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Home My WebLink About1975 CHESTNUT AVE; ; CB031858; Permit07-08-2003' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB031858 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1975 CHESTNUT AV CBAD PLUM 2052303700 Lot #: Construction Type: 0 NEW LDS CHURCH-NEW WATER MAIN FROM METER TO BUILDING FOR IRRIGATION Status: ISSUED Applied: 07/08/2003 Entered By: RMA Plan Approved: 07/08/2003 Issued: 07/08/2003 Inspect Area: Applicant: CLIMATE CONTROL STE 462 306 N-W EL NORTE PARKWAY 92026 760 735-9000 Owner: W2 07/08/03 0002 01 | CORP OF THE PRESIDING BISHOP OF THE CHUBpHpF JE C/O TAX DIVISION *-CJf- 50 E NORTH TEMPLE SALT LAKE CITY UT 84150 27.00 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 0 0 0 1 0 0 0 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 Inspector: FINA Date:Clearance: NOTICE; Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL> PLAN CHECK EST. VAL. Plan Ck. Deposit Validated Date Address '(IncKfde Bldg/Suite #)Susiness Name (at th'is address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel 9 Existing Use Proposed Use Name Address Fax* Name Address City State/Zip Telephona # Name Address City State/Zip Telephone (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improvg, 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 y violation of Sect^n7031 .5Jyf any app/cant for a permit subjects the, applicant to a civil panAtM^f not more than five hundred dollarsJiSOOJ). . NName State License #*7 Jjf f Address License Class City " State/Zip City Business License # Telephone* State/Zip TelephoneDesigner Name Estate License # /I I Workers' Compensation Declaration: I hereby affirm under penatty of perjury one of the following declarations / Q 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 for which this permit is issued. Q ( 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 1*100! OR LESS) Kfl CERTIFICATE OF EXEMPTION: I certify tb« in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as toVecome subject to thaflWorkers' CompepWrlon Laws of California. WARNING: FaJlure/to Jncure work«»>^mMnaa)f3n coverage Is unlawful, and *haj subject an emptpyer to criminal penalties and civil fines up to one hundred tbouaand dollars (XlQ/tloOO),In^Kffmion to tneToat of compensation, damagaa as provided for In Section 3706 of the LaborMde, DtaMal and attorney's fees. IGNATURE /JZ_W__ __. / _..^___ _ f^DATE I hereby afftrrVfhat I am exempt from the C&ntractor's License Law for the following reason: Q 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 sale). Q 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 property who builds or improves thereon, and contracts for such projects with corttractor(s) licensed pursuant to the Contractor's License Law). Q 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. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / 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 / phone number / 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 / address / phone number / type of work): ____ PROPERTY OWNER SIGNATURE , DATE 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(j) Civil Code). LENDER'S NAME LENDER'S ADDRESS 1 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 CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I AUSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY W/f ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required fof excavations ow^S'Oyfieep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued*! the buildipg^Sfncial jaraer 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 wttnin 1«Qjia«from the date of such permit or If the building or work authorized by such permit is suspended or abandoned t any tin- >fter the work is corafrpnced fp/B period of 180 days (Section 106.4.4 Uniform Building Code). APPLICA .. SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance >J DATE City of Carlsbad Bldg Inspection Request For: 07/09/2003 Permit* CB031858 Inspector Assignment: Title: LDS CHURCH-NEW WATER MAIN FROM Description: METER TO BUILDING FOR IRRIGATION Type: PLUM Sub Type: Phone: Job Address: 1975 CHESTNUT AV /? Suite: Lot 0 /ffl Location: lnspectojp//.X< APPLICANT CLIMATE CONTROL Owner: CORP OF THE PRESIDING BISHOP OF THE CHURCH OF JE Remarks: pm please Total Time: Requested By: ART Entered By: CHRISTINE CD Description Act Comment 22 Sewer/Water Service Associated PCRs/CVs Inspection History Date Description Act Insp Comments I.L331AI ONI1SIX3