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Home My WebLink About141 JUNIPER AVE; ; CB044166; Permit~'{!d'JS\O~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-16-2004 Plumbing Permit Permit No: CB044166 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 141 JUNIPER AV CBAD PLUM 2042511600 Lot#: 0 Construction Type: NEW THOMAS RES GAS LINE REPAIR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: OYD ROGERS PLUMBING THOMAS PURDOM C&SANDRA E 525 FORTUNE WY 8101 N 54TH ST VISTA CA 92083 PARADISE VALLEY AZ. 85253 760 727-7040 ISSUED 11/16/2004 KG 11/16/2004 11/16/2004 5d18 11/!6704 0002 01 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: $27.00 0 0 0 0 0 1 0 Total Payments To Date: Inspector: /3. ,1 0MJ.-f? FINAL APPROVAL Date: //-17 •0<f $20.00 CGP $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $0.00 Balance Due: $27.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. 02 27-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraaay Ave., Carlsbad, CA 92008 t-UH Ul"t"l\;t:. U:it:. UNL T PLAN CHECK Nc{!/j/Jt/4 I (pf? EST. VAL. _________ _ Plan Ck. Dep~osi Validated By.,._~-,"7--,-----=-:rr---- Date 1/-/t; ~tJf Business Name (at this address) Assessor's Parcel.II Name Name m.,.;.1.r.: ill.lli!ft!l ' Lot No. Subdivision Name/Number Existing Use sa. FT. /tot Stories Unit No. Phase No. Proposed Use II of Bedrooms Designer Name Address City State/Zip Telephone Total II of units II of Bathrooms State License II _________ _ IEWMmB~i~Rii.,.Jifm:C~rmll@lti~l''~~~r~m'L,!J.'ll~t:~~:~1~~tK,~lLliii~™ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have .and will maintain a certificate of consent to self-Insure for workers; compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wor·k for which this permit is Issued. My ~orker's ~r:!':lnsrnce car'! and policy number are: L I I . Insurance Company ~ t.. U v\. ~ Policy No. C/!J / (j6 4 -2.0(}1/ Expiration Date --0$: (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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' Compens■tion· Laws of California. WARNING: Failure acura workara' c ovar•11• le unlawful, and lhall aubject an employer to criminal pan ltl•• and clvU finH up to ona hundred thouaand doUa 00 00~1, In• ,...r.,.....-;..-, companaatl • provided for In Section 3708 of the o c de, I d attorney'• feH. _;::~1· iimf.~ .. -~•iiilJfiilataitiiiaNiii&iiiiit!i'il·i•aii· ·iimi· i~='T'ffi.l lli"'i .1<1 :, liUM~iii:1~ ·1 hereby affirm that I am exempt from the Law for t ollowing reason: 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, {!t,jsinHs and Profess.io.ns 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 ha did not build or improve for. the purpose of sale). ,0 I, ea 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) . . 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 contractad_wlth the following parson (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).:_---------------------------------------------...-- 6. 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 _________ _ ~.Mil!iftifflifffi.$j~JM ... Q.B1ifQN..lmP.~ili:iiiftl!f~g~~i~W~~'l\R\;;,~'mi~f~1lfm1;,1:l,~lfill~~t,.,~~ Is the applicant or future building occupant required to submit a business plan, acutely hazardovs materials registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Ac_count Act?-· 0 YES O NO Is the applicant or future building occ_upant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ~W"t!ruiitlo:«tWBgffim~.ffq_~~;,tl'.,Jt:l~~:m"~~~TuM'.~;~f'i\"~flifr~hl~~~•~;:;:ibT~«filfW•~~;~~~':;fr&/ill.~~1:,1;,~~t~:!~:~1,~~:~'-;~lJ 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. _________________________ _ r~1cunli~~~'#'w•~~~w~~~~~li.~.:11ii.!1~~ 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 Cltt 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. NK: Finance City of Carlsbad Bldg Inspection Request For: 11/17/2004 Permit# CB044166 Title: THOMAS RES GAS LINE REPAIR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 141 JUNIPER AV Lot 0 OWNER THOMAS PURDOM C&SANDRA E Owner: THOMAS PURDOM C&SANDRA E Remarks: Total Time: CD Description Act Comment Inspector Assignment: //ts>f. ~7 Phone: 7607277040 Inspector: p/U · Requested By: TRISTA Entered By: CHRISTINE 23 Gas/Test/Repairs ~------------------- _2!1__ ~---------1¥2-~-----------~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments