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Home My WebLink About1208 OAK AVE; ; CB090880; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-29-2009 Plumbing Permit Permit No: CB090880 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1208 OAK AV CBAD PLUM 1561804900 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: SEWER & WATER LINE-UNDER Inspect Area: PRIVATE ROAD FOR FUTURE HOME W/2DU (1208 & 1210 Applicant: OAK AVENUE VENTURE LLC 1821 SOUTH COAST HWY OCEANSIDE CA 92054 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 1 0 1 0 0 0 Owner: BUSBY FAMILY TRUST 10-26-01 1212 OAK AVE CARLSBAD CA 92008 ISSUED 05/29/2009 RMA 05/29/2009 05/29/2009 $20.00 $0.00 $15.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.00 Total Fees: $42.00 Total Payments To Date: $42.00 Balance Due: Inspector: VJ,1, (:,;,~ FINAL APPROVAL Date: 0 sl~Llo Clearance: $0.00 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." 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. I l City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application JOB ADDRESS /PROJECT# EXISTING USE CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS GARAGE (SF) STATE UC.# Plan Check No. Est. Value Plan Ck. Deposit SUITE#/SPACE#/UNIT# EMAIL CONTRACTOR BUS. NAME ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# (Ste. 70] I.I Buiinm and Profmioni Code: Any Ciry or Coun11 which requim a permit to conurucl altrr, imprm, dtmoli!h or reP.air any Uructure P!"ior to iu issuance. alio requirts the ap.91iant for such p_trmit to filt a iigntd !tattmtnl rhir he is licrnstd JJUrlmt to the pro"11on1 of tht Contracror'i lmnir uw (Chapltr 9. commending wnh Stct1on 7000 of Orti11on J of 1hr 8u1inr11 and Profr11ions Codt} or rhat he ii mmpt thm ~om. and thr basis for thr alltgtd mmption. Any violirion of St<11on 701 I.I t) any applicant for a prrmir 1ub1rcu 1hr apphcanr 10 a t1Yil penalty of nor more rhan five hundred dollari {SSOO}). Workers' Compensation Declaration: I hereby affirm under penalty ol perjury ooe ol the following declarations: 0 I nave 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 tor 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 permtt is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No. Expiration Date--------- This SIJClion need not be completed tt the permtt is for one hundred dollars ($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 Caldomia. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to th, cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~ COITTAACTOR SIGNATURE DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as O'Nner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered lor sale (Sec. 7044, Business and Professions Code: The Contractor's L 'cense Law does not apply to an owner of property who builds or improves thereon, and who does such work himsett or through his own employees, provided that such Improvements are not intended or offered for saie. It, however, the building or improvement is sold within one year of completion, the owner-builder win have the burden of proving that he did not build or improve for the purpose of sale). ~ I, as cwner 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 prope ty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code lor this reason: 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No 2. I (have I have not) signed an application for a building permtt for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone 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 I contractors' license number): 5. I win provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): Is the appilc.ant or future building occupant required to submft a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-T;,r,.-.er Hazardous Substance Account Act? D Yes D No Is the app-•cant or future building occupant required to obtain a permft from the air pollution control district or air quality management districl? D Yes D No Is the faci'r. to be constructed within 1,000 feet of the outer boundary of a school sfte? D Yes D No IF ANY 0° rrlE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLfCAITT HAS MET OR IS MEETING THE REOUIREMEITTS OF THE OFFICE OF EMERGEIICY SERVICES AND THE AIR POLLUTION COITTROL DISTRICT. I certify that I ~ave read the application and state that the above lnfonnation is coirect 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 representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CllY OF CARLSBAO AGAINST AlJ_ UABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for e · over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permft issued Offoal under the prOYisions ol !tis Code shal expire by limitation and become null and voo ~ the buildng or work authorized by such permit is no1 commenced within 180 dll'/S from the date of such 1119 ed by such permft is suspended or abandoned at any time alter the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANrSSIGNAT ~ DATE b12!f Id p < «~ ~ CITY OF CARLSBAD Unscheduled Building Inspection. Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE: Z.s;;; ~t.-"?,() io INSPECTOR: __ ·f\_1l-___ _ PERMIT#: -~ o ~ o 0gv CONTACT: _____ _ PHONE#: ______ _ JOB ADDRESS: l"2-0 ~ o~ .Av DESCRIPTION: __________________ ...;._ CODE --z. ', Bldg Inspection Form DESCRIPTION 1:)J.Av · Page 1 of 1 ACT fl COMMENTS Rev. 06/09 ( EXHIBIT "C' • . PUT FOR DRAJll4C8 AND SEflR COVENANT FOR ,, /ARC 'L 2 FOR TBB BENEFIT OF PARCEL 4, ALL IN A . ~ Raenette Abbey Technician z BUSBY 1ruE 92008 · S.O' DRAINAGE-AND SEWER EASEMENT TO BENEF1T PARCEL 4 N 55'56'56• E 178 (760) 602-271 B FAX (760) 602-8558 1635 Faraday Avenue Carlsbad, California 92008 PARCEL ··3 JI.S. 04-01 / (')...10 . '1 --~N-55'58141.-E-95.34' __ _ . . . O=s90'00'oo" R-15.00' . ·3.QO" L=2J.5t J.QO' D=90"00'oo· R;:15.00' L=23.~' . . PMlC8/i 1 J!.S .. 04-0t l J..-/ ;-[:µf-rl T.P.O.B. D INIJCA 1ES 1RU[ ~T Cf" BEGINNING 95.38' . OH PR06-m A.P.N. 156-1S0-J6 N1 41 """----- m1 PALMER W!tY. SUITE: G CARLSBAD, CAUFORNrA ·92010 •~~~~~-:-,,----t~L~11Ja DAlE Ol-tJ-2006