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Home My WebLink About1201 MARIPOSA RD; ; CB044190; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-18-2004 Plumbing Permit Permit No: CB044190 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1201 MARIPOSA RD CBAD PLUM 2122213600 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Issued: Project Title: TAICH RES GAS FOR BBQ Inspect Area: AND FIREPLACE ELEC & 7FT FIREPLACE Applicant: CEG 344 MAIN STREET VISTA CA 92084 726-3360 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 0 1 0 Owner: TAICH ADAM S&BETH P 1201 MARIPOSA RD CARLSBAD CA 92009 ISSUED 11/18/2004 KG 11/18/2004 11/18/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $109.00 $0.00 $0.00 $0.00 $136.00 Total Fees: $136.00 Total Payments To Date: $0.00 Balance Due: $136.00 Inspector: FINAL APPROVAL Date: }..lr !0 s- 5880 11/18/04 0002 01 02 CGP' 136-00 Clearance: NOTICE: Please take NOTIC that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ·tees/exactions." You have 90 days from the date this pemiit 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 Carisbad 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. l"UH Ul"l"ll,;t: U::it: UNL Y PLAN CHECK NO~ f'>(Jl/'//tJ'O PERMIT APPLICATION CITY.OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.---------- Plan Ck. Deposit ~ Validated By,=---.,L.~"------- Date I 1-&-o I Address (Include Bldg/Suite II Businesa Name (at this address) Legal Oescrlpf -22/-JG-00 Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Asaesaor's Parcel I .. &~ -l-U'Zc.hue, Put-- Existing Use -t O,tf f't~ Description of Work SQ. FT. -#of Storie& 3</ l'-4 7-?b-3J{,.o Name Addrea■ City State/Zip Telephone # Fax II ''i'lt-l!i'li~~~~-~j;jJi!ifll~~J ~/ ,/#/1/,</ 5;,--f.Y/5fJJ ✓ 'Wi 7~-3}(,0 City State/Zip Telephone I . , , ,1\lilfi'l!,!li!illiilli!l!ll~ll•llfilri'~'l!1,!\1~4Jiii,1,ll!liii,J e ,n~o Name Address City S.tate/Zlp Telephone I · !llll!!!Bl'i!lll--~~l!irli'mml!if._ (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair anv structure, prior to Its i11uance, 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 IChaPtet 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) or that he is exempt therefrom,. and the basis for the alleged exemption. Any vioJatlon of Seytlon 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001). t?.c e c;, c-,,fi1t:15c:+1.f-'«f:J ,'i<f ma,,<.-1 sc t//Jm cA <Jz<:ify' 7ZJ~--sJc-o Name . Address City State/Zip Telephone y StateUcensel 7J-/3/2. LlcenseClass (,_-27 CityBusinesslicense# QJ/3:3s":V Designer Name Address City State/Zip Telephone State License I -IT1"7':rmr-ti¥1r&WJ~~~~-~Zv.':-j!J.L¥iWJt~i~:t~¥·~~:&[j\~'i~~i~£J ·::;·;~;~4t~t~.ft Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ have and will maintain a certificate of consent to self-insure for workers; compensation sS provided by Section 3700 ot the Labor Code, for the performance "Tti"he 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 whlch this permit is ,rs;;ed. My worker's compensation Insurance carrier and policy number ara: /'-L a-5-/(' Za>3 , / Insurance Company '5fil7E=:"' t:zcAf(2 PolfcyNo. ft¥ l, V-ExplrationDste /z_~t:';>/-0£ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIACATE OF EXEMPTION: I certify that in the parformsnca of the work for which this permit Is Issued, I shall not emplov any person In snv manner so as to beComi subject to the wOrkera' Compensation Laws of California. WARNING: Failure to aecure worllefa' compansation coverage ii wdawful, and lhall •ubJect an employs to criminal penakiu and civil fine• up to one hundred thousand dollan t•100.000I, In •ddltion to the cost of compensation, damagu u provided for In Section 3708 of the Labor coda, lntereat and attorney'• taet. SIGNATURE DATE ·1 hei'ebv affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 I, aS owner. of the property or mv amploveaS with wages as their tole compensation, will do the work end the structure ia not Intended or offered for sale (Sec, 7044, aualneu and ProfatSJons Code: The Contractor'• Ucenaa Law don not apply to an owner of property who builds or Improves thereon, and who don such work himself or through his own amploYQ8, provided that such improvemantt are not Intended or offered for sale. If, however, the building or Improvement is sold within one veer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) • .. □ I, as owner of the property, am exclusively contracting with licensed contractor, to construct the project (Sec. 7044, Business and ProfNSlons Code: The Contractor's Ucansa 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'• Ucanse Law) . . 0 I am exempt under Section ______ Business and Profe11ions Code for this reason: 1. I peraonallv plan to provide the major labor and materials for construction of the proposed property improvement. D 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 parson (firm) to provide the proposed construction (include name / address / 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 I address / phone number/ contractors license number): ____________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide tha work indicated (include name/ address / phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ffiil,ijjlliffljlij 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 26606, 25633 or 26534 of the Presley-Tanner HazardoiJs Substance Ac.count Act1 -· 0 YES O NO Is the applicant or future building occupant required to obtain a permit from tha air pollution control district or air qlialitV management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school alto? 0 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. MtllftW°llli\ldl-8--~~~~t~iJ,1~-~~~~±~/;1&~~,~~~1:~•:::~r;.:i:,,::i~::~::~: '.,~::'::::,'.•~;'.t\K;:::::;~J~i, 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, ________________________ _ 'Elllfi1"f"'ffililla)llm"!tlfflflfllli!Z I :rrr 771111f'l!!iilil'lilililC'llt'lf"l'eP"'li"ll"P~,.,.il!~!i!l~ii I cartitv that I have read the application end atate·that the above Information is co,rect end that the Information on the plans is accurate. I agree to comply with all Citv ordlnancq and State laws relating to building construction. I hereby authorize representative, of the Cltt of Carlsbad to enter upon the above mentioned property tor 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 constru f structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under the provisions of l!)J,..e~,.ani/1 expire by !Imitation and become null and void If the bullding or work authorized by such permit is not commenced within 180 days from the date e r if the building or work authorized by such permil ls suspended or abandoned at any time after the work is commenced to O · nlfOrm Building Code}. /1 -/l-o~ DATE -------LL ____ _ YELLOW: 'Applicant PINK: Finance ---------- m m City of Carlsbad Bldg Inspection Request For: 01 /31 /2005 Permit# CB044190 Title: TAICH RES GAS FOR BBQ Description: AND FIREPLACE ELEC & 7FT FIREPLACE Type: PLUM Sub Type: Job Address: Suite: 1201 MARIPOSA RD Lot 0 Inspector Assignment: PY --- Phone: 7608010477 Location: Inspector: OWNER TAICH ADAM S&BETH P Owner: T AICH ADAM S&BETH P Remarks: Total Time: CD Description Act Comment ----- Requested By: HECTOR Entered By: CHRISTINE 39 68 Final Electrical Fireplace/Tie Straps ~--- Associated PCRs/CVs lns(!ectioa HistQ[ll Date Description Act lnsp Comments 12/03/2004 11 Ftg/Foundallon/Piers AP PY FIREPLACE 12/03/2004 68 Fireplace/Tie Straps WC PY 12/02/2004 11 Fig/Foundation/Piers AP PY 11/23/2004 23 Gas/T esVRepairs AP PY 11/23/2004 31 Underground/Conduit-Wiring AP PY CONDUIT ONLY