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Home My WebLink About2502 VIA ROJO; ; CB044128; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11 -10-2004 Plumbing Permit Permit No: CB044128 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2502 VIA ROJO CBAD PLUM Status: Parcel No: 167 4110500 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FLANAGAN NEW H2O HEATER Inspect Area: ~t: PACIFIC EXPRESS INSTALLATI PO 4056- CARLSBAD 92018 760 421-0380 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 0 0 0 0 1 0 0 Owner: FLANAGAN TIMOTHY C&CAROLE H 2502 VIA ROJO CARLSBAD CA 92008 ISSUED 11/10/2004 KG 11/10/2004 11/10/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 5247 11/10/04 0002 01 CGp Inspector: Clearance: 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any 02 27 -00 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK No.C66t/'--!1;2.SV CITY Of: CAR!,..SBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ----~L.,---- Validated BJ-r--,---.,..;.=.:~---- Date __ ...,'--_.;..-><---..:::......c........,¥------ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use Description of Work I of Bedrooms I of Bathrooms Name Address City State/Zip Telephone I Fax I or -9Jll!f.~Or Q 9-\Y.Jltr ..._D__Agertt {Qi; Owner Name Address City State/Zip Telephone I .• ' City State/Zip Telephone 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'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 exempt' Any lation of Section 7031.5 by any appllc nt f a rrt!_it subjects the p.pplicant to a civil penaI91 of n t more than five hundred doll s ($5001). -L PO ~<X u. (!... ~2') 'D-1 -o.,?o City State/Zip ,-/;,lephone I City Business License I 1 U 4 $' Name State Llcense I _o-=-:dl,-'=_2,5--'-_<j __ _ License Class __ f:>_~------ Designer Name Address City State/Zip Telephone State License I _________ _ I hereby affirm under penalty of perjury one of tha 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 of the work for which this permit is Issued. O I have and will maintain workers' compensation, IS required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My worker's compensatio nsurance carrl r and policy number are: L lnsuranceCompany • PolicyNo. 1""73-Z,Z/y-3 ExplratlonDate D_OS (THIS SECTION NEED NOT BE COMPLE ED 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' compen coverage Is unlawful, end shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars l!JOO 0091, In ad to the of compensation, damages aa provided for in Section 3706 of the Labor cod?;!est and attorney's feea. SIGNATURE a,A:,{ . DATE ij--q-~ ""-~,-..,.,..., ~ ·E ,. .,. • •·-,~ - O I, as owner of the property or my employees with wages IS 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 salet. O I, es 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(st licensed pursuant to the Contractor's License Lawt. O 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 (firmt to provide the proposed construction (include name / address I 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 I address / phone number/ contractors license numbert:. ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work Indicated (include name / address / phone number / type of workl: ________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ ~QM.!!I.ID! . .Il:JIS j~CTl9.M.EOIJ~_N:lf{$/DE/{17M.1!WJ.12JttllffRr.mi ONL.....,..,.....,._.,.._...___.__...,.. _ _,.,.._,,.,.........., 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 26606, 26533 or 25634 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. ·- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Codet. LENDER'S NAME ______________ _ LI. • p CAN.'11C.E8Il~"(I_Q ' ' '._' • "". -~">'-• 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 Ottlclel under t visions of this Code shell expire by limitation end become null end void If the building or work authorized by such p ·s not commenced within 180 d s fro he dat of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after thew lod of Oday (Secti 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ---»1--===----"'--'>\,,4,1--l--+------------DATE YELLOW: Applicant PINK: Finance l\ o(, rt~ 4'' ~ City of Carlsbad Bldg Inspection Request For: 12/02/2004 Permit# CB044128 Title: FLANAGAN NEW H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2502 VIA ROJO Suite: Lot 0 Location: APPLICANT PACIFIC EXPRESS INSTALLATION Owner: FLANAGAN TIMOTHY C&CAROLE H Remarks: Total Time: CD Description Act Comment 25 Water HeaterNents Inspector Assignment: PC --- Phone: 7604344083 Inspector: L Requested By: HOMEOWNER Entered By: CHRISTINE ~----'-----__._ _ _._ ------ Associated PCRs/CVs Inspection History Date Description 12/01/2004 25 Water HeaterNents Act lnsp Comments NR PC NOT HOME