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Home My WebLink About2509 VIA ASTUTO; ; CB044114; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-09-2004 Plumbing Permit Permit No: CB044114 Building In spection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2509 VIA ASTUTO CBAD PLUM 1673601400 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: KELLY RESIDENCE GAS LINE REPAIR/ REPLACEMENT Applicant:·~ ,.HANNAP~ 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 Owner: KELLY BARBARA S 9836 MAINE AVE LAKESIDE CA 92040 Issued: Inspect Area: ISSUED 11/09/2004 MOP 11 /09/2004 11/09/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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 512111/09/04 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 f 02 27 -00 /( PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 0'::(-. ~ \ \ Lf CITY OF CARLSBAD BUILDING DEPARTMENT C:: 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ ~443fflf45itf u-#f iiiN'iltifflNMl¥451MiMIBeanw Address (include Bldg/Suite II Business Name (et this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I , Existing Use Propqsed Use Lne. I of Bathrooms Fax I Telephone I (Seo. 7031.5 Bualnaa■ and Professions Coda: 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 pursu.ant to the provisions of the Contractor'• License Law · (Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Coda) or that he Is exempt therefrom, and the basis for the alleged Any violation Saeli 7031.6 by any applicant r a pa'mit s Jects the applicant t a civil penalty of not more than f)ve hundred dollars [♦600)). • b '-/3 '"Vl,IA•......, ~ = t5 -D City State/Zip "lephone I City Business License I tb /0 0 Address City State/Zip Telephone Designer Name State License I Mliiwbdki®O®>UM&lltaCM 5 HWIPIIIRH5MA &« itlPHPiE EMltMIPBf;tmmaiWPAi♦Mi TMMtf W kers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance o t e work for which this permit ls.Issued. );;(" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is ~ed. My worker's co peni;atlon lffurance carrier nd policy number are: , , 1 _!::)7 _ ,I insurance Company • i7 0 ; 5 . Polley No./ i:,t~ ..l£>C>I_ Expiration Date J<OO 5 (THIS SECTION NEED NOT BE COMPLETED F THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) - kl CERTIFICATE OF EXEMPTION: I certify that In the parformance of the work-for which this permit Is Issued, I shall not employ any person In any manner 10 H I' ~ecome subject to the Workers' Compensation Laws of California. • WARNING: • Failure to Hcur workara' companaatlon coverage la unlawful, and shall aubjact an employer to crlmlnal panaltlaa and dvU flnH up to one hundred thi,uaand doUara 100,000) In . on to th• coat of companntlon, damagu u provided for In Section 3706 of Labor coda, teraat and ■ttomay'a fffl. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor'■ License Law for the following reason: 0 I, as owner of the property or my employees with wages as their aole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Buslneu and Professions Coda: The Contractor's License Law does not apply to an owner of property who build■ or Improves thereon, and who doaa such work hlfT'lself or through hie own employeaa, provided that such improvement■ are not Intended or offered for aala. If, however, the building or Improvement la sold within one year of completion, the owner-builder wlll have the burden of proving that he did riot build or Improve for the purpoae of sale). O i, 11 owner of the property, ■m exclusively contracting with licen11d contractors to construct the project (Sec. ·7044, Business a~d ProfasslonI Code: The Contractor'• Llcenae Law does not apply to an owner of property who builds or Improves thereon, and contracta for such projects with contractor(sl licensed purauant to the Contractor'• License Law). O 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 e building permit for the proposed work. 3. f 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 / addrasa / phone number/ contractor■ license number):. __________________________ _,_ ___________________ _ 6. I will provide some of the work, but I have contracted (hlredl tha following parsons to provide tha work Indicated (Include name/ address / phone number / type of work):. _______________________________________________ ~--------- PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ 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 26606, 26633 or 26634 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 faci'lity to be constructed within 1,000 feet of the outer boundary of a school'slte7 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 TtiE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there Is a construction landing agency for the performance of the work for which this permit Is Issued (Sac. 3097(1) Civil Coda). , LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ I certify tl)at I have read the appllcatlon 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 the above mentioned ,property for inspection purposes. I ALS.Q AGREE TO SAVE, INDEMNlfY AND KEEP HAf\MLESS 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 6'0" deep and demolition or construction of structures over 3 stories In height. E~PIRATION: Every permit Issued by the building Official under the provisions ol this Code shall expire by llmltatlon and become null and void If the building or work authorized by such permit Is not co enced 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 tlm 3fter the work Is com nsed for a p rl o, 80 days (Section 106.4.4 Uniform Building Code). / . / APPLICA: ·s SIGNATURE -..4.~,Ll._...:...Jb£1'--b-b".,ci::,::..<\----------------DATE ,,._ .... /_-__ 3_-__ 0---'-'-, _____ _ b • YELLOW: Applicant PINK: Flnanc·e l l () <4 ~ ;> \ o--\ 1- City of Carlsbad Bldg Inspection Request For: 11/15/2004 Permit# CB044114 Title: KELLY RESIDENCE Description: GAS LINE REPAIR/ REPLACEMENT Type: PLUM Sub Type: Job Address: 2509 VIA ASTUTO Suite: Lot Location: APPLICANT HANNA PLUMBING Owner: KELLY BARBARA S Remarks: Total Time: 0 Inspector Assignment: Phone: 7607262002 Inspector: Requested By: LISA Entered By: KAREN CD Description Act Comment 23 GasfT est/Repairs ~ ---~~½JY)~..1....1..+-P/\ _~ ~ ~06~ -ilt ,.-~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments