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Home My WebLink About2523 VIA ESPARTO; ; CB012556; Permit/&;oO ptL W '1 ~ ~~arlsbad 1635 Faraday Av Carlsbad, CA 92008 os-cr1-2od1 Plumbing Permit Permit No:CB012556 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2523 VIA ESPARTQ CBAD PLUM 1674000200 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 08/01/2001 MOP 08/01 /2001 08/01/2001 Project Title: Applicant: PIPES PLUMBING 1145 LAW ST VORECK RESIDENCE GAS LINE REPAIR SAN MARCOS CA 92069 760 434-3067 Issued: Inspect Area: Owner: VORECK WALLACE E JR&RUTH C LIVING TRUST 06-23-99 44 E SHORE TRL SPARTA NJ 07871 6264 08/01/01 0002 01 02 CGP 27-00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $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 Additional Fees TOTAL PERMIT FEES Inspector: 0 0 0 0 0 1 0 FINAL APPROVAL Date: 1,2/1//4/ Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.' You have 90 days from the date this permtt was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance wtth Cartsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 0\, ~<-;(o(::, CrfY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ 1. PROjECT INFORMATION --zsz~ v~ ~f?t...e_-ro Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Ass~sor'~ Parcel # ~ G,-..J'e.. Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address City State/Zip Telephone# Fax# 3. APPLICANT O Contractor O Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER voe:e-c:..K... 4-:\:: E-$Ho~~,v Name Address City State/Zip Telephone# 5. C0NTAACTOR • 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 violation ot Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more t n five hundred dollars ($500)). M tib1 ,-.5J '5T":' ~ ~Q...u::; ~. City State/Zip elephone # License Class __ {, __ • _.5~b=-----City Business License# ~I 04: Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty ot perjury one ot 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 ot the work tor which this permit is issued. ~e and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ot the work for which this permit is issued. My worker's co7.:e,.,sat\Q._=;ne c~ti~ number are: Insurance Company ~ "~.-: r _,. 0r" Policy No. AcA C. I $0 I z.c:t7, C..4 ~4iration Date \ 1-• D ) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: F • secure work tlon cov ga is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand t of co ages as provided for in Section 3706 of the Labor code, Interest and attomev·• fees. SIGNATUR~~~~:=°~~;;:::~$~=--3~~~::t:2...._______ DATE B I -0( 7. OWNER-BUILDER DECLARATI 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 t hrough 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 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: 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 7 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. 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(1) 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 t o comply with all City ordinances and State 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 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 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 of this Code shall expire by limitation and become null and void if the building or work authorized by such permil is not commenced within 1 ys lrom t date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work~ p d of 1 O days (Se 106.4.4 Uniform Building Code). APPLICANT'S SIGNATUR~l-==~~~3:'.'.:'.:....:::::=:~~=:::!::::::~..:.-=-=""~~-:!:.-=:::::::::~:.....-------DATE 8 .. \ • 6 I ' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB012556 Title: VORECK RESIDENCE Description: GAS LINE REPAIR For: 12/11/2001 Type: PLUM Sub Type: Job Address: 2523 VIA ESPART/ (!) Suite: Lot O Location: APPLICANT PIPES PLUMBING Inspector Assignment: Phone: .,-;--;.n Inspector: --.../ \.....:_... --------'=- Owner: VORECK WALLACE E JR&RUTH C LIVING TRUST 06-23-99 Remarks: Total Time: CD Description 29 Final Plumbing Associated PCRs Act Comments Requested By: WALLACE Entered By: ROBIN /£-~~-----4--- Inspection History Date Description Act lnsp Comments 08/02/2001 23 Gas/Test/Repairs AP JC EMER GAS REPAIR, GAS RELEASED -NOT FINAL