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Home My WebLink About2815 SOMBROSA ST; ; CB081285; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-03-2008 Plumbing Permit Permit No: CB081285 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2815 SOMBROSA ST CBAD PLUM Status: Parcel No: 2551030200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Project Title: ENSBERG RES REPLACE WH Issued: lnspeci Area: Applicant: FAST WATER HEATER COMPANY 12601 132ND AV NE KIRKLAND WA 98034 425 814 3124 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: ENSBERG DAVID E&KRISTINE K 2815 SOMBROSA ST CARLSBAD CA 92009 ISSUED 07/03/2008 SB 07/03/2008 07/03/2008 $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: FINAL Date: t:> Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, mother 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 require0 i1formation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will b21 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 und sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processiflQ or service fees in connection with this prOJf:~t. NOR DOES IT APPLY to any f /·x 'n fwhih I N Tl i ilr hi r ichh flimi in'l_r I hrwi From: 07/03/2008 09:28 11618 P.002/005 Fax# 760-602-8558 PLAN CHECK NO. _____ _ PERMIT APPLICATION EST. V/>J... ________ _ Plan Ck. Deposit ________ _ CITY OF CARLSBAD BUILDING DEPARTMENT Validated By _______ _ 1635 Faraday Ave., Csrlsbad CA 92008 2815 SOMBROSA ST Addrau (Include Bldg/Suite #) eua,,,en Name (at this addtus) Legal OescfiptlDn Loi Na. SUbdlvlllOn Name/Number Unit No. PhaeeNo. T011J # of units AsaftllOr'sPWteitl ExJttlng U!le Proposed UH Deacrfptlon of Work SQ. FT. # of Sttllies # or Bl!Jdl'DMII # d Bllhroome Remove/Replace Gas Water Heater Name Addreq City Stala/Zlp TelaphOne # Fox# ~AST WATER HEA¥&'l COMPANY 12601132ND AVE NE KIRKLAND, WA 98034 Q8d]t_gggg X lM Name Adchll City -Telophona# ENSBERG, KRISTINE CARLSBAD, CA 92009 (760)6[1441 II Nmno AddlU8 Olty S1atll/Z1p Talaphone# 21 I PIE LU (Sec. 7031,5 Buslnea and PrDfesSlona Code: Any Ctty or Coun1y whlctl l9qUlra ■ pennfl ti, construct, aller, Improve, demollah or repair any 11ructunt, prior to 115 lllsuanoe, •Isa requires the applicant for aJCh pennlt to flit a signed afat9ment that he Is licensed pursuant tD the pmvlllons al tha contrac:tor"s Ucenae Law [Chapter 8, commending with Section 7000 of OMl:lo:i 3 of tho BuslnHS end ProfesBfone Cade] or that he la exempt themlt,m, and ltle bu.le fortha alleged exempaon. Any vk>lallon of Section 7031.15 by any applcant for a permit aub,lectl tha applfcant lo • civil penalty of not moni than five hundred dallarl ts,00)). FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955 Name Addreae City StateJZip Telephone# 9-Lloonoo # 877 489 Uconoe Claaa C36 City Bu&lneu Uconoo #..;1c:2::22=30::2=------ OeolgnerNan,o Cify Telephone It StaleUcanae# ______ _ Workers' Com n Daclnlion: I horeby dlnn under penally of peljwyone ofthefollovq declaratlonit 0 I haw and wHI maintain a 011rtltlc■te ofco....,t; to •lf-lnstn tor workers' c»mpannlon • provided by Section 8700 of the Labor Code, for the performance of the work for vlllch 1h11 permit ill Issued, Ja I have and "'11 mQlfaln work8t'S componuaon, u requ1rae1 by Seattan 3700 of the labor Code, for the performance of the work for which 1h11 permit i& lsaued. My workeni compenaa,tlon lllllll'll1108 carrier and ~ number are: , ........... c:om..., California State Fund PolcyNo.1761660 ____ 1~21~1~,o~a~---- IT""' 8"CTION Nl1ED NOT Bl! OOMPU!'MD IF tHE Pl!RMll' 18 FOR ON& HUNDRED DOI.J.ARII ($100) OR I.ESB) C ceRTIFIC::ATE OF EXEMPTION: I cerdfy that In 1t1a performance of Iha work for Which ttu pennR la leaued, I .... not ampkly any peraon In any mannar 10 aa lo become IIUbjact to the Workers' Compensdon Laws ofCalffomla. WARNNO; FaBure lg ACUl'9 wartcera• COmP911Ntlon cove rap .. unlawful, and llhall stlbject an em~, to crlmlnal panaftlN and Civil fines Up to OM hundrad thouNnd c1o111,-(t100,DOOJ, In addition to Ill• cott or compmaaflon, ctamao• are provided for In 8eatlrm 1706 or1i. IJbor Code, rn11nn and atlomey'a r.... SIGNATURE. ~,u~._;:,,,,r,, DATE 7/3/08 I hereby affirm that r am uempt from u. Conhcio,'• Uc■nae Law for the following reaeon.: □ ~ aa owrw of tht property or my empfoyles with wagee II lhalr SOie compensatton, wl1I d the work and lhe ltNdura rs not lntenclaci or offentd for a■la (Sec. 7044. &.lneaa and ProfNSlons Code: The ContracrDn l.lOllnae Law don not apply to an