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Home My WebLink About1816 EAST POINTE AVE; ; CB051705; Permit05-16-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB051705 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1816 EAST POINTE AV CBAD PLUM 2073820700 Lot #: 0 Construction Type: NEW STRANGE RES INSTALL 50 GAL H2 HEATER Status: ISSUED Applied: 05/16/2005 Entered By: KG Plan Approved: 05/16/2005 Issued: 05/16/2005 Inspect Area: Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: STRANGE SHERI H LIVING TRUST 02-22-02 1816 E POINTE AVE CARLSBADCA 92008 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 BalanceDue: $27.00 8334 05/16/05 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH G.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE^S^ SIGNATURE (7A l^f 02 27.00 FINAL APPROVAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project indudes the Imposition' of fees, (jeditatlons, resen/ations, or other exactions hereafter collectively refened to as fees/exactions.' You have 90 days from the date this permit was issued to protest impositkxi of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Govemment Code Sectton 66020(a), and file the protest and any other required infbrmation with the City Manager for processing in accordance with Catisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set askle, void, or annul their impositton. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exacttons DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or senice fees in connectton with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limltattons has previouslv othenwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 p" PROjiiTlNRQiiiAtiON; FOR OFFICE USE PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date 'ROJECTINFORMATIONi . » . i. ' > / . i ' ''.^ -^-^ '^'^ ni^_fO. ^\ Diieinaeo Mama (eA Ihie ar(Hra>ee\ Address (indude BIdg/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 Proposed Use Description ofWork . .ju. r i. n-w>^.-.. SQ. FT. # of stories # of Bedrooms # of Bathrooms Address City Jidcdrfiradbrif ^^^genlforC^^^ ;.' p Owheri Name / Address City State/Zip Telephone # , P Agent for. Owner t' ' v'' ;;: Fax# State/Zip elephone # I'e' ' ~ ' Address ' City State/Zip / Telephone # Name' ' Address (Sec. 7031.5 Business and i'rofessions Code; Any City or County which requires a pemiit to constmct, alter, improve, demoiisn or repair any structure, prior to its issuance, also requires the applicant for such pemiit to fiie 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 fo^a permit subjects the ajpplicsiUo a civil penalty of not more than five hundred dollars [$500]). any applicant toLa pe Name / state License # Q / f f f Address License Class City state/Zip City Business License #. Telephone # Designer Name Address City State/Zip Telephone # State License # ;|^fwoi*i<|(i'g;ct^^^ , , ; . . • . Woricers' Compensation 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 Latsor Code, for the performance of the wori( for which this pennit is issued. D I have and will maintain worker's compensatton, as required by Section 3700 of the labor Code, for the performance of the work for whiph thisjpermit is issued. My woriier's compensation iiyurartte carrier and pajpcy number aiS I i 1^ tLD^«7 "7 --t insurance Company ^}f^»^^ C^fl/p ttiA >-vCftC|Policv No. f lOr'i "TyN 3 Expiration Date \ r (THIS SECTiON NEED NOT BE COMPLETED IF THE PERUiT IS FOR ONE HUNDRED DOLURS [$100] OR LESS) • CERTiFiCATE OF EXEMPTION: I certify that in the performance (i^ the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Woricers' Compensatiof^ Laws of Cal'ifomjj md shall subject an employer to crimlnai penalties and civii fines up to one hundredkhousand •provi led for In Section 3706 of the Labor Code, intsrsst and attomey's fees. j 0^ j ^ WAFINING: Failure to secure workers' comi dollars($100,000), in addition to the cost ofc SIGNATURE |^;OWNER-BUiU> I hereby affimn that I am exempt from Ure Coi • I, as owner of the property or my employees with Business and Professions Code: The Contractor's Ucense through his own employees, provided that such improvem) DATE for the following reason; as their sole compensation, will d the woric and the stmcture Is not intended or offered for sale (Sec. 7044, does not apply to an owner of property who builds or improves thereon, and who does such work himself or 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 Contractor's License l.aw 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 Ucense Law). • I am exempt under Seclion Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for constmction of the proposed property improvement. DYES DNO 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the foliowing person (firm) fo pravide the proposed constmction (include name / address / phone numlier / contractors license number): 4. I plan to provide portions of the woric, but I have hired the following person to coordinate, supervise and provide the major woric (indude name / address / phone number / /ontractors license number): ^ ^^^^ 5. I will provide some of the work, but I have contracted (hired) the foilowing persons to provide the woric indicated (indude name / address / phone number / type of woric): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERIVIIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registraton for or risk management and pre\)entlon pnigiam under Sections 25505,25533 or 25534 of the Presley-Tanner I-iazardous Substance Account Act? • YES • NO is the applicant or future building occupant required lo obtain a pemnit from the air pollution control distrid or air quality management di^^^ • YES • NO Is the facility to be constmcted within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND TME AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a constmction lending agency for the perfomnance of the woric for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME Wi LENDER'S ADDRESS .Mmmmmmmmmmmsm'm§^^^m^m^^mimmitmm I certif that I have read the application and state that the above information is con-ect and that the infomiation on the plans Is accurate. I agree to comply with all City onlinances and State laws relating to building constmction. I hereby authorize representatives of the City of Carisbad to enter upon the above mentioned praperty for Inspection purposes, i ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAD AGAiNST ALL UABILITIES, JUDGEMENTS, 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 of S'O" deep and demolition or constmction of stmctures over 3 stories in height. EXPilUTiON: Every perniit issued by the building Offidal un^ by such permit is not commenced within 1 ao days from t the woric is commenced for a period of ISCf ia* APPLICANT'S SIGNATURE ravisions of this Code shall expire by limitation and become null and void If the building or woric authorized imiit or if the building or woric authorized by such permit is suspended or abancjoned at any time after Building Code). , laivjom DATE WHITE: File YELLOW: Applicant PINK: Finance