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Home My WebLink About2268 CARNELIAN CT; ; CB090289; Permit02-20-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090289 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2268 CARNELIAN CT CBAD PLUM 2132410600 Lot# 0 Construction Type NEW SOUTHARD RES- GAS LINE FROM STUB IN REAR YARD FOR FUTURE BBQ Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/20/2009 RMA 02/20/2009 02/20/2009 Applicant Owner SOUTHARD&LOTANO REVOCABLE 2004 TRUST 07-16-04 SOUTHARD&LOTANO REVOCABLE 2004 TRUST 07-16-04 2268 CARNELIAN CT CARLSBAD CA 92009 2268 CARNELIAN CT CARLSBAD CA 92009 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 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPRO/VAL Date Clearance NOTICE Please take NOmCE that approval of your project includes the "Imposition' of fees, dedications reservations, or other exactions hereafter collectively referred to as "fees/exactions Yflu 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 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 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 City of Carlsbad . 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax 760-602-8558 Building Permit Application Est. Value Plan Ck. Deposit Date i JOB ADDRESS CT/PROJECT» — f~nDESCRIPTION OF WORK Include Square feet of Affected Areafs) SUITES/SPACEO/UNITS It BATHROOMS TENANT BUSINESS NAME f 2" EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESPV AIR CONDITIONING FIRE SPRINKLERS S| |NO| | CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE STATE ^-J FAX ZIP 0 o EMAIL EMAIL I, c, a *r? PROPERTY OWNER NAME <> O t^T U/3- l~ CONTRACTOR BUS NAME ADDRESS ADDRESS CITY PHONE ._£__STATE ZIP CITY STATE ZIP EMAIL FAX PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS _fc^_STATE LIC »CLASS CITY BUS LIC (t (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure pnor to its issuance also requires theapplicant 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 70315 by any applicant for a permit subjects tnt» applicant to acivil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration I hereby affirm under penalty ot perjury one of the following declarations HI have and will maintain a certificate of consent to serf insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of (he work for which this permit is issued 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 workers compensation insurance earner and policy number are Insurance Co Policy No Expiration Date ThB section need not be completed if the permit is for one hundred dollars ($100) or less | | Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as lo become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code, interest and attorney's fees £$ CONTRACTOR SIGNATURE DATE / herebfaffirm that I am exempt from Contractor's License Law lor the following reason \^\ 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) I I I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 70M 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 contractors) licensed pursuant to the Contractor's License Law) [ I I am exempt under Section Business and Professions Code for this reason ^/ 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement PTYes I Irto 2 I (have / havejwtHigned 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 / 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 / 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 I address / phone / type of work) ^PROPERTY OWNER SIGNATURE DATE T_Z- O ooootoota® Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 01 25534 of the Presley Tanner Hazardous Substance Account Act7 I I Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control djstnct or airouality management district' I JYes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 I lYes [\Ho ICY MAY NOT BE ISSUED EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT (g®S38gBOQ(g'i70®ta (LBGflBOCa® I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender's Address 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 comply with all City ordinances and State laws relat ng to building construction I hereby authorize representative of the City 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 stones 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 authorized by such permit is not commenced within APPLICANT'S SIGNATURE DATE 7,— City of Carlsbad Bldg Inspection Request For 02/24/2009 Permit* CB090289 Inspector Assignment Title SOUTHARD RES- GAS LINE FROM Description STUB IN REAR YARD FOR FUTURE BBQ Type PLUM Sub Type Phone Job Address 2268 CARNELIAN CT Suite Lot 0 Location Inspector OWNER SOUTHARD&LOTANO REVOCABLE 2004 TRUST 07-16-04 Owner SOUTHARD&LOTANO REVOCABLE 2004 TRUST 07-16-04 Remarks card is outside by the gas line if no Total Time Requested By .SOUTHARD RESIDENCE Entered By CHRISTINE CD Description Act Comments 23 Gas/Test/Repairs Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments