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Home My WebLink About1298 MARIPOSA RD; ; CB071476; PermitCity of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 05-29-2007 Plumbing Permit Permit No: CB071476 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1298 MARIPOSA RD CBAD PLUM 2122200100 Lot#: 0 Construction Type: NEW FAUSNER RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/29/2007 KG 05/29/2007 05/29/2007 ALL STAR WATER HEATERS & PLUMBING FAUSNER DAWN M REVOCABLE TRUST 04-24-03 17886 LAKESHORE DR 92530 1-800-727-0977 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 1298 MARIPOSA RD CARLSBAD CA 92011 $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 Payments To Date: $27. 00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 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 lhe 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 charges, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I x i n f hi r i I Tl ii r hi r whi h h I lim· i h vi l PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Bu1lness Name (at this address) Legal Description Lot No. Subdlvlalon Name/Number Unit No. Existing Uae Description of SQ.FT, #of Stories Name Addreaa City State/Zip FOR OFFICE USE ONLY flt! /_ PLAN CHECK NoC60 I':{ ]111 EST. VAL.----~----- Plan Ck. Deposit:1,,F,i'-------- Validated By _"-;,'-:;;..,..--,,rz;,r--:;.,-,,-- Oate ____ µ>L_,,='-~'+--- Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms Telephone# Fax# City State/Zip Telephone# i718 Afp,r i .! Name Addreu I RJ. wle!j City Stata/Zlp .lllilmf6\1wli:::t11i\1&4 en 1171:tt'PII~,; (Sec. 7031.5 Buslnets and Profe11ion1 Code: Any City or County which req1,1Jres a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for .uch permit to file a algned statement that he la licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending w11n Section 7000 of Division 3 of the Buslneas and Profe11ions Code] or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 5 or any appfcant fOf a p rmit subje the applicant to a clvU penalty of not ore han ve hu dred dollars [$500 t State License # ii I 2. IYz c/ c.3 Co Designer Name Address City State/Zip Telephone# State License# _______ _ Workers' Compensation Declaration; I hereby affirm under penalty of perjuiy om, of the followlng declarations: □ I have and wlll maintain a certificate of consont to &elf-Insure for workers' compensation aa provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is luued. ~ I have and will maintain worker's 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 compenaation lnsuranr carrier a~ollcy number are: lns'fance Company s ~ +-Fuo cl Policy No, 11 (,,It, ':(lo 5: E,pication Date 8 -2 ·O 7: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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 1n any manner so as to become subject to the Worker&' Compen1atlon Laws of Callfomla. WARNING: Fallurt to secure work,,-' comptnHtlon coverage la unlawful, and shall subject an tmployer to criminal penalties and civil fines up to one hundred thousand doUars($100,000), ln addition to mpen on, damaglS are provided for In Stctlon 370& of the Labor Code, interest and att~rney's fees. SIGNATURE DATE ,!.' -2-3 ·o (" I hereby affirm that I am exempt from the Contllotor'e LlctnH Law for the following reHon: □ I, as owner of the property or my employee1 with wagea et their sole compensation, will d the work and the structure is not intended or offered for sale (Sec 7044, Business and Profe11lons Code: Tho Contractor', 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 1uoh lmprovemente art not Intended or offered for ,ale, If, however, the building or improvement is sold within one year ot completion, the owner-builder will have the burden of proving that he dld not buUd or Improve for the purpose of sale). 0 l, as owner of the property, am excluslvely COntractlng With llcensod 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 contracti for such projects with contractor(s) licensed pursuant to the Contractors License Law). O I am exempt under Section ________ Bualneas and Professions Code for this reason: 1. I personally plan to provklO the major labor and materials for construction of. the propoaed property Improvement. o YES □ NO 2. I {havehlave not) signed an application for a bulldlng permit for the proposed work, 3. I have contracted with the following person (firm) to provide the' proposed COOstruction (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 I phone number i /ontractors license number): -----------'----------------------------------5. I will provide some of the work, but I have contracted (hired) the following pe~ons to provide the work indicated (include name I address/ phone number/ type of work)· PROPERTY OWNER SIGNATURE ___________________________ CATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/02/2007 Permit# CB071476 Title: FAUSNER RES REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 1298 MARIPOSA RD Suite: Lot: 0 ~ Inspector Assignment: -1 ~ Phone: 8587228325 Location: Inspector: OWNER FAUSNER DAWN M REVOCABLE TRUST 04-24-03 Owner: FAUSNER DAWN M REVOCABLE TRUST 04-24-03 Remarks: AM ---- Total Time: Requested By: DAWN Entered By: JANEAN CD Description 25 Water HeaterNents -------·------·--- Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments