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Home My WebLink About1756 BLACKBIRD CIR; ; CB050607; Permit02-28-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB050607 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1756 BLACKBIRD CR CBAD PLUM 2156020100 Lot#: Construction Type: PRABHAKAR RES REPLACE H2O HEAT 0 NEW Status: ISSUED Applied: 02/28/2005 Entered By: KG Plan Approved: 02/28/2005 Issued: 02/28/2005 Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: PRABHAKAR BHOOPALAM S&NETHRAVATHI 1756 BLACKBIRD CIR CARLSBAD CA 92009 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE SIGNATURE 2756 02/28/05 0002 01 02 CGP 27-00 Inspector: FINAL APPROVAL Date:Clearance: 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 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 fees/exactions of which vou have previously been given a NOTICE similar to this^or as to which the statute of limitations haS-previouslv_ otherwise-expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.£j&0^"OCp 0 7 EST. VAL. Plan Ck. Deposit 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 Assessor's Parcel #Existing Use Proposed Use Description of Work SQ. FT.# of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone #Fax* (Sec. 7031.5 Business and Profession* 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 tor the alleged exemption. Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500l). ^ Name .. State License # DlWrU Designer Name State License # . Address 1 License Class Address CZU City City State/Zip City Business License # State/Zip Telephone # Telephone tt Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. Sf I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are: . .-, . Insurance Company .STAffc' &*•* Q Policy No, ' /& / 4 W / O *j Expiration Dale ^^ \ " O \p (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100] OR LESS) D 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. WARMNO: Failure to secure workers' dbmp*n»jj(fcircov«rlg»>l» unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar«{$100,000), In addition to the eosVof confmwatlon, darftages ara provided for In Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE s—-^ / S ^~- DATE "7—7-7^^ Y"" I hereby affirm that I am exempffrom the Contractor's License Law for the following reason: G I, as owner of the property or my employees with wages as their sole compensation, will d 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 sale). D 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 contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES D NO 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 / /ontractors 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.DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? G YES D 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. I hereby affirm that there is a 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 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 bulletins construction. I hereby authorize representatives of the City 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, JUDGEMENTS, 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 e&avations of 5'0' deep and demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the euilcjjrig Official un/erxhe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 daw from theaat/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 for a period of 18 Of days (section J06«. 4 Uniform Building Code). APPLICANT'S SIGNATURE,DATE. WHITE: File YELLOW: Applicant PINK: Finance License Detail Page 1 of2 California Home Monday, Febru License Detail Contractor License # 812894 CALIFORNIA CONTRACTORS STATE LICEM DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: • CSLB complaint disclosure is restricted by law (B&PJ7124J5). If this entity is subject t< complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P.7Q7JL17, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 02/28/2005 * * * Business Information * * * ALL STAR WATER HEATERS INC 17886 LAKE SHORE DRIVE LAKE ELSINORE, CA 92530 Business Phone Number: (800) 727-0977 Entity: Corporation Issue Date: 09/19/2002 Expire Date: 09/30/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description C36 PLUMBING * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 9055643 in the arr $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp?LicNum=812894 02/28/2005 License Detail Page 2 of 2 Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) JEF DUANE SPRAGUE certified that he/she owns 10 percent or more of the voting stock/equil corporation. A bond of qualifying individual is not required. Effective Date: 09/19/2002 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 1791641 Effective Date: 08/02/2003 Expire Date: 08/02/2005 Workers Compensation History Personnel List ILicense Dumber Request B Contractor Najrie Request •Personnel Name Request"~ -_.-.- - • 1 •____ I • • Salesperson Request I Salesperson Name Request 2005 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+DetaiI.asp?LicNum=812894 02/28/2005