The URL can be used to link to this page

Home My WebLink About2012 LEE CT; ; CB042119; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-01-2004 Plumbing Permit Permit No: CB042119 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2012 LEE CT CBAD PLUM 2053304400 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: CARR RESIDENCE GAS LINE FOR STOVE CARR WILLIAM L JR&TRACI G 2012 LEE CT CARLSBAD CA 92008 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 Plan Approved: Issued: Inspect Area: Owner: CARR WILLIAM L JR&TRACI G 2012 LEE CT CARLSBAD CA 92008 0 0 0 0 0 1 0 ISSUED 06/01/2004 MOP 06/01/2004 06/01/2004 $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: $27.00 Inspector: FINAL Date: 3324 06/01/04 0002 01 02 CGF" 27-00 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 "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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT •1535 ·Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor· s Parcel , Existing Use Name Address .FOR OFFICE USE ONLY PLAN CHECK No.0-\,--'2..\ l j EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Unit No. Phase No. Total , of units . Proposed Use City State/Zip Telephone I City S.tate/Zip Telephone I iiwaNmil'tQB ~CDMliN~NXMi~~J£t.4~~~~LJ:,~i~it::A;.,:~.1:~::. ,:1~-,_rJ;~•;~ rf:i~~·~--~ -~ · ·;•t;:~-~~~~-•-:•~<:_ ~t~s1~t~Ii~~tb::~~~~~~--1h,~;.;1~tr1if.t~,il~lt,Ji~~i!f~.S~-~ (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repelr any structure, prior to lta 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 [$600]1. Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License , _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 00~1.WR~UBitt®:M~.N.IOQN~1'.lW:&i1i.lt~~it ,j~~:,2;1~;~1',l~~ti~;Kl:J1.: ~ . =~i" -~~ .. 1.j.~ \~-!;. , 1l .t: .. J~,'i:.;_. : . ~ i.; .. ~ie:.J ;,:. ::~t~t , ._ t ...... h., .,, •. ,,,, t){~:--J{~)f .. TI:t~&~~1.l Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 I have and will maintain workerJ' compensation, H 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 _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 1ubject to the Workers' Compensation Laws of California. WARNING: Failure to MCUra work .. ' compenutlon coverage la unlawful, and shall aubjact an employer to criminal panaltlaa and civil flnaa up to one hundred thouNnd dollar1 l$100,000J, in addition to the co,t of companaatlon, damages u providad for In Section 3706 of the Labor code, lnteraat and attorney's fH1. SIGNATURE _____________________________ DATE ________ _ IIBW~~~~~0".¾'lil~1\lttt;'.~}t1il~it~.~~~ii(i:J'.ieit~7-iiis~~1~:1r\'\~&~l~~iif~~H~ilif&~;s I hereby affirm that I am exempt from the Contractor'• UcenH Law for the following reason: 0 I, as owner of the property or my employees with wages a■ their sole compensation, will do the work and the structure is not intended or offMed for Hie !Sec. 7044, Bualnass and Professions Code: The Contractor·• Ucense Law does not apply to an owner of property who builds or Improves thereon, and who doas such work himself or through hi■ own employees, provided that such improvements ■re not intended or offered for Hie. If, however, the building or improvement 11 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoH of Hie). 0 I, H owner of the property, am axcluaivaly contracting with licensed contractors to construct the project (Sec. 7044, Business and Profea1ion1 Code: The Contractor'■ License Law doas not apply to an owner of property who builds or improves thereon, and contracts for such project, with contractor(al iicenHd purauant to the Contractor'• Ucense Law). 0 I am exempt under Section ______ Buslnaaa and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) algned an application for • 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 I contractors license number):·--------------------------,----------------------- '-. Jo; w. ,:.;;;:• '""".•.om. """•. wo,C b,rt ' >•~ oom,.~•d '"""' '"' .. folio. •"". persons to pro .. •'." '"' .;,.. .indi.~"' .'""'. do .Mm, / ,...,.,.. lo.hon. e number / type r .:ROPERTY OWNER SIGNATURE \NUAA.,.~ ~ DATE Do et '?1: te~e~lt.iitl:!IJ!IECJtidtfi'i:-O.RJNQMiB.f3'PiN..tt~i;@',!;!_ltQI.N.lllPill.MLT$\QN~Yj~.l.l;i;•:~z;,{,,,i:L~'t\:,~:~11[~1~;~\fii,\f::;;1/&;i?,ot;ct:1tkticm!~1'.~l~i:i~~i'l,llbl•fi~i:1(;~&'1].~;~ Is the applicant or future building occupant required to submit a business plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 25605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Aot7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to bed\lnstructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. (l~i'ftRUP:UOmtENDfNll~l(GjijC~~,i t~~~~t:~J\~~~~t?·{~:j~~l'J:~f~:1'Y3~~~~-,~:!~~;is~-~ :: .. ;S~~;~:~::r: •lt~~J:J~:1~·;':;; ~::_,,;~-::<~ -~b· ~ :,. · ·:. ·;:,2 i:,,:i'. '.·~~~ ;J~:;,;::~~,.r; _-;~t :•iJ~'...J:;r:f ~1J6s~:~:::~: 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). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ I certify that I have read the application end 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 Citt 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 la required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under Iha 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 1BO 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 1BO days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE \µ_~----, DATE &,...--6-1-aj-- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 11/15/2004 Permit# CB042119 Title: CARR RESIDENCE Description: GAS LINE FOR STOVE Type: PLUM Sub Type: Job Address: 2012 LEE CT Suite: Lot 0 Location: OWNER CARR WILLIAM L JR&TRACI G Owner: CARR WILLIAM L JR&TRACI G Remarks: Total Time: Inspector Assignment: JM --- Phone: 7606727368 Inspector: ~ Requested By: TRACY Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing tJ: ,Alo Associated PCRs/CVs I ns12ection H isto!}'. Date Description Act lnsp Comments 10/14/2004 29 Final Plumbing co JM NO ONE HOME -NOTIFIED 06/03/2004 23 Gas/Test/Repairs AP JM FINAL REQUIRED 06/03/2004 24 Rough/Topout WC JM 06/02/2004 23 Gas/Test/Repairs co JM NEED GAS GAUGE