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Home My WebLink About2704 WATERBURY WAY; ; CB061184; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 05-02-2006 Plumbing Permit Permit No: CB061 184 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2704 WATERBURY WY CBAD PLUM 1674411000 Lot#: 0 Construction Type: NEW SHEFFER RES -GAS LINE TO BBQ Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/02/2006 JMA 05/02/2006 05/02/2006 SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 2704 WATERBURY WAY CARLSBAD CA 92010 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 Total Fees: Inspector: $27.00 0 0 0 0 0 1 0 2704 WATERBURY WAY CARLSBAD CA 92010 $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 Total Payments To Date: $27.00 Balance Due: FINAL ARPR VAL Date: 6"'. /c. 0 (.,. Clearance: $0.00 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 protesl 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 I i n f whi h h v r vi I n iv n N imil r hi whi h h flimi i n h I FOR OFFICE USE ONLY PERMIT APPLICATION ' PLAN CHECK NO. CB t>Co ~\.<ft.I CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -....----,,------ Validated By~ s_J VV'A-- Date Ji~/Db 1. PROJECT INFORMATION Business Nama lat this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel II Existing Use Proposed Use :::S,.s+o 1\ tv,e :tn\ /Description o) Work YIR) P w "f, 0 \))0 c\ so. # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dlffWWII from applicant) Name Address City State/Zip Telephone# Fax# /3. 0 Agent for Contractor Owner 0 Agent for Owner -r Name Address City State/Zip Telephone# 4. Ol'ERT~ QWmB Name Address City State/Zip Telephone II &. @NIJIACTOR • CO]t1PANY NAME ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any struct ure, 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 of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($600)). Name Address City State/Zip Telephone II State license # __________ _ license Class _________ _ City Business license II _______ _ Designer Name Address City State/Zip Telephone State license II _________ _ 8. WORKERS' C018PENSA TION 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 for which this permit Is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the l abor Code, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number are: Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 aacura workara' compenaation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1$100,000), In addition to the coat of compensation, damages ea provided for In Section 3706 of the labor coda, Interest and attorney's fees. SIGNATURE.______________________________ DATE 7. OWNER-BUILDER DECl,.ARATION --;:;::::;::::==:::;:::=:=;;:;::::;;::;:::,~"'--'"" I hereby affirm that I am exempt from the Contractor's license law for the following reason: ~ 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who bui@s 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 lfirm) to provide the proposed construction Unclude 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 Onclude name / address / phone number / contractors license number):. _________________________________________________ _ 6. I will provide some of the work, but I have contracted lhired) the following persons to provide the work indicated Unclude name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _ _,,.._~.....,..._.~,.-.....1,,.._...__==_...,.MA.---------/DATE __ 5.,__-_;)..=..::-.>\?<...lJ(,.,.z ___ _ CQMIUTJ! DtlS K_CTJQfiFOR /!ON-RESIDENTIAL GJ.LDING ~RMITS 0 Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterials 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 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. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued ISec. 30970) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. _________________________ _ lt~Ig~TION 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 w ith 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 ANO 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 lhe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). 'b~•)\ ~•~~A._ / APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/09/2006 Permit# CB061184 Title: SHEFFER RES -GAS LINE TO BBQ Description: Type: PLUM Sub Type: Job Address: Suite: 2704 WATERBURY WY Lot 0 Inspector Assignment: & Phone: 7607298663 Location: Inspector: OWNER SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 Owner: SHEFFER SHIRLEY E 1999 REVOCABLE TRUST 04-13-99 Remarks: ---- Total Time: Requested By: CHERLIE Entered By: JANEAN CD Description Act Comment 23 Gas/TesURepairs J --~---~ Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments