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Home My WebLink About2807 VIA CARRIO; ; CB990399; PermitCity of Carlsbad 01/27/1999 ,; Plumbing Permit Permit No:CB990399 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 438-3101 2807 VIA CARRIO CBAD PLUM 1673602200 Lot #: 0 Construction Type: NEW GAS LINE REPAIR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/27/1999 OT 01/27/1999 01 /27/1999 Applicant: Owner: 5828 01/27 /99 0001 01 02 BEST SERVICE CO 5360 EL ARBOL DR CARLSBAD, CA 92008 619-438-3989 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: /Z/5 MOSHER BOBBY D 2807 VIA CARRIO CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: 2 ,. 3 ,-'l 9 I Balance Due: Clearance: $20.00 $0.00 io.oo $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 C-PRMT 27-00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLl~ATION PLAN CHECK NO,C,D 9 o/03 99 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL.-----,,...., .... ~---/1 ?/.,,,,.-Plan Ck. Deposit ___ '..:::::.. V _;_ ___ _ (760) 438-1161 Validated By, ___ X..:' ;,__:l __ :-----:-- Date, ______ __:..,\ 1,_/ _'2-_7"-+-/_.'9__,5 Address (include Bldg/S'/li,I 2-8 [) 7 Vto Business Name (at this address) Legal Description Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I t¼ z-'5!;,,0-2-2--00 Existing Use Proposed Use Description of Work ./ / SO. FT. #of Stories I of Bedrooms II of Bathrooms c;:;$ k_,rJe ~ ,e_ CONJ'Act Rlisoi{liiciffennt friHil iiiiii!_icant State/Zip Telephone I Fax II Name Name Address City State/Zip Telephone II NffilciTOR-COMPA'iff"NJJ.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' a License Lew (Chapter 9, commending with Section 7000 of Divlsi9n 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempti . Any violation of Section 7031.5 b~jlY applicant for a permit subjects the appli rant;o a lv_ll penalty of not more than fiVJ hupdred dollars ($5001). -• ~ • LO l!--bt , 'IL n, ff ,b,90 ~cJ •Name State License I __.f::........;4::.....:::5::......,2-:::.....=2,,c......:2.-::....__ Address City State/Zip Telephone II License Class c-~ t, -(!r-2c:) City Business License I 7(eo -,/-3",!'~ ~9 8 i 3 Designer Name Address City State/Zip Telephone State License I ' WORKERS,. COMPENSATIO 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 self-insure for workers' compensation. as provided by Section 3700 of the Labor Code, for the performance of tha work for which this permit Is Issued. 0 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 compensation insurance carrier and policy number are: • insurance Company_____________________ Polfcy No., ____________ _ Expiration Date. _______ _ TION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS! FICA TE 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 Celifomla. • WARNING: Failure to Hcure worker•' compenaatlon coverage la unlawful, and ahllll aubJ■ct an employ• to criminal penaltlea end civil flnn up to one hundred thouaand doll■ compena■tlon, damage• u provided for In Section 3708 of the Labor code, lntWHt and attorney'■ fHa. SIGNATURE -- 7~Eft• ~t 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 O( Improve for the purpose of sale). 0 I, es owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, eusiness and P.rofasslons Code: The Contractor's License Law does not lipply to an owner of p(op■rty who bullda or Improves thereon, and contract• for auch projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plen to provide the major labor and materials for construction of the pro~sed property lmprovem~nt. 0 YES ONO 2. I (have / have not) signed an applicatlon for a building permit for the proposed· work, 3. I have contracted with the following peraol) (firm) to provide the proposed construction (Include name / address / phone number / contractors lice!1se 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 SECTIOI'( FOlt NOIHISIDENTW IUllDIN~---:oi Is the applicant or future building occupant required to submit a business plan, ■cutely hazardoua materials registration form or risk minagement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account AcH 0 -YES □ NO • Is the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed v,,lthin 1,000 feet of the outer boundary of a school site? 0 YES 0 , 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 ANO THE AIR POLLUTION"CONTROL DISTRICT. ! . CONSTRUC'i'fojfLEifomo AGEN .'"1:111 ........... Ji/i:,· • "" I hereby affirm that there is • cons~ruction lending agency for the performance of the work for which lt!is permit is issued (Sac. 3097(1) Civil Code). LENDER'S NAME AMicAN't~Ff&TloM LENDER'S ADDRESS • I certify _thet I have read the appllcatlon and state that the above informetion IJ correct and that.the Information on the plans is accurate. 1 agree to comply with all City ordinances and Stete 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required f~r excavations over s·o• deep and demolition or construction of structures over.3 stories In height. EXPIRATIO~: Every permit issued by the Building Official under the provisions of this Code &hall expire by limitation a'nd become null and void If the building or work authorized .by such permit Is not commenced within 385 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 k Is commenced for,> period___sµ 80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _/,~~~;tt.JL""-......J.!2::::::.:::~~~-------------DATE /-2, 7-f' L YELLOW: Applicant PINK: Finance •. .., City of Carlsbad Inspection Request For: 1 /28/99 Permit# CB990399 Title: GAS LINE REPAIR Description: Type:PLUM Sub Type: Job Address: 2807 VIA CARRIO Suite: Lot Location: APPLICANT : BEST SERVICE CO OwnM: MOSHERBOBBYD 0 Inspector Assignment: M Phone: 7604383989 Inspector: Remarks: DID NOT SAY WHAT TYPE OF INSP NEEDED Total Time: Requested By: WAYNE Entered By: CHRISTINE CD Description Act Comments 24 RoughfTopout £ _25. _______ +-_____ _ Inspection History Date Description Act lnsp Comments