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Home My WebLink About2419 LA COSTA AVE; A; CB071009; PermitCity of Carlsbad ,. .. 1635 Faraday Av Carlsbad, CA 92008 04-25-2007 Plumbing Permit Permit No: CB071009 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2419 LA COSTA AV CBAD St: A PLUM Status: Parcel No: 2162405527 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: KENNEY RES-REPLACE WTR HTR Inspect Area: Applicant: JUST WATER HEATERS INC. 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 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: KENNY JOHN & YOLANDA 2914 LA COSTA AV ST A CARLSBAD CA 92009 ISSUED 04/16/2007 LSM 04/16/2007 $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: FINt,~P ROVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~ 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 infonnation 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 f x i n f whi h h ve r vi I TICE imil r whi h f 1imi . n h I th rwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Assessor's Parcel# Existing Use FOR OFFICE USE ONLY PLAN CHECK NO. M!:>0 7 IC09 EST. VAL. _________ _ Plan Ck. Deposit -+----,,---:---- Validated By ---~-' 1 "---,---::----- Date ____ ~.:...+..:....t(p-"_0_7 __ _ Phase No. Total # of units Proposed Use Dem;t::e~1 3/oGff~~--~ q ~O.FT~lm #~~ ~~ooms # of Bathrooms State/Zip ~Sec. ~31.5 Business and Professions Code: Any City or c:~~; ~hich 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, com_mending 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 v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). .J t,/l &/ ~S ,f"IIO "4'oC/ - J1 Jl)'t' uh...W ri ~-,ts, t2:tX ?)l.jt,1) ::ij,J ~Mc'.Nf fA.,illJ ,1 ~ pi..n-"' , q Y~ 3 Name Address I!'._ City ~ State/Zip Telephone# State License # 5q J 3 -;i....C, License Class (;., 2, b J7 City Business License# iJ.. ::l i LI °I J Designer Name Address City State/Zip Telephone# State License# ________ _ 6. -~ WORKER'S • · Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. 'I(/) 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 "'2rker's compensation in~urfm:e carrier and policy number are: ~ ' ,1 t t C'/ Insurance Company :1?;!£LL--Policy No._~~ ....... -t,-~~v,,_·~ I ... ______ Expiration Date ~ / 0 T (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ 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 lo become subJect to the Workers· Compensation Laws of Cal~omia. WARNING: Failure to secure workers· compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand SIGNATURE DATE ·o ,r.., ..AWNER-'&Ulti>Eli . I hereby affirm that I am exempt from the ontractor's License Law for the following reason: □ 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). □ 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(s) licensed pursuant to the Contractor's License Law). D 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. □ 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 lo 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. l 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 ___________ _ WHITF· FilA YFI I OW· Annlir:>nt PINK· l=in:>nro • ,. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS 8ECflOft 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? D YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE 9. AP~ 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 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 excavations of 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 if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or ~ the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period ys (Section 1 .4 Uniform Buil · ode). W~ITJ:'· l=il~ Vt=I I ()W• 6nnli,...~nt Dlf\11<· ~in~n,...a • City of Carlsbad Bldg Inspection Request . For: 05/01/2007 . Permit# CB071009 Title: KENNEY RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2419 LA COSTA AV Suite: A Lot: 0 Location: OWNER KENNY JOHN & YOLANDA Owner: Remarks: p m please Total Time: Inspector Assignment: Phone: 0000000000 Inspector: Requested By: JOHN Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents 4f:2. ____________________ _ 1£l-fl ~-/f1(2 ---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 04/24/2007 25 Water HeaterNents CO PC NOT HOME LEFT MESSAGE