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Home My WebLink About149 WALNUT AVE; ; CB111073; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-20-2011 Plumbing Permit Permit No: CB111073 Job Address: Permit Type: Parcel No: Reference#: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 149 WALNUT AV CBAD PLUM 2041211400 Lot#: 0 Construction Type: NEW JOHNSON RES-GAS LINE TO BBQ & FIREPIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/20/2011 LSM 05/20/2011 05/20/2011 THOMAS LANGSTON JOHNSON BARBARA J TRUST 09-25-00 701 POMELO DR VISTA 92081 619 992 9583 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 0 149 WALNUT AVE CARLSBAD CA 92008 760 729 7576 $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: FINA Date: Clearance: $0.00 NOTICE: Please take NO CE Iha pproval of your project includes the 'Im sition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' Yo 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 «~~ ¥ C IT Y O F CARLSBAD CONTACT NAME (If Different Fom App/leant) y PROPERTY OWNER NAME ADORES ARCH/DESIGNER NAME & ADDRESS Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov ISF) 5F STATE UC.# PATIOS (SF) fc)o CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE UC.# Plan Check No. Est. Value Plan Ck. Deposit Date NAM STATE FAX CLASS SWPP ZIP CITY BUS. UC.# FIRE SPRINKLERS YES D NO '/ 1sec. 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 Chat 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 ($500]). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the l abor Code, tor the performance ot the work for which this permit is issued. D 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 workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. ~ Certificate of Exemption: I certify that in the performance ot the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. A$ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: , I, as owner ot 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 ot proving that he did not build or improve for the purpose ot sale). □ 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 ot property who builds or improves thereon, and contracts tor such projects with conlractor(s) licensed pursuant to the Contractor's License Law). □ 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 ot the proposed property improvement. □ Yes □ No 2. I (have/ have not} signed an application for a building permit tor the proposed work. 3. I have contracted with the following perso to provide the proposed construction (include name address I phone I contractors' license number): A$PROPERTY the following person to coordinate, supervise and provide the major work (include name/ address I phone / contractors' license number): (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): □AGENT 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl halle read the application and state that the above infonnation is correct and that the infonmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above mentooed JXOperty br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA penmtt is required br excavations over 5'0' deep and demoli • orconstrudon of structures over 3 stories in height. EXPIRATION: Every penmit issued by the Building Offcial under the • • of this Code shall expire by imitation and become nul and void if the building or v.or1< authorized by such penntt is not commenced wthin 180days from the date of such r,em,tt or if the building orv.orl< au penntt is suspended or abandoned at anytime after the \\OIi< is commenred ~ i'r'od of 180 ays (Seeton 100.4.4 Unifonm Building Code). ,,@S' APPLICANT'S SIGNATURE DATE >7 1 0 City of Carlsbad Bldg Inspection Request For: 09/20/2011 Permit# CB111073 Title: JOHNSON RES-GAS LINE TO BBQ & Description: FIREPIT Type: PLUM Sub Type: Job Address: Suite: Location: 149 WALNUT AV Lot: APPLICANT THOMAS LANGSTON 0 Owner: JOHNSON BARBARA J TRUST 09-25-00 Remarks: Can you final or shall I send a letter? Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: Inspector: ----- Requested By: CHRISTINE Entered By: CHRISTINE 29 F-i-na_l_P_lu_m_b_in_g ______ Af _____________________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 05/23/2011 21 Underground/Under Floor 05/23/2011 23 Gas/TesURepairs Act lnsp Comments WC PY AP PY