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Home My WebLink About120 BREAKWATER RD; ; CB030386; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-07-2003 Plumbing Permit Permit No: CB030386 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2146000403 Lot#: 0 Applied: 02/07/2003 Reference #: Plan Approved: 02/07/2003 Issued: 02/07/2003 Project Title: BROOKS RES-GAS TO FIRE PIT & Inspect Area: 120 BREAKWATER RD CBAD Construction Type: NEW Entered By: RMA ELECT FOR FUTURE SPA Applicant: BLUE HORIZON LANDSCAPE P 0 2361 RANCHO SANTA FE CA 92067 760 756-4553 Owner: BROOKS DARYL J 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 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 -~ ~ Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. K%I 3 86 EST. VAL. Plan Ck. Deposit Validated3 ~ Date Address (include Bldg/Suite #I Legal Description Lot No. I Subdivision NamelNumber Unit No. Phase No. Total # of units Business Name (at this address) etrmm=fL. 20 Assessor's Parcel # Name Address City Statelzip Telephone # Fax # Address City State/Zip Telephone I 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 Codal 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 1550011. Name Address City Stetelzip Telephone # State License # 5B2 37 License Class C-a -3 City Business License # 1 7 5 4/ 7 1 LU&-* ' 't2i-L ouc: ?& GOY r33C.r Iz3e c43- @mJG7 $99 7s c/m Address City StatdZip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the w k for which this permit is issued. dve end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ~LJ KF 5 ir 'iS Policy No. 567 69 1 \ Expiration Date 4 -97 -03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Fail thousand dollars 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 rovidd for in Section 3708 of tha Labor code Interest and attorney's fees. owing reason: 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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 1. 2. 3. 4. number I Contractors license number): 5. of work): I em exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE 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 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 0 YES 0 NO 0 YES 0 NO 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). LENDERS NAME LENDER'S ADDRESS 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 end 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is r EXPIRATION: Every permit authorized by such permit is tion or construction of structures over 3 stories in height. of this Code shall expire by limitation and become null and void if the building or work h permit or if the building or work authorized by such permit is suspended or abandoned any time Rer the work is .4 Uniform Building Code). PPLICAN j SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 03/26/2003 Permit# CB030386 Inspector Assignment: JM Title: BROOKS RES-GAS TO FIRE PIT & Description: ELECT FOR FUTURE SPA Type: PLUM Sub Type: Job Address: 120 BREAKWATER RD Suite: Lot 0 Location: APPLICANT BLUE HORIZON LANDSCAPE Owner: BROOKS DARYL J Phone: 8583377303 Inspector: 3~ Remarks: Total Time: Requested By: DAVID CD Description Act Comment Entered By: KAREN Associated PCRs/CVs Inspection Historv Date Description Act ,lnsp Comments 02/10/2003 21 UndergroundlUnder Floor AP JM 02/10/2003 31 UndergroundlConduit-Wiring PA JM CONDUIT ONLY - GATE CODE 0003