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Home My WebLink About1107 LAS FLORES DR; ; CB053033; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~ 08-23-2005 Plumbing Permit Permit No: CB053033 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1107 LAS FLORES DR CBAD PLUM Status: Parcel No: 1551604600 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: ARS STE 100 RODRIGUEZ RES REPLACE H2O HEATER 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677 -5455 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 0 0 0 0 1 0 0 Plan Approved: Issued: Inspect Area: Owner: RODRIGUEZ MANUEL J JR 1107 LAS FLORES DR CARLSBAD CA 92008 ISSUED 08/23/2005 KG 08/23/2005 08/23/2005 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 5234 08/23/')5 0002 Ol .)'.2 c::~3F" Inspector: FINAL#:PPROVAL Date: • 2 -D:f" 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 1imely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONIJ _ PLAN CHECK NOC, f;t})3J3,3 EST. VAL.---------~ Plan Ck. Deposit ~ Valida~d By Date ~-'2'3~ Address (include Bldg/Suite #) Business Name !at this address) Legal Description Lot No'6~division Name/Number SQ. FT. 2. CONTAC:Ti>ERSdN•'(lfdlllerent:trdndippflcinlf• Name 6. Address ' '~Qiri·{f,Wt!Bht~'iictOf I I,,,_ #of Stories City City Unit No. Phase No. Total # of units Proposed Use # of Bedrooms If of Bathrooms State/Zip Telephone# Fax# Telephone# 7J / h I b-{a)7Y: 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 ha 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 exe p. SAny violation of bctb 2031.5 by any applic for a permit subje~th\~cant to a civil penalc,.;t;o more than five hiz~ollar-5'5001). Name City State/Zip Telephone # · State License# 7.q J 'i5 2.0 License Class Clo C¢k, City Business License# l'O-OC1Q) Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS' Cl:lMi>ENS'ATION' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the followlng declarations: O I have and will maintain a certificate ot 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. ~ 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 nu.mber are: . / { Insurance Company ~ ~ Policy No. 24'12~ -o\ Expiration Date l • Ob !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSI □ 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 Workers' Compensation Laws of California. WARNING: Fallu c erage Is unlawful, and shell subject an employer to criminal penalties and civil fines up to one hundred o atlon, d"amages as provided for In Section 3706 of the Labor c de, Inter st end attorney's fees. thousand dollars I SIGNATUAE _ _\-lU~_l..!UL.\.,L',:!:~::'._.:_JL_Jc__l-,,c~~::":::l_--,--,,---,--.,--------, 7. OWNER-BUILDER DECLARATION J hereby affirm that I am exempt from the Contractor's License Law for the following reason: DATE 0 J, 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 coritractor{sl licensed pursuant to the Contractor's License Law}. O 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. J (have / have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (firm) to provide the proposed construction (include name/ 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): ________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the fottowing persons to provide the work Indicated (Include name/ address/ phone number/ type of work): _______________________________________ .c... ___________________ _ DATE _________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and pievention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sita7 D YES D 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; CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). 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 rnentioned 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 MAV 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 the uitding Official under the provisions of this Code shall expire by limitation and become nun and void if the building or work authorized by such permit is no! ence within 180 days from lhe of uch permll or If the bu1ldmg or work authonzedEby uch permit ts suspended or abandoned at any time after the work is com ce or a perio of 180 days (Se n 1 6 4. rnform Building Code) ~ .,/,:'= APPLICANT'S SIGNATURE \ DATE # /l ~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/31/2005 Permit# CB053033 Inspector Assignment: Title: RODRIGUEZ RES REPLACE H2O Description: HEATER Type: PLUM Sub Type: Job Address: 1107 LAS FLORES DR Suite: Lot 0 Location: APPLICANT ARS Owner: RODRIGUEZ MANUEL J JR Phone: 7606136078 Inspector: f ?;:::, -,~ Remarks: CALL WHEN HEADED TO HOUSE (SMIN AWAY) Total Time: Requested By: MANUEL Entered By: CHRISTINE CD Description Act Comment 25 _w_at-er_H_e_a_te-rN-en_t_s--~4t fr 1,/ fn--- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments