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Home My WebLink About1314 GULL CT; ; CB040219; Permit( ,\0\h City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-21-2064 Plumbing Permit Permit No: CB040219 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1314 GULL CT CBAD PLUM 2156421000 Lot#: 0 Construction Type: NEW LABOUNTY RES-MOVE SINK & ELEC OUTLETS IN KITCHEN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 01/21/2004 KMT POWER BUILDERS 1757 GASCONY RD LABOUNTY PAUL&JUDITH FAMILY TRUST 07-30-02 92024 760-944-3696 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: $40.00 0 0 0 0 0 0 0 1314 GULL CT CARLSBAD CA 92009 Total Payments To Date: $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $40.00 Balance Due: $40.00 FINAL APPROVAL FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No .C(!plf O,;;}_,f J Cl1Y. OF•CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit--=-,-,,=------- ValidateZd By~~ Date I _J/ fQ< _ • I Address (include Bldg/Suite #) Business Name (at this address) l ?;14 (rfll l Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories · # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# //r State/Zip Telephone# cA(l L 5/J;)/fj c/f Name Address City S.tate/Zip Telephone# ,lj, (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 Code) or that he is exempt therefrom, and the basis for the alleged ex~on. AnX violation of Section 7031.5 by any applicant for a.,;.ermit ~ubjects !!),e applicanµo a civil penalty of r:!_?t wore than fi~ hur19red dollars ($5001). 1X1..tvE.r<. /Jfllt./3=125 !'77°7 c;45co,,,,rt111.? b-/lt:., Cfr q')v'J...y 1c&->":1£5w11 Name Address City State/Zip Telephone # State License# 5/iCC W License Class tJ City Business License# _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ f§. ~ ' O,t.1PE_N$Ail9N 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. O 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 ($100) OR LESS) IJ,r-" 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. O 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(sl licensed pursuant to the Contractor's License Law). 0 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. 0 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):. ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address / phone number/ type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ tcQJ'!llfLETUHI~ SECT.ION FOR NQN-:!J§Ji_l/)_ENTIAL BUl~DING,P~M!IS ONI, Yu· ---. ..::· 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 Act7 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES O 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. fj _tt§Tfl,,YP1JO~ LENbaNG AGENCY~-~_._: ~ , ' . I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il 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 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after the work is com~=d ol 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ ;f?~ DATE / -2 / -0 l.( WHITE: File YELLOW: Applicant PINK: Finance l~~p~ction List Permit#: CB040219 Type: PLUM Date Inspection Item 01/26/2004 21 Underground/Under Floor 01/26/2004 31 Underground/Conduit-Wirin 01/23/2004 24 RoughfTopout 01/22/2004 21 Underground/Under Floor 01/22/2004 31 Underground/Conduit-Wirin Monday, May 24, 2004 Inspector Act PD AP PD AP PD co PD co PD AP LABOUNTY RES· MOVE SINK & ELEC OUTLETS IN KITCHEN Comments Page 1 of 1