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Home My WebLink About2812 VIA DIEGO; ; CB000802; Permit' City of Carlsbad 03/07/2000 Plumbing Permit Permit No:CB000802 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2812 VIA DIEGO CBAD PLUM 1673003800 Lot#: 0 Construction Type: NEW WALCH RES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WALCH SUSAN L ISSUED 03/07/2000 RMA 03/07/2000 03/07/2000 TORREY PINES PLUMBING STE 101 1924 03/07/00 0001 01 02 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 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-7L- 2812 VIA DIEGO CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 FINAM OVAL Oate:5i 7 Ou Clearance: 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 nreviouslv been c iven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ~ PERMIT APPLICATION FOR OFFICE USE O0lJ PLAN CHECK No .t:::JJ.oooJ())__ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Oeposit ___ +-0!4Q-4'l1-~+--- 1. Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms i . CONJ ACT PERSO.N (If different from epplicant) Name Address 3 . APPLICANT O Contractor j2('Agent for Contractor O Owner Name 4 . Name 6. CONTRACTOR -COMPANY NAME Address City 0 Agent for Owner City State/Zip State/Zip Telephone# Fax# Telephone# (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 __ _Ll,L.:L.l_a;_· ..:la:_ti-on_o_f_S_e_ct-io-Y:,,4..-1.!,..0::_,...,J/...L.C:t::l:....2::~~~~~':::f--.l.......--::!~ll...--.:::...:....u.J..1,.,!....J...:2.::...!e:::...__l,___f_i....:+:~~L.-O--~~..!J!::::Y.:' J/f ?!> Name Address n State License # J '1 d O 3 9, License Class C-3{o-r ;;;. b City Business License # _______ _ 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: O 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 f the work for which this permit is issued. 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 . My worker's compensation insurance carrier and policy number are: 4/ Insurance Company .-f\C)cl Policy No. 7oBZ4 7. ~ Expiration Date _oO (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 Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla ($100,000). in addition to the cost of com ensation, damages as provided for in Section 3706 of th Labor c , I ere d attorney's fees. DATE....!a,c__,c....u41...i...==:::__- 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 ow ner-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 O NO 2. I (have I 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 I address / phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinat e, supervise and provide the major work (include name / address I 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 I type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE------------------'------ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING ~GENCY I hereby affirm t hat there is a construction lending agency for the performance of the work for which t his permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. AePLICANT 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 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 ANO 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 buildin 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 ced withi 180 da rom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm for e od of 18 (Section 106.4.4 Uniform Building Code). DATE ~3 __ ---'3=--.... _c_v __ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 5/19/2000 Permit# CB000802 Title: WALCH RES-REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2812 VIA DIEGO Suite: Lot 0 Location: APPLICANT TORREY PINES PLUMBING Owner: WALCH SUSAN L Remarks: Total Time: CD Description 29 Final Plumbing t Comments Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: ( ( - Phone: 8586775455 EX 204 Inspector ~ Requested By: NA Entered By: CHRISTINE