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Home My WebLink About2070 CALETA CT; ; CB040162; Permit\ 01 -,I 4-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB040162 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2151101900 Lot #: 0 Applied: 01 /I 4/2004 Reference #: Plan Approved: 01/14/2004 Issued: 01/14/2004 Project Title: SCOLLARD RESIDENCE Inspect Area: 2070 CALETA CT CBAD Construction Type: NEW Entered By: MDP WATER HEATER REPLACEMENT Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 Owner: SCOLLARD JEANNETTE R 2070 CALETA CT CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $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 I FINAL APPROVAL Inspector: 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 'feeslexactions" 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. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or setvice fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute o f limitations has Dreviouslv otherwise exdred. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.P\ \ Gx EST. VAL. Plan Ck. Deposit Validated By Date L I WlbY Subdivision NameMumbdr Unit No. Phase No. Total t of unita Legal Description Lot No. Assessor'a Parcel t . Existing Use Proposed Use Name Addrass citv StatenID Telephone X Fax I Name Address City StateKip Teiephona X -- (See. 7031.6 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 wlth Sectlon 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for tho alleged an five hundred ity Business License Telephone StateKip Designer Name Address city State License X 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 i have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this rmlt is Ee work for which thls permit is issued. / (705- urance carrier and policy number sre: I X?SI Policy No. /Ab.. 7- Do+ Expiration Date {THIS SECTION NEED NOT BE COMPLETE^ IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 111001 OR LESS) 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 ' compensation coverage h unlawful, and aha1 aubjed M employer to aimlnal penaltie8 and dvl flneu up to one hundfud to become subject to the Workers' Compensatlon Laws of California. & the cost of compensation, damages 08 pmvided for In Sectlon 3706 o attorney's feea. I hereby afflrm that I am exempt from the Contractor's License Law for the following reason: 0 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 hls 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, 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 contractor(s1 licensed pursuant to the Contractor's License Law). 0 1. 2. 3. I am exempt under Section I personally pian to provide the major labor and matMials for construction of the proposed property improvament. 0 YES ON0 I (have I have not1 signed an application for a building permit for the proposed work. I hsve contracted with the following person (firm) to provlde the proposed construction (Include name I address / phone number I contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 6. of work): I plan to provlde portions of ths 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 (hired1 the following persons to provide the work indicated (include name I address I phone number I type Is the applicant or future building occupent required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required t6 obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the fecility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A flNAL CERTleICATE 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 POUUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097ti) Civil Code). I certify that I have read the applicatlon 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 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 is 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 the provisions of this Code shall explre by limitation and become null and void if the building or work authorized by such permit is not co menced lthi 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tin ifter the work is cprnr&ced for rpe&d of WO days (Section 106.4.4 Uniform Buildino Code). .. - APPLICA 'S SIGNATU DATE 1- lj-& \ @HIT€: File YELLOW: Applicant PINK: Finance PAGE 02 01/13/2004 12: 57 6196310666 JASAK AGENCY JFIN.13.2684 1:55PM SCIF(3t3)266-5057 NO.BQ1 P.1 P 3LfCYHOADER COPY STATE P.O. BOX 420607, SAP4 FRANCISCO, CA 941424895 COMPW~ATION a - ' It4~clRP4NCE Fu N D CERTIFICATE OF WORKERS' COMPENSA IlON INSURANGE A!! C.