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Home My WebLink About1430 FOREST AVE; ; CB032402; PermitCity of Carlsbad I /ttJ_ . ry~a-29-2003 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB032402 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1430 FOREST AV CBAD PLUM 1560521100 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 08/29/2003 CB 08/29/2003 08/29/2003 Project Title: Applicant: KURILY RES-INSTALL SEPTIC TO SEPTIC TO SEWER LIL STINKER COMPANY INC 240 BENT STREET SAN MARCOS, CA 92069 619-744-5918 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 1 0 0 0 0 0 Owner: KURIL Y DANIEL N PO BOX569 CARLSBAD CA 92018 Total Fees: $4,595.00 Total Payments To Date: $0.00 LAPPROVAL CLEARANCE Issued: Inspect Area: $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,560.00 $0.00 $4,595.00 Balance Due: $4,595.00 2989 08/29/03 0002 01 CGP 02 4595-00 PERMIT APPLICATION Ci f Y OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No.Cl?Q3~ EST.VAL. __________ _ Plan Ck. Deposit--------- Validated By __________ _ Date. ______________ _ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units t5(p-OS"2....-\\ Existing Use Proposed Use 3 SQ. FT. llof Stories # of Bedrooms # of Bathrooms .) Name City 3. APPLICANT ~Qntraotor O ~geflt .foJ,;!:ontractor O Qwne O AgentJor Owner LtL' S::t\i:l.¥-.ER.. CO, .::l'131 .5AA."Ert.. <..tt .s'A1..iM~~os "'0 ;~me PROPERrt OWNER Address City State/Zip Telephone# 11.0,-u~1a- Name Address City State/Zip Te1ephone # &. CO!il.RAQTOR • CQ_MPANY rtM'le_ ~~ DAN ¥.,'--'.~U-Y \Y'.30 EoM~'T ~"e C~SBAO (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 tor the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the ~plicant to a civil penalty of not more than five hundred dollars [$500)). LIL' S"'t'1\J\<..E~ co. :Tl,.J(. 2,31 SA~\ISvt. (.1,J, '.::>A ... W\,ACU.O.S' CA-'\'2Ut.'1 1t.O i'l'l-~°!18 Name Address City State/Zip Telephone # State License # _3=-°J_:_'2...=-=~::........::Ja......;1-=--License Class _ ___.(_~_,,,3e...(.:,-='-----City Business License # 3 \ \ I O 0 esigner Name Address City State/Zip Telephone tate License # ---------- , WORKERS' COMPl;(IISAT!ON , ., , • , Workers' Compensation Declaration: I hereby affirm under penalty of periury 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 work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Expiration Date _______ _ 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). O 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(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 I 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 I address I phone number 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 I phone number I 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 I address I phone number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE----------------------- tC.QM.P!-ETltTHIS SECTIOt,I FOR NON-lgl;/DENTIAL BUIIJ)l~GJ'J:,RMITS QNLY 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 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? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. [s_. -~QNST.fiUCilON·LENPING: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(i) Civil Code). LENDER'S NAME--------------- f9. AePLICANT CERTIFICATION.., 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 Cit\' 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 any time after the work is commenced for a penod of 180 days (Section 106.4.4 Uniform Building Code). PPLICANT'S SIGNATURE /c. • ::::>:::Yl ~ ~ DATE S,-2 '7 -0 J WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/27/2003 Permit# CB032402 Title: KURILY RES-INSTALL SEPTIC TO Description: SEPTIC TO SEWER Type: PLUM Sub Type: Job Address: Suite: Location: 1430 FOREST AV Lot 0 APPLICANT LIL STINKER COMPANY INC Owner: KURIL Y DANIEL N Remarks: SEPTIC TO SEWER Total Time: CD Description Act Comment Inspector Assignment: PD --- Phone: 760~76/~ lnspector.g_ Requested By: MARK Entered By: CHRISTINE 22 _s_e_w_e_r_lW_a_t_e_r _se_r_v_ic_e ___ ~ h .J ~ Associated PCRs/CVs Inspection History Date Description 10/17/2003 22 Sewer/Water Service 10/16/2003 22 Sewer/Water Service Act lnsp Comments AP PD CO PD