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Home My WebLink About1282 MARIPOSA RD; ; CB080468; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-14-2008 Plumbing Permit Permit No: CB080468 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1282 MARIPOSA RD CBAD PLUM Status: Parcel No: 2122200500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: HOLDEN RES REPLACE WTR THR Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 1 0 0 Owner: HOLDEN FAMILY TRUST 02-03-03 1282 MARIPOSA RD CARLSBAD CA 92011 ISSUED 03/14/2008 KG 03/14/2008 03/14/2008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE Iha approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred lo 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 Car1sbad Municipal Code Section 3.32.030. Fa~ure 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 . . hi . h f . . h i . I h . City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS D RIPTION OF WOR EXISTING USE PROPOSED USE CONTACT NAME (If Olll'erent Fam Applicant) ADDRESS CITY STATE PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS (2S2 CITY EMAIL ARCH/DESIGNER NAME & ADDRESS ZIP STATE UC. fll Plan Check No Est. Value Date SIJITEII/SPACEII/UNITII MS TENANT B SIN NAME GARA E (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ STAT_Jtt:t I (2 0 FIRE SPRINKLERS YES □ NO □ /Sec. 70l 1.5 Business and Profeuirn Code: Any City or County which requiru a permit to con,truct, :ilte~ improve, demolish or reP,•ir Ill)' stmture, prior tD itt iswm1, aJst requires the applicant for such per;mit ID fill a lilllltl slallment tflit he i1 rteenstd _9_m,m111 10 the pruvi,ions of lhe Contractors License uw (Chap!l!r 9, commending witb Secrion rOOO of Driiiion l of the 8111inm and f>rofei1ion1 Codt} or Iha! ht a mmpl dleren,n, and the bali1 for the allegtd eumpliaa. Any ,iolalioli of Seclion 703 I .S by any applicant for a ptm1it subjeca lht applicant to i cili penalty of not more lhan fin hmndrtd dollan {$500}~ WORl(ERS' COMPENSATION Womn' Compen1at1on Decllmlon: / hero by llfflTm under ponalty of Pflliu,y one of the fallowing daclarelions: □ I have and will malntlkl I urtlflcate of consent to Hlf-ln111re for workers' compensation as provided by Section 3700 of the Labor Code, for the perfom,ance of the WOik for which this permit is Issued. utlon, as required by Section 3700 of the Labor Code, fur the perfo_anpj 2W,e WJlk for which tpls JlF.11it is issjllld. My workers' compen~on insurrce p and policy number are: Insurance Co._LU~::£;~~=------------Policy No. ~--1l:?.? \SQ{ b.21D I lo Elejliralion Dale --~'--'-'z=,1,:--='c..:...co:......::~;__ __ _ This section need not be completed if the permit is ro hundred dollars ($100) or less. □ Cenlfleate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure wo compenuUon coverage Is unlawful, and shall subject H employer to criminal penalties and civil fine1 up one hundred thou11nd dolln (&100,000), In addition to the colt of compen1.dion, di o ed for In Sadlon 3~~bor code, Interest and attorney', fees. 2$ CONTRACTOR SIGNATURE IIIRRlll-ll!II/"/ f l,1_ ~ I hereby affirm that I am exempt from Contracfcr's License Law for the following reason: □ I, as 0W11er al the property or my employees with wages a& their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contr~s License Law does not apply lo an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided thal such Improvements are not Intended or offered for sale. K, however, the building or improvement is sold within one year of complefion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). □ 1, as owrier of the property, 1111 exclusively con Ir acting with licensed contractors to conslruct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply lo an owner of property who builds or improves thereon, and contra::ls for such projects with contraclof(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ____ Business and Professiems Code for this reason: 1. I personally plan·to provide the major labor and materials for construction of the PfOl)OSDd property impro11ernent □ Yes □ No 2. I [have I have not) signed an applicaliOn for a building permit for the proposed work. 3. I have contracied with the folblilng pe1S011 (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/ phone/ contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address/ phone/ type of work.): ,1$ PROPERTY OWNER SIGNATURE DATE .,,,,,. . COMPLETE THIS SECTION FOR NON•RESI0ENTJAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submft a business plan, a::utely hazll'dous materials registra!lon form or risk management and prevention rrooram under 8ections 25505. 25533 or 25534 of the Presley-Tanoer Hazardous Sub5taoca Account Act? 1:1 Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facili!y to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes 1:1 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. CONSTRUCTION LENDING I hereby affirm Iha! there is a conslrUction lending agency for the performance of the work this permit is Issued (Sec. 3097 (I) Civil Code). Lender's Name Lender's Address ' ,. ":···· -~-:~···.'"'~-.. " ,.~ ,, ,._ . ' APPLICANT CERTrFfCATJON<· lcertlfylhat I have read theapplk:allon andSIBte11'1atlheabo'III lnfcnnatlon !scoll1lCI and lhattllelnformallonon11le plans ls accurate. I agreetocompywllh all at;yordlnanc:esand Sime lawsflllatlngto buildillgQlOSWdlon. I hereby authorize representai;.,e alhe Cilya Ga1sbad t,enterupon the above mentioned propertyb' inspectioo JlJIPOS8S. I ALSO AGREE TO SAVE, INoe.tllFY AND KEEPHARM.ESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTTES, JUDGMENTS, COSTS MD EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permj Is reqind tr BXC!!~~v5'0' deep and derrdioo a conslruCli:Jn d mJdures owr 3 stories in height EXPIRATION: Ewry pemitissJBd by . ll'KIElr lhepnNisklns of this Code shalexpi'e'by ITtiOrl 111d become nul 111d 'l'oicl I !he~ or.all aulhorized by uh pemitis notoo 1111111 iced 'Mllil 180 days from tie daleof such pemit · a Mllk · by permlis suspended a liNlldmed at fl'! !me m !he wmc ilC011■ ,111icedTa pel1od of 180days (Seclkln 106.4.41..Wfam Buikling Code). -6 APPLICANT'S SIGNATURE DATE 3 to . City of Carlsbad Bldg Inspection Request For: 03/20/2008 Permit# CB080468 Title: HOLDEN RES REPLACE WTR THR Description: Type: PLUM Sub Type: Job Address: Suite: 1282 MARIPOSA RO Lot 0 Inspector Assignment: ~ Phone: 7609299345 Location· Inspector: OWNER HOLDEN FAMILY TRUST 02-03-03 Owner: HOLDEN FAMILY TRUST 02-03-03 Remarks: OR 431-0233 Total Time: CD Description 25 Water HeaterNents Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments ---- Requested By: FRANK Entered By: CHRISTINE '"·•-