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Home My WebLink About1057 LIGHTHOUSE RD; ; CB030899; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-27-2003 Plumbing Permit Permit No: CB030899 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1057 LIGHTHOUSE RD CBAD PLUM Status: ISSUED 03/27/2003 RMA 03/27/2003 03/27/2003 Parcel No: 2145312400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: JOHNSON RES•NEW WATER HEATER Inspect Area: Applicant: MY PLUMBER STE 603 5490 COMPLEX ST 92123 760 729·4326 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 0 0 0 0 1 0 0 Owner: JOHNSON DAVID C&KELL Y L 1057 LIGHTHOUSE RD CARLSBAD CA 92009 1366 03/27 /03 0002 01 CGP $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 Total Payments To Date: $0.00 Balance Due: $27.00 EXPIRED PERMIT 02 PERMIT HAS EXPIRED IN ACCORDANCE WITH U.S.C. SECTION 106.4.4 Ins ector: DATE q\7 't~C>:S SIGNATURE & c C: 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 f~e 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 seivice fees in connection with this project. NOR DOES IT APPLY to any whi I r · · i i -------····· 27-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. C/!;t;Jt> j97 EST. VAL. _________ _ Plan Ck. Deposit 71 Valida~d i , ~ DateJ1 27/ZJ Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms (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 Code) or that he is exempt therefrom, and the basis for the alleged exemptio Any violation of Sectis 7031.5 by ny app~ant 1sl-ltmit subjects the, pticant to a civil penal of not more than fjv7~re~71r:,(~600.:3 Addre s City State/Zip T:lephone # State License #. ~~--,,-.~~~----License Class--~~.,_""----City Business License # / N / 3lf D Designer N e State License # Address City Workers' 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. '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 ,...~ed. My worker's compensation Insurance carrier and policy number are: ~ lnsu,ance Company 9\-4 fu rv:l PoUcy N~ (,. J 47 7 cJ -d<'.t'./3 Expi,ation Date 'I". J.al (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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 s to become subject to the Workers' Compensation laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, and ahall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand doll• $1 0,000) In addltlo the c st of comp sadon, damages es provided for In Section 3706 of the labor code, in~rest and attorney's fees. SIGNATUREiiiiiiiii~~~iiil~l.!iii~iiiiiiiiiiaiiiiiiiiiiiii,i;~ii~, DATE s 1:x z --cl_} irt,-lV~j_tillli~lt\l.lm: l,l~it-t±mtr~~£~l~~~~ltrJfo'.(i'.2tit'.-t~;;;:¥f'.t;,~;F~ff1;?f,kT~~/,f1t~:~:t7\!l0"'.(~t~;t~;~::1;n~J;,-;;;T'.! 1'.~l~[~k\'~Tg:1r1~1?0&l I hei"eby 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, aa 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. D 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 I address I 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) the following persons to provide the work indicated {include name I address I phone number / type of work): ______________________________________________________ _ 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 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO ls the applicant or future building occupant required to obtain.a permit from the air pollution control district or air quality management district? D YES D 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. 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 _______________ _ LENDER'S ADDRESS ,,~iA~!:RP~l«im~fOq1:1;:tlf(¢~1tl,Qff~tt:~.?f,;1:z-J1;;,c;,t;·,, ~ :;r~:;;;:~r_s:J:,, 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 s11ch permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aftt::: 'he work is commenced for ape · :180 day (Section 106 .. 4 Uniform Building Code). APPLICANT'S S NA DATE -~5~-..2=-..,_7_---'<J'--2:>.,.,,_ __ _ WHITE: File YELLOW: Applicant PINK: Finance