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Home My WebLink About2807 SOMBROSA ST; ; CB054284; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2005 Plumbing Permit Permit No: CB054284 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2807 SOMBROSA ST CBAD PLUM 2551040300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: KIRWAN RES-REPLACE WATER HEATER AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA 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: KIRWAN KIMBERLY 2807 SOMBROSA ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 12/20/2005 LSM 12/2012005 12120/2005 $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 at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refe1Ted 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 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 I x i n f whi h h I n iv n N Tl E imil r whi h h t t I limi i n h r viousl o herwi FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK N0.0£QS.l/.;)'ittj CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit----~---- Validated By __ ----'<cij"'-=--W:....,._~-- Date. ____ .,_/-"d"'-l/'-/"-5.,_,/..,l>~5°' __ >14,'rnlf!illl;)liC:it'INFORMATIPNi,;;, : .,, ' .. ;;.Ro1 (ain&os,;,. .S:T- Address (Include Bldg/Suite #I Business Name (It this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # <f5 Existing Use Proposed Use B.(,Pl0-c.e. 50 f>i\1 u-'c..1'%: tie~« -\"mil tote..~ 0" Description of Work SQ. FT. #of Stories # of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax# ~'. .. ,. ' . . . · iirifrli~~~tift~"iil~~· ·· · --" t9n:~iir/,'>ifit:; • ,~l~Tl'?ili!:li?~;!ir~,~:11~ 4 13 / Name Address City State/Zip Telephone # Il~QGcOMJtiNM!NAM ... tf~J~,?::i,'#;~~f"!iit~!~t~,~;:tt~ft)£-i¼:~-;i ;,:;/,};';i~''fJl'.'~!1_1;:·.1·'..1/1":'lii~~,t::tihefJttt~l:~!J~JJp,M~:A,~J".{~.:i"·:~1:. -,: :,::,; ,:,-:-,. (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its laausnce, also requires the applicant for such permit to file • signed statement that he Is llcenaed pursuant to the provisions of the Contractor'• License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Profenlona Code) or that he le exempt therefrom, and the buls for the alleged exemption. An violation of Section 7031.5 by any applicant for • per ·t subjects th• a pllcant to a civil penalty of not more than five hundred dollars I t5001). I «rt< :-r., p, (Z · IJ II I I _ , · o~.;>C Name Address City State/Zip Talephone # State LlcenH • ii, a 7 3 loK Llconso c,... C, 3 I, City Bus;ness Llcenu • I J, I 7 :i 7 ' Designer Name Address City State/Zip Telephone State License II _________ _ li~~MIEND~~it~~it--~~~~WJ~~~i\':ief":(i'~i~\!~tiW~tiil\%1'.:.;~~i~:~:~;:~~4;;~;J:i.·::,_. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensation •• provided by Section 3700 of the Labor Code, for the performance oft!, work for which this permit Is iHued. . (]J' I have and will maintain workers' compensation, H required by Section 3700 of the Labor Code, for the performance of the work for which this permit is lasued, My worker's cOmf:!enHtlon Insurance carrier end pollcy number are: / / lnaur■nco Company S 10. Tt f "" J Polley No. / (e 15' '1 3 3 S' Explrotlon Dote O I _ 0 / _ Ii I,, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l•t00J OR LESS} 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit I• iseued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callforrue. WARNING: Failure to ••cur• work ' compensation conrau• la unlawful, and ■hall aubject an amployer to crlmlnal penaltiu and dvll fin•• up to one hundred thousand dollars ft100,000}, 5n ■dd to • coat of compensation. damagu u provided for 5n Sac:tlon 3708 of tha Labor cod■• ~t and ■ttomey•a fna. SIGNATURE • DATE J(l.·(7-0~ ft?J.l~~!iO _., ,. 1 •·• ·-~i . ·:•---; . "•,"_·•:;1~~)~';>~;1~¥.f<'i{itt,f.!:~1~i~~~,i~M~J~f~~.i1i,:, ,Jiil"..,,.:,:;rfi" I hereby affirm that I em exempt from the Contractor'• Ucen1e Law for th• following reason: 0 I, es owner of the property or my employees with wages H their 10le compensation, will do the work end the structure ls not intended or. offered for sale (Sec. 7044, Businesa end Profe,slons Code: The Contractor's License LaW does not apply to en owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements are not intended or offered for aale. 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 sele), 0 I, H owner of the property, em exclu1lvely contracting_ with licensed contractota to construct the project (Sec. 7044, BuaineH and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improve• thereon, and contracta for such projects with contractorls) licensed pursuant to the Contractor's License Law). 0 I em exempt under Section ______ Business and Professions Code for this reaton: 1 . I personally plan to provide the major labor and materis/1 for construction of the proposed property Improvement. 0 YES ONO 2. I (have/ have not) signed an epplicatlon for II building permit for the proposed work. 3. I have contracted with the following person (firm) to p1ovlde the proposed construction (include name I addreSI I phone number 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 / add1ess I phone number I contractors license number):, ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to p1ovlde the work Indicated (Include name/ addreaa / phone number / type of work): ________ ~---------------------------------------------- PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ li10Mllt:EilllltilllllliCllPllllfQR1.it~illWIIINlll~~~~Ji'l.1ilt~liJl.~~li\.i,.;M~!'n',;o:;,,,:, la the appllcant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program undi,r Section• 26505, 26633 or 25534 of the Presley-Tanner HazardoiJa Substance Account Act? 0 YES O NO la the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO la the fsc/Uty to be constructed within 1,000 feet of the outer boundary of a school tite7 0 YES O NO 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, ll~~N.$IR~'.CllA.NiUNR~iN~~it.Y~iit~;;:i~,:}~\~l{fi;fi,f:it!·(}AfX?1il~:i~2-,:11t~,e;~ .. '.~Mf.:;f,f{'.~: ;i.,s:~1?:4'1-f)ii!;'fj'( i,•i L•i;::; ·(/;\t:;'.:tr,:~'.'i '' '.-•' I hereby affirm that there is • construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME_____________ LENDER'S ADDRESS, _______________________ _ i~l!l;IIIAN!D,tia!rJ•il'ili~~'liici.!~U:iiilW:iilfi\~~,:,\~~~!iiliWl,i~ltil"l!i~li>!l<\.:,;:sl'!I/C•:::r,;-., I certify that I have reed the application end state that the above Information 11 correct and that the Information on the plans It accurate.' f agree to comply with all City o,dinences and State laws relating to building construction. I hereby authorize representatives of the Citt 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 end demolition or construction of structu,es over 3 stories In height. EXPIRATION: Every permit Issued by the bulldtng Offldal under the provisions or thla Code shall expire by limitation and become null and void if the building or work authorized by such pennlt is not commenced wlthl 180 days from the date of such permit or If the building or work authorized by such pennlt Is suspended or abandoned at any time after the work is commenced for a od o 80 days (Section 106.4.4 Uniform BUJdlng Code). DATE _;._/~_•_fJ_-_o_< _____ _ WHITE: FIie YELLOW: Applicant PINK: Flnanc. City of Carlsbad Bldg Inspection Request For: 01/10/2006 Permit# CB054284 Tille: KIRWAN RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: Suite: Location: 2807 SOMBROSA ST Lot 0 APPLICANT AFFORDABLE WATER HEATER Owner: KIRWAN KIMBERLY Remarks: Total Time: Inspector Assignment: Phone: 7606325276 Inspector: ---- Requested By: KIM Entered By: CHRISTINE CD Description 25 Water HeaterNents ~ c,mmp,rc d} Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments