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Home My WebLink About1010 TULIP WAY; ; CB052286; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-21-2005 Plumbing Permit Permit No: CB052286 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1010 TULIP WY CBAD PLUM 2144101000 Lot#: 0 Construction Type: NEW IMBRONONE RES REPLACE H20 HEAT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: CALIFORNIA DELTA MECHANICAL IMBRONONE ANTHONY&JANICE SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 TOT AL PERMIT FEES 0 0 0 0 1 0 0 1010 TULIP WAY CARLSBAD CA 92009 ISSUED 06/21/2005 KG 06/21/2005 06/21/2005 $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: $0.00 Balance Due: $27.00 Inspector: 6. l.}mjtJA,o Fl NAL A.J!.lOVAL Date: -0!5' 1100 Clearance: 0612uc-) 0002 )1 CGf-• 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 • • I Tl i ii r • Ii • i • • PERMIT APPLICATION CITY OF CARLSBAD BUILDI NG DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Legal Description Lot No. Subdivision Name/Number 2. CONTACT PERSON (If different from applicant) • / c, A-L t 62£/J IA: 1J cl ,A tft E cJ,/Ayv I C/tL Name Address City 3. APPLICANT Jl Contractor D Agent for Contractor D Owner Name Address City 4. PROPERTY OWNER .-, ? !? ~ ~ I ? C :S4tl/C-G lcMQp.]2~1 Al~ Name %dress City 5. CONTRACTOR· COMPANY NAME Unit No. State/Zip State/Zip FOR OFFICE USE ON~ /-,nr ·/ _ PLAN CHECK NO. c. t1h_ Z2.~,)0 EST. VAL. __________ _ Plan Ck. Deposit -------.,-.,.-,-- Validated By _-=--:---7""~.:V---- Date --J,J--...0.:::Cl-~.c....,,__.,_ __ _ Phase No. Total# of units Proposed Use # ol Bedrooms # of Bathrooms Telephone# 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, pnor 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 applicant or a permit subjects e pplicant to a civil penalty of not more than five hundred dollars [JS00]). _ 1 ..J.J • c. ' • soo 5·. ot.-i/a.rra ,,,-o -,~ 8'S:Z.02 Address City State/Zip 12 Telzhone (~_...-1 b. I!-!-0:1 --------+--License Class -~--=--.J.-~-------City Business License# _,_.-~--=t..-+-~~O---~-~--- Designer Name State License# __,_2;..._..1 .... ◄ .... \'-\-\'_._+_ Address City State/Zip Telephone# 6. WORKER'S COMPENSA llON Workers' Compensation Declaration: I hereby affirm under penalty of per1ury one of the following dedarat,ons: 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. )ilJ... 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 compensatio~ i sura ce carrier and policy, number e: . { 1 _ n '10-''"J '2 . . d / J r Insurance Company -++"~=.....,..,,==P>L-l...L!'--"-'-.µ."'-'u,,.-: Polley No. 1 IO :J.. _:t:Q_ ~ J Exptrat1on Date ~ / I ~ {)j (THIS SECTION NEED NOT BE COMPLET D IF THE PER IT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICA rformance of the work for which this permit is issued. I shall not employ any person in any manner so as to WARNING: Failure to so dollars(S100,000), In ad pens lion coverage Is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand qm ) tlon, damages are provided for In Section 3706 of tho Labor Code, Interest and attorney's fees. SIGNATURE_---li-;,f~)'?~'\--"''---1--------------------DATE _________ _ the Contractor's License Law for the following reason r my employees with wages as their sole oompensation. will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: T e 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 oontractors 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 oontrads 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 oonstruction ol 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 (indude 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 (indude name / address / phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE-----~------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/06/2005 Permit# CB052286 Title: IMBRONONE RES REPLACE H2O HEAT Description: Type: PLUM Sub Type: Job Address: 1010 TULIP WY / J~ 7 IJI:, Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: IMBRONONE ANTHONY&JANICE Remarks: Total Time: CD Description Act Comment 25 Water Heater/Vents Jig_ ii_ I\ 1,( /.. I !f_ _B_ {l'JfiL Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments Inspector Assignment: Phone: 7604383396 Inspector: /JV Requested By: ANTHONY Entered By: CHRISTINE