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Home My WebLink About2290 MORGAN RD; ; CB023001; Permit$27.00 92 'S S S •\ 7 S • ' S\_. - S ••' U •- - . 5'. City of Carlsbad 0, 1635 Faraday Av. Carlsbad, CA 92008 10-03-2002 Plumbing Permit Permit No: CB02001 Building Inspection Request Line (760) 602-2725 Job Address: 2290 MORGAN RD CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2121010600 Lot #: 0 Applied: 10/03/2002 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 10/03/2002 Issued: 10/03/2002 Project Title: GRIFFORE/ANDES RES-REPAIR GAS Inspect Area: LINE Applicant: Owner.. , MARY ANDES (CO-OWNER) - GRIFFORE LORRAINE Cap T? 10/03/Ok 02 27-00 2290 MORGAN RD 760 931-8573 -.5-, 5/ / 2290 MORGAN RD,. CARLSBAD CA 920O8 Total Fees: $27.00/ Total Payments To Date: $0.00.11/ / Balance Due: $27.00 'S 5/ / \ Plumbing Issue Fee / // - - $20 00 Fixture or Trap ' 0 .' \ \( -$0.00 Building Sewer / . / . / 0 - ' . $0.00 \ Roof Drain J . - .0. . . - . - \, - $0.00 Install/Repair Water Line 7 0 - - / $0.00 Water Heater and/or Vent - ' 0 -' .$0.00 Gas Piping , , '. 1 $7.00 Vacuum Breaker . . 0 ' '$0.00' Other Plumbing Fees I - - I- \$0 00 Master Drainage Fee $000 Sewer Fee . ., .. -- ,j $0.00 Additional Fees r / $0.00 TOTAL PERMIT FEES f . .. 7 -5. FINAL APPROVAL InsDector: _____________ Date: 10 11 LOR 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 "feeslexactions." 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 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 FOR OFFICE USE ONLY PERMIT APPLICATION r