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Home My WebLink About150 WALNUT AVE; ; CB041048; Permit~<\1-s City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-30-2004 Plumbing Permit Permit No: CB041048 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 150 WALNUT AV CBAD PLUM Status: Parcel No: 2041230800 Lot #: 0 Applied: Reference #: Project Title: Applicant: HILL RESIDENCE GAS REPAIR BROWN PLUMBING CO, ARTHUR A 2697 STATE ST CARLSBAD, CA 92008 619-729-4914 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 Construction Type: NEW Entered By: 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: HILL FAMILY TRUST 07-20-90 PO BOX 1935 CARLSBAD CA 92018 ISSUED 03/30/2004 MDP 03/30/2004 03/30/2004 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 8698 03/30/04 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (b~...: I D'::l r,g EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______ ~---,------- ::...~w,ass (lncIuae 1>Iag,~une ~ / s::u /j/;f;-(.AJVT £,T. Business Name (at this address) legal Description lot Na. Subdivision Name/Number Unit No. Phase Na. Total II at units Assessor's Parcel II Existing Use Proposed Use Description of Work ('_ ':-. . #of Stories II of Bedrooms II of Bathrooms ~Mll Name Address City State/Zip Teiephona II Fax# Name Telephone II (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 Coda) or that he is exempt therefrom, and the basis tor the alleged exa ption. Any violation of Section 7031.5 by any applicant for~ permit subjects the applicant to a • ii panal~y of ~ot ~re than five hundred doll rs ($600)). cJ/f<-• /6/<.tJ Uf/1.) /}tu, 6//Jtf u}) ~ Smrl:&T-'llifs '1,U/ C4 ~&/.Jt 760 7~f-¥y/ Name State License II -'-.:Z.__.½-'g,'-"-~~-{)-· __ Address License Class __ ('-_-_5_G~----City State/Zip Talaphon II City Business License II lffOO Designer Name State License II Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone □-I have and will maintain a certificate of consent to salt-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. ~ I 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 issued. My worker's com ensation !gsurance carrier and policy number are: / c-q 1/ r£ ,--, .I ! Insurance Company ~ e..~ / V /11 /) Policy No. 7 / tJ. ;:;, ' V ..)... Expiration Date tJ "l {!It_! l( (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. o ncure worllera' compensation coverage la unlawful, end shall subject en employer to criminal penalties end clvll fines up to one hundred 1 .OOO). In dltlon to t oat of compensation, damages ea provided for In Section 3706 of the La code Inter at and attorney's fees. DATE _:3 '3('} '{) • 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 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 ha did not build or improve for the purpose of salel. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 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 c.onstruction (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): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired I the following persons to provide the work indicated (include name / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ~$.'.SECTIONJ"ioR·~~O - 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 26505, 25533 or 26534 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? O YES O NO Is the facility to be constructed within 1,000 feat 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. ta.,;_coNS_TIIUCTION'LENDIN.Q Mm CY _.__~_·;;~ I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sac. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS 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 c enc d within 180 days from the date of such permil or If the building or work authorized by such permil is suspended or abandoned at any time after the work is co ca or a peri6a of 180 days ( lion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE .__.:::;_..t.,,:;.~~""""=~=-..J~=-~------------DATE _3'...__Y9_0.,_yt_o~y ___ _ WHITE: File YELLOW: Applicant PINK: Finance • • City of Carlsbad Bldg Inspection Request . Permit# CB041048 Title: HILL RESIDENCE Description: GAS REPAIR For: 03/31/2004 Type: PLUM Sub Type: Job Address: Suite: Location: 150 WALNUT AV Lot 0 APPLICANT BROWN PLUMBING CO, ARTHUR A Owner: EDWARDS ROBERTA A ET AL Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7607294914 Inspector: ---- Requested By: CHRIS ntered By: CHRISTINE 23 Gas/Test/Repairs Af-----+--- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments