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Home My WebLink About1728 SCHOONER WAY; MULTI-PERMIT FILE; CBR2018-2396; Permit{'city of Carlsbad Print Date: 09/27/2018 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 1728 Schooner Way BLDG-Residential 2073200100 $0.00 Residential Permit Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: YSlAVA: REPlACE WATER HEATER, LIKE FOR LIKE Owner: Status: Applied: Issued: Permit Finaled: Inspector: Final Inspection: Contractor: Permit No: CBR2018-2396 Closed -Finaled 09/11/2018 09/11/2018 9/27/2018 10:40:18AM TRUSTYSlAVA EDWARD G AND DOLORES M REVOCABLE LIVING CALIFORNIA DELTA MECHANICAL INC 1728 Schooner Way CARLSBAD, CA 92008 WATER HEATER PERMIT Total Fees: $98.00 Total Payments To Date: $98.00 6056 E Baseline Rd, 155 Mesa, AZ 85206-4803 480-898-0007 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $98.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILD IG □FIRE □HEALTH 0HAZMAT/APCD I · Ccityof Building Permit Application !'an Check No(Aie;2.o Jg-~ 3 CJ&, 1635 Faraday Ave., Carlsbad, CA 92008 E,t. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 P an Ck. ~posit, email: building@carlsbadca.gov www.carlsbadca.gov ·oate y' / 11 I , 7 19.11.1a JOB ADDRESS SUITE#/SPACE#/UNIT# (PN 1728 Schooner Way --- CTiPROJECTlt I LOT If IPHJ\SE,, I# Of UNITS I It BEOAOOMS # BATHROOMS I TENANT BlJSINES NAME I CONSTR TYPE I uCC GROUP I DESCRIPTION OF WORK: lnclud& Square Feet of Affected Area(s) I replace 40 gal gas water heater like for like EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) Flf PLACE . IAIR CONDITIONING I F)RE SPRINKLERS : YE D No[] YES □No □ YES□ NO□ ' APPLICANT NAME AJ Diaz PROPERTY OWNER NAME Ed Yslava ADDRESS ADDRESS 6056 E Baseline Rd, Ste 155 1728 Schooner Wav CITY STATE ZIP CITY STATE ZIP Mesa Al 85206 Carlsbad CA 92008 PHONE I FAX PHONE IFAX 866-692-5273 866-692-5275 760-720-420 i --·· EMAIL EMAIL capermits@deltamechanical.com DESIGN PROFESSIONAL CONTRACTOR BUS. NAME California Delta Mechanical -·--------~-- ADDRESS ADDRESS 6C 56 E Baseline Rd, Ste 155 CITY STATE ZIP CITY STATE ZIP Mesa Al 85206 PHONE PHONE I FAX 480-898-000 . I FAX 480-898-0005 EMAIL EMAIL I STATE UC.# STATELIC.# ICLASS I""'"' "'i2142s1 811114 C36 Workers' Compensation Declaratlon. I hem by affirm under penslly of pelju,yon9 of /he following rlec/iJrations: D I have and will maintain a certificate of content to self-Insure forworters' compensation as provided by Section 3700 of the Labor Code. form oerformooce of lhe WOO. for whictl this permit is issued [Z] I have and will maintain workers' compentatlon as required by Section 3700 of the labor Code. for the performance of the W()t1( for which this r mil is issued. My workers' compensation insurance carrier and policy number are: lnsuraru;:e Co. American Home Assurance _ Policy No. WC OM160234 t \ Expiration Date 7-1·13 ~section need not be completed ii the permit is for one hundred dollars ($100) or less LJ Certificate of Exemption: I certify lhal in !he performence of the WOO. for which this permit is issued, I shall nol emp!o,.-any person in any manner as to become subject lo the Wort<ers' Compensation Laws of California. WARNING; Failure to secure wolMTS' compensation coverage it unlawful, and shall subject an employer to criminal penalties an• civil fines up to one hundred thousand doll al'$ {& 100,000), In addition to the cost of compensation, dam s as provided for in Sect! 3706 of the Labor code, Interest and attorney's fees. ft5 CONTRACTOR SIGNATURE I hereby affw that I am exempt from Contractor's Ucense Law for the folbwing reaS-Ofl: □ □ □ I, as owner of !he property or my emplOyees with wages as their sole compe11sation. wilt do the work and the structure is not intended or offered fo1 License Law does not apply to an owner of property who builds or improves !hereon. and who does such work himself or through his own emplo~e sale. lf~however, the building or improvement 1s sold within one year of completion, the owner-builder wiH have the burden of proving that he did :v ale (Sec. 7044, Business and Professions Code: The Contractor's ;, provided thal such improvements are not intended or offered for build or improve for the f)lJrpose of sale). I, as owner of the property. am exclusively contracting wilh licensed contractors to construct the projecl (Sec. 7044, Business and Professions COC The Contracior's License Law does not apply IO an owner of property who builds or improves !tiereon, and conlrocts for soch projects wih contractor(s) iicensf!O pursui:Wlt to the Contrac!Ol"s l.kense Law) I am eKempt under Section -----···Business arid Professions Code for lh1s reason: 1. I personally plan to provide the major labor and materials for construction of the propose<l propert~ ifll)rovement. 0Yes Do 2. I (have I have not) signed an application for a building permit for the propose<l work. 3. I have contracted with 1he following person (finn) to proYide the proposed construction (include name address I phone I contractors' ~cense I miler) 4_ 1 plan to provide portions or the work, but I have hired the following person to ccordinate. supervise and provide the !M,Or work (include nan ! address I phone I contractors' license number) 5. 1 will provide some of the work, but I have contracted (hired} !he following persons to provide the work indicated {include name I address I pl -18 i lype of work): 2$ PROPERTY OWNER SIGNATURE □AGENT DATE Mi-f. ili"llliliiiliiit·i 1ii+itiii iiii·IJ:Ht:tiiiht,it i • Is the applicant or future bu1ldmg occupant required to subm~ a business plan, acutely hazardous materials regis11aboo form ot risk management and p vention prOJfam under Sections 25505, 25533 0< 25534 ol :he ! Pres!ey-farmer Hazar.::lous Substance Account Act? □ Yes r1 No Is the applica11I or future building occupant required to obtain a permit ftorr the arr pollu!ion control d:striel or air quality man.r;iemenidistnc!? r Yes □ No I Is !he facility to be cons!ructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No j IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR _S MEETING THE REQUIREMENTS Of THE OFFICE OF 1 EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '1•1:iii i1iiii·I iii J,ii lrl:fii,A 111 1-I I I hereby affhm that there 1s a constructKin lendmg agency for the performance of the work this permrt is issued (Sec 3097 (1) C1V1! Cc e) Lern:ler's Name Lender's Address J:14411¥,fiii i ihiiitiit·ii 11 __. I cer!jfythat I have read the appllcaOOnand state that the above infoonal!on Is correct and that the infonnatlon on tile plans is acwrate. I agree to com pt,. 