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Home My WebLink About1542 OAK AVE; ; CB050100; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-11-2005 Plumbing Permit Permit No: CB0501 oo Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 1542 OAK AV CBAD PLUM 1562113800 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 01/11/2005 RMA 01 /11 /2005 01 /11 /2005 Project Title: PITMAN RES-REPLACE WATER HEATE Inspect Area: Applicant: PAULL DAVID M&PITMAN-PAULL ALETE L 4030 PARK DR CARLSBAD CA 92008 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 0 0 0 1 0 0 Owner: PAULL DAVID M&PITMAN-PAULL ALETE L 4030 PARK DR CARLSBAD CA 92008 9402 OVU/05 0002 01 CGP $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE :,,h:z \0,s;s1GNATURE___.cA~.-.J,.__ __ _ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from lhe date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any olher required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure Jo timely follow that procedure will bar any subsequent legal action to at1ack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection wi1h this project. NOR DOES IT APPLY to any lees/exactions of ich h r v· ust en iven NOTJ E similar t this or as o which the statute of limitations has reviousl otherwise x ir . 02 27-00 FOR OFFICE USE O~J PLAN CHECK No.{L5{)5/J I ?JC> PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. __________ _ Plan Ck. Deposit ----..-..+-,--- Validated By_+----,~-.li~tr-1£11'---·--/ I ~y Date! I L, __ _ r7 ,~ ' Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address 3.' APPLICANT O Contractor:'. 0 Agent for Contractor O Owner [$.; 1;,.QNTJJACTOR • COMPANY'N~J:, City 0 Agent·for Owner State/Zip City State/Zip c~~kc)t'~· City State/Zip Telephone# Fax# Telephone# Telephone# (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 Address City State/Zip Telephone# State License # ----------License Class ----------City Business License # -------- Designer Name State License # ----------6. :...WO!:l!tERS'. COMPE!IISA Tl_Ol\t .. Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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. 0 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) 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 aecure worker•' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doD11r• ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the labor code, interest and attorney's fees. SIGNATURE·------------------------------ "i :,::.J>W~),i;il.llLC>~R_JilEC~~TION ~ . '. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 1if I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The ~ntractor'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 per onally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ~O 2. I (have I 3. ith 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 numbM/conuacto~~emenumb~~~~-~--~~-~-~-------------------------------~----- 1 will provide some of the ,;;'rk d (hired) the following persons to provide the work indicated (include na f work):_~------t-~~~~-b"-~~'7':.=-~~-------------~+-~~~~~-:;:;;.--,----;f-;-:--f~-::::,--~~---~- ROPERTY OWNER SIGNA T l~OM~!;Tl;"[HI$ S.ECT!QN FQJ'NON-RESIDENTIAL BUILDINQ PERMITS ONLY . · . . , . . . . Is the applicant or future tiµ!{ding 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? 0 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT. f.Qtt.~J>N§J~i.l~r,o~:~Nl?IN<:i.A9_EN<:;)'.., '. .. , 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--------------LENDER'S ADDRESS ________________________ _ A'f!l'i.)CANJ <._l_RJ1fl¢ATIQN .• 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. EXPIR_ATION: Every pe_rmlt issu~b'i .th buil~Offici~under the provisions of this Code shall expire by limitation and become null and void if the building or work authon~ed by such permit 1s no}-00}11' en ed thin 180 ays from the date of such permit or if the building or woi k uthorized by such permit is suspended or abandoned at any tm1e after the work 1s m en , lo a pen O days (Section 106.4.4 Uniform Building Code). ! :· .. / YPLICANT'S SIGNATUR ~ . ATE t)t/f!I/Q)