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Home My WebLink About2838 WINTHROP AVE; ; CB031776; Permit~ C), ~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-30-2003 Plumbing Permit Permit No: CB031776 Job Address: Permit Type: Parcel No: Reference #: Project Title: Buildin g Inspection Request Line (760) 602-2725 2838 WINTHROP AV CBAD PLUM 1674802141 Lot #: 0 Construction Type: NEW FERENCE RESIDENCE WATER HEATER REPLACEMENT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/30/2003 MDP 06/30/2003 06/30/2003 Applicant: AJACKS MAINTENANCE SERVICE 7631 LEMON AVE ~;~~~CE ROBERT J&JANICE~itJ{~~ffi_,~~,~ LEMON GROVE 91945 619-589-8888 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: $27.00 Inspector: 0 0 0 0 1 0 0 7507 BRAVA ST CARLSBAD CA 92009 Total Payments To Date: $0.00 $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 Balance Due: $27.00 EXPIRED PERMIT PERMIT l l •\C' r :r,RED IN ACCORDANCE WITH U.B.C. SECTKM 106.4.4 FINAL APPROVAL Date: _____ _ 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 f e I xa ion f whi h ou have reviou I b n iv n a NOTICE simil rt hi r as to which th stat fr itation has revi I h rwis ex ir d. 02 27-00 PER.MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY 1 1 PLAN CHECK No(:)S ,-. \] le:, EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date ______________ _ Address (include Bldg/Suite #) 2.f>1& ~ I tJP:r:H::UR ~\) 4._ / ( b.J Business Name (at this address) La, s . CA-q-z...oo~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Desc~7Jf W~f-f-V1 \-f' SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTAC PERSON llf dlffaranj from applicant) uJ C.,<.._ Address City State/Zip Telephone# Fax# tor ·o KI:¥4:5 tM.A-1N:f".[,-J~c...£.. S ~\C.£5 r C.. 7<.:,~l ~6!\,) .lh1'1-L'c.'ftO<l ft"-.aJc. q(cr'1r Name Address City State/Zip Telephone# G, l<=f -S''j _ ~~~'? <9l()c.e o -,~o -C!fo'-1 S.tate/Zip Telephone# (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 t he 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 p,enalty of not more than five hundred dollars ($500)). tr:.f .C((,_IC:') IM.Pq~rJAr:1C..l,. -, lo"'3>l L~CMOIU k-J'l.. ~~ Ofl.11.C Vt: 9(9f(S Gl?-S89-'16'g~ Name Address City State/Zip Telephone # State License # 5G:::, 7 "S"'& ~ License Class (-l 6 C-) .L City Business License II l'2..C Lf 7 0 \ Designer Name State License # Address City 8. WORK(RS' COMPENSATION Worke;;.• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. ~ava 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 -Z. ~ ( "'{"µ Policy No. -Z.. C l-iti '1 bQ.. O (,. Expiration Date / 0 {_j_ U J (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. WARNING: Failure to ure workers' compenntlon coverage 11 unlawful, end shall subject en employer to criminal penalties end civil fines up t o one hundred 100,000), of compenntlon, damages aa provided for In Section 3706 of th7, Le DATE r" -:;;;--t-::;;;;;;;;~;;;;:;:;==-__,,..--..,--,.,---.-, 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 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 (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(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 construction (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): ___________________________ __,,----------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ COMPLETE l HIS SECTION FOR NOl'{N_SIOENnAL BUILDING PERMITS ONLY DATE--:==:--::----=--- 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? 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 AND THE AIR POLLUTION CONTROL DISTRICT. [8 , ~STRUCTION LENDING AGENC Y I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ rs, Al!fLICANT CERTIFICATION I certify that I have reed 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 Cit~ 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 permil issued by the building Official under lhe 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 wilhin 180 days from the date of such permit or if the building or work authorized by such permit is uspended or abandoned at any tirr •ter lhe work is comm i:iee~r a period of 1 -days{ e 6.4.4 Uniform Building Code). APPLICA SIGNATURE -t~-~...)~_:E$~~~~~:::7Z=======~==--DATE b o, '- YELLOW: Applicant PINK: Finance