heaters and Plumb 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 Name Address City State/Zip Telephone# Slate License# 778156 License Class C36, HIC City Busioass Lloenaa # 1210402 __ Designer Name Address City State/Zip Telephorie State Licence# 07~7~8~1~5~6'----- 6. WORl<ERS'COMPENSATJON Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations: D t have and wrn maintain a certificate of consent to sell-insure for workers' compensation as p;rovkled by Section 3700 or 11'1& Labor Code, for the Perfonnance of the wort,; for which this pllfmft is i11sve<1 ~ I have and will maintain workers' compensaUon, as required by Section 3700 of the Labor Code, /or the performance of the work for which this permit is issued. My worker's compensation insuraru:e carrier and policy number are. Insurance Company State Fund Policy No. 159113900 Expiration Date 08/01 /200, 3' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100J OR LESS) D CERTIFICATE OF EXEMPTION: J certify that the performance or the worll ror wti!ch ltlis permit is Issued, f ahaH not employ any per$01'l in any manner so as to become subject to the Workers' Co pef!Utlon of Ca!ifomla. WARNING: Fallure lo secure n coverage !s unlawful, end shall subject an employer to criminal pena!lles and cMl finea up to one hundred thOU!land dollars ($100, · compenaatlon, damages as provided for In Section 3706 of the ~~ cod~, ln'?IJ_fl and attorney's lees SIGNATURE -----~--f'C::::~'fl--fc_:::,,,,,_=,::::_ _________ DATE _!:::!_ -< ,..0 _.2 7. OWNER,BUILOER O LAR J hereby afflrm that I am m the Contractor's License Law fol" the following reason: D I, as owner of th prop or my employees with wages as the!r sole compenaaUon. wll1 do the work and the s!rucltJre is not Intended or offered for sale {Sec. 7044, Business fesalona Code: The Conlracto(s Ucenae Law does not apply to an owner of property who mll!da or improves thereon, and who does sucll wor1< himself or th gh his own employei,11. provided that such improvemenlt are not Intended or offered for sale. If, however, the b1.Hldtng or improvement is sold within one year of complatlon, the owner-builder wtll have the burden of proving that he dld not bulld or improve for the purpose of sale) D !, as owner of the property. am exclusively contracting with l!censed contractors lo construct the project (See. 7044, Busineas and Professions Code: The Contractor's license law does not app!y to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) llcensed pursuant to the Contractor's License Law) D I am exempt under Section ______ Business arid Profeuions Code for this rea50n: 1. I personally plan to provlde the major tabor and materials for construction ol the proposed property improvement t (have/ have not) signed an applicant for a building permit for the proposed work. □ YES ONO 3. I have contracted with the lol!owlng peraon (firm) to provide the proposed construction (Include name I address/ phone number I contractors Hcense number): 4 J pt;:,n to provide portions ol the WOOi, but l have hired the following, person to coordinate, Sllp&rviH and provide the major wOfk (include name I address / phone number/ contractor-1:1 llcen-1:1e number):---------------------------------------- 5 I will provide some ol the work, but I have contracted (hired) Ille following persoo lo provide !he work Indicated {include neme / address I phone number/ type ofwolk): ------------------------------------------------- ;;;;;.j;;.;.;;.~11.:_"ii"fiitffl.ii~.f~:i!:Jii.~iijiiEi:. i:.ii,ii: .. ii .• ii;i_ ... u •. ii,i,:ii1iidt.ii·ii:~ii•~ .. ii;~ii·ii·!lti:ii;m:iir:iitiJiitiitiitrii@ii·\iiV:idii;1~iimiii~dWi@mtH&t.¥@H@MHM!fJ.@t%M@:ttMft1@1i ls the applicant or future building occupant required lo submit a buslness plan, aeutely hazardous materials !!§listrallon form or risk management and prevention program under Secljons 25505. 25533 or 25534 of the Pret1ley-Tenner HSUlrdous Substance Account Ad.? U YES O NO Is Ille applicant or fUture building occupant required to obtain a pem,il from the air pollution control district or alr quality management di11lrict? □YES □No Is the facility to be constructed within 1,000 fffl of the outer boundary of school site? DYES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~mr~~~M@!! ... ltW.MtrN.1ilitf.1HitfWE.tM.fffFi.f@Nrnw.mw.rtt~~W.Hffflt.?J.ilf:t¥J$.@i:HHM@WM@if@MiliWfrM@@ I hereb!' affirm that there Is a conslTUctton lending agency lor the performance ol the work for which this permit Is lsau&d (Sec. 3087(1) Civil Code) LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ ffft!1M~1~efflf11!1HJ!WHffftl&fH&l[ffiffm:$lliUMtiWilflfH?li$f§flf1%1iffifilf§f1U31@1HlfifHH?fMWfi@m ! certify tha1 J have read the appllc:atlon and state that the above Information is correct ancl that the lnformatton on the plens Is acC(Jrate. I agree to comply with all City ordinances and State laws relating to bultdlng construction. I hereby authorize representatlvea of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS ANO ExPENSES WHICH MAY I WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required fore 5' deep and demolition or constructkln of structures over 3 slorie& !n height EXPIRATION: E~ery permit issued by the r !he provisions of this Code shall expire b¥ !Imitation and become null and void If the building or work authorized by such permit is not commenc from the date of such pe,mlt or ti the building or work authorized by such permit is suspend(!d or abandoned at any ijme attar the work is commenced f da~s (Sec:~on 106.<I 4 Uniform Bui!ding Code) 1 ,_ APPLICANT'S SIGNATURE --,.L:...,,c_-!',.'1-,L..==-------------DATE VT .,, I ~ OJ