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Home My WebLink About1290 VERONICA CT; ; CB043390; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB043390 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Lin e (760) 602-2725 1290 VERONICA CT CBAD PLUM 2145511900 Lot#: 0 Construction Type: NEW WAGGNER RES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/30/2004 KMT 08/30/2004 08/30/2004 ARS STE 100 WAGGENER WALTER E&MARTHA J 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Total Fees: $27.00 0 0 0 0 1 0 0 1290 VERONICA CT CARLSBAD CA 92009 Total Payments To Date: $0.00 $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 Balance Due: $27.00 9904 08/30/04 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 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C,/;DL/ 33 o/{) CITY QF CARLSBAD BUILDING DEPARTMENT 11635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ___________ _ Plan Ck. Deposit ~1--.-1-,------ Validated By __ ~""'T-~----t--=------ Date __ ....,_....--1-"0_Lfi----- c±: Address (include Bldg/Suite #) Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONT ACT Pl:R!iON (If dlU~J4111l frnm @gpl!caotl ·' Name Address City State/Zip Telephone # Fax# 3 . N me 6. CONTRACTOR -COMPANY NAM!: (Soc. 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 ·on. Any violation of Sectio 7 31};,by any applic nt f r a permi subjes;t,s the applicant to a c'.81v· eenalty of not m:,i\r than five hun red dollar ($5001 • • r . <N. /..,-, C a -.__ • C . , lA-' JA'J P{ ·1 · . ) Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' CONIPENSATIO~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to sell-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. "6J--t-hdve and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi permit is ~d. My worker's C pens~tion _i surance ~ar:ie~~nd olicy number are: . -"'9 30 J A(.{'3 ·-o I . . . i)i - Insurance Company _l-......_,.,_,_......._...__.q'-"<~-_,__,__.......,__,L-______ Polley No,:;>{ D UJ -• Expiration Date_l-+_l __,__ __ ,o __ (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 to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal enaltles and civil fines up to one hundred thousand dollars l$1 0,0091\ addition t~ }}1.!-fsost of compensation, damages as provided for In Section 3706 of the bar coda, interes end attorney's fees. SIGNATURE '--• l , '\.OJ,J(_ L-DATE ~ 0 7. OWNER-BUILD '" ,: ·•: .... 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 ha 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 Coda: 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: I. 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 ------------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BU!~QIN~ .. PERMIT$ O~lY ,:,,:, .. 0 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 26534 of the Presley-Tanner Hazardous Substance Account Act7 D 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 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. COf'STRUCTIO~ ~E~PING Af:i~NCY ·..: ~-~ 1·_.,,. I hereby atfirm that t here is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION . 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 Cit\! of Carlsbad to enter upon t he above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 aver 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 ol lhls Code shall expire by limitation and become null and void if the building or work aulhoriled by such permil is nol commenced within 180 days from the date ol such permil or ii the building or work authorized by uch permit is suspend d or abandoned al any lime afler lhe work is commenc for a P.eri of 180 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE DATE 0 PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/21/2004 Permit# CB043390 Title: WAGGNER RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: Suite: Location: 1290 VERONICA CT Lot APPLICANT ARS 0 Owner: WAGGENER WALTER E&MARTHA J Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 8586775455 Inspector: ~ ---- Requested By: YOLANDA Entered By: CHRISTINE 25 Water HeaterNents ~------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments