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Home My WebLink About1168 OAK AVE; ; CB073075; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-12-2007 Plumbing Permit Permit No: CB073075 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 1168 OAK AV CBAD PLUM 1561800900 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: HICKEY RES-REPLACE WTR HTR Inspect Area: Applicant: ANDERSON PLUMBING INC.WALTER 1150N MARSHALL EL CAJON, CA 92020 619-44 9-3852 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 Owner: MELLGREN LEONARD P 9920 PROSPECT AVE #106 SANTEE CA 92071 ISSUED 12/12/2007 LSM 12/12/2007 12/12/2007 $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: $27.00 Balance Due: Inspector: FINAL APPROVAL _,/ Date: 2 ' l/> po Clearance: $0.00 NOTICE Please take NOTICE th pproval 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 Cartsbad 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. FOR OFFICE USE ONLY PrERMl,T APPLICATION PLAN CHECK No.C&7 ~7S CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. __________ ~ Plan Ck. Dep!== Validated By.,.~..:::...:.·-'-c.i...;:....::e....,..----- Date I d--/ l:::, { 0 ") Address (include Bldg/Suite #) Business Name (at this address) LeQal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Fax# Na e ~CONifWAOT-O~~OM)>A~~N~"'Me·~.,~-:E::;[!l!Em~;;,c:~--~i'::i:;;:;1::'";::".';~7"''~ (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 Codel or that he is exempt therefrom, and the basis for the alleged n. A violation.of Section 7031.5 by ~pplicant.for a ermit S_iJbjects the a p ·cant . a civil e~al~y of not more than fjve hur;tdr 0 ed ~~q8--Q ,ty State/ in Telephone # t ~ ·· · · State License # City Business License # _ j C::11 '-L '--{_ ~ Designer Name Address City State/Zip Telephone State License # f (e:-:;;i,yoi'IKERS'.,COMPENSA,TION •m· .... '"""'·""""""-~ Workers' Compensation Declaration: 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 work for which this permit is issued. 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 ss My worker's compensation ~ance carrier and policy number are: ~ ".2..} _ / r/ Insurance Company =.;')2.A::Q (J: ~') Policy No . .lU~c.-c...) UI...C2......... Expiration Date 2 Do... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT ISFORoti HUNDRED DOLLARS ($100) OR LESS) 7 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 sub' ct to the Workers' Compensation Laws of California. WARNING: ii 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 t>roving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively comracting 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(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 proposed property improvement. 0 YES ONO 2. I (have I 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 I 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 I address I phone number I 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 I address I phone number I 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 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. [a·. '1t,Q.N~TRUCTl91'fLEf4DiNG A.GEN~,.,. ,, .. , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 i ed by the building OHicial under the provisions of this Code shall expire by limitation and become null and void If the building or work authorizerl by such permit i ot c me within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned :~:~~~: ,•ter the work is ce for a eriod 180 d (Section 106.4.4 Uniform Building Code). DATE \~ I ~ C)] YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR ----,./Str~==f_..cZ'---_ -PERMIT# C 6t,? 7 3 17 7 _r . PLAN CHECK# ___ _ -JOB ADDRESS -( ( {rf-: ~/c Jf v ~ DESCRIPTION ________________ _____; CODE -DESCRIPTION ACT · COMMENTS