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Home My WebLink About1700 BLUEBIRD LN; ; CB993460; Permit09/17/1999 Job Address: 700 BL Permit Type: PLUM City of Carlsbad Plumbing Permit Permit No:CB993460 Building Inspection Request Line (760) 438-31 01 JEBIRD LN CBAD Status: ISSUED Parcel No: 21 5880051 3 Lot #: 0 Applied: 09/17/1999 Reference #: Plan Approved: 0911 711 999 Issued: 09/17/1999 Project Title: JONES RES-GAS LINE TO BBQ Inspect Area: Construction Type: NEW Entered By: RMA ToTAL pEfXPIRED PERMIT $27.00 1.- " I Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collecEvely referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactbns. 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1 161 # of Bathrooms # of Bedrooms 2 CONTACT PERSON M Merent from rpp#mtl FOR OFFICE USE ONLY PLAN CHECK NO. 49 Js/d 0 EST. VAL. Plan Ck. Deposit Validated By Date A l(_Rc A 11,- I&?! Name Address city Statelzip Telephone # Fax # APPLICANT a Contractor Agent f Name Address City Statelzip Telephone # 5. CONTRACTOR - 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 [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 t$5001). Name Address City Statelzip Telephone # State License # License Class City Business License # Designer Name Address city Statelap Telephone State License # 6. WORKERS' 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 Date 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 sublect to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000~. in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale ISec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The k!ntractOr's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the Performance of the work for which this permit is (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS i$iooi OR LESS) 7. OWNER-BUILDER DECLARATION 0 1. 2. 3. 4. I am exempt under Section Business and Professions Code for this reason: plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES m0 (inch e ame I address I phone number I contractors license number): -734 22 10 I \e+ ~27- be&*% 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 number I contractors license number): 5. of work): luP PROPERTY OWNER SIGN DATE Tf,& 6 COMPLETE MIS SECTIO f BUlLDlNQ PERMITS ONLY Is the applicant or future program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 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 site7 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION ENDING AGENCY 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). ?.J( A I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type o submit a business plan, acutely hazardous materials registration form or risk management and prevention 0 YES 0 NO LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIflCATlON 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 Cit). 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. 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 365 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE m-- DATE /7%d ~IIUIT~. cii- VCI I nv,. A,.~I~-,~+ PINV. cinanrD City of Carlsbad Inspection Request For: 9/21/99 Permit# CB993460 Title: JONES RES-GAS LINE TO BBQ Description: Type: PLUM Sub Type: Job Address: 1700 BLUEBIRD LN Suite: Lot 0 Location : APPLICANT MlCHELLlE JONES Owner: Remarks: Inspector Assignment: Phone: 7604317037 Inspector: Total Time: Requested By: NA CD Description Entered By: CHRISTINE Act Comments 23 Gas/TestlRepairs + Inspection History Date Description Act lnsp Comments