owner or proparty who bullda « lmpfOYel thereon, and wf!O dots 8UCh work hlmlelr -or thrOugh his own employeu, pmvlded lhet IUGh lmprovemenl:II 111"8 nol lntanded or offend for aala. If, howeVer, the buldlng or Jmprowment Is aold wlllln 01111 year or completion, 1he ovmeHNllder wlll have the burdan of proq 1hat he Gld not build or lmPfOW for the Pll"POM of safa). c I, u owner or the property, am uch.11Mly contnarng with DC9f1Nd confnmlora fD conatrucl the proJec)I (Sec. 7044. Business and Professions Code: The Contractor'• License l.aw does not apply to an OYmer of propel'\Y WhCI l:lulds or Improves thenton, and contra.Cb tor auch projects wtltl contraelor(s) llc8nsed Purwant 10 the Contrao(or's LleonooLaw). □ I am enmpt under Section ______ Business and Profualona Code forthl11 reason: 1. I personally plln to pl'O\lkle the major labor .,d matarfall 1br conalructlon oftha proposed property lmpn,vemenL C VES C NO 2. I (-■ nal) lllgnod an aPllff<>alion lor a bwldlng .... ltlor Ille PIOpoood work. 3. I hllVe 0011tac18d w.fth lhefo!lowlno peraon (flm't) fl:> proYlda tha proposed construction (mat.Ide nama / adr118n I pnona number I oontractDra lloemle number); 4. I plan to pn,vlda porllona of Iha Y«lrk, but J have hnd 1h11 10110\mg pereon to ooordlndt, lllpltrvi:te and provfda 1he major work (kx;lude name I address / phone raunber I /onlraclor11llcenR11.1mbar): -------------------------------------5. I wm PRMde 90ffle oftha work, ~ I haVe contracled (hlrad) 1h11 falawlng pel'SOl'l9 to provide tha work Indicated (fnelude name J addrue / phon■ msnbltr I type of work): PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ From: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of2 07/03/2008 09:29 11618 P.003/005 fa the appllcant or future bulldlng occ 111qUllld IO It a l:lullnen pten, acutely haardDlll mllerfall r.g/ltratlon for or rtM managem•nt anel JftWlnlfon program under Secttona 26606, HIS.1aor2Cil534af1ha P!Hley-Tanner Hazardoul SUbe1ance AccauntAorl Cl YES C NO Is lhe IJIPffcant or future building occupant AIQUlred to obtain a penaft fltlm the air po!Mkm control dlatrlct or aJr quality management dlllrJct? C YES □ NO II the faolily i, be constn.!ct&d wlhln 1,00D feet of the outer boundary of a sd1oal Ille? CJ YES C NO IF ANY OF THI ANSWERS ARE YES, A FtNAL Cl!RTIFICATI! OF OCCUPANCY MAY NOT BE ISSUED UNl.&88 TH!: APPUCANT HAS lll!T OR I& IEETING THIE IUIQUIRIMENTS OF THE OPFICI! OF BIIBR.GENCY Sl!RVICEI AMD TKEi AIR POLLUT!O~ CONTROL Dl8TIUCT. I heraby affltrn that fhore ii a ccnatructlon lendlng agency for the )Jelfon'nanoe al' th■ work for whloh thfa parmft Is rasui,d (Sec. S087(1) Clvl Code~ LENDER'S NAME LENDER'S ADDRESS I certify 1hal I have read the appJicalfDn and llala that ttM1 above Worma11on Ill COff9d and that the nfbnnallan on the plana la IOCUrabL I agree to oomply ~ all City ordinances .,d State Ins relatlng to buJldlng conlltnJctlon. I tw,eby authotfze ~ of the Cltv Df Carlsbad to enflr upon the above menlfoned property for mpecUon purl)ONS. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMl.E98 THE CITY OF CARL89AD AGAINST AU. LIABD.JTIES, JUDGEM!NTS, C0STS AND EXPENSES WHICH MAY IN ANYWAY ACCRUI! AGAINST SAID CITY IN CONSIQUENCB OP THE GRANTING Of' THIS P!RIIIT. OSHA: An OSHA permit la required far excavation• of 5'0" deep and demolllfon or oonatrucUon or atruc11n1 over 3 storla In hetght l!XPIRATION: Every l)llrmh Issued by lhe Wldlllfil Offlclal under th■ p,oylsJon15 of this Code lhlll expta by llmllltion and became null and VOid lf1he building or workeuthorfnid by such p■rmlt is not commenced wllttln 180 days from 1tMt dale Of such permit or ff the bulJdlni:1 or work authorlted by such permit is suapendad or abandoned It any Orne aftar the work la commenced n,r a peliDd ot 180 dayl (Sectbn 108.4.4 Uniform BuKdlng Cod9), APPLICANT"SSIGNATURE_ ~~~ --------~ DATE~_07_/_0_3/_2_o_oa ______ _ City of Carlsbad Bldg Inspection Request For 12/31/2008 Permit# CB081285 Title: ENSBERG RES REPLACE WH Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2815 SOMBROSA ST Lot: 0 OWNER ENSBERG DAVID E&KRISTINE K Inspector Assignment: MC --- Phone: 7606341441 Inspector: ('Ii l, -~-- Owner: ENSBERG DAVID&KRISTINE FAMILY TRUST 05-30-08 Remarks: A M PLEASE Total Time: Description Act Comments CD 25 ~'7 Water HeaterNents -~ 114.A-L--_ .. Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Requested By: DAVID Entered By: CHRISTINE 08/04/2008 25 Water HeaterNents CO MC NO ACCESS, LEFT MESSAGE TO RESCHEDULE