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Home My WebLink About1460 BUENA VISTA WAY; ; CB021045; PermitI City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 04-05-2002 Plumbing Permit Permit No: CB021045 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1561207000 Lot #: 0 Applied: 04/05/2002 Reference #: Plan Approved: 04/05/2002 Issued: 04/05/2002 Project Title: RODRIGUEZ RES-GAS LINE-MOVE Inspect Area: 1460 BUENA VISTA WY CBAD Construction Type: NEW Entered By: RMA GAS METER Applicant: SODRIGUEZ JESSE R&MARY E 1460 BUENA VISTA WAY CARLSBAD CA 92008 1460 BUENA VISTA WAY CARLSBAD CA 92008 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 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 Additional Fees + SewerFee TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 I FINAL APPROVAL Inspector: Date: 4 - '5- d 7 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, resewations, or other exactions hereafter collectively referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set folth 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.&@J /045 EST. VAL. Plan Ck. Deposit Validated By Date 4 / c 1, VE INFORMATION I Address (include &dg/Suite I) I c Business Name (at this address) KO&& Q/<75 di4V Legal Description Lot No. Subdivision NameMumber Unit No. Phase No. Total t of units Assessor's Parcel # Existing Use Proposed Use Name Address City Statenip Telephone # NTRACTOR - COMPANY NAME (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 JChapter 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 18500)). Name Address City Statenip Telephone # State License # License Class City Business License # Designer Name Address City State/Zip Telephone State License # 3 RKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Dgte (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 OR LESS) 0 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. WARNING: Failure to secure workers' compensation coverage ia unlawful, and shall suMct an employer to criminal penaltier and civil fines up to one hundred thousand dollars (6100,000). in additiin to the coat of compensation. damages as provided for in Section 3706 of the Labor code, intereat and attorney's fees. SIGNATURE DATE am exempt from t n: 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 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 c ER DECLARATION 0 1, 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 ere 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). a 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 contractorb) licensed pursuant to the Contractor's License Law). 0 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES &O 2. -/ have not) signed an application for a building permit for the proposed work. I am exempt under Section Business and Professions Code for this reason: on (firm) o provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the fdowing person to coordinate, supervise and provide the major work (include name / address / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated linclude name / address / phone number I type "Mh tNPr r55fYC1 dl -H4 5 4. number I contractors license number): 5. of work): r program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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 R F THE OFFICE OF TROL DISTRICT. 8 ION ENDING AG 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). 0 YES 0 NO S NAME PUCANT 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 Citv of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSEAD 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 APPLICANT'S SIGNATURE DATE 4 7/82 ry- L C I Permit# City of Carlsbad Bldg Inspection Request For: 04/12/2002 CB021045 Inspector Assignment: Title: RODRIGUEZ RES-GAS LINE-MOVE Description: GAS METER Type: PLUM Sub Type: 1460 BUENA VISTA W Job Address: Location: Suite: Lot 0 APPLICANT RODRIGUEZ JESSE R&MARY E Owner: RODRIGUEZ JESSE R&MARY E Remarks: GAS METER RELOCATION Phone: Inspector: A5 Total Time: Requested By: NICK CD Description Act Comments Entered By: CHRISTINE 23 GaslTestlRepairs /s/" Associated PCRs InsDection Historv Date Description Act lnsp Comments