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Home My WebLink About2713 SOUTHAMPTON RD; ; CB110083; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-12-2011 Plumbing Permit Permit No: CB110083 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2713 SOUTHAMPTON RD CBAD PLUM Status: Parcel No: 2081541000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: ProJect Title: RYMSZA: REPLACE WTR. HTR. Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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 0 1 0 Owner: RYMSZA TRUST 11-11-91 2713 SOUTHAMPTON RD CARLSBAD CA 92010 ISSUED 01/12/2011 JMA 01/12/2011 01/12/2011 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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: 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. It you protest them, you must iollow 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 111 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 lees/ex lion ot which n iv n N Tl E imil r hi r whi h h I of limit ti ns h r vi sl herwi Building Permit Application Plan Check No. l t ooB;3 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Plan Ck. Deposit Fax 760-602-8558 www.earl1badca,gov Date l, 1z,.,l 11 jswPPP JOBADDFIESS . __ ,, J7 ~ C-,D ..J-t-h. ~ · , .. _._.... ..... •O -1-Q~ --- 1.,1/PRuJ,_~ # ·-" [PH~,_# # UF UNI I Sf I# D<CVf'vvr,-", #.,,.,H,,vvMS I TENANT BUSINE.:,;:, ,~ ...... , ,--·-'" . -I vv~-uRuUP DESCRIPTION OF WORK: Include Square Feet of Auccted Area(s) Replace existing water heater. Same size and location, EXISTING USE I PROPOSED USE rARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING l FIRE SPRINKLERS YESO NcQ YES □No □ YES□No□ CONTACT NAME (If Dlffl,ent Fom Appl/cant) APPLICANT NAME 1(,h.,r+ 1~.,,, ,, ADDRESS ADDRESS 30300 Puerto Vallarta Way 30300 Puerto Vallarta Way Clrf STATE ZIP Clrf STATE ZIP Menifee Ca 92584 Menifee Ca 92584 PHONE IFAX PHONE FAX 800-727-0977 800-727-0977 EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ./V\ Cu <1 CJ e.+ !Z-, ,v,f;·-z "'--All Star Water Heaters ADDRESS '.J ' ADDRESS Same as job 30300 Puerto Vallarta Way Clrf STATE ZIP Clrf STATE ZIP Carlsbad Ca 9."l~, ~ Menifee Ca 92584 PHONE I FAX PHONE [FAX 7tQ-rl2. •1-7.£;'7 ~ 800-727-0977 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# r, 36 I c11Y aus. LIC.# 812894 (Sec. 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, Improve, demolish or repair any_ structure, p_rlor to Jts issuance. also requires the applicant for such permtt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commendInaw1th Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION I J Worktf"I' Comp,n11tlon Declal'ltlon: / hereby afflrm und#Jr penalty of perJUf'f one of the following declarations: 0 I h■vt ■nd will maintain• c1rtfflcll1 of constnt to 1tlf,in1urt for 11,(lrkers' compensaUon as provided by Section 3700 of the Labor Code, for the performance of Iha work for which this permit is issued. 0 I h■vt and w111 m1lnt1in worktf"I' comptn11tlon, as required by Section 3700 of the Labor Code, for the performance or the 'NOrk for which this permit 11 issued. My 'NOrkers' compensatlori lnsurarice carrier arid policy number are: Insurance Co O.lo• Int. Polley No, 020KRM120074H Expiration Data Ol/0212~,, ~secfion nead not be compjeted if the permij Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of tile work for whk:h this permit Is Issued, I shall not employ any person ln any manner so as to become subject to !he Workers· Compensation Laws ol Califom!a. WARNING: Fallur-. to sacure worken' compen11tlon coverage Is unlawful, and shall subject an employer to crtmlnal penaltl11 and clvll finH up to one hundl'ld thou11nd doll1r1 (&100,000), In addition to the co,t of compenutlon, damag11 H provldtd for In Section 3706 of the Labor code, lntertst and attorney's fe11. AS CONTRACTOR SIGNATURE -----=, I hereby affirm Iha/ I am exempt from Contractor's License Law for the following reason· □ □ □ I. as owner of the property or my employees wl!h wages as their sole compensation, will do the work and the structure is not intended or offered for sale {Sec. 7044, Business 8l"ld Professions Code: The Con1ractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, tile building or improvement is sold within one year or compte~on, the owner-builder will have the burden of proving that he did not build or improve for tile purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractors 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 10 the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally ptan to provide the major labor and materials for construction of the proposed property Improvement. OYes ONo 2. I (have/ have not) signed an application for a bulldlng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name address/ phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following pefSOfl lo ooordi/\ate, supervise and provide the major work (include name/ a:ldress /phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hlred) the following persons lo provide the work indicated (include name I address I phone I type of work): ,,6$ PROPERTY OWNER SIGNATURE D••••r DATE i C o·M p I. .ET E TH IS s EC T' 0 N f QR N Q N • R·E s IDEN TI AL.Bu·, I.DING p I, RM IT s Q NL y •. 1 • ,a Is the applk:ant or future building occupant required to submtt a business., acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 Yes l.L.JNo Is the applk:ant or future building occupant required to obtain a permit from the air pollution conlro\.s!ii!rict or ai~uality management district? [Jves [Z] No Is 1he facility to be constructed within 1,000 feet of the outer boundary of a school site? L,_JYes ✓ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNL SS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE .A.JR POLLUTION CONTROL DISTRICT. I certify that I have read th& application and state that the aboY8 lnfonnatlon Is correct and that the lnfoonatlon on 1he plans Is aa:urate. I agree to comply 'Mth all City ordinanas and S1ate laws relating to bl.I ldl ng construction. l hereby authorize representaUw of the Qty of Cansbad to enter upon the atove mentioned property b" inspecta1 pulJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 pem,it is required tr excavations over 5'0' deep and demolition or construction of structures over 3 stones In height. EXPIRA TIOO: EYBIY pem,i\ isst.ed by the Building Official under the prm,isions of this Cooe sha~ e;.;,ire by llmltalion an:! beoorne null and YOid Wthe building or>MJrk authorized by such pennit is not canmenced within 100 days from the date of such parmil or if the building or'M'.lrk autrorized by such permit is suspended or aboodoned at any Ume after the ffl is oommenced b" a ~ cl 180 d~ (Sa:::tbn 106.4.4 U,ibm Building Cede). A!$' APPLICANT'S SIGNATURE 3 DATE ,; ,J../ 1 1 City of Carlsbad Bldg Inspection Request For 03/01/2011 Permit# CB110083 Title: RYMSZA: REPLACE WTR. HTR. Description: Type:PLUM Sub Type: Job Address: 2713 SOUTHAMPTON RD Suite: Lot: 0 Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner: RYMSZA TRUST 11-11-91 Remarks A M PLEASE Total Time: CD Description 25 Water HeaterNents f Commee• Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604347573 lnspectorg_ Requested By: MARGARET Entered By CHRISTINE