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Home My WebLink About1583 MARITIME DR; ; CB994307; PermitJ \~l r City of Carlsbad 11/17/1999 Plumbing Permit Permit No:CB994307 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 1583 MARITIME DR CBAD PLUM Status: ISSUED Parcel No: 2150714100 Lot#: 0 Construction Type: NEW Reference #: Project Tille: GAS LINE TO BBQ Applicant: RASPA LOUIS R&GLORIA J 1583 MARITIME DR CARLSBAD CA 92009 Total Fees: $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 Sewer Fee TOTAL PERMIT FEES Inspector: 5:./S>r: FINAL APPROVAL Date: \~-\7:zflq • 4, Applied: 11/17/1999 Entered By: J M Plan Approved: 11/17/1999 lss~ tlJi1f/~96lx>1 01 02 Inspect A : C-PRHT 27 .()() Clearance: $0.00 $0.00 $27.00 $27.00 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 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 Ca~sbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been !'.liven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. r?t.r:367 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. ________ _ Validated B~.i...AAA T Z Plan Ck. DeposlJ._ ~ Date "/L(IYif fD Existing Use # of Bathrooms Name Address Fax# -..WUil Jflrl'!ili\,Plilliiifflt FT Name Address Ill i,Ulii\lbiffifflffl!lll!l I, ltfJ!tl :,Ill,, Name Address City S.tate/Zlp Telephone # !di& .tU2!UiiWii!iif 1 ;; S 21 ii Uli.ii.iillliil Iii liHi !iiiliiilll&.&bliEll!<BiR 17~ilf"~'4\~2'.;;;.;;, :;:::. (Sec. 7031.5 Business and Professions Code: Any Ctty or County which requires a permlt_to _construct, alter, Improve, demo.liah or repair any stru~ure,. prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is hcansed 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 therefro~, and the basts for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit aubjacta the applicant to a clvit penalty of not more than five hundred dollars f $500I). Name Addreu City State/Zip Telephone# State License# _________ _ License Class ________ _ City Business License # _______ _ Designer Name State License # Address Cltv State/Zip ~ ~~,.~~~ ~M2'c'~ '"'"' '. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone D I have and will maintain a certificate of consent to self-tnsu·ra for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the Work tor which this permit is iuuad, 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 DOLLA.RS [$1001 OR LESSI 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' Compensation Laws of California. WARNING: Falture to secure workan' compensation coverage la unlawful, and lhal aul,Ject an employer to crlmlnal penalties and clvll fines up to one hundred thousand doDars 19100,000), In addition to the coat of compen1atian, damage• u provided for In Section 3708 of the Labor code, Interest and attorney's fees., SIGNATURE DATE ________ _ a,w.;w1w~ru2 I!'. !!!iii 18' ~ Mil u1~1.~~~l~fjlt.f;~~iiil~t~~~➔'!{'d·'' · '"""'~-:· ~w;;;·, ", I hereby affirm that I am exempt from the Contractor's License Law for the following reason: "'1' 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 ~c. 7044, Business and ProfU1ion1 Coda: 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 Hie. If, however, the building or improvement is sold with.in one year of completion, the ownar•bullder will have the burden of proving that he did not build or Improve for the purpose of ssle). 0 I, as owRer of the property, am exclusively comractlng 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 contractorls) 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. D 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 / address / phone number/ contractors license number):. ____________________________________________ _ owing persons to provide the work indicated Onclude name I address I phone number / type ' Is the applicant or future building occupam required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 26633 or 26534 of the Prulev•Tannar Hu:ardoua Su~stance Account Act? D 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 POUUTION CONTROL DISTRICT. -.m&aiJIMIWl■iiii.iLilli-#~~;,;;~,~~-;f~1~f~%':.>:~1:1~:;:;,::·.i,' I hereby affirm that there is a construction landing agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S AOORESS=======--,----------------- l'Mi,ji iiUJIMC~lllil!IWliMIION!lll'll'Jw!llillllllil lLJidii!ill-lUl,'R~l~!ll/!1$/iY z ,,l ' .·•, "'is'.,:' · I certify that I have read the applicatlon and state that the above Information Is con-act 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. OSHA: An OSHA permit is required for excavations over 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 commenced thin 386 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 thew or od of ~days (Section 108.4.4 Uniform Building Code). ,1 /( / 0 /4,:: APPLICANT'S SIGNATURE ' ({¼ DATE //;/ 7;71 -~-~-------- YELLOW: Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/10/1999 Permit# CB994307 Title: GAS LINE TO BBQ Description: Type:PLUM Sub Type: Job Address: 1583 MARITIME DR Suite: Lot Location: 0 APPLICANT RASPA LOUIS R&GLORIA J Owner: RASPA LOUIS R&GLORIA J Remarks: Total Time: CD Description Inspector Assignment: DA --- Phone: 0000000000 Inspector: J?f\ Requested By: NA Entered By: CHRISTINE 21 Underground/Under Floor 23 Gas/Test/Repairs ~ pAh1L- ~ Act Comments •~: ___ _ Associated PCRs Inspection History Date Description 11/22/1999 21 Underground/Under Floor 11/22/1999 23 Gas/Test/Repairs Act lnsp Comments AP DA AP DA