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Home My WebLink About2142 TWAIN AVE; ; CB051438; PermitJ. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-19-2005 Miscellaneous Permit Permit No: CB051438 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2142 TWAIN AV CBAD MISC 2081814100 $3,125.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: CARPENTER RES FIREPLACE W/GAS Inspect Area: GAS/ELEC TO BBQ/ GAS FOR FUT SPA-SINK/WATER AT BBQ App:2ica: LO -0 4488 Sfa ISBURY DR CSBAD CA 92008 619-434-8945 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Owner: CARPENTER SHANDE 2142 TWAIN AVE CARLSBAD CA 92008 PERMIT FEE F.P. GAS/ELEC FEE ISSUED 04/21/2005 SB 04/21/2005 04/21/2005 RB $89.00 $69.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $136.00 Balance Due: $22.00 8666 05/19/05 0002 01 CGP Inspector: 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 02 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. FOR OFFICE USE ONLY & S PLAN CHECK No.Cf;::t? lc..f's EST. VAL. __________ _ Plan Ck. Depos~';,o......,~-------- Validated Byl --, _b Date ~ 2 lLO( Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Fax# Name Address City State/Zip Telephone II ~\k ~~~,~~QPER:rY~~,', '·, :i,· Name Address City S.tate/Zip Telephone II l'j;l4f7cditiRA¢iT(!!R41i(i:;pJ.iil:fMY::'NA'rJi,1;: ~•:t• • ' • · ,. > • .' ,. l (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 exemptiont:;, v~ Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more_ then five hundred dollars [$5001). Name Address ~ City State/Zip Telephone II State License II '6221..-2 e License Class ---J.L.-r-------City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # __________ _ (li,''t:f~WQf.!J$1;RS.~'C,0M~l;NSATIPN••·.'.~' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I hav will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance rk for which this permit is issued, 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 worker's compens tion insurance c !er and policy number are: ~// -2o . J / /_ Insurance Company __ _!!.:Ll~~I]!;:::__::SLJ21.~~~------Policy No. C:,, ~ Expiration Date 1/ 1 / O'tl' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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. WARNING: Failure to -aecure workera' compensation coverage la unlewful, and shall subject an employer to crfmlnal penelties and civil fines up to one hundred thousand dollara ($100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.______________________________ DATE _________ _ j,}?,ow"Eli~euj[tiJR.)nEj::~R~;iib'fFf,•.:·:F" •~• f.i' I • I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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(sl licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 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/ 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 / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------\COMl!l:1;:T~\'J'HISiSECTIONiF.OR •NON-flfS/OENT/AL. Bl/lLDING ,RERMITS 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? 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? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ts:£i.;i~Qt'~T~bC1i10N,1.:~r,11:i1NG'~~E~C•(, ;:, ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). 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 relat' g to building construction. I hereby authorize representatives of the Cit\t of Carlsbad to enter upon the above mentioned property for inspection purposes. ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS l>ERMIT. OSHA: An OSHA permit is required f EXPIRATION: Every permit issued authorized by such permit Is not com at any time after the work is commen r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height, lhe building Official under lhe provisions of this Code shall expire by limitation and become null and void if lhe building or work need w· in 180 days from the date of such permit or If the building or work authorized by sue permit is suspended or abandoned d lo period ol 180 days (Seclion 106.4.4 Uniform Building Code). ,--- APPLICANT'S SIGNATURE ---+------------------------DATE --"+-......1..+--0-'::>"------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/15/2005 Permit# CB051438 Inspector Assignment: RB Title: CARPENTER RES FIREPLACE W/GAS Description: GAS/ELEC TO BBQ/ GAS FOR FUT SPA-SINK/WATER AT BBQ --- Type: MISC Sub Type: OTHER Phone: 7604200808 Job Address: 2142 TWAIN AV Suite: Lot Location: APPLICANT LORCO Owner: CARPENTER SHANDE Remarks: Total Time: 0 Inspector: ----- Requested By: LORCO Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing 'fi:JZ._ ---------------------- 39 Final Electrical -;--- 68 _F_i_re_p_l_a_ce_/T_ie_s_tr_a_p_s ____ -t=-_____________________ _ Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 05/24/2005 21 Underground/Under Floor AP JM TO 881 H20 05/24/2005 23 Gas/TesVRepairs WC JM 05/24/2005 31 Underground/Conduit-Wiring AP JM CONDUIT ONLY 05/20/2005 22 Sewer/Water Service AP JM 05/20/2005 68 Fireplace/Tie Straps AP JM OK TO GROUT 2ND LIFT 05/12/2005 68 Fireplace/Tie Straps AP JM OK TO GROUT 05/02/2005 61 Footing AP RB FOR FIREPLACE 04/27/2005 23 Gas/TesVRepairs AP RB TO F.P., BBQ & FUTURE SPA 04/27/2005 31 Underground/Conduit-Wiring AP RB ~?R 21 200s RLSBAO City of CNA G DEPT BUILD\