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Home My WebLink About1422 TURQUOISE DR; ; CB091346; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-14-2009 Plumbing Permit Permit No: CB091346 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1422 TURQUOISE DR CBAD PLUM 2121902900 Lot#: Construction Type: CB033016 ARREOLA RES-GAS TO BBQ & FIRE PIT/ ELEC FOR LIGHTING AND BBQ 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: ~C,a C.,CLJ C/!J tJ 3 ?JOI u:> Owner: ARREOLA RUBEN S&DIANNA L ARREOLA RUBEN S&DIANNA L 1422 TURQUOISE DR CARLSBAD CA 92011 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Brea ker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 1422 TURQUOISE DR CARLSBAD CA 92011 ISSUED 08/14/2009 jma 08/14/2009 08/14/2009 JM $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: Date: 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 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/ or as o which th statute of limitations h • rwise ex ired. i~~ ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. 0 13 Est. Value Plan Ck. Deposit Date 8"( { APN # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES D NOD YES □ NOD CONTACT NAME /If Different Fam Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ZIP CITY STATE ZIP q.;, PHONE FAX PHONE FAX 7 EMAIL EMAIL ARCH/OESIGNER NAME & ADORESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.# (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 applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affi,m under penally of perjury one of /he 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. 0 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 issued. My workers' compensation insurance carrier and policy number are: Insurance Co., _______________________ Policy No. _______________ Expiration Date __________ _ This section need not be completed if the pe,mit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Worl<ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 ,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees . .,Jt$ CONTRACTOR SIGNATURE DATE I hereby affi,m that I am exemp/ from Contractor's Ucense Law for lhe following reason: D 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ 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 {finm) to provide the proposed construction (include name address /phone/ 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/ 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 I address / phone / type of work): .,Jt$ PROPERTY OWNER SIGNATURE J DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form ()( risk management and prevention program under Sections 25505, 25533 or 25534 of the Pres(ey-Tanner f!azardous Substance Account Act? 0 Yes O 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 O 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. it is issued (Sec. 3097 (i) Civil Code). 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 building construction. I hereby authorize representative of the City of Cartsbad 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permrt 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 Offcial under the provisions of this Code shall expire by Imitation and become null and void if the buildilg or WOO( authorized by such permit is not commenced within 180 days from the date of such permit or if th_,i>fldin_: or WOO( authorized by such permit is suspended or abandoned at any time after the wo!1I is commenced for a period of 180 days (Section 106.4.4 Unifoml Building Code). ,/i5APPLICANT'SSIGNATURE dJt,1/~ -1Af}{JJ DATE ~ CITY OF CAR SBA l~ DATE: B~:z ( Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 I NS PECTOR: _J_· ...l_.,_·\16__,___. __ PERMIT#: [fl I bt-\ le CONTACT: ------ PHONE#: ------- . I ~ Jos ADDREss: -'--' ........_/____.'-/'---Z-=-_)~-----L.6--=l.~V_,ff-?t~o 1:.-=.5;.t_~.,<c::__..:.t.,L.?2"....L.Vt~//~--- DEscR1 PT1ON: ------------------- CODE u=t ~ Bldg Inspection Form DESCRIPTION ACT COMMENTS fl1.v~ h_ {_~L ~ l3/j<j2, o~ed ~ ~ ~ ~w-e__ ~L~ ~ CJ!} Page 1 of 1 Rev. 06/09