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Home My WebLink About1624 MARITIME DR; ; CB053432; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-29-?005 ' Plumbing Permit Permit No: CB053432 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1624 MARITIME DR CBAD PLUM 2150821500 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: Issued: Project Title: HENDERSON RESIDENCE Inspect Area: GAS LINE FOR FIREPLACE UNDER 6 FT Applicant: HENDERSON GLEN&JANEE 1624 MARITIME DR CARLSBAD CA 92009 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 0 1 0 Owner: HENDERSON GLEN&JANEE 1624 MARITIME DR CARLSBAD CA 92009 ISSUED 09/29/2005 MOP 09/29/2005 09/29/2005 $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 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL APP_BOVAL Date:.,,.2.-/f-D& Clearance: $0.00 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 infonnation 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 faes/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. NOR DOES IT APPLY to any • • • • • I • 'r PERMIT APPLICATION FOR OFFICE USE ONLY,.... _3 PLAN CHECK NO. C)~ -cf ~2___ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _____________ _ Address (Include Bldg/Suite #) Legal Description Lot No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms ',.,, ;; .,,,, .. Name Address City State/Zip Telephone # Fax # ~!il:~~ill\~i!ffl~lilll'-11!0!at!l!!i\ffl.wtii/!11 !;1E!rAbiiilt'loficJ,wi,iisil~~!~!ili~bli!!lll!-lll~"l.i~!t~.r~~\'!lf,l,'IJ1!!~ City State/Zip Telephone # •··z~A;r;~r·~r-00ru~r1 I City 't?'l,, S.tate/Zip (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 ls Ucensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) or that he Is exempt therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars {$5001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ :S;,'+lii!,Vtll!REM/lie'iU,IDl(Q;'IIQ ___ r_u :::,.,JLiii Workers' Compensation Declaration: I hereby sffirm under penalty of perjury one of the following declaratlons: D I have and will maintain II certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date, _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$ 100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenHtlon coverage la unlawful, and ahan subject en amployer to crlmlnal penaltlea and clvH fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages u provided for In Section 3708 of the Labor code, Interest and ettomey'a feea. SIGNATURE DATE \.:,,,"fo' WN"R' 1um1>1iilliilai111Riti'FlQMfi'Uil/ii!('"''''\'ffl-l'•i!,_11_~,""'''" ' ··p .,,_ .. · ''!", :, pi1•~'½"¥/ , ___ 11; Ii; ___ .. __ . , , .,,, ·"'·'''·'"·t ... 0fu¼, ... -.••··'-"•""'-'--... ,, ... , .. .-., .. ,,.,,.,.-,,.-w,,,.,_,_ _jl'liF~!t:o/fl:Jj t h7reby affirm that I am exempt from the Contractor's License Law for the following reason: fi21" 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 sa1e). D 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 Jjroperty who builds or improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Law). □ I am exempt under Section ______ Business and Professions Code for this reason: ,. I personally plan to provide the major labor and materials for construction of the proposed property improvement. FJ YES ONO 2. I {have/ have not) signed an application for a bullding permit for the proposed work, 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I 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 I phone number I contractors license number):, ________________________________________________ _ 5. r 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 --4,.;' work): C~c;;:;E~~\~:i:~;E~~~~~~~~~NON'/1£$/~ILDINO,~ERMIT$•ON~Y' .· • , . , , ~~,::; >¾,;.~{,~~•cUJi 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? D YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? 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. l~lllllffllP.AWililllllffl•;,~~~-,li"~il'.a!~~;::1~~-~-~-.N.~Y1li~~'.~(:'.::~'1;~;~-!f~l'Jif1.P;.1i~l!iiRIRi~lii-W~~,1,~·~:Cif.-'~~:j~~~r~:,~_:;~~-~~:;: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ •~~it:\J.9.j*-ltllll!IIW() .. Jl&ij:~~~b~~~r-;Ji(~V::fi:!'~~i:~.~•StZ:;:i~,h';{ij~1~&aw;~Jb~ii:il~_!t.1%;l/l):i,ij;.ili~B•Halli•-·~-~-~Mllllll•i I certify that 1 have read the application and state that the above information is correct end 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 end become null end void if the building or work authorized by such permit is not commenced withi 1 ays 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 commenced r 180 days (Section 106.4.4 Uniform Building Code). / / liiPPUCANT'S SIGNATURE __ ...L.-/1-_ __!::¥.________________ DATE Cf J.1 0.:t r • WHITE: File YELLOW: Applicant PINK: Finance m . . City of Carlsbad Bldg Inspection Request . For: 02/07/2006 Permit# CB053432 Title: HENDERSON RESIDENCE Description: GAS LINE FOR FIREPLACE UNDER 6 FT Type: PLUM Sub Type: Job Address: Suite: Location: 1624 MARITIME DR Lot 0 APPLICANT HENDERSON GLEN&JANEE Owner: HENDERSON GLEN&JANEE Remarks: CAN YOU FINAL PERMIT? Total Time: Inspector Assignment: PD --- Phone: Inspect~ Requested By: CW Entered By: CHRISTINE CD Description Act Comment 2: __ ~na~:lumbing --~ ~ f (, ~5 ['Af < Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 09/30/2005 23 Gas/Test/Repairs Act lnsp Comments AP PD