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Home My WebLink About1870 OUTRIGGER LN; ; CB091320; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-11-2009 Plumbing Permit Permit No: CB091320 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1870 OUTRIGGER LN CBAD PLUM Status: Parcel No: 2074012500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: BREYER RES-RUN GAS LINE, 65000 BTU, TO NEW KITCHEN RANGE Applicant: MY PLUMBER STE 603 5490 COMPLEX ST 92123 760 729-4326 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 Plan Approved: Issued: Inspect Area: Owner: BREYER FAMILY TRUST 02-03-88 1870 OUTRIGGER LN CARLSBAD CA 92008 ISSUED 08/11/2009 RMA 08/11/2009 08/11/2009 $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: $0.00 Balance Due: Date: Clearance: $27.00 NOTICE: Please take CE that approval of your project includes the "Imp sition· f 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 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 fees/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 f . n f wh' h v r I i n N Tl hi whi h th f Ii i . n h vi u I , «~3> ~ CITY OF CARLSBAD JOB ADDRESS i 0 Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gov LAf SUITE#/SPACE#/UNIT # Plan Check No. Est. Value Plan Ck. Deposit Date CT/PROJECT# LOT# PHASE# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affectod Area(s) . l lA(t;,_ -~fl. ~-oco d3 TV CONSTR. TYPE OCC. GROUP PROPOSED USE GARAGE {SF) PATIOS (SF) DECKS (SF) /2..C=)/b~ IJ r, FIREPLACE • YES V°•i NO □ AIR COND1"9,QNING YES tfNOO FIRE SP~IN.?,ERS YES ct'"NO □ APPLICANT NAME ADDRESS CITY STATE ZIP z_o PHONE FAX EMAIL CONTRACTOR BUS. NAME ZIP ?_/(/ FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # 0 (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 JChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicanffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). Workers' 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 Labor Code, for the performance of the work fOf which this permit is issued. m;:fhave and will maintain wo number are: Insurance Co.~±.~.41--'---!.l----------------- I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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 or property who builds or improves thereon, and who does such worl\ 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 exdusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The ContractOl''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 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. □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed won(. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the worl\, but I have hired ttle following person to coordinate, supetvise and provide the major won( {include name/ address I phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): ...85 PROPERTY OWNER SIGNATURE DATE COMPLETE THI$ $ECTION FOR NON•RIUIOl!NTIAL IIUILOING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardOl.ls materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of lhe Presley-Tanner Hazardous Substance Account AcP D Yes D No Is the applicant or future building occupant required to obtain a pemiil from the air pollution control district or air quality management district? □ Yes □ No ls lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnation is correct and that the lnfonnation on the plans Is acwrate. I agree to comply with all City ordinances and S1ate laws relating to building construction. I hereby authorize representatP/8 of the City of Carlsbad to enter upon the above menli:Jned proper1y for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EX ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C!TY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ari OSHA pennil is requred for excavations p and emolilion or c.onslrucoon of sbl.lctures over 3 stories in height. EXPIRATION: Every permit issued by the BuiKling the p · Kll'ls of this Code shall expire by li"nilaOOl'l and become null and void if the building or work authorized by such permit is not commenced 'Nithin 180 days l'rom the date of such pemil or if the buidin aulh by such permit is suspended a-abandoned at any time after the work is commenced for a peood of 180 days {Section 106.4.4 Uniform BuiKli"lg Ccx:le). ,,6$ APPLICANT'S SIGNATURE DATE () City of Carlsbad Bldg Inspection Request For: 08/12/2009 Permit# CB091320 Title: BREYER RES-RUN GAS LINE, 65000 Description: BTU, TO NEW KITCHEN RANGE Type:PLUM Sub Type: Job Address: Suite: Location: 1870 OUTRIGGER LN Lot: APPLICANT MY PLUMBER 0 Owner: BREYER FAMILY TRUST 02-03-88 Remarks: Total Time: CD Description Act Comments 23 Gas/Test/Repairs Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 6196237334 Inspector: ---- Requested By: ALAN Entered By: CHRISTINE