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Home My WebLink About1266 MARIPOSA RD; ; CB031829; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-01-2003 Plumbing Permit Permit No: CB031829 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1266 MARIPOSA RD CBAD PLUM 2122200800 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: MADRID RES ELEC FOR OUTLET GAS FOR FIRE PIT Owner: Issued: Inspect Area: MADRID JOHN C&DENISE MADRID JOHN C&DENISE 1266 MARIPOSA 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 1266 MARIPOSA RD CARLSBAD CA 92009 ISSUED 07/07/2003 SB 07/07/2003 07/07/2003 $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 8934 07/07/03 0002 01 CGP Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNalions, 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 tile 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 setvice fees in connection with this project. NOR DOES IT APPLY to any f x Ii n I which o h ve r vio I Tl E imil r hi r w . h th t f limit i n h 02 47 .oo FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NOC-"°J/62.~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Validated ?.Y• _____ ::.D,.,,,,_,_ _____ _ Plan Ck. Depo~sit Date Z/? C> Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms ~~ ... I~~~iit~t~~r~w~~~~~J Name Address City State/Zip Telephone # iZJIL J ill!l'lml!IIIIIIIMlllllifliiiiilll I lll _____ ll!lf_il._d!!l!llliilil~il!l-- tsec. 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, commanding with Section 7000 of Division 3 of the Business and Professions Code) 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 fJve hundred dollars ($6001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ --~~~~rmm.am1w1:,¥;if;2:;:;ezt;'ii&irtmtJlfili!fu1:r;;;:-::1211Frlf~¥BG#'fit:lffif/l~2x1u;- workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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 work for which this permit is issued. 0 l 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 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 ($1001 OR LESSI 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 California. WARNING: FaUure to secure workera' compenaatlon coverage la unlawful, and ahal aubject an amployer to criminal penaltlaa and civil flnea up to one hundred thousand dollars ($100,000), In addition to the coat of compenaetlon, damagaa •• provided for In Section 3706 of the Labor code, Interest and attorney'• fees. SIGNATURE DATE _________ _ . .. . · -~llllllll!lll!PF I P . iiJiliii~il!lliJ-~~'lllllil!lil!l!1i:t41~~~J"'1~l',.!I!! I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ~-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 l, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major tabor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I 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 / address / phone number/ contractors license number): ________________________________________________ _ 6. l will provide some of s to provide the work indicated (include name / address / phone number / type of workl: _________ -'T"-------,,,,-,f----f/-....Jc--j'-------------c--+--t--=----------- 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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. I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit I not menced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any tir, -ifter the work is'commen d for a p~riod of 180 day ( ion 106. Unifflr ilding Code). f7 J ') J A3 APPLICA S SIGNATURE _ _LL_e,qc:l..{.A.~.L_:_.,f..lLJ..,/:.2l.,,Q:..L!L~!(_______ DATE _l__._1.,_r'--_,,c.-=_(J-=------ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/02/2003 Permit# CB031829 Title: MADRID RES ELEC FOR OUTLET GAS Description: FOR FIRE PIT Type: PLUM Sub Type: Job Address: Suite: Location: 1266 MARIPOSA RD Lot APPLICANT MADRID JOHN C&DENISE Owner: MADRID JOHN C&DENISE Remarks: AM PLEASE Total Time: 0 CD Description Act Comment Inspector Assignment: JE --- Phone: 0000000000 lnspecto~ Requested By: JOHN Entered By: ROBIN 29 Final Plumbing 39 Final Electrical ~---- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 07/08/2003 23 Gas/TesURepairs AP JE 1127-A4 07/08/2003 31 Underground/Conduit-Wiring AP JE CONDUIT ONLY