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Home My WebLink About2811 SOMBROSA ST; ; CB080146; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-22-2008 Plumbing Permit Permit No: CB080146 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2811 SOMBROSA ST CBAD PLUM Status: Parcel No: 2551040100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: MOORE 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: MOORE DONNA E TRUST 09-07-01 2811 SOMBROSA ST CARLSBAD CA 92009 ISSUED 01/22/2008 KG 01/22/2008 01/22/2008 $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: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reseivalions, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this pennit 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 information 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 . N . ii r hi . h h f Ii . i h r i 1 Pl::RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Si.:,••.:1.PRQJf;CT!\NFQRMATIOllj•· .)Y!I -~,.., FOR OFFICE USE ONLY t ( PLAN CHECK N~t<}Xl1('7P EST. VAL ___ ...,._ ______ _ Plan Ck. Depos/77"'..,.,,.,. ________ . Validated By ____ ..__....,.._..,.... ....... "'-- Date ____ __,~....._-------- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use 0.. f.+-e_o., +tr O\M €.._ Proposed Usa o c_u.. t-i'oi-, ::. (~ ct,,..._c k.' SO. FT. #of Stories # of Bedrooms # of Bathrooms ):Zi'/t•" CQ'NJ'~C.T.•PEl!,$1;>1\f,llti'i:llfterant\trpm: ~ppJlcnntl. . J ·• · •·• t>i: . Scorr L, rr 1£... fae--1 J Name Address City jj';,:t)A.~tl¢Al\l'.T'' i•rGI reontr'a'6t0:r,'.iSAseriflor <l:bnfraofor • · O 'Owner" , • D Agent (or Owner . State/Zip Telephone # Fax # A:EforJ.o-.Ut, Wc"te-r Heodlli .Ji:!JOJ S:c..(\ fe.coc,..,vlc) . ' ,. . ~·:,·2 :; ~ ~ I 3rJ\ ... l re (c,t/· ;i, , .25°1-JJ 31 Name Address CitY State/Zip Telephone # '4, tJPgOpERTY•QWNERtc;', •:j, , :''<'!,:;?\ :;i,,t,, · . b~-i-\x,rc< \~iCLul\,t\f·l~ )~•M{ I ,.y},i;::,•:,: f~,-:1' ,•~:,:,~~ \_'.)~,, '7U 'i 3&, 11i/s Name Address City State/Zip Telephone # i!ii'lii/\ toNrRAc:ro·R~~coMP)\I\IY. NAMt,e":0,: '.;'':'';; »•\, •, ISec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provis;ons of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 sub ects the applicant to a civil penalty of not more than five hundred dollars ($500]l. Hor I u.Jo,,.t'v-W~+~ s .::i.4,0 0\(\ f2..rf\<Af\ o (!. h-t 13 ~ 5'1-t Name Address City State/Z'1p Telephone # State License # -~(r~,t:_7~-2_(.,~8' __ _ License Class __ C.._3_1,,, _____ _ City Business License # /J I 7 J 7 l Designer Name Address City State/Zip Telephone State License # _________ _ 6,, WOf'lllERSrCOMl>EN!tA;TION:,: Workers' Compensaf,on Declaration: l hereby affirm under penalty of per;ury one of the following declarations: 0 I have and will maintain a certificate of consent to sell-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~-I have and will maintain workers' compensation, as required by Section 3700 of the Labar Code, for the performance of the work for which this permit is ·,ssued. My worker's compensation insurance carrier and policy number are: Insurance Company ··n,,e.. °Z¼d::h Policy No. l..Di,o] &':'H'' 7 0 J. Expiration Date / -/-°' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$1001 OR LESS) 0 CERTIFICATE OF EXEMPTlON: 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 aacure workers' compensation coverage I• unlawful, and shall subject an employer to crlminal penaltles 11nd civil fines up to one hundred thous1,nd dollars [$100,000), in addition to the cost of compensation, damages H provided for in Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE _________________________________ DATE _________ _ iZ~~b'WiJ~Rt.eOifptlil'Ji~cllA~A'Tii:i'tii:~i~~i,:~i!'.;,.Jkil1'.,;;~1{~?:.~f,n,1:;i,;:ii.i'.ii.:.;·; ;::,~1;','\•••.:)1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as the'1r 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 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, 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 the purpose of salel. 0 I, as owner of the property, am exclusively contracting with licensed contractor• to construct thn project (Sec. 7044, Business and Prof■.slons 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(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement, 0 YES ONO 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 / phone number / 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 f address I phone number/ contractors license number): ________________________________________________ _ 5, l will provide some of the work, but I have contracted (hired) tha followirig persons to provide the vmrk indicat1;d (include name / address / phoni, number/ type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ :coMPLEt,~:tti'tis,·sectiONi:~bi'i' i-/QNiiJ.'if:sio.irJftAi/Bt)l(PiNQ)''.l;RMl1S'Q"'LY'.,('1;• ,;;io!;!,iiit,j :,i,:}w,f};t:;>;1,!;,:l!!'i'lJ:il:Iiitt,1t ,·le;~[:-?',;y::;').}:ic:;[;.1/Iii:\i~';:~i(i:\lltii.:S'ti,i?iti}J~;):~(;;: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? 0 YES O NO Is the fac'1lity to be~nstructed within 1,000 teet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UI\ILESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS DF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. :,11;;::t::,g9Ns:r~uc);19ij,i;~!'JIPINQiM~N:¢.i'. ,;\;'}::.: .• i;: :.:,,..::i .: .• :-·, I hareby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097(i) Civil Code). LENDER'S NAME _____________ _ !~)i;. {AP,P)l!.¢~fll:t CE!lTlflC~TlQN•,:ittif,J.;c•:i{\ .. s':•.'.ii/'.'i-'i·( I certify that I have read the application and state that the above information is correct and that the Information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction, I hereby authorize representatives of the Cit\r 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. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0• deep and demolition or construction of structures over 3 stories in height. EXPIRATION·. Every permit ·issued by the building Official under the provisions of this Code shall expire by limitation and become null and void ff the buildlng or work authorized by such permit Is not commenced within o days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work is commenced t.it A nerl f. 18_0.,_ ad/ ys (Section 106.4.4 Uniform Building Code). APPLIC, ;T'S SIGNATURE C.CT 'j.. . DATE / -/J ,· ( ,f WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/28/2008 Permit# CB080146 Title: MOORE RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2811 SOMBROSA ST Lot 0 APPLICANT AFFORDABLE WATER HEATER Owner: BROUILLARD BARBARA A TRUST 09-07-01 Remarks: AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604363925 Inspector: ---- Requested By: MS MOORE Entered By: JANEAN 25 Water HeaterNents 29 Final Plumbing f~~~-~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments