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Home My WebLink About2410 STROMBERG CIR; ; CB090180; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2009 Plumbing Permit Permit No: CB090180 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2410 STROMBERG CR CBAD PLUM Status: Parcel No: 1672301400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: DONALD 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: DONALD BRIAN&METSKER MINDY 2410 STROMBERG CIR CARLSBAD CA 92010 ISSUED 02/02/2009 KG 02/02/2009 02/02/2009 $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 APP Date: .:3 Clearance: $0.00 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 i11formation 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 exacti n f whi h I iv n N T\ E imil r hi w · h limi i n. ~-I h i City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. (1)09 0 / £'t) Est. Value Fax: 760-602-8558 Plan Ck. Deposit Building Permit Application Date JOB ADDRESS ~'-(10 Ci', SUITE#/SPACE#/UNIT# APN b===·==== _ _J_'_'_· _____ L'_"_'· __ _,_·_'_U_N'_"~-·-"_"_"_ob_M_• _ _,__·_"_'_""_O_M_s_·~-"-N_,,aN:T:8_U~s:•N:E_S~s~N~,M~E.!---~~~~~-]CO"ST:_""l OCCGROU~ DESCRIPTION OF WORK: II. S'ctl"'le loc.o.tio EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE A!R CONDITIONING FIRE SPRINKLERS YES O #_ NO O YES □ NO □ YES O NO 0 CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP CITY STATE ZIP ---- PHONE FAX PHONE FAX EMAIL t>f>1·~1-7IJ I fot,/-J§.tj• C,5"5"h EMAIL Sc. Dtt @ AWH~P. Carr,, PROPERTY OWNER ME ADDRESS A vt_ . CITY STATE ZIP STATE ti}, FAX FAX 0 ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LI~~ "7 9 ,,9' CLASS _________ CITY BUS. LIC.1¥ CJ' /J-17J-7I ~ 701 l.S BuJillffl and Proftssion1 Code: brr City or CountY, which requi1j a permit 10 construct, alttr1~im rove\ demolish or rtP.air a,iy structure, prior to its iuuanct, also nquires the applicant for such permit to file a iigned 11atement that he i1 ed .Jl.llllUJllt to dlt pr:qvi1ionJ of the (qnlia40i''s UctMt I.aw {Chapter , commtnfinr with Section of Orvision 3 of the Businm and Prore11ion1 Code} or that he is exempt 1herefi'om, and the bam for the alleged t•emprion. Any violation of n Tllll.5 lly Ill)' applicant IOr a pttlllll 1ubjeca the appbc.ant to! CfYI penalty o ~t more dlan life undnd dollars {$500}). WORKERS' COMPENSATION Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following dec/8rations: □ I have and will maintain a ctrtlflcate of conatnt to 1eff•ln1ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued llfi have and will maintain worktr1' comp•~ I n, as required by Sttelion 3700 of the Labor Code, for the performance of the work t lch this ermit is Issued. My workers' compensation insurance carrier and policy number ae: Insurance Co, I Policy No. Jiilll~~lflJ~L===~ Expiration Date f • / • / 0 This section need not be completed lfthe pem,it is for one hundred dollars ($100) or less. □ Certificate of ExempUon: I certify that In the performance of the work for which this permit ls 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 tec:ure workers' comptn1atlon coverage It unlawful, and shall subject an employer to crlmlnal penallln and clvll fines up to one hundred thous■nd dollars (&100,000), In addition to the coat of compentatlon, d1m1g II prov~ed for In Stctlon 3706 of the Labor code, lnterttt and attorney'• feet. 65 CONTRACTOR SIGNATURE at}Jf'{, , f h6reby affirm that I am e1eempt from Contractor's Ucense Law for the following reason: □ 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 does no! apply to an owner of property who bullds or improves thereon, and who does auch WOlk himself or through his own employees, provided that such Improvements are no! 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 !he purpose of sale). □ I, as owner of the property, am exclusively contracting with licen1ed contractor& to conslruct the project (Sec, 7044, Business S11d 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). C I am exempt under SecUon ____ _ou1lne11 and Profe11lon1 Code fer this reason: 1. J personally plan to provide the major tabor and materials for construction of the proposed property improvement. □ Yes □ 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 f phone I 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 I address I phone I contractors· license number) 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name f address f phone I type of work): 65 PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventioo program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account /Jd? □ Yes □ No ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facilily to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL OISTRICT, I certify that I have read the applicatlon and state that the abcMI lnfonnatlon Is col1'8Ct and that the lnfonnadon on the plans Is aocurate. I agree to comply with all City ordinances and State la"M> relating to bultdlng oonstructlon. I hereby aulhaize represenJalive of~• City of Carlsbad llenterupoo lhe alxwe ir,ntianed property for nspecllon pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MI\Y IN lffl WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pamil ls llqllAd forexcavallons CMK 50' deep and-or~ of-CNf/13 s""'5 kl height EXPlRA TJON: Evaiy pennlt Issued by lhe BuidJr'l Olllclal under lhe pltNlslons of lhls Code shal e,q,ni by-and become nul and void I !he l)\j~ilg or WOl1< authorized by such pennil • not convnenced .;~in 180 dlr/9 Ian Iha daJo of such pennlt or I Iha buld or WOl1< aull'<lrizod by such pemO suspended or ablrtd0ned al any ~ aib>" lhe WOl1< Is commenced for a pet'<td of 180 days (Section 106.4.4 Uniform Buiijing Corle) A!!,..PLIC~T'IIIGNATUR! at}Jf( •~ _______ _ ____ PATE _ __! =? 0 -01 m . . City of Carlsbad Bldg Inspection Request For: 03/24/2009 . Permit# CB090180 Tille: DONALD RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2410 STROMBERG CR Lot: 0 OWNER DONALD BRIAN&METSKER MINDY Owner: DONALD BRIAN&METSKER MINDY Remarks: P.M.-CALL FIRST PLE~SE Total Time: CD Description Act Comments Phone: 76(94f106 Inspector: ---- Requested By: BRIAN Entered By: KATHY 25 Water HeaterNents ff---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments