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Home My WebLink About1239 MARIPOSA RD; ; CB052775; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-26-2005 ' Plumbing Permit Permit No: CB052775 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1239 MARIPOSA RD CBAD PLUM Status: P'\cel No: 2122203800 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Ti le: ITE RESIDENCE Inspect Area: GA OR BBQ, ELEC FOR LIGHTS pplicant: WAITE JASON T&SALL Y 12 IPOSA RD CARLSBAD CA 92009 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: WAITE JASON T&SALLY A 1239 MARIPOSA RD CARLSBAD CA 92009 ISSUED 07/26/2005 MOP 07/26/2005 07/26/2005 $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 3330 07/26/05 0002 01 CGP Inspector~ - FINAL APP~VAf_ Date: 16/?-1, ; 7 Clearance: NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of fees, dedications, resetvations, or other exactions hereafter collectively referred to as "fees/exactions." You have 00 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 es/ x tion f hi h h v revio I en iven a NOTICE imil r thi or t hl h I I of lim· tion h s revi usl oth rwi ex ir 02 47. GO PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 163S Faraday Ave., Carlsbad CA 92008 Unit No. FOR OFFICE USE ONLY ,- PLAN CHECK NO. Q~~ 'l.. llS EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By _________ _ Date _____________ _ Phase No. Total # of units Propc;,Jed Use # of Bedrooms # of Bathrooms Name Address City StatelZip Telephone# ■ Ii 1111 f I 111 I li._ li~MBMl!_l _ !1111 if FE~ (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 !nuance, 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 BU9inesa and Profeuiont Code] or that he is exempt therefrom, and the baais for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit ub· the applicant to a civil penaty of not more than five hundred dollar& [$500)). 0(-.1-V\ . CA.)/._ City State/Zip Telephone# State License# :+ \1'55 3s License Class _________ _ City Business License# __________ _ Designer Name Address City Sta1e/Zip Telephone# State License# _______ _ .. , ' .. __ ,,,.,,, __ ""'""""'"-"'""'""'""°"''' ,, . . :i:,w~~'l½!m~.JQfMM'~KJ!t .. ,q·~~:~J~i~i«~~J(ft}i:tm~t~l,"1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of1he folla.Ning declarations: D I have and will maintain a oestfflcate of consent to self-insure for workers' compensation• prtMded by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain worker's compenaation, as required by Sedfon 3700 of the labor Code, for the ~ of the work for INhlch this permit i• iuued. My worbr's compensation insurance carrier and policy number .-e: Insurance Company ______________ Policy No. Expiration Date _________ _ (TIIIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERllFICATE Of EXEMPTION: I certify that In the perkmnatJce of the work for which this permit is iPued, I 1hall not employ any pel'IOl1 in any manner so as to become subject to the Workers' Compeneation Laws of Califomla. WARNING: Failure to MC:Ure workere' compenNtlon coverag11 ii unlawful, and shall subject an employllr to criminal penattllls and clvtl tlnN up to one hundred thOuund dollal'l(S100,000), In addlltOn to the cost of comPffiNtion, damages are provided for In Section 3708 of the Labor Code, Interest and attomay's fff&. SIGNATURE DATE I ·hereby. affirm that I am exempl from the Contractor's Ucanse Law b" the foJkJwing INaOl'I: ~~-,,. D I, as C7#neF of the property or my employees 'Nlth wages as their sole compensation, 'MIi d the work and the structure is not intended or offered for sale (Sec. 7044, Business and ProfesSions Code: The Contracto(s License Law does not apply to an owner of property who builds or improves thereon, and who doe, such work himself or ~ rough is own employeel, p«>Vfded that such improvements are not intended or offered for sale. tf, howevet, the building or improvement is sold 'Mlhin one yea of etion, the owner-builder wiH have the burden of proving that he did not build or improve for the purpose of sale). I, ae owner cl the property, am exdutively contracting INith licensed contradOrs to oonstruct the pro;ect (Sec. 7044, Business and Profeuiontl Code: The Contractor's Licenae Law doeS not apply to an owner of property who builds or lll1)roi,,N thereon, and contracts for such projl9Cls with contractor(&) licensed pursuant to the Contractor's Ucense Law). □ I am exempt under 5f,ction _______ Sueineu and Professions Code for this reason: 1. I personally plan to provide the major labor and matemn for construction of the propoaed property improvement. D YES D NO 2. I (haveihawe not) signed an apf)liealion for a building permit for the proposed 'NOO(. 