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Home My WebLink About1357 CORVIDAE ST; ; CB033148; Permit11-18-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB033148 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1357CORVIDAESTCBAD PLUM 2156910800 Lot# Construction Type BARDY RES NEW H20 HEATER 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/18/2003 SB 11/18/2003 11/18/2003 Applicant ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 Owner BARDY WILLIAM&DIANE R 1357CORVIDAEST CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 SO 00 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $2700 Total Payments To Date $000 Balance Due-$2700 8972 11/18/03 0002 01 02 CGP 2? ,.00 Inspector FINAL APPROVAL Date 1L y/'?Clearance 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 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 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 service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave .Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit, Validated Date / I Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total# of units Assessor s Parcel #Existing Use Proposed Use Description of Work 2. SQ FT # of Stories # of Bedrooms # of Bathrooms Name 3, APPUCANT £J p ^ • Name A. Address State/Zip Telephone #Fax* Address State/Zip Telephone # Name / Address City State/Zip Telephone* & CQ»BSACT08>COMPA8Y»AMe ' ' ' (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 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 [$500]) Name State License # Address License Class City State/Zip City Business License #. Telephone # Designer Name State License # Address City State/Zip Telephone # 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 i^^ I h<ive 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 earner and policy number are ^ Insurance Company ^T^f^^f^G ^jrVjffiPifitifr* Policy No / £(r/C?T~\ Expiration Date_£ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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' CornpensatiqfTLaws of California WARNING Failure to secure workers' condensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to the cjwtjfllf carajtansatian, damages are provided for in Section 3706 of the Labor Code, interest and attorney^ foes SIGNATURE / A/* \^~~~~^^ DATE... I hereby affirm that I am exermt from me Contractor's License Law for the following reason D ! as owner of We pj^pwty or my employees with wages as their sole compensation will d 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 las 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(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 D NO 2 I (havemave 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 / /oritractors 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) PROPER'IY OWNER SIGNATURE .DATE WHITE File YELLOW Applicant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for 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? 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 8, CGSSTSUCnOtttEfijaNGAGENer I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) 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 authonze representatives of the City 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, JUDGEMENTS, 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 of Solldeep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by theytuilding Official tinder 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 JBO days from tha 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 commenced for a penod of 180 dausASe/tion /06 4 4 Uniform Building Code) APPLICANTS SIGNATURE / I V I/I / \ DATE ~~~-s^ *? WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 12/02/2003 Permit* CB033148 Title BARDY RES NEW H20 HEATER Description 1357 CORVIDAEST Lot Type PLUM Sub Type Job Address Suite Location APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner BARDY WILLIAM&DlftNE R Remarks NEEDS BETWEEN^45 $ 1PM ONLY Total Time CD Description 25 Water Heater/Vents Act Comment Inspector Assignment Phone 7602688267 Inspector Requested By DIANE Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments