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Home My WebLink About1751 BRUCE RD; ; CB022599; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 09-03-2002 Plumbing Permit Permit No: CB022599 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2073604000 Lot #: 0 Applied: 09/03/2002 Reference #: Plan Approved: 09/03/2002 Issued: 09/03/2002 Project Title: PHILLIPS RES-NEW WATER HEATER Inspect Area: 1751 BRUCE RD CBAD Construction Type: NEW Entered By: RMA Applicant: owfwr ~~o9/o3/o2o0O201 02 GOP 27.00 ARS PHILLIPS WSAN E TRUST 12-09-92 STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 2822 PASATIEWO GW EWWDl DO CA 92025 858-677-5455 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Une Water Heater and/or Vmt Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Date: Clearance: NOTICE: Please take NOTICE tket approval of your project includes the 'Imposition" of fees, dedications, resetvations, or other exactions hereafter collectively referred to as %&exactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I' I FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Pian Ck. Deposit Validated By Date P9/n-YV' -?7 f LI 1 w'- ude BldglSuite I) Business Name (at this address) I L!gal Description Lot No.t&bdivision Name/Number Unit No. Phase No. Total # of units p;Ssessorvs Parcel d I Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax t dN (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged ollars ($.k 7~~~ B StateKip Telephone # City Business License # !o 3 0 3 StateIZip Telephone State License # License Class Designer Name Address City State License # Workers' Compensation Declarati 0 of the work for which this permit is issued. 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 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 i/.//83 Ed. My worker's Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. 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 8 up to one hundred attorney's fees. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, es 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Buslness and Professions Code: The Contractor's License Law does not epply 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 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materiels for construction of the proposed property improvement. 0 YES UNO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / Contractors license number): Business end Professions Code for this reason: 4. number / contractors license number): 5. 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address I phone number / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazerdous Substance Account Act? 0 YES 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 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 Codel. 0 YES LENDER'S NAME LENDER'S ADDRESS 9 ERTI 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 QRANTING 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 old if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by su& permitlsuspended or abandoned I " at any time after Ihe work is co APPLICANT'S SIGNATURE DATE I WHITE: File YELLO6$pplicant PINK: Finance 11 of Carlsbad Bldg Inspection Request For: 09/26/2002 Permit# CB022599 Inspector Assignment: Title: PHILLIPS RES-NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 1751 BRUCE RD Suite: Lot 0 Location : APPLICANT ARS Owner: PHILLIPS SUSAN E TRUST 12-09-92 Remarks: Am Phone: 8583530335 Inspector: 1 f Total Time: Requested By: SUSAN PHILLIPS CD Description 25 Water HeaterNents Entered By: CHRISTINE Act Comments nlp Associated PCRsKVs Inwection History Date Description Act lnsp Comments //& 6-f7