3. I haw contracled with the followlng person (finn) to provide the proposed construction (lndude name/ address I phone number I contrac:tors license number): .a. I plan to provide portions of the \\'Ork, but I have hired the following person to coordinate, supervlae and pravide the major work (indude name/ addrus / phonft number I /ontradors license number): ----------------------------------------1. I 'NIii provide some of the work, but I haVe contracted (hired) the following pefllDM to pl'CMde the work 1ndicaled (1ndude name f address f phone number/ type of work) PROPERTYOWNERs1ONATURE ~ l( IDa,:tl DATE "f(2u/o~ 0 WHITE: FIie YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF. CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 I Page 2 of 2 la the applltanl: or future building occupwd required to sublrit a buaineu plan, acutely haZardous materials regittration for or lllk management and prevention program under Sections 25505, 25533 or 25534 rA the Presley-Tanner~ Subltance Account Ad:1 □ YES □ NO Is the applk:ant or future building occupant required to obtain a permit from the air pollution control diatrict or air queltty manaoement district? D YES □ NO ls the facllH)' to be construcled Within 1,000 fe.i: rA the outer boundary of e school ttte1 □ YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CER11FICA1E OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMEN1S OF lME OFFICE OF EMERGENCY SERVICES AND THE AIR POUU110N CONTROL DISTRICT, I hereby affirm that there is a construction lending 9'fency for the performance of the work for which this permit is issued (Sec. 3097(1) CMI Code). LENDER'S NAME ________________ _ LENDER'S ADDRESS I ceftify that I have read the appHcatlon and state thal: the abow Information 11 correct and that the informltlon on the plans is accurate. I agree to comply with all City ordinances and state laW9 Nllating to building conatrudlon. I hereby authorize ~ of the City al Carlsbad to onter upon the above mentionfKI p,openy for lnapection ,._., I ALSO AGREE TO SAYE, INDEIIIIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UA81UTlES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF lME GRANTING OF 1HIS PERMIT, OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures ova, 3 stories in height EXPIRATION: Every permit issued by the building Offlclal under the provisklna of this Code shalf expire b)' ltmltation and become nun and void if the building or wol1t authoriZed by such permit la nol: commenced'Mlhln 180 dayl from the date of such pemut or if the building or work authorized by such permit Is suspended or abandofl9d at anytime after the wort is c:ommenced for• ~(Settion 106 -1-.4 Unlfonn Bulking Code) APPLICANrs SIGNATURE L1. la, JJ DATE ..'.'.J Jd:UJ lo ~ I l WHITE: FIie YELLOW: AppHcant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 0/21 /2005 Permit# CB052775 Title: WAITE RESIDENCE Description: GAS FOR BBQ, ELEC FOR LIGHTS Type: PLUM Sub Type: Job Address: Suite: Location: 1239 MARIPOSA RD Lot APPLICANT WAITE JASON T&SALLY A Owner: WAITE JASON T &SALLY A Remarks: Total Time: 0 CD Description Act Comment Inspector Assignment: BN --- Phone: '"''"""f!__ Requested By: SALLY Entered By: CHRISTINE 29 Final Plumbing -111!_ ________ _ Associated PCRs/CVs lns1;1ection Histo~ Date Description Act lnsp Comments 09/30/2005 21 Underground/Under Floor WC PD WRONG PERMIT -PROBABLY WARMINGTON 08/08/2005 23 Gas/Test/Repairs AP BN 08/08/2005 31 Underground/Conduit~Wiring AP BN 08/08/2005 34 Rough Electric we BN