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Home My WebLink About2415 TUTTLE ST; ; CB052702; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-22-2005 Plumbing Permit Permit No: CB052702 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2415 TUTTLE ST CBAD PLUM 1551604100 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: FISHBECK RES ADD SINK Applicant: FISHBECK SHARON M 2415 TUTTLE ST CARLSBAD CA 92008 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 1 0 0 0 0 0 0 Owner: FISHBECK SHARON M 2415 TUTTLE ST CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 07/22/2005 SB 07/22/2005 07/22/2005 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $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 3186 07/22/05 0002 01 CGP Inspector: FIN~ ~p?:~AV Date~ ... -l ___._1"'-Li_--"--_ _,J_._ 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 f 02 27-00 PERMIT A~PLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECTINFORMATK>N ~4 , s T v:rr l.,c ST Business Name (at this address) Address (include Bldg/Suite#) \V,1>-P 1'Q • CI ~'J q,3 l c. e,.R-U;.BA t;, :n.,t # ~ c, -55 Legal Description Lot No. \ S"S" -I ID O -l-\ I -o0 Subdivision Name/Number Unit No. Existing Use Assessor's Parcel # CoNNcc,r· Description of Work P w M e I N <:, ,o s., N '( . <\--~ e--v Ll-3' T SQ. FT. # of Stories 2. CONTACT PERSON (If different from applicant) Name Address City Stile/Zip FOR OFFICE USE ONLY /7 1 PLAN CHECK NO. C.,,l"So ) <..., O(.. EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __ =z_s;_--1~~'--------- Date 7 / 1.2A6 '-2 Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Telephone# Fax# 3. APPLICANT D Contractor D Agent for Contractor 1', Owner □ Agent for Owner 9 ::>-QC>g ('1(..0J'?ii:0-9iv,g ~H ~~t:,:l FI S.t\~S ~IC.. ~~IS T!..! II l..E s, ~ C~~~!:;i~D I(.~ Name Address City Stite/Zip Telephone# 4. PROPERTY OWNER S~P..R-orv ~,s~e.e.e,K;, Name Address ;;)..41 S:: T vTI LE City s!.te/Zip Telephone# 5. CONTRACTOR -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 stitement 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]). Name Address City State/Zip Telephone# State License# _________ _ License Class ___________ _ City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# ________ _ 4. WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe~ury 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 of the work for which this permit is issued. □ 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 compensation insurance carrier and policy number are: Insurance Company ________________ Policy No. ____________ Expiration Date __________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ 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: Fallure to aecure wottcera' compensation coverage la unlawful, and ehall subject an employer to criminal penaltlN and clvtl fin. up to one hundred thousand dollal'll(S100,000), In addition to the coat ol compensation, damages are provided for In Section 3706 of the Labor Code, lnterNt and attorney'■ f-. SIGNATURE. ______________________________ DATE. _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d 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 impro11ement is sold within one year of completion, the owner-builder will ha11e the burden of proving that he did not build or improve for the purpose of sale). 'r!/, 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 em 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 impro11ement. □ 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 (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan 1D provide portions of the work, but I have hired the following person 1D 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 (include name / address/ phone number / type of work): PROPERTY OWNER SIGNATURE_.::=4/vn=-='-'-"'-""""/)..._..kr,-=+-'.____-¥;,1,..a"--lc.:.~,LL.J"-=~'-----------DATE __ :7.1...J./..:~:::..::c>:..+/ ..:Q;....,,.s:,:__ __ • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for 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 sita? □ YES □ 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. CONSTRUCTION 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 CER11FICA 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 accurata. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City 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, JUDGEMENTS, 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 of 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 from 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _-...::::=4=:.L.J~C,~l/WY\."'-"'"-'--"--~+--=CL...:'-""--..::..c:::..::._ _________ DATE ___ 7~/..:::ld-,::..::c-4/'--0__,,__5.,,,_ ____ _ City of Carlsbad Bldg Inspection Request Permit# CB052702 Title: FISHBECK RES ADD SINK Description: For: 07/27/2005 Type: PLUM Sub Type: Job Address: 2415 TUTTLE ST Suite: Lot Location: APPLICANT FISHBECK SHARON M Owner: FISHBECK SHARON M Remarks: SINK INSPECTION Total Time: 0 CD Description Act Comment Inspector Assignment: Phone: 7607209868 Inspector: ---- Requested By: SHARON Entered By: CHRISTINE 24 Roughffopout --Af}. ~ r1 -~blYL-✓<----JII.~----- ------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments f