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Home My WebLink About220 OLIVE AVE; ; CB031575; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-05-2003 Plumbing Permit Permit No: CB031575 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 220 OLIVE AV CBAD PLUM 2060910600 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: ISSUED 06/05/2003 MDP 06/05/2003 06/05/2003 Reference #: Project Title: Applicant: NELSON RESIDENCE GAS REPAIR NELSON MARGERY A TRUST 220 OLIVE AVE 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: ::7,.:,-_; ··'. , __ ,.,; Owner: NELSON MARGERY A TRUST 220 OLIVE AVE CARLSBAD CA 92008 $20.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 1 $7.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: o fa,,-rra--D3 Clearance: $27.00 that app al of ur project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively You ha ys from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest pr set forth· overnment 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 lo 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 f wh· r i sl i n N Tl E i ii r i r whi I h i FOR OFFICE USE ONLY PERMI.T APPLICATION PLAN CHECK NO. 63--( S"97 ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ Av~ Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name City State/Zip Telephone# Fax# · O 'Q.Yffl!r 07Agel}t for Owner Name Address City State/Zip Telephone# City State/Zip Telephone# (Sec. 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 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 vi atlon Section 7031.5 by a,ny applicant for a perm· subjects t e applicant to a civil penal tha · e hundred dollars )$6001). ,.,.LA-d:.dl.::.~1.,___£~~~~4----4---'~-JA.-4:::fL-4,.Lf.~..fZ..!!-.LL,d::::a.,L..j~'@-,~~~~~~:.L_!_¥;// State License # __________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. 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 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______________________ Polley No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT 8E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 subject to the Workers' Compensation Laws of California. WARNING: Failure to aacure workers' compenaatlon coverage 11 unlawful, and 1h11II subject an employer to crlmlnal penaltlea and clvll fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages ea provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE--:::::::;::::::::;:;;;::;:::;:-;:::::::::;:;;;::::-:::;;:::;;:::;;---;;:::;;:;;;;:;;-;;;:;:=:;;--::;--;:;;;:::::::;;;;:::;;;;;-:;----:---:;:;;:;:;;;:-DA TE , WNER-BUllJ)Efll)EC.!,ABATl9N -~;::;;;;::::;;;:;;:::;;:;;;:;;::;;;:::;..--,_.,,.,..,.,...,. __ ,,,_ I he;eby affirm 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 w ho 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 i d 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 ntractor'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). 0 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. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted w ith 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 _j of work): · ~PROPEflTY OWNER SIGNATURE _J.~liCLU~.LZ:d4:.........l'Lt....:........l:.'.!&c~-:£:.:::'.!:==-----DATE-_________ _ COMPLETE THIS SECTION FOR N N-RES/DEN 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? 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? 0 YES O NO Is the facility to be constructed 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. re. &Ql,ISTRUCTION 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 ________________________ _ 9. A~LICANT ~(:RTIFICATION I certify that I have read the application and stat e 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 Cit\' 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: A n 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 expire by limitation and become null and void if the building or work authorize{! hy such permit Is not commenced within 180 days from the date of such permit or ii the building or work authorized byiu permit Is suspended or abandoned --1_ at any tirr 11er the work ~enced for a period of 180 days (Section 106.4.4 Uniform Building Code). / ) ~ APPLICA --irGNATURE fl1..a&f1=~ Q_ ')te'"°4_ C;l~/ ' DATE 1 _ s-; _ C 3 WHITE: File YELLOW: Applicant PINK: Finance ' . UNSCHEDULED BUILDING INSPECTION I/Ob -F7 DATE o b---oG---03, PERMIT# C>::S. I.S::: '7~ . INSPECTOR ..;:pi_,, . PLAN CHECK# ___ _ JOB ADDRESS _....:~=--~t} __ t:J_l"'-1v_,£., _ _..;;.,l(fel,--'--~...=;..._. _______ _ CODE DESCRIPTION ACT COMMENTS ~lhfL 014-1 7 gf_ . F!~-1/0 .