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Home My WebLink About1094 LAGUNA DR; ; CB022892; Permit\§;-\. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-25-2002 Plumbing Permit Permit No: CB022892 Building Inspection Request Line (760} 602-2725 Job Address: Permit Type: 1094 LAGUNA DR CBAD PLUM Parcel No: Lot#: 0 Construction Type: NEW Reference #: Project Title: LAS VILLAS DE CARLSBAD-REPLACE 2 WATER HEATERS-MAINT CLOSET Applicant: HEALTHCARE GROUP STE 103 9619 CHESAPEAKE DR 92123 858 565-4424 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $34.00 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 Owner: Total Payments To Date: 0 0 0 0 2 0 0 $0.00 EINAL APP~03 Date: q,/~a 0~ Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/25/2002 RMA 09/25/2002 09/25/2002 7080 09 /25/ 02 0002 01 CGp Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $14.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 $34.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.n You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any i n i n N I h' hi h h I imi r vi 1 h 02 34-00 PERMIT A'PPLICA TION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ~ PLAN CHECK N0.~,1 EST. VAL. _________ _ /1· ------------------------------------------------------------- PROJECT INFORN!Al'.lOt,I X Address (include Bldg/Suite #) Business Name (at this address) I tJ 9''/ LAG«# M , L&;ial Description d1f45&tt). C1 ,9£a2$'" 41: S /dLUS /)E ~~L> Lot No./ Subdivision Name/Number Unit No. Phase No. Total # of units # of Bathrooms Name City State/Zip Telephone# Fax# -7//£" Telephone# 6. @.fi.TMCIOR..,.COMeAfilY NAMJ: (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 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 1$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # .---::===--:::---:;;;;;:;;;:--:; 8. I hereby affirm under penalty of perjury one of the following declarations: 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 secure workers' conipenaatlon coverage la 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 coda, Interest and attorney's fees. DATE;:;--;;;;;;;;;;;;;;;;;;;;;;;;::::;;;;;;;;::;;:=:=---. ... ~-·-.....,~. 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 improvervents 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,)roving that he did not build or improve for the purpose of sale). ?.Ir I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The 'c3ntractor'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 A1No 2. 3. 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~;;dj# /9~ ~ ,t)~ COMPL~Tl;.[HIS SECTION FOR NON-RESIDENTIAL BUILDING~RMJ.lS:,QN~, . ._ ____ ,__ 7 l 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, 25633 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. C~NSTRUCTION .LENDING A.GENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME ______________ _ 9. A.!'f!,.ICANJ CERTIFl~TION 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned _ ~y time after the work is commenc r eri ay ectioo 106.4.4 Uniform Building Code). _ / __\/APPLICANT'S SIGNATURE _ ___L_~~~~-z_~~{L_~~~----------___l,/ DATE ps-u:2- WHITE: File YELLOW: Applicant PINK: Finance / .. ~ ~ City of Carlsbad Bldg Inspection Request For: 09/30/2002 Permit# CB022892 Title: LAS VILLAS DE CARLSBAD-REPLACE Description: 2 WATER HEATERS-MAINT CLOSET Type: PLUM Sub Type: Job Address: 1094 LAGUNA DR Suite: Lot Location: APPLICANT HEALTHCARE GROUP Owner: Remarks: TWO WATER HEATERS Total Time: 0 Act Comments Inspector Assignment: _ff Phone: Inspector: ££ Requested By: BOB LAW Entered By: CHRISTINE CD Description 25 Water HeaterNents ilf!_ ______ _ Associated PCRs/CVs //Db-E</ Inspection History Date Description Act lnsp Comments