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Home My WebLink About2843 VIA CONQUISTADOR; ; CB001690; PermitCity of Carlsbad 05/02/2000 Plumbing Permit Permit No:CB001690 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2843 VIA CONQUISTADOR CBAD PLUM Status: ISSUED 05/02/2000 RMA 05/02/2000 05/02/2000 Parcel No: Reference #: Project Title: Applicant: PARKER, DAVID 4911 REFUGIO AV CARLSBAD, CA Total Fees: 2225920700 Lot #: 0 Applied: Construction Type: NEW Entered By: GAS TO BBQ&FOOTINGS-FOR FUTURE PATIO COVER Plan Approved: Issued: Inspect Area: Owner: SHEA HOMES LTD PARTNERSHIP C/0 SUSAN TRIMINGHAM 10721 TREENA ST #200 SAN DIEGO CA 92131 $52.00 Total Payments To Date: Balance Due: $52.00 6107 05/02/00 0001 01 $20.00 C-PRMT 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: FINAL APPROVAL Date: g ---Z.,'(-0O Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $25.00 $0.00 $0.00 $52.00 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 permtt 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 wtth 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 you have previously been (liven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 52-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoCflezD I b 10 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ___ _,~-==---- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Name A State/Zip Telephone# 4. State/Zip '6, 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 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 exemption. Any vi'?.',t.i£n of Se • 7 31.5 by any ~9_U5ant for a permit subjects the ap licant to a civil penalty of not more than five hundred dollars ($5001). ½ 'l"'11)/& /Sc,r I/ _ ~-PZA JtJ ~ - State License , _,,7 __ o_tj-'----'S=--_D_/ __ Address C License Class __ ,-,,c __ -_'d __ 7._ __ City State/Zip T~lephol)e~ City Business License # / d tJ 6 /-6 £-- Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ,M, 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. O 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 c rier a policy number are: ,--___,-..._._,-l J JI J Insurance Company --L<'.....LJL,t-'-C......--,£ _ _:.V':...,:,"/V....::....,_1'=--------Policy No. 2 2 7-c:::;o Expiration Datw:2 J-tJ / -J / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker ' mpensation Laws of California. WARNING: Fa· re to ecur or rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll rs ($ 0 00 , i ddi n to the cost of compensation, damages as provided for in Section 3706 of th':>§bor code, interest and attorney's fees. SIGNATURE.-Hw.£---7"-_,-__.=-_:'_z.-_:-_-:_~-----------------DATE :::J ~ 2 ..., C:S-0 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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 / 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 BUILDING PERMITS ONLY 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 25534 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 facility to be constructed within 1,000 feet of the outer 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 ANO 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(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 la ing to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection pu oses. ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN EXPENSE WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permi xcavations over 5'0" olition or construction of structures over 3 stories in height. EXPIRATION: Every pe • • • • s of this Code shall expire by limitation and become null and void if the building or work authorized by such perm ,fo,J.,,c.6. ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the wor ..-~,._,._,.,...,~ 4.4 Uniform Building Code). APPLICANT'S SIGNATU DATE WHITE: File YELLOW: Applicant PINK: Finance \ City of Carlsbad Bldg Inspection Request For: 5/3/2000 Permit# CB001690 uM~-tH:1--cBQ&FOOTINGS-FOR 0 COVER Type: PLUM Sub Type: Job Address: 2843 VIA CONQUISTADOR Suite: Lot 0 Location: APPLICANT PARKER, DAVID Owner: SHEA HOMES LTD PARTNERSHIP Remarks: Total Time: CD Description Act Comments Inspector Assignment: ~-- Phone: 7607207944 Inspector: :t>/k Requested By: DAVE PARKER Entered By: CHRISTINE 11 Ftg/Foundation/Piers 21 Underground/Under Floor ~---- Associated PCRs Inspection History Date Description Act lnsp Comments