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Home My WebLink About2559 WILSON ST; ; CB990263; PermitCity of Carlsbad 01 /20/1999 Plumbing Permit Permit No:CB990263 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2559 WILSON ST CBAD PLUM Status: ISSUED 01/20/1999 JM 01 /20/1999 01 /20/1999 Parcel No: 1561303000 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: WATER HEATER REPLACEMENT Inspect Area: Applicant: LLOYDS PLUMBING 740 METCALF ESCONDIDO CA 92026 760735-9050 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: Owner: CHEN CHENG-HSIN&HUANG CHIU LING 2559 WILSON ST CARLSBAD C 92008 5555 01/20/99 0001 01 C-PRHT Total Payments To Date: EXPt ~Ls 1 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 -$27.00 PERM' ''I\S EXPIRED IN ACCORDANCE WITH U.B.v. SECTION 106.4A DATF_ , ; 01) s,GNATUR~ w ½:?f a I $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 ri;jht 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 PERMIT APPLICATION FOR OFFICE USE ONL ~ L/ 2CJ PLAN CHECK N0. __ 7_ /(. __ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 EST. VAL. _________ _ (760) 438-1161 Validated By---1,;=r--+-',.__---,"r'.:or--=::'J~:-;,-, Oate, ________ .....c.,_.-=::""'t-_..::~ Address (include Bldg/Suite ll Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phese No. Total I of units Assessor's Parcel I Existing Use Proposed Use SO. FT. lot Stories II of Bedrooms II of. Bathrooms Name Address City State/Zip Telephone I Fax II ,,. Name Address City .State/Zip Telephone I !JIID f./l( State/Zip Telephone II Name ,,. CONffiACTOR•-co~ NAM}f. ' • ' ' • "' (Sec. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, alter, improve, demolish or repeir 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 Divisi!)n 3 of the Business ■nd Professions Code) or that he Is exempt therefrom, and the besis for the alleged exemption. Any violati~ pf Section 7031 . 5 by ''r!'. applicant for a permit subjects the applicant to a clvU P!nalty of not m,Pfe than five hun d doll rs _I$ 5~. 9,,, ~o LL 'rL~"'1c/r"" ·1Lto MTi-rC..ttFt::' rz-5C. . ell-'J'd) 7?o 7. -v_;,· • Name / Address City State/Zip Telephone State License , 1o5 le ~ 8 3 License Clan~ ~ 3 (... City Business License , ~ "U'wD Designer Name State -License I 8. Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will miintain 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 Labor 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 l-~~ t+\-\-Policy No. '2...o 4S 4:0{p2,c, I Expiration Date / 01/QO (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) r / 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 Worke s' Compensation Laws of California. • , WARNING: Failur o aac ~compenHtlon coverage la unlawful, and ahall aubject an employ• to crlmnll penaltJea and clvll flnN up to one hundred thouaencl dolla •10 00 In to the cost of compenaatlon, damagH u provided for In Section 3708 of the Labor code, Int-at and attomey'a fHs. SIGNATUR , ' DATE /-~ o -ft 7. UltDER D!cfARATIO,. . 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 H 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 auch Improvements are not intended or offered for Hie. If, however, the bulldlng or improvement Is sold within one veer of completion, the owner-builder will htve the burden of proving that he did not build O( improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct tha project (Sec. 7044, Business and Professions Code: The Contractor's License Law <loes not apply to an owner of pfoperty who bullds or improves thereon, and contracts for auch projects with contractor(sl 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 pro~sad property lmprovem~. 0 YES ONO 2. I (have/ have not> signed 1n 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 / contra~ors llce~sa 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 / phon1 number / contractors license number>=---------------------------------,-------------- 5. I will provide some of the work, but I h■ve contracted (hired> the following persons to provide the work indicated (include 'name / address / phone number/ type . of work>: ___________________________ ._ _____________________________ _ PROPERTY OWNER SIGNATURE COMPL£1'£ THIS SECTION FQR N~ENnAt"'illiilii,io ~o t! 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 Subatance Account AcH 0 -YES □ NO. • Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality management district7 O YES O NO Is the facility to be constructed vyithin 1,000 feet of the outer boundary of• school site7 0 YES O, NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS J'HE APPLICANT HAS MET OR•IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION'CONTROL DISTRICT. • [li. ONSTRUC'l'iim&:EHDimiAGU'f ., I hereby affirm that there ia • cons~ruction lending agency for the performance of the work for which tlJis permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME 19. ~CANU I certify that I have r111d the application and state tha.t the above information ill 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 me~tioned 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 f~r ex~avatlons over 5'0" deep and demolition or 'construction of structures over .3 stories In height. EXPIRA TIO~: Every permit ls~ued Bu' ng Official under the provisions of this Code shall expire by limitation ind become null and void if the building or work authonzed ,by such permit not com ced 365 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time rk • m c for a period of 180 day■ (Section 108.4.4 Uniform Building Code). DATE _/_. __.-c)--e)""""--_-_9_y..__ __ APPLICAN'l''S YELLOW: Applicant PINK: Finance