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Home My WebLink About2101 LAS PALMAS DR; F; CB042578; Permitc, 06-29-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB042578 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title; 2101 LAS PALMAS DR CBAD St: F PLUM 2130503300 Lot#: 0 Construction Type: NEW NORTH SHORE INDUSTRIES- REPAIR GAS LINE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/29/2004 KMT 06/29/2004 06/29/2004 Applicant: CASS PLUMBING & HEATING STEC 4569 30TH ST 92116 619 284-9252 Owner: A&T PROPERTIES LLC PO BOX 1713 RANCHO SANTA FE CA 92067 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 0 $0.00 Gas Piping System 1 $7.00 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 Balance Due:$27.00 5441 06/29/04 0002 01 cgf^ 02 27-00 Inspector: FINAL APPRQVAI^ Date: ^ ^ ^Clearance: NOTICE; Please lake 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 56020(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 ineir 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 orservice fees in connection with this project, NOR DOES IT APPLY to any ffifis/exactions of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otheiwise expired. ^UAfVl PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 FOR OFFICE USE OWL PLAN CHECK NO EST. VAL. Plan Ok. Deposit Validated By Date (n ^ 4h\irvia.MV.tfF Address (include BIdg/Suite #) Mr)irtin \r)dus/i-n'^ Business Name (at this address) Legal OeschptI PLvim Lot No. Subdivision Name/Number Unit No. Phase No. Total f^o Crri\rY\s>nz\'Oi.\ — Total# o "E f units Assessor's Parcel #xisting Use puAOa SQ. FT.# of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone#Fax# State/Zip Telephone #ddress O. ITi;nmScQj" Address State/Zp TelephoneName I «il> Mi .1 -• ••. (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 [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 dvil penalty of not more than five hundred dollars [$500]). r/TAiSSpUAmlnim .qriVri Sh QPr OiOJ\h Name J Address Ci^ 0 State/Zip Telephone# State License # License Clas/^?j>^jiC-'^QiCr(L^ City Business License # 1 Designer Name State License # Address City State/Zip Telephone# 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 for which this permit is issued.^ I have and will maintain worker's 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 earner and policy number are: i i i wr-Insurance Company ^ Policy No. O Expiration Date (THIS SECTION NEED NOT BE COMPLETED tP THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ CERTIRCATE 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 subject to the Workers' Compwsation Laws of California. WARNING; Failure to secure workeiV compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousanddoIlars(S100,000). In^ditJ^ t* he^st of compMBatioi^arrtages are provided for In Section 3706 of the Labor Code, Interest and attomey SIGNATURE /T/// / DATE omey's fees.(J-ZM/OUj im I hereby affirm Vn&Wsm exempt froame Contractor's License Law for the followng reason: □ I, as owner of the property or my employees with wages as their sole compensation, will d the vrork and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Ucense 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 sudi improvements are not intended or offered for s^e. 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 Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's Ucense 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 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 theworii, but I have hired the fdlovbfing person tocowdinate, supenrise and provide the major work (include name / address / phone number / fontractors 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 I phone number I type of work): PROPERTY OWNER SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future builcting occupant required to submit a business pian, acutely hazardous materials registration for or ri^ ntsnagement and |»eventicn program under Sections 25505, 2S533 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future buiiding occupant required to obtain a permit from the air poilution control district or air quality management district? □ YES □ NO Isthefaciiitytobeconstructedwithin l.OOOfeetoftheouterboundaryofaschooisite? □ 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 THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction fending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civii Code). LENDER'S NAME LENDER'S ADDRESS m\ certify that 1 have read the appiication and state that the above information is correct and that (he information on the pians is accurate. 1 agree to compiy with all City ordinances and State iaws reiatmg to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the atrave rrtentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABiUTIES, 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 construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Offlajl under the pro\ASlons of this Code shall expire by limitation and become null and void if the building or work authorizedby such permit Is not commenced within 180 d^s fror^e date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time afterthe work is commenced for a period of 180yd^>« (Se^n 106.4.4 Uniform Building Code). APPLICANTS SIGNATURE DATE WHITE; File YELLOW: Applicant PINK: Finance City of Carlsbad BIdg Inspection Request For: 07/12/2004 Permit# CB042578 Title: NORTH SHORE INDUSTRIES- REPAIR Description: GAS LINE Sub Type: 2101 LASPALMASDR F Lot 0 Type: PLUM Job Address: Suite: Location: APPLICANT CASS PLUMBING & HEATING Owner: Remarks: Inspector Assignment: PD Phone: 6192849 Inspectoc: Total Time: CD Description 23 GasH'est/Repairs Act Associated PCRs/CVs Requested By: CHUCK Entered By: KAREN Inspection History Date Descriptior^ Act Insp Comments 07/08/2004 23 Gas/Test/Repairs CO PD GAUGE AT BPS!