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Home My WebLink About1580 JEANNE PL; ; CB050977; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-23-2005 Plumbing Permit Permit No: CB050977 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1580 JEANNE PL CBAD PLUM Status: Parcel No: 2071304600 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: STONE RES-GAS METER TO TANK- LESS WATER HEATER Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 1 0 Plan Approved: Issued: Inspect Area: Owner: STONE LYLE D H&NICKY KA 1580 JEANNE PL CARLSBAD CA 92008 ISSUED 03/23/2005 LSM 03/23/2005 03/23/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.00 Total Fees: $34.00 Total Payments To Date: $0.00 Balance Due: Inspector:~ FINAL APPROV~ Date: Clearance: $34.00 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 pennit 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. NOA DOES IT APPLY to any i n h n iv n N Tl ·1 h' r h f . i n h h rwi J FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (!6 0 -s-097 - CITY 'oF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.----,,.------- Plan Ck. Deposit •. ---,,,-----)--,,--+-,------ Validated By_..,....:~'---=......------- Date s? /;;i_ 3 /QS > 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 Propqsed Use Description of Work ,? t'-Un /1 _ (' SO. F1i. l:J'aS t ftom me+e..<. O #of Stories Tank {esj Wa-tee.. # of f.ox.. 4-o (Sec. 7031.6 BuslnaH and Professions Code: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant ·tor such permit to file a signed statement that ha Is licensed pursu.ant to the provisions of the Contractor's Ucensa 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 on. Any violation o Sectio 7031.6 by any applicant for a per t sub cts tha a plica t to a civil penalty of not ore than f)ve hundred dollars ($6001). a -6¥ . }$ tf?3 (p -;l_oo;L_ City State/Zip Telephone # City Business License # t/b / 8 0 D Designer Name State License # Address City State/Zip Telephone ~kers' Com ensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~-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 {'J.Jhe work for which this permit is issued. ,.,tSl. 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 co pe atlon surance carrier and policy number are: _ / / Insurance Company-S.:::'-'--""-",.____,_,.""-~......,......,-.....:....______ Policy No. ()0 / ,)..,_ b J., 7 -c/-00 ~ Expiration Date ) _ I () ~ .. , (THIS SECTION NEED NOT BE COMPLETE IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) y,( 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 ~become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compenaatlon coverage la unlawful, and ahan aubject en employer to criminal penaltlea and civil fines up to one hundred thouaand dol ( Q9,000) In add to the coat of compenaatlon, demagea •• provided for In Section 3706 of the Labor code, Interest and attorney•, fees. SIGNATUR /J-1-"+r.~ DA TE J -cfl. 3 -t> 5 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 l)roving that he did riot build or Improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'• 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 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 I 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 __________ _ 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 26506, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 O YES O NO Is the applicant or future building occupant required to obtain. a permit from the air pollution control district or air quality management district? O YES O 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 AND THE AIR POLLUTION CONTROL DISTRICT. 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 ________________________ _ 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. f 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 ALS.O AGREE TO SAVE, INDEMNIFY AND KEEP HAI\MLESS 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 011ar 6'0" 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 co menced ithln 1 BO days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any tin ~fter the work Is co m ced for r' of 180 days (Section 106.t4 Uniform Building Code). 5 APPL1cA ·s SIGNATURE --:m..,..-..-b-"C¥4.""-"'~----------------DATE 3 -A ~ -0 WHITE: File . YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 08/16/2005 Permit# CB050977 Title: STONE RES-GAS METER TO TANK- Description: LESS WATER HEATER Type: PLUM Sub Type: Job Address: 1580 JEANNE PL Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Owner: STONE LYLE D H&NICKY K A Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: 7604341811 '"''""" ~ Requested By: LYLE Entered By: KAREN 25 Water HeaterNents £ _________ _ ---------- Associated PCRs/CVs Inspection History Date Description 03/31/2005 23 GasfTesURepairs Act lnsp Comments AP TP