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Home My WebLink About1278 LAS FLORES DR; ; CB030065; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-08-2003 Plumbing Permit Permit No: CB030065 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1278 LAS FLORES DR CBAD PLUM 1563511500 Lot#: 0 Construction Type: NEW MARTIN RES-NEW GAS & ELECT FOR 2ND DWELLING UNIT@(1282 LAS FLORES) Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/08/2003 AMA 01/08/2003 01/08/2003 Applicant: Owner: 52'.!8 Dli 08/ 03 000? X. MARTIN VERN W&MARGARET A MARTIN VERN W&MARGARET A CGF" 2361 CIPRIANO LN 2361 CIPRIANO LN CARLSBAD CA 92008 CARLSBAD CA 92008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 1 $7.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $35.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $62.00 Total Fees: $62.00 Total Payments To Date: $0.00 Balance Due: $62.00 I\'/ .I~. S:? '.JO FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C(JO< aois CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ , . iPl~r~l.,liTmN: ~:~:ated B!IJ/41,r r/.-...Address (;nclude Bldg/Suite # Legal Description Total # of units Assessor's Parcel # Description of Work Name Existing Use #o Stories City ~:m~~®t4'dl~lml9~~h'.~~er~; ' State/Zip Telephone# Fax# f-:-:-~-:-RR_.J __ j_·:_ili_··t1_·1:¥: __ ;. __ ,;/~---·_l\i_)_:R_'_t_l_·· ______ ·_:·~:~:~::-.-:.->:_• ____________ ~c~1t-v-------s~,-,-,e~/Z=1~p----,T~e~1e-p~ho-n-•-•~------ :;~~;::, / (Sec. 7031.5 Business and Professions 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 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 five hundred dollars ($5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ,8J1)L~'rWORU"RS:it:atiMPitm~110·riii~,;?:,)\i> ::;,tii;t;t,;:.<' fl\ ',,',~<(::> Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 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 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 LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, J shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaation coverage i• unlawful, and ahall aubject an employer to criminal penaHlea and clvll fines up to one hundred thouaand dollar• {$100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE,______________________________ DATE,-cc:-=-cc:=-:-=c::--:::-:c ~ ,~~~;8~!t~!°~!~~~~~~~:~~;~!;!~25~:~~[!;r!~~?~?~?~f!:··~~!!~~;; :c~~Z:: ·::;.-·t;"itL __ : ~:-:!tB~;::'-'· ::;w -~' ,, U• D 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 ~in 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). g,-'" I, as owner of the property, am exclusively contracting with hcensed contractors to construct the proiect (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who b~ilds 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 labor 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 / 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): ________________________________________________ _ .. -.. ,u ., >t'tri>' 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? 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 8,!@'tPN'~1'~\IOTiPf,ltfE!'!ri1N&'Mi;NCY, · · 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 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 is not commenced within days from the date of such perm· r if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm for 10d of 180 days n 106.4.4 U rm Building Code). 'ti( APPLICANT'S SIGNATURE .:._::...,g;t~~..,.11!!::::2:;.i~~~~~~~==--------DATE /-.i ~ t) 3 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/11/2003 Permit# CB030065 Inspector Assignment: PS --- Title: MARTIN RES-NEW GAS & ELECT Description: FOR 2ND DWELLING UNIT@(1282 LAS FLORES) Type: PLUM Sub Type: Job Address: 1278 LAS FLORES DR Suite: Lot 0 Location: APPLICANT MARTIN VERN W&MARGARET A Owner: MARTIN VERN W&MARGARET A Remarks: Total Time: Phone: 0000000000 Inspector: { -0 Requested By: NA CD 23 Description Gas/Test/Repairs Entered By: CHRISTINE ~~Comment /:!I-,F::J:; (,l, el-e;Hr::-Ne.v 6,H Associated PCRs/CVs m~~kz~~ lns12ection Histoiy Date Description Act lnsp Comments 01/15/2003 39 Final Electrical AP PS PERMIT NOT FINALED 01/10/2003 34 Rough Electric AP PS OK TO RELEASE ELEC 01/10/2003 39 Final Electrical WC PS