The URL can be used to link to this page

Home My WebLink About2803 SOMBROSA ST; ; CB120302; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-21-2012 Permit No: CB120302 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2803 SOMBROSA ST CBAD PME Status: Parcel No: 2551040500 Lot#: 0 Applied: Reference #: PC#: Project Title: LIBMAN RES REPLACE WTR HTR Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: LIBMAN MELVIN L&DEENA S 2803 SOMBROSA ST CARLSBAD CA 92009 ISSUED 02/21/2012 KG $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments fo Qate: · $9'5.oo Balance Due: Inspector: FINAL APPROVAL Date: 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. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and Ille the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Fa'ilure to 1'1mely follow that procedure wHI 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 seivice fees in connection with this project. NOA DOES IT APPLY to any <~~ Building Permit Application Plan Check Noc· 2..- ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY 0 F 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Plan Ck. Deposit CARLSBAD www.carl1badca.gov Date {.. __, Z / ~ J 2., jswPPP . ·1 JOB ADDRESS SUITE#/SPACE#/UNll # I"" 2803 Sombrosa St. --- CT/PROJECT# I LUT # I PHASE# I I# OF UNITS I# BEDRuOM:. # BATHR~~MS I TENANI BUSINfo~ NAM!: l CONSTR. TYPE I occ. GROUP This fa DESCRIPTION OF WORK: Include Square Feet of Anected Area(s) Replace existing water heater. Same size and location. EX]STINQ USE ! PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE ! AIR CONDITIONING I FIRE SPRINKLERS YES0, No0 YES0No0 YES□No□ CONTACT NAME (ff Different Fom App/leant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE IFAX PHONE IFAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Paul CONTRACTOR BUS, NAME All Star Water Heaters ADDRESS ADDRESS Same as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Menifee CA 92584 PHONE IFAX PHONE IFAX 619-507-5342 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS l STATE UC.# STATE UC.# I ClASSC 36 I CITY BUS. UC.# 812894 (Sec. 7031.5 Business and P_rofessrons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an:r-structure, prior to its issuance, also requires the applicant for such per_mIt to file a signed statement that he is licensed pursuant to the provIsIons of the Contractor's License Law [Chapter 9, commending with Section 7000 of D1111sion 3 of the Business and Professions Code) or that he Is exemP.t therefrom, and the basis for the alleged exemption. Any 11·Iolation of Section 1031.5 by any applicant for a permit sub1ects the applicant to a civil penalty of not more than five hundred dollars [$500)). Workers' Compensation Declaration: I hereby affirm under penaftf of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for 'M'.lrkers' compensation as provided by Section 3700 of the Labor Code, for 1!1e performance of the work tor which this permit is issued. [ZJ I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which 1!1is permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Granite 5tete Int. Co. Policy No. 1s.ce1ao Expiration Date D&'ll112012 ~section need not be completed if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), ln addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, Interest and attorney's fees. ,45 CONTRACTOR SIGNATURE I hereby affirm that I em exempt from Confractor's License Law for the following reason- □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the 'Mlrk and the structure is not ·1nteOOed or offered for sale (Sec. 7044, Business and Professions Code: The Contractor'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, ho'M!ver, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving 1!1at he did not build or improve for the purpose of sale). I, as owner of the property, am axdusively contracting with licensed contractors to construct the ~o)act (Sec. 7044, Business a'ld 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) I am exempt under Section _____ .Business and Professions Code for this reason: 1. I personally !)an to provide the major labor and materials for construction of the proposed property 'improvement. OYes 2. I (have/ have oot) signed an application for a building permit for the proposed work 3. I have contracted wllh the following person (firm) to provide the proposed construction (include name address I phone/ contractors' license number): 4. I plan to provlde port'rons of the 'M'.lr'K, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone / 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 I address/ phone/ type of wor'K)· ftS PROPERTY OWNER SIGNATURE □AGENT DATE i I Is the appl~nt oriuture building occupant reQuired to submit 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? D Yes L...JNo Is the appl_icant or future building_ occupant required to obtain a permit from the air pollution contro~rict or a~ality management district? [Jves O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes 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. Lender's Name I certify that I have read the application and state that the above Information is correct and that the lnfonnatlon on the plans is accurate. I a,ae to comply with arr City ordinances and S1ate laws relatlngto bullding construdl on. I hereby authorize representative of the Oty of Carlsbad lo enter upon the above men~oned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GR.ANTING OF THIS PERMIT, OSHA: An OSHA permit is required 1br excavations over 5'0' deep and demolition or coostn.cilon of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the pro~sions of this Code shall expire by limitation and bocome null and void if the building or work authorized by soch pennit is not commenced within 180 days from the date of suet, permit or if the bu'lding or work authorized by su it is suspended or abanOOned at any time afterthe work is oommenced for a pericxl of 180 dar., (Section 106.4.4 Unibm Building Cooe). Kf APPLICANT'S SIGNATURE k:::-------------~ DATE "Z I I C) I I ?..,__