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Home My WebLink About2806 VIA MAGIA; ; CB010172; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/16/2001 Plumbing Permit Permit No:CB010172 Job Address: Perm it Type : Parcel No: Reference #: Project Title : Applicant: t Building Inspection Request Line (760) 602-2725 2806 VIA MAGIA CBAD PLUM 1673201200 Lot#: 0 Construction Type: NEW WEIR RES-GAS LINE REPAIR Owner: Status : Applied: Entered By: Plan Approved : Issued : Inspect Area : ISSUED 01/16/2001 RMA 01/16/2001 01/16/2001 TRI-CITY PLUMBING & DRAIN WEIR LEON B&ELSIE M TR&131 01/16/01 0002 01 02 5245 CHAMPLAIN ST OCEANSIDE CA 92056 760 806-9554 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repa ir Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Inspector: 2806 VIA MAGIA CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 0 1 0 FINAL APPROVAL Ba lance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0 .00 $0.00 $0 .00 $27.00 Date: /-I t·CJ / Clearance: CGP 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 previously been qiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN cHEcK No. {J3o Io t 11- EsT. VAL. __________ _ Plan Ck. Deposit 7') Validated B'( ~ ;) ± Date J / J b / Q_ f 1 rr • Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number A~ssor' s Parcel # co q s I (fl e 'f e pCl I' r Existing Use Description of Work SQ. FT. #of Stories 2. co AC1i PERSON (If different from appllcant). YI (\Ww lo Name PLICANT . li('c -crtv , Name 4. P~PERTY OWNER .. , t--€0 Vl w -et C Name 6. CONTRACTOR • COMPANY NAME Address r O .0wner. (0 I l'l 41'! City D Agent•for Owner " o-11a.. s.t- City Unit No. Phase No. Total # ot units Proposed Use # ot Bedrooms # ot Bathrooms State/Zip Telephone # Fax # c-dl -?L/ Cd "f »'-) z oS-( 'fbo / o<o r J,:s1..1 Telephone # [1-f;c>) -f-2 C( , 0( 2. cJ State/Zip 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 ot the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged ~ xemption. Any violation of Section 7031. 5 by any applicant tor a permit subjects the applicant to a civil penalty ot not more than five hundred dollars [ $ 5001). Name Address City State/Zip Telephone # State License#__________ License Class__________ City Business License# / ~ / D cJ....Jy Designer Name State License # ::f-j!J 2 5 cg-Address City State/Zip Telephone 6. WORKERS' COMPENSATION 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 the work tor which this permit is issued. ~-.. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work tor which this permit is ~d. My worker's compensation insurance carrier and policy number are: W C.. 1'-0 { -OOG "3o>L { / Insurance Company /J:·P·H Policy No. -vi:xpiration Date ( 2-6 _c, «THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] 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: Failure to secure workars' compen■ation coverage is unlawful, and ahell aubject an employer to criminal penaltiea and civil finea up to one hundred thousand dollars ($100,0 l in a ition to the cost of compensation, damagaa as provided for In Section 3706 of the Labor code, interest and attorney's feea. s1GNATURE._.,L..,4-~~,,cz.=------------------DATE I -I~ -o I . . 7. OWNER!BUILDER D Cl:ARATION , . _· ' ,. • I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the propeny 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 tor 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 ponions 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-RES/DEN77AL'BUILDING.PERMITS:ONLYi,, 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 Act7 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 site7 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(il Civil Code!. LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ·9, APPLICANT CERTIFIC'ATION 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 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 permit is not commenced within 180 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 work is commenc ~d of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE _,::_ _ _,::;______________________ DATE / -/b -OJ I WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/17/2001 Permit# CB010172 Title: WEIR RES-GAS LINE REPAIR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2806 VIA MAGIA Lot 0 APPLICANT TRI-CITY PLUMBING & DRAIN Owner: WEIR LEON B&ELSIE M TRS Remarks: Total Time: Act Comments Inspector Assignment: RB --- Phone: Inspector: P-J3 Requested By: ANDREW Entered By: ROBIN CD Description 29 Final Plumbing A-1-tt:) ____________ _ Associated PCRs Inspection History Date Description Act lnsp Comments