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Home My WebLink About2663 SUTTER ST; ; CB022531; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-28-2002 Plumbing Permit Permit No: CB022531 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2663 SUTTER ST CBAD PLUM Status: Parcel No: 1675120300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: NIELSON RES REPLACE GAS WATER HEATER WATER HEATERS ONLY INC. 400S EL CAMINO REAL SAN MATEO, CA 94402 415-375-8751 Plan Approved: Issued: Inspect Area: Owner: NIELSEN FAMILY TRUST 2663 SUTTER ST CARLSBAD CA 92008 ISSUED 08/28/2002 SB 08/28/2002 08/28/2002 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: 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 Inspector: N-;:;? 0 0 0 0 1 0 0 FINAL A_PP_plOV~ Date: ~ f"1/' c7 c_ Clearance: $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 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, decflcations, reseivations, or other exactions hereafter collectively referred to as ufees/exactions.~ You have 90 days from the dale this permit was issued to protest imposition of these fees/exactions. lf 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 lees/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 i n f whi h I Tl imil r h' r o wh' h h t tut f limi i n h I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C3az z ;--5'( CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit,...y Validated By__,,,......-''Ct7'-"-----,------- Date 8,-2 g ~a)l_ 1, PROJEC~I~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use Assessor's Parcel #~~ p )~(-( Description of Work #of Stories II of Bedrooms II of Bathrooms 2., m •~cant) " I) ,. .J::J, c__a,fZ_O\ ,FldTr/ Name Address 3. APPL! Name City 0 Agent for Owner z_ ~ M ~ o.ol <i City City State/Zip Telephone# Fax II State/Zip Telephone# L./ Lt L.J 3 ' S.tate/Zip Telephone# (Sec. 7031 .5 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 provisions of the Contractor's License Law [Chapter 9, commending with 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 a~icant for a permit subjects the applicant to a civil penalty of not m~ than five Jwndred dollars [$50011. / u 1 ,._ f:r rL JJ c~s 041 vt 7t:> £ r11 ~ Gr:!..~ v~ c ~ '::>7t.1.) 530 ')... 74 3a- Name ~ Address City State/Zip Telephone # State License # 379 )~) License Class HI (. c3 ~ City Business License # ------- Designer Name Address City State/Zip Telephone State 8. . 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 'tsJ' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is isted, My worker's compensate_ ilJiu!a"/7 carrier:.and policy number are: <'-- Insurance Company-----T_r __ ~ ____ '-_______ Policy No. / fc,<l':> ~ 2..3-C'L. Expiration Date > / --C 3 . (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 aacure workers' compensation coverage la unlawful, and 1hall subject an employer to criminal penalties and civil fines up to one hundred thouaand dollar■ ($100.0001, In d Ion to the coat of compensation, damage■ as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE Vr J-7--0'2- 7,. QWNER•B!JILDER ~EC~RA . Q!II • I he;eby at.firm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their 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 ljOld within one year of completion, the owner-builder will have the burden of pr~ving that he did not build o; improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 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 / address / phone number/ 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 / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE C9MP.t.EI E. l:IJS SECTION F·~o:_R:;:_N:;:O;::N-:;:-R:::E.:::S:::ID:-S::;:'N::;-Tl.-:A--:L:-::BU:-1-LD-.l::-N-::O:-PE--::RM=-IT-.S~O-N-.L::-Y---;;;------- DATE _________ _ ls t he applicant or future building occupant required to submit a business plan, 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? O YES O NO • • J .. __ -~•-1.-. -,.. ......... ;.*""'"'th• air nnllu,ion control district or air quality management district? 0 YES O NO City of Carlsbad Bldg Inspection Request For: 09/17/2002 Permit# CB022531 Title: NIELSON RES REPLACE GAS WATER Description: HEATER Type:PLUM Sub Type: Job Address: 2663 SUTTER ST Suite: Lot 0 Location: APPLICANT WATER HEATERS ONLY INC. Owner: NIELSEN FAMILY TRUST Remarks: AM PLEASE: BETWEEN 8-10:30AM Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604347431 [8°'>)"635~f/f7/ c ... 'l,/ <'t,f-, Inspector: RF Requested By: BETTY NEILSON Entered By: GIOVANNA 25 Water HeaterNents .iJJ!_ _______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments