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Home My WebLink About1254 BASSWOOD AVE; ; CB040309; PermitCity of Carlsbad a 1635 Faraday Av Carlsbad, CA 92008 02-1 1-2004 Plumbing Permit Permit No: CB040309 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2050521000 Lot #: 0 Applied: 01/29/2004 Reference #: Plan Approved: 01/29/2004 Issued: 01/29/2004 Project Title: HOLLYWOOD RES-REPLACING SEWER Inspect Area: PS 1254 BASSWOOD AV CBAD Construction Type: NEW Entered By: KMT DRAIN LINE Applicant: NAVA PLUMBING 51 99 ANDREW JACKSON OCEANSIDE 92056 760 940-9334 551 6 HALIFAX ARCADIA CA 91007 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 $1 5.00 $0.00 $7.00 $0.00 $0.00 $0.00 $60.00 $0.00 $0.00 $0.00 $102.00 Total Fees: $102.00 Total Payments To Date: $42.00 Balance Due: $60.00 Clearance: NOTICE: Please take NOTld that approval of your project includes the 'Irhpositiok of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sewice fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which YOU have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has D reviouslv otherwise exdred. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated y Date IBzs/c, Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total # of units ASSESS~~/~ Farce+# ,- existing Use Proposed Use # of Bedrooms # of Bathrooms StiJf&& '4- LWc SO. FT. #of Stories Name / Address / City Statelzip Telephone Y Fax # Y (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 Code1 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 [$5001). x Name Address City StatelZip,I qThy~~# State License # City Business License # Designer Name Address City Statelzip Telephone State License # 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 151001 OR LESS) 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 k become subject to the Workers' Compensation Laws of California. 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 dollan l~,OOO). in dditiondthe cost of censation. damages as provided for in Section 3706 of th? Laborcode,Jnprest and attorney's fees. 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 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 permit is 'I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 proving that he did not build or improve for the purpose of sale). 0 I, as owner 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 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. I am 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 I have not) signed an application for a building permit for the proposed work. I have contracted with the following parson (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 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 ary 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 0 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 0 NO 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 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). 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 Citt 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit i authorized by such permit is n at any time after the work is c isions of this Code shall expire by limitation and become null and void if the building or work of such permit or if the building or work authorized by such permit is suspended or abandoned 106.4.4 Uniform Building Code). CANT s SIGNATURE DATE ' City of Carlsbad Bldg Inspection Request For: 02/13/2004 Permit# CB040309 Title: HOLLYWOOD RES-REPLACING SEWER Description: DRAIN LINE Type: PLUM Sub Type: Job Address: 1254 BASSWOOD AV Suite: Lot 0 Location: APPLICANT NAVA PLUMBING Owner: HOLLYWOOD WALTER P TR Inspector Assignment: PS Phone: Inspector: 3% Remarks: Total Time: Requested By: NAVA PLUMBING ~ Entered By: CHRISTINE CD Description Act Comment 22 SewerMIater Service Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/11/2004 22 SewerNVater Service CO PS SAMEAS2/10/2004 02/10/2004 22 SewerNVater Service CO PS SEE NOTICE ATACHED City of Carlsbad Bldg Inspection Request For: 02/11 /2004 Permit# CB040309 Title: HOLLYWOOD RES-REPLACING SEWER Description: DRAIN LINE Type: PLUM Sub Type: Job Address: 1254 BASSWOOD AV Suite: Lot 0 Location: APPLICANT NAVA PLUMBING Owner: HOLLYWOOD WALTER P TR Remarks: Inspector Assignment: PS Phone: Inspector: z5 Total Time: Requested By: NA CD Description Act Comment Entered By: CHRISTINE 22 SewerMlater Service e&.. z '10 *q Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/10/2004 22 SewerMlater Service CO PS SEE NOTICE ATTACHED