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Home My WebLink About2093 TWAIN AVE; ; CB044538; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-17-2004 Plumbing Permit Permit No: CB044538 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2093 TWAIN AV CBAD PLUM 2081811700 Lot#: 0 Status: Applied: Construction Type: NEW Entered By: ISSUED 12/17/2004 MOP 12/17/2004 12/17/2004 Reference #: CULLEY RESI NCE ~LECTO BQ Applicant: \ BURL JORDAN LANDSCAPE 2740 LUCIERNAGA ST 92009 760 04-0675 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 0 1 0 Plan Approved: Issued: Inspect Area: Owner: SHEA HOMES LIMITED PARTNERSHIP C/O PAUL BARNES 10721 TREENA ST #200 SAN DIEGO CA 92131 $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: $0.00 Balance Due: $47.00 7849 12/17/04 0002 01 CGP Inspector: :f ,W\. FINAL Date: 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 47 .oo PERMIT APPLICATION FOR OFFICE USE ONLY 3J9 PLAN CHECK NO. (;t.,\ .. t.t ~ CITY OF. CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By. __________ _ Date. ______________ _ 1. PROJECT INFORMATION z_o c::; 3 7 w ~, ""-- Address (include Bldg/Suite #I /-\0e Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel # Existing Use Proposed Use c,.. { e. Des ription of Work #of Stories II of Bedrooms II of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT rn Contractor D Agent for Contractor c.. 0 OwneJ:__ 0 Agent for Owner .--c ,::;.(" 5 t,c..4 City State/Zip Telephone II '4 ,' PROPERTY OWNER {v-\\(l,Y Address A 1oo ve Name City State/Zip Telephone# 15. •• .COtilT,RACTOR • COMPANY NAME (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 applican! to a civil penalty of not mor,1 than five hundred dollars I$ 5001). ~~(' ,cf...c... ~Cv... -. t{ r a.ol C. t-1 7G -~-<J'/-0"17£ Name Addres City State/Zip Telephone # State License II 4 I ,S:5::c)5C: License Class _ _.,L--~Z~-7.,,<.----City Business License # Designer Name Address City State/Zip Telephone State License # _________ _ 16. W0.8KE.RS' COMPENSATION i kers' 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 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 i.e work for which this permit is issued. ed. My worker's compensation insurance carrier and policy number are: / / Insurance Company ,<" -fc, .. :¾'C. ~ u, vt cA Policy No. / 7 ~ 7 G / I Expiration Date I!> I _ ;i'. J [C>.5 ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 t o the Workers' Compensation Laws of California. WARNING: Failure to secure wor rs' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 0), In tlon to the c f co pensation, damages as provided for In Section 3706 of the Labor c9<1e, lnt,.-est and attorney's fees. SIGNATURE: __ .,l_~..c.~~~---z,~~::'.'.'.::::'.:::=:___________ DATE / Z f ✓'7 ( O 'I . 7. ow~:eii-BuiLOER DECLARA::rioN 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(s) 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 I 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 I address / phone number / type of work) •• ·_--------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE .THIS SECTION FOR fJON-RESIDENTIAL BUILDING PERMITS 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. ,8., .,G0.N$T:RUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9, APPLICANT CERT,IFICA TION 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 Citt 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, JUDGMENTS, 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 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 limitation and become null and void If the building or work authorized by such permit is not commenced within 180 days fr the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com ced for riod of 180 (Section 106.4.4 Uniform Building Code). DATE __ ,._/_2_,._/_,_'?-'--__./4c......c0:.......,-1/--- YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/28/2005 Permit# CB044538 Title: CULLEY RESIDENCE Description: GAS & ELEC TO BBQ Type: PLUM Sub Type: Job Address: 2093 TWAIN AV Suite: Lot 0 Location: APPLICANT BURL JORDAN LANDSCAPE Owner: CULLEY SOFIA B Inspector Assignment: RB --- Phone: Inspector: ----- Remarks: NO RESPONSE TO THE EXP. LETA. CAN YOU Fl Total Time: CD Description Act Comment Requested By: CHRISTINE Entered By: CHRISTINE 29 Final Plumbing ~--------- Associated PCRs/CVs lns12ection Histo[Y Date Description Act lnsp Comments 12/22/2004 23 Gas/Test/Repairs AP RB ON 12/21/04 12/22/2004 31 Underground/Conduit-Wiring AP RB AP ON 12/21/04 12/21/2004 21 Underground/Under Floor AP RB UNDR GAS 12/21/2004 23 Gas/Test/Repairs AP RB 12/21/2004 31 Underground/Conduit-Wiring AP RB 12/20/2004 21 Underground/Under Floor co RB GAS TEST@ 0 12/20/2004 23 Gas/Test/Repairs co RB 12/20/2004 31 Underground/Conduit-Wiring AP RB