11th all City ordinances and State laws relating to buHd/ngconstructlon. I hereby aullOlize replll5€f1!aive of ~eCfyof Caisbad ID enler upon !he allove mentioned prop°"Y for-pu,poses. I AJ.S0 AGREE TO SAVE NOEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABlLITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAJD CITY IN CONSEOUEN[ OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permt 1s requred f(:( excavations over 5 0 deep and demolitJoo or construction of structures CNeJ 3 stooos 111 hei;Jhl ::J' EXPIRATION Evary permit issued by fle Buildlllg Official under lhe pr®l$1a\S of this Cede shaK expire by lill'lilaOOl1 and befflne nul Md void if the bLili ig ex-WOOi autlolized by such pennl s not commenced 'M1tm 180 days from lhe date of such permit or ~ tie b 1ng a< Wtl'k arthofized by such permit IS suspended or atmdoned at a-iy lime after the 'M'.ll"k. s corm ricoo kr a period of 180 days {Section 106 4 4 llnifClml Bo1kfng Code) ,i!5APPLICANT'SSIGNATURE b -----DATE 9-J 1-1 i~---- PERMIT INSPECTION HISTORY REPORT (CBR2018-2396) Per•mit Type: BLOG-Residential Application Date: 09/11/2018 Owner: Work Class: P/M/E Issue Date: 09/11/2018 Subdivision: Status: Closed -Finaled Expiration Date: 03/26/2019 Address: IVR Number: 13848 Scheduled Date Actual Start Date Inspection Type Inspection No. 09125/2018 09/25/2018 09/27/2018 09/27/2018 September 27, 2018 BLDG-25 Water HeaterNents 070917-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 070916-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final BLDG-25 Water HeaterNents 071336-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 071335-2018 Checklist Item BLDG-Building Deficiency BLDG-Plumbing Final BLOG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final Inspection Status Primary Inspector Failed Chris Renfro COMMENTS Sediment trap is in wrong location. Needs to be after gas shut off and before flex gas line. Leak in the copper line in the temperature relief valve. Failed Chris Renfro COMMENTS Sediment trap is in wrong location. Needs to be after gas shut off and before flex gas line. Leak in the copper line in the temperature relief valve. Passed Chris Renfro COMMENTS Passed Chris Renfro COMMENTS TRUST YSLAVA EDWARD G AND DOLORES M REVOCABLE LIVING CARLSBAD TCT#72-18 UNIT#01 1728 Schooner Way Carlsbad, CA 92008-3623 Reinspection Reinspection Passed No Reinspectlon Passed No No No No No Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Complete Complete Page 1 of 1 • 05-21-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB141100 Building Inspection Request Line (760) 602-2725 1728 SCHOONER WY CBAD PME 2073200100 YSLAVA RES-REPLACE WATER HEATER -SAME LOCATION Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/20/2014 SKS 05/21/2014 05/21/2014 Applicant: ALL STAR WATER HEATERS & PLUMBING YSLAVA EDWARD G&DOLORES M REVOCABLE LIVING TRUST 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1728 SCHOONER WAY CARLSBAD CA 92008 $33.00 $0.00 $0.00 $62.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any fe x ions of whi h h ve reviou I n iv n a N TICE imil r t his or whi h he f limi ation h 05/19/14 11:11:02 951-616-3981 -> 760 602 8559 Robert Block Page 001 <<~> Bulldlng Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-e02-2717 / 271S I 2719 PlanChackN let 1100 ~ CITY Of CARLSBAD Fax 760-(102-8558 www.eo~sbadca.gov 1728 Schooner Way CT/PAO)E{i"{IJ ---~]""~,----· DISCRlnlON OFWORlb ~ lfUIII • <•I Replace.existlngwater.haater. Sa111e siie and location;. GAAA.G {S / PA SWPPP . ; . J UP Sle(ra Sprague ADORES$ A R :SS 1 '---~-'----··· ·, ~ .• ,,-r,------'-'----+----'--....... JQ.3QO,e.~t11tYAU!i.!As ______ " __ CITY trp CITY STAT!: i ZIP PHONE ------~-,.,--------__J,MNE ......... Menifee _____ ,., CA. 92584 951-301-0067 EMAIL li:t-AAIL PROPERTY OWNER NA.ME Dolores Yslava ADDRESS i .. 30300 -Putirto Vallarta Clfi' STAtt; 1..c ,, 92008 92584 -~----~--·~-lffiLlL~~'----'=-----k onv STATE Menl~e F'HONE i FAX 951-301-0067 I !!MAil Carl111:!ad C.A... ••• ,~--.......j------"'""- 760-120-<1201 .,,._J,FAX _; _, ______ .,___ ________ ---'----!----------< A fllC, !i. -U f 8128 4 lSec 7031,!:1 8u11lnwt,,nd Pfofflaloni Cotle: Art)' C::IIY Of Ccunty wn1en requm:11 a parm1i to conttr"U«, a"er, tml)l'ovo, d1mou11'1 or rap11r any struoturo, 01'lorto lur. '"uanoct, 1110 r.q1.11r11 tn. oopllcent for puch,r.J.m"-t~ flit• tllMd ttat•ment that ne It 1lct:n1Gi:! pursu1n1 to tna prov11lon1 o1 tne COntr1ctor'1 L~fnte 1.1w rchas,ter ii, commandt6JZWlth sec:ttol'I tooc ot D1V11«111 lat tna Si.l&lnU& ena Pro,-ions COdel or that he Is &«rmDt thorQftom, and tt1'l bsais for thlil aI!of,Qd 11xamptk>r+. My violation of&te\lon ?031,!i by &ny tiPPll¢erfffor II permit aubl9ct& tho applicant to a c1v11 panamy or not moni t111n !N1 nunareo ciotlll'S (1500)), i WDl'lutn' Comf)t!IUUollDeefatltlon: I hOIDbytJlflml IRldGf Pf,ll)ll!yd(Jarjur(otl'Jofthf:followill{i dPcll!lralirw: J 0 I ha\19 and wRt malnbln a canlflcatt of conSfffl to Nfl'offl1111r11 for v.utw;;' ~Ion as proVlded by S&cflon 3700 of lfla I.Bl:or Coda, tor lhe perfDrnulno& ot 11\9 ~ 1or ""1&:h flllr. permit t lmled. D I htv♦ tnd MIi 1111lntllnworkf cOfflP911utlon, 11 roquired by Soclion 3700 ol the Labor Code, tor 1h1 pertormanco of the work kJI' \IKnch lhla p&tmlt 1$Jnued. My~rit' componaatlon f11Urancr, ca/l'Jor Mid policy l\lJl)itwir:,~~lt\4nlr$Pl~C(l#,(t FlollQ'fN<l, P:z.t4ia e+rtt;on~ Z/.z,/4(! ]:bg,~ntedllllbi::~~lf ltill PC!frall i$ lttl"OC'16~dol~ {$100)or Im, \ U Certffl.;ate of E1emptl()Q: I 0eftifY U.t ir, fflg: DO/fOl'f!IBl'I09 Oflhe WOif( IOI' whiol1 lhis: P\lllhit i$ !$$\!Cd, ! sll;jj no! ~oy ilnY pe,:,on in ilrl)' ma~ $0 U !o OIOOrM 1h.ibi9tt \0 thQ Wontffl' COITlp9118111io!l ~ <,I Oellfomia. WARNING; taftllfeto IIBOUre worl!.~' oompenaathm coverage la unbi.wful, ffld 11h11ll ,ubfec1 Ill omplelyer to ol'lttllnll po,,1N11a and c:Ml fine~ upto IH'lf tlundnd lhatmand doU1t1 (&100,000), In ICl.dlllon to Utt 11Cm Of COfflpt11aatlon, dlmavn II pmldld for In 8telkln 3708 of th, Llbw eodt, lmtf'Ht Ind 1ttornty'1 fffl, 1 / / 45 COIHRACTOR8KlNATURE _4l~,..,O!!I-"'""..,,. ... --OAlE .J:"//?//Y I ~1e1tlf111 lflfltl am~ rrom C4fl/lO®l".s ~ Low r«lhe lollotwi~ ""'~: 0 I, u O'M'19rol lhl p,Qpfltyor rr,y llfTIIJIOYM$ wtth wages ff !t'itlf M IX!rnptl'l$ation, W4I do ttJ8 Vim, Ind #le s~ It l'l(lt ,i!Jjnde(1 or Oltiired lo, :LW {Ste. rrM4, Buslli~ endfl~sCodt: TI!tColrhzlor'l 1-icensl!I t,woOM not appry 101n owrmCf PfWtl1)' 'llflO l)UotdS or lrrll)l'Qffl lllMOn, lllO ....oo~ lllCll WOf1I mmser or through 111,owo empl(.ly'ea;. IJl0ll1(IO(I mat socn~OWll'l'ltOO: are not~ oral!IM !Or sole. If, l'IOWMf, "'9 bl.ltJllllj or ~flt ii $01(1 wlll'tir) ~ )'O\'ltof oornr>letion, th■ t>W1111r-bulld;r wiltl'MIYl' Iha bltdtn of proving that Ill did ll'ilt b.1ild« imp;it1ve lol'\lle purooso cf salt). □ I, U owner ot lhe p,openy, ,m oxcklaiytly ~ l'rith bll5ed OOtt!ll/Jlol'$ lo OOMbvet ~ ~I {Seo. 7044, &A!il11t$:1 tmd P~ C«f¢; 'lli1:; Contreolors ud&n,e 1.11w (klet nQI ffl lo 811 OWMr ol ~r1YWOO bulld9 UI' ~ lhwol\. !Ind conlnictt ~ sud) Pl'CIJIIICI~ wt(h coocrtt,,(1) bmied PllltllJllllt to !!1t Contn1cl01'1 LiaJl"IH Law). , D I 8m extrnpt UMOI' ~.......:-· -·. _._-'8eJP'ltts llnd ~ll, COdo lottl'ii$1tWJ1'1; 1. I penorn:tlly plan lo providl! !he rneJor l■ba 800 materials for wutructloo DI H1'! ~ property Improvement. DY!S 04o ~-I (111,vt I l'l&l'tl OOI) ~ an ~PPlltallon tir a bulk1irtg l)!Wmlt klrtti. propaslld work. 3, I h\llYe ~ 'ltiU\ U... ~ 1)1:FSOll (firm) ll> ~ldo tlltl ,mosod ~lr\lG!iol'I ~ name Addr• I phO/ll f oon\l'IO\Or,' ~ nurnbfil): i '1. I plsn to pmide PQf1lonl Q( thl! \'IIOOI, but I have hired the folbwlnsi pmon lo 000!tlinato, ~rvloe tlOd provklo tho ~ work (include ne~ l add11sa I phone / ikil\lraetcni' lie-enM l\llfflr): 5. I wtA p-0\lldQ QOfflt Of 1hG! Wffl, biA I N!'R mntracled (hlnad) Iha lollowtng pemrs lo provk» the \lark lndlealoo (lneloo9 r,91n& I lilddTvil I pholle / 1'/J)a Ol 'Mllk): \ , ,1$ PROPHTY OWNIIR stOHATURI 0AOEHT DAT! Inspection List Permit#: CB141100 Type: PME Date Inspection_ Item 06/12/2014 25 Water HeaterNents 06/12/2014 25 Water HeaterNents 06/12/2014 29 Final Plumbing 06/12/2014 29 Final Plumbing Monday, June 16, 2014 Inspector PD PD Act RI AP RI AP YSLAVA RES-REPLACE WATER HEATER -SAME LOCATION Comments AM PLS 9-11 AM PLS 9-11 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-03-2011 Plumbing Permit Permit No: CB110007 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1728 SCHOONER WY CBAD PLUM 2073200100 Lot#: 0 Construction Type: NEW YSLAVA RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/03/2011 KG 01/03/2011 01/03/2011 FAST WATER HEATER CO YSLAVA EDWARD G&DOLORES M REVOCABLE LIVING TRUST 12601132ND AV NE KIRKLAND WA 98034 425 636 7084 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 1728 SCHOONER WAY CARLSBAD CA 92008 $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 Payments To Date: $27. 00 Balance Due: Clearance: $0.00 NOTICE: Please take NO at approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 f x in fwhi h h v revi l n i n N Tl E imil r hi whi h fli i in v· t h i Citi, of Carlsbad ' Plan Check No. e RI J 0007 • ' ~-; 163!:\ Faraday Ave., C..rtsbad, CA 92008 Est. Value 760-602-2717 /2718/ 2719 Fax: 760-602-8558 Plan Ck. Deposlti' , Building Permit Application Date ,(JJI /-S+ // JOB ADDRESS 1728 SCHOONER WAY ,, .... rr, ·-· I 11 --. r· r-· I I ' lls:.LII\UUIVIS • r-····---· V I I uCC. bt'IUUI" WORK: mc1ud• =-,uan .-.-a, I Remove/Replace Gas Water Heater EXIS'llNG USE J PROPOS&D USE I GARAGt. (..-, I PA11uS (St-J I uEC""" {SF) FlR~E i lAIR CONDlllONJNG: 1Fln1ogr-n1NKw:iw YESD N<CJ YESO•oD vesONOD CONTAID'NAUI:' ,,..,,._ ~ ~-,.,,"""? i>c... <.i cc,.__ \. ) A n'\V\ APPUCANTNA~ST WATER HEATER COMPANY - Alll)~601 132ND AVE NE ADDRESS 12601 132ND AVE NE cm KIRKLAND STATE 21P cnv KIRKLAND STATE ZIP WA 98034 WA 98034 PHONE PHOl<e425-636-7054 t~25-636-7055 425-636-7054 l'AX 425-636-7055 EMAIL EMAIL. carolrfastwaterheater.com JUliec@fastwaterheater.com PROK~A':'5'i::>LORES CON1RACTOR~~ATER HEATER COMPANY AODReii5YSLAVA@ROADRUNNER ADDRESS 12601 132ND AVE NE CITY STATE ZIP CITY STA.TE ZIP KIRKLAND WA 98034 PHONE IFAX ·~25-636-7054 IFAX 425-636-7055 (760)720-4201 EMAIL EMAIL carolr@fastwaterheater.com ARCH/OESIBNER NAME & AODRESS ISTlill!'.UC.11 STA'IEIJC.I t"'" I 1222302 931237 C36 (SDO. 7031.5 Buslneu {Ind Professions Code: Mj Cli.County which requires 8 1>9rmlt10 alter, lm~ demolish or reiF.enytilnlOWra. p_rlorto 111 lu\Janca, also ~ulroe the appllcant for such permit to flle a IWled S18tement t he lS licensed PUl'IUllnt to U. provlsfona of e Contnst:IOr'1 License Law {I r 9, commcndlllll. with Section 7000 of Dlvlalon 3 of the auislnas and Profl!lllons o,,deJ arthet he is ,xemct m,{ftllTl, and the bQll for the all119d exem • Any vlolatlon of S=tlon 7 6 by any appllcanfTor a permltsub)ecbi the aPl)llcant to a clvll penaltY of not more than flwt hundred dOllllll (1500)). ( w o n11< ER s · co Mr EN s Ar Io N Warkars'CompenatlonDtd ... b:IIMfrallnnln/erp,n,Myofp,,Ju,yon,<t/lhtAllowingdadtwllarlr. 0 I hl'tt and wlll maintain a certlllcata ~ conatnl to Hlf-lnaurt b'111111karJ' a::impnelfon at inr,ldl!d by Saction 3700 or 1he Labor Code, ror the Polf'011111n01 cl lht woril: far \WIich this penril 11 lauad. [&I I hllYI and wf1I maintain worklrs' oomptnnflan, 11111QUftld ~ Sedlon 3700 ol lhe Llbtf Coda, ror Ola ~ or Iha wort far wt1IGh 1h5 pandl 11 Issued. My worktrl' COll"l>lllllllian fnl\nnca r.arriet and pa1cy ,_,...,,,.1111nceeo Truck Insurance Exchange """'"~ A09304455 ~0e11_1.u2;./_.1/u1u.0._ __ _ ll!!.mlorl need 1101 bt compllled If Iha pennil Is far one hll'ldrad dola11 ($100) or Im. L..J Certffltltt ofEnmplkm: I cerllry f1at ~ lhe parl'orm.ice d the w«k llrwh!ctl Iii& p&ffll III lnued, I lhal nal lllllplDy any person In any 111111111!' IO u In become tLiliacl kt the Wol1wl' Compnallon I.awl of CalfonR. WARNING: Flllnn to noun worbnl' camplftlldan oovt11g1 II unllWfUI. end shaD tubjtclan ampklyvto crfmlnal pendfp and d¥H fines upto one handml lhouund dolan (&100,oDO), In llddltlon lo the COlilofcompenutlun, dam11 n it..r hln Rllnffnn :mll nfth• Llborood1t lntt!Mtltld llttomay'a feN • .Jt! COHIRACTORSIGNATIJRE • a1'1)"'\ . I het9bydkm MI amuampl Imm Conta:ton Ucannl.awforU. ~ nmon: D I, u owneroflhe proper1y0fJTPf lft1llaJNS wtt,wages • illlraola wmpensation, wl do lheWOlk endlhe structure ls ootinlenmd arolfwed ror&a■ (SIIC. TI>«, Buafrlllll and Pltlfullonl Coda: TheConlr.ldDr'I lJcwllle Lawdael na1 apply ID.,. M'll!'ofpaptrlyMKtbtA»or ~hrean, and whodoel SUChworfl:hmlelforllrough.._ tMII ~ ~thltwch~l8 are not lnlllndad or olervd far ult. If, hawtMw, tie buldlng 0t lmpmement is 111111d within me yaar cl complatiun, Iha owner-bulkar wlll hlMI the burdan al PIQVlflg Iha! he did not bUld or mp!O'l'I rar lhe plrpOSe of ala). D I, as OWl'III' ortha property, am axclulivel'f coatrtcUng ,.;ti liGaneed contrlclffl ID C0l1mlCI the project (Sec. 7044, au.nan Md Prol'IIUIOI Code: Tha Conlracklt11 Ucense Law doe& not IR)ly IO an ownrof property who buldl or Improves lhereoo, and IDlll8Cls for 5UCh ~ "'10 1;011lraelor(1) ken&9d pinuant IO lhe CClrndoni Ucenae Law). 0 I amexeqit wfar Sedlon ___ _.Ulffllll and PrtlfmlonlCoda fcrlhla rea1ttt t.lpo,,anailyp~nbpnMdelhemajOrlm0'""''"""'1llfar.........,oflhe-propartyl-Ov., D• i l(hawl-"'1)1lgnodan1-~ra -g penrilforlhe-- 3. l haw awraded with the folalwna l)IIIDfl (Inn) b p,avfdt lhe propoaed conslrvclion (incaide name add,ess/ phone I ccnlnldon(lcenla number): ◄. I planlo pro,!de parlon1 al the-but I haw """the li:lltMlng ""'°""'--",.. ,,_ lhe m,jarwori(-"""'/od-1 phone/ conlraclm' -number): 5.1 v.il pnwile mne aflhewori(, but I hM-(hied) lhe ldklwlng _ lo _'1, wori( ~"'81od !ndude name/ ad_ /,tonal i)lleolwmkt. ,it! PROPERTY OWNER SIGNATURE DATE 518367 ., . ' ' '.::COMPL.ETE ~J.MS SECTION FOR NON-RESIDENTIAL BUIL_DING PERMITS ON.LY l1 lhe applic:anl or ruttn luldng ~ requndto IUbmll a~ 111:U!lt/ hl.zaldoul malerille l'llllsnlkln form or risk rTMaglllMnl and p111wntlan