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Home My WebLink About2815 VIA CARRIO; ; CB044129; Permit/1(fb:). ~ /) <2.VtJi J'{) City of Carlsbad , P~ ~ 1635 Faraday Av Carlsbad, CA 92008 11-10-2004M, W\t·~;!)'\./{yy Plumbing Permit Permit No: CB044129 V \\)'' B~ng Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2815 VIA CARRIO CBAD PLUM Status: Parcel No: 1673602600 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FARRELL RES GAS LINE REPAIR Inspect Area: Applicant: BROWN PLUMBING CO, ARTHUR A 2697 ST ATE ST CARLSBAD, CA 92008 619-729-4914 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: FARRELL FAMILY TRUST 06-23-99 2764 OLYMPIA DR CARLSBAD CA 92008 ISSUED 11 /10/2004 KG 11 /10/2004 11 /10/2004 $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 5250 11/10/04 0002 01 CGP Inspector: Clearance: NOTICE: Please take NOTIC at 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 PERMIT APPLICATION FOR OFFICE USE o,~L Y PLAN CHECK NoC.D 64 4 I :Z? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL __________ _ Plan Ck. Deposit -(/''#- Validated Byt-T----__ -,,...,,,., __ .....,..,.......__ Date //-JO Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use Description of Wor~ Ac SO FT CY/ t .:> L..1 IVF £Fl/r((Z • • lot Stories I of Bedrooms I of Bathrooms --J;.@!!1 Name Address City J/-,f7lftl.L e 1ttj11Jenzti ~c~?iJ~z ~ST: State/Zip Telephone I Fax I Telephone II zo211~,_ 7;{_ Name Telephone I (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 exe ption. Any violation f Section 7031.5 by any applicant for a permit subjects the applicant_Jo a civil penal!f of not mo than five hundred dollars [$5001). /<?_ . ~ tll AJ l-c 'If(. ~ TE C, LS it:> 'o2t!d 7, ~ I Name State License I ......;.;2____,[(..,K-<-=cJ-__.9_._0 .___ Designer Name State License II License Class .....,t~---=3"--0=----- Address City State/Zip/ffi Telepho9e II City Business License I {J O V I City State/Zip Telephone 0 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 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 ~pensation ins ance carrier and policy number are: A-O ! ! Insurance Company (:) / • A./ Policy No. / J t' !} f ~ t{-'61211/ Expiration Date tJ 7 /.!I!_! S:-• (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: Fal • la unlawful, and ahall subject an employer to criminal pen to ·one hundred amagea ea provided for In Section 3706 of the La may'• fees. SIGNATUR 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 I 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): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hir,ed) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIG l@,i e- ls 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 26605, 25533 or 26534 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 7 0 YES O NO Is the facility to be constructed within 1,000 feet of tho outor 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. ~.Q«llft.Y.!mOOfflDING:AG~ ' ~----~·----__,;;,a; • .1~ 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). LENDER'S NAME LENDER'S ADDRESS -w,,,;AeflJCANit.C 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 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 s•o• deep and demolition or construction of structures over 3 stories in hoight. 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 co need within 180 days from the date of such permit or if the building or worl< authorized by such permit Is suspended or abandoned at any time after the worl< Is com r a period (If O days (Secti 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance DATE ~1~!/'-/_o+-;f?-0-,y,,__ __ _ City of Carlsbad Bldg Inspection Request For: 11 /12/2004 Permit# CB044129 Title: FARRELL RES GAS LINE REPAIR Description: Type: PLUM Sub Type: Job Address: 2815 VIA CARRIO Suite: Lot 0 Location: APPLICANT BROWN PLUMBING CO, ARTHUR A Owner: FARRELL FAMILY TRUST 06-23-99 Remarks: EARLY AM PLEASE Total Time: Inspector Assignment: ~ Phone: 7607294914 Inspector: ---- Requested By: ARTHUR BROWN Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs ~ Comment ~ Qm&- --------------'----------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments