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Home My WebLink About2192 DICKINSON DR; ; CB050193; Permit01-19-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB050193 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title pphcant RLOS SOLI2 2192 DICKINSON DR CBAD PLUM 2081821000 Lot* Construction Type SHE RES GAS TO FUTURE FIREPIT & ELEC TO FUTURE WATERFALL 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/19/2005 KG 01/19/2005 01/19/2005 30244 SILVER RIDGE CT 92591 909-538-8943 Owner SHE SHIKUAN&DENG DEBORAH NIANHUI 2192 DICKINSON DR SAN DIEGO CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 0 0 1 0 S20 00 ! $000 $000 $000 $000 i $000 : $700 ! $000 i $20 00 $0 00 ! $000 $000 TOTAL PERMIT FEES S4700 Total Fees $47 00 Total Payments To Date $0 00 Balance Due $4700 9981 01/19/05 0002 01 CGF" j Inspector FINAL APPROVAL Date r-3A Clearance NOTICE Please take NOTICE thai 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 1 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, j 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 capacity1 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 •\635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION ^ygy b\<^£Eftfc^ Hf**^iJf<M>V tyy FOR OFFICE USE ONLY PLAN CHECK NoCfeM/<? ? EST VAL Plan Ck Deposit Validate Date Address (include Bldg/Suite ,Business Name (at this address) Z CONTACT PERSON (if different from applicant) Name APPLICANT Address J ' City | Contractor Q Agent for Contractor Q Owner CD Agent for Owner tt of Bedrooms tt of Bathrooms State/Zip Telephone tt Fax # Name 4 Address City State/Zip Telephone tt PERTY; OWNER Name' """ Address "'-- -^ filuV ' State/Zip telephone* B. CONTRACTOR - COMPANY NAME (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 exayrrpvon Any violation of ijection 7031 5 by anyjpplicant for a permit subjects the apgjpant tg^ar civil penalty of notjit rnore than five hundred.dollars l$50fl]L,dk«3||L£Sfe£iO-^2_ Address License Class City State City Business Licensefftfligras' Designer Name jj '~r - Address City State/Zip Telephone ff _ ^ ^ ) i State License tt 6s WORKERS' COMPENSATION , Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 CD 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 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 [$100] OR LESS) LyF' 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 subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars m^O 000), in adduWn to the cost of compensation, damages as provided for in Section 3706 of the Lab.oj code^jpterest and attorney's fees SIGNATURE V P~s-^>> $°\ — - DATE 7 '•• OWNERiBUILDERiDECLARATTqxf I hereby affirm that I am exempt frornthe Contractor's License Law for the following reason : CD 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) CD 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(s) licensed pursuant to the Contractor's License Law) ' CD 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 CD YES CDNO ; 2 I (have / have not) signed an application for a building permit for the proposed work i 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? CD YES CD NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 E0. .. CONSTRUCTION LENDING AGENCY 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 ' $, s .ARPJJCANT CERTIFICATION " " I 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 < omply 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 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 5'0" deep and demolition or construction of structures over 3 stories in height j EXPIRATION Every permit issued by the building Official under 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 within 180 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 comm|»f1c1& for aeenod of 180 days (Section 106 4 4 Uniform Building Code) • ' aDanaonea APPLICANT'S SIGNATURE ( Q^-~S*} ^' r /_ DATE / 'HITE File YELLOW Applicant PINK Finance List Permit* CB050193 Type PLUM SHE RES GAS TO FUTURE FIREPIT & ELEC TO FUTURE WATERFALL Date _ Inspection Item Inspector Act Comments 01/20/2005 21 Underground/Under Floor RB AP GAS LINE 01/20/2005 23 Gas/Test/Repairs RB AP 01/20/2005 31 Underground/Conduit-Winn RB AP Tuesday, May 31, 2005 Page 1 of 1 City of Carlsbad Bldg Inspection Request For 01/20/2005 Permit* CB050193 Title SHE RES GAS TO FUTURE FIREPIT Description & ELEC TO FUTURE WATERFALL Inspector Assignment 2192 DICKINSON DR Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT CARLOS SOLIZ Owner SHE SHIKUAN&DENG DEBORAH NIANHUI Remarks Phone Inspector Total Time CD Description 21 Underground/Under Floor 31 Underground/Conduit-Wiring ^/ Act Comment Requested By NA Entered By KAREN At Associated PCRs/CVs Inspection History Date Description Act Insp Comments " •<?»><>X> d*3p*^°