program under Seclltm 25505, 29533 or 25534 oflha l'nllllly-T....,_S"""'1ceAco,unt~ □Yu L]No lslhaappb,.orru...11B,go:o,pon1r,qundm-■-flomlhallir_o,n .. ~orm11111111g,m,ntdll'1cl? 0ves □No 1, lhe fadlity to be cntnx:iad Mllii 1,0DO fNI ar hi ou1ar boundary or a 6Ghool lile? LJY11 No IF />Jff OF THE ANSWERS ARI! YES, A FINAi. CERTIFICATI! OF OCCUPANcY IIAY NOT BE ISSUED U S TH!APPUCANT HAS MB! OR IS IIETING THE Rl!QUIREMl!NTII OF THE Office OF EMERGEHCY SERVICE& AND THE AIR l'OLlUTION COIITROL Dltml!CT, loerlffy1hallbavalllll1lle1ppllmllanand._thattbtabavalnlonnalianlscanect1ndtfllttlwlt'Dffl8tlonaathaplmaslsacca111&lapetDcamplyv.ttfl1laty(ltflR11101S1ndstnMIMralatl~IObulllngCClll&lluctlan. lhenlby-•10PW1il!J,edlhaatycic.t&badlo--lha-■"""'8lrled-lor._....,...._,N.!1l)AGREETOSA1,!;IMlEl,WFYPHJKE8'HAAMlESSTHECIIYOFCAALSBAD AGAINST AU. UABIUT1E5, JUDGMENTS, COSTS Nill EXPENSES l'illlCH t/AY IN NI'/ WAY ACCRUE AGIJNST SAil CITY 1\1 CONSEOUENCI: OF THE llRANl1NG OF 11118 PERMIT, OSHA:hl OSHApamllls"""""' ror--...,,.1/0'doopand-cr.....-ci-"""a-~hellll EXPIRATION: EVe,yplllril lauadbyll'o aifi',glltldol~ll'o . DflhlBCGdasld"""""bytnllalonand""""" .. andvllidftha~.,wok-bj,IUth plllrills not'"""""1aii!- fllO days flom Iha dalaol lUth pmmlorWlhelllilclngor by ■ 011pOndedorabinlooedotl1lflineaftarlhawaklsOllMB1COdl!Jrapoladol 180 dajo ~ 106.4.4 IJnlfoon Wli'g Cede; .A!S' APPUCA!O"SSIGNAYURE l ,-. DATE 12/7110 fl City of Carlsbad Bldg Inspection Request . For 01/24/2011 . Permit# CB110007 Title: YSLAVA RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1728 SCHOONER WY Lot: 0 APPLICANT FAST WATER HEATER CO Inspector Assignment: Phone: 7607204201 Inspector: ---- Owner: YSLAVA EDWARD G&DOLORES M REVOCABLE LIVING TRUST Remarks: AROUND 3P.M. PLEASE Total Time: Requested By: EDWARD Entered By: KA THY CD Description 25 Water HeaterNents ;_~ Comm~a/ l'I i Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments ~ • ll4/ l/-15 11:1~ B lJ I L [, I N v Paqi.: l of 1 Job A<ldre3s: 1728 SCH00NER WY Permit Type: PLUMBING Pucel No: 207-.320-01-JO Valuation: o Con·~truc·tivn 'l'ype: NEW F E R M I 'T' Suite: Lot#: P1::1.mtt N : Pr:oJect N": Dr:vi=>lopmt=>nt No: 1468 04/12/95 0001 01 C-PRMT '8'-1S049 ASIIJ"/.:.t~ 27-00 Occupancy Group: Reference#: Stntu~: I ,SlJED 411::.1cir; 04/12/'::15 RM,\ Description: WATER HEA1ER REPLACEMENT Appl/Ownr : A & J FOSTER IN~ 2t11J CENTRAL AV SPRING VALLEY, Fees Required Fees: AdJu~tments: Total Fees: Fet":' description Enter ''Y" for Plum Each Water Heater :i. PLIJMBING TOTAL I) l ~ -6 9 7 -4 1 5 1 Applic.-d: Apr/ I::-· ,.:;u,=-: Enrer.--d By: , ()I) , I) ) 2. 7 , U f I Ext f Pe [lata 20.0(J Y 7 ,00 27, lk Fl NAL APPROVAL IINSP. S)c_ DATE c/•1 P·95- CLEARANCE-----1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. C/!q S .0 -1.( o/ 5 ,. City of Carlsbad Building D-rtRnt z°'5 Las Pal-Dr., CBrlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ PLANCKD~ I. 14:kMil NPK VAIJD. BY-~...11-"'-'!;''-..