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Home My WebLink About2219 MASTERS RD; ; CB061980; PermitCity of Carlsbad . ·-1635 Faraday Av Carlsbad, CA 92008 07-12-2006 Plumbing Permit Permit No: CB061980 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2219 MASTERS RD CBAD PLUM 2121413500 Lot#: 0 Construction Type: NEW BOERUM RES-NEW WATERHEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/12/2006 RMA 07/12/2006 07/12/2006 PACWEST PLUMBING SUITE 102 BOER UM THOMAS FAMILY TRUST 04-06-05 2525 PIO PICO DR CARLSBAD CA 92008 720-9464 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 Total Fees: $27.00 0 0 0 0 1 0 0 2219 MASTERS RD CARLSBAD CA 92008 $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 Payments To Date: $27.00 Balance Due: $0.00 EXPIRED PERMIT Inspector: PERMIT HAS EXf'IPFri IN A,~COf/flANCE WITH C.B.C. SECTION 106A4 AS AMH';Jt;U 8'/ C.M.C.18.04.030 DATE 1-ihr, \owSIGNATURE-0.fut:: ____ _ FINAL APPROVAL 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 "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 infom1ation 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 to 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 fe /exction fwhih hve revloul been ivn Tl E imilrothis r whihh flimiain h I hrwieexird. PERMIT APPLICATION FOR OFFICE USE Ol\lft, PLAN cHecK No. -l4).[2t l o/_fc ·' CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit _____ ...., __ Validated e~,...,...,...:::-----"4.µ=- Date, __ ...J....J..L-,,k].,f::).-4-,..,..---- Busln••• Name (at this addr911) i,oapi D"criptlon .fttµ,t ~ Lot No. :J1rJ&.ct IC.....'1 St~, Subdivlsion Name/Number Unit No. Ph11a No. Total # of units Aaleuor'a Parcel # Existing UH Proposed Un #of Stories # of Bedrooms I of Bathrooms Name Addreu City State/Zip Fax1 Name (Sec. 7031.6 8U1inN1 and Profenlont Code: Any City or County which requires a permit to construct, altar, Improve, damolllh or repair any ltrUctura, prior to Its i11u1nce, also requires the applicant for such permit to file a 1lgned statement that he is licensed pursuant to the provi•on• of the Contractor's Ucenee Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profusions Code) or that he Is exempt therefrom, and the buf• for the 1ll•ged ion. ny vlolatio f Section 7031,6 by• eppll ant for I permit su eta appl~t to• cl I penalty of not mor,;~an fl hundr d Iara [t600J e -. o 'lc.o v/!'.-. ~ l-ff . Nam• Designer Nam• State Ucenn # License Clan _.c,/f,_,_/2..,{'~-~J._,,C,,,_· __ ' Address City State/Zip ""- City Businus Uc.nH I I \ City State/Zip Workers' Compena1tlon Decl1ratlon: I hereby affirm under penalty of perjury one of the following declarations: Telephone D I hive and will maintain a certificate of consent to saJf-insure for workers' compensation as provided by Section 3700 of the Labor Code, for th• performance of the work for which thla permit la lasued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thla permit la laaued. My worker's compensation lnturence carrier and policy number are: Insurance Company___________________ Polley No •. ___________ Expiration Date ______ _ ITHIY5ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LISSI [B'" CERTIFICATE OF EXEMPTION: I certify thet In the performance of the work for which this permit la laued, I shall not employ any person in any manner ao H to become subject to the Workera' Compensation Lawa of Cellfomia, WARNING: FaJJure ~'"""~•-•....,,........ covw-lo unlawful. MIi -llilljoot M employs to --Md --up to ono -1houund dolan to coat of com......-,....._ u provldod tor In Soctloo 3708 of tho Jntwnt Mii -.•, 1-. SIGN DATE I hei'eby affirm that I am exempt from the Contractor's Uc.nae Law for the following reuon: D I, aa owner of the property or my •mployeu with wagu u th9'r sole compenaatlen, wlU do the work and the structure la not Intended or offered for aale (Sec. 7044, Bua5nna and ProfN1lona Coda: Tha Contractor's Ucenu Law doN not apply te an owner of property who buUda or lmprovn thereon, and who doea auch work hlma•t or through hla own amployen, provided that such improvements ar• not Intended or offered for aale. If, however, tha building or m'!prov1ment la aold within one yur of completion, th• owner-builder will have the liHJrden of proving that he did not build or Improve for tha purpoaa of a■la). D I, 11 owner of tha property, am exclualvely contrllctlng with llcenald contractora to conatrucrt the project (Sac. 7044, BuaJnue and Profualona Coda: 11w Contractor'• Uclf\N Law doN not 1pply to an owner of propmty who build• or lmprovaa thereon, and contracts for auch projacta with contrllctor(a) lie.need pursuant to tha Contractor'• Ucena1 Law). 0 I em exempt under Section _____ Sualneaa end Prof1ulor111 Coda for this reason: 1, I peraonally plen to prevlda the majer labor ancl material• fCN' conatructlon of the propoaed prop9rty Improvement. 0 YES ONO 2, I (have / have not) algnad an apptlcatten for a building permit for the propoaed work. 3. I have contracted __ wfth the following peraon (flrml to provide the propoud construction (Inch.Illa n1ma / addrna / phone number / contract:ora llcann number): 4. I plan to provide portlona of the work, but I hlv. hired the following peraon to coordinate, auparvlae and provide the ma)Of work (Include name / addrau / phone number I contrlctora llcenae numbar):. _________________ ~------------------------ 6, I will provide aome of the work, but I have contracted (hired) the following peraona to provide the work Indicated (Include name/ addrna / phone number/ type of work):. __________________________________________________ _ PROPERTY OWNER SIGNATURE DATE la the applicant or future bullding occupant required to submit • business plan, acutely hazardous m1tarlela registration form or risk mat111gement and prevention program under Sections 26605, 25533 or 25534 or the Presley-Tanner Hazardous Substance Account Act7 D YES D NO 11 the applicant or future building O(.CUP8nt required to obtain a permit from the air pollution control dlatrtct or air quality management dlatrict7 0 YES D NO la the facility to be CGnatructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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 hareby affirm that there is• construction lending agency for the performance of the work for which this permit II lasuad tSec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the appJlcation end atete that the above Information le correct and that tha Information on the plena la 1ccwat1. I IQl'ff to comply with all City ordinance■ and State lawa relating to building construction. I hereby authorize rapreaentltivn of the Citt of Cerlabld to enter upon tha above mentioned property for lnapectlon purpoaea. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIL.iTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for excavations over s•o• deep and demolition or conttruction of 1tructure1 over 3 stories in height. EXPIRATION: Every permll Issued by lhe building Official under lhe provisions of Jhls CDde shall expire by limitation and becomo null and void tt the building or work authorized by such pennit ls not comme"":l!!J+''"lJ'"'180 days from the date of such pennit or If the building or work authortzed by such ~rrnlt is auspended or abandoned at any time atter lhe work Is comme eri of 80 days (Secllon 106.4.4 Unttorm Building CDde). .Z ! APPLICANT'S SIGNATURE --+L:::C,fj,Ul.4:::._______________ DATE 7 !.f>'(ff(o ' WHITE: Fila YELLOW: ADDlicent PINK: Finance