-~----- DATE ~ F From Llst l (see back) give code of Permit-Type: ___________ _ --------------------------------------------------------- For Residential Projects Only: From Llst 2 (see back) give Code of Srructure-Type: -------..h~----------- Net Loss/Gain of Dwelling Units 2. PRUJECT INFORMATION FOR OFFICE USE ONLY Address 1728 Schooner Way BuiJdmg or Suite No. Nearest Cross Stree'I:sle ~ ve LEGAL DEstRIPiloN 7~ Su6d1V1S1on Name/Number Omt No. Phase No. CHECK BEWW IF SOBMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE DESCRIPTION OF WORK Water Heater Replacement 40 Gallon PROPOSED USE SQ. Ff. # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. WN iACI PERSON (tf dJJierenf from apphcanO NAME (lasrnamefirst)Yslava, Edward ADDRESS1728 Schooner Way Cl1Y ~f J sffi51 STATE~ ZIP CODE!bi008 DAY TELEPHONE itil~-~£21 4. XPP~dNIRACIOk flAG FORWNIRAC It. UOWNER DAGEN! FU N NAME (last name firstlJ<risty Foster ADDRESS2819 Central Ava. STATE CA ZIP CODE91977 DAY TELEPHONI697 4151 CI1Y ~ri~ Valley S. PROPN u Nfilt ADDRESS 1728 Schooner Way NAME (last name first) Edward Yslava Cl1Y fttlel~d 6. WN1 STATE C/1 ZIP CODE920as DAY TELEPHONEJ20 4Q2J Foster, Inc. ADDRESS2819 Central Ave. NAME (last name first)A & J CI1Y Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151 LICENSE CLASS CITY BUSINESS UC. # ] 3 pg 3 51 STATE UC.# f]Q] ?Q DESIGNER NAME (last name hrst) C M:,RESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. womoms .. WMPENsA:tiON Workers' Compensation Oedarauon: I hereby afhrm that I have a ceruhcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). rtt tcate o xempt1on: certl at m t e pe o ance o e wor or w so as to become subject to the Workers' Compensation Laws of California. 8_sgw~~JlfoUl~DATE 4-1'2,~qs Owner-BuUder Declaration: I hereby afhrm trial I am exempt from the ConfracfoPs License Law for the followmg reason: □ □ □ 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 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). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing 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 applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPlliiE IHIS SEGIION POR NON-RESIDEN IIAL B0IWING PERMII's ONLY: 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS AREYES, A FINAL CERTIFICATE OF oa:uPANCYMAYNCYf BE JliSUEl)AFTERJIILY 1, 1989 UNIJlSSTHE APPLICANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTilOL DISTIUCT. 9. wNSIROCJJON LRNUING XGF..NCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec ;3097(t) Civil Code). LENDER'S NAME Nona LENDER'S ADDRESS 10. XPPilCAN I CFJl iMCAIUN cert1 t at ave rea e app 1cat1on an sta e at t e a ve m ormat1on 1s correct. agree to comp y w1 a 1ty or mances an tate aws relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection purposes. I AlSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS THE CTlY OF CARlSIIAll AGAINST AIL L!ABllillES, JUDGMENTS, <DSfS AND EXPENSES WHICH MAY IN ANY WAY ACXJUJE AGAINST SAID CTlY IN CONSEQUENCE OF THE GRANTING OF TIIlS 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 1imitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such pennit or if the building or work authorized by such pennit is suspended or abandoned at any time afte the work is commenced for a period of 180 days (Section 303(d) Uniform Bu~141nglQxl~S APPLICANl"S SIGNATURE • ~ DATE: L::! -.::b:'1' 0 , CITY OF CARLSBAD J INSPECTION REQUEST PERMIT# CB950495 FOR 04/19/95 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1728 SCHOONER WY APPLICANT: A & J FOSTER INC CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB950495 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-697-4151 REMARKS: MW/ED/720-4201 SPECIAL INSTRUCT: INSPECTOR sdh fl.. 1 5 (1,5 MA A) TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents Af _____ _ --------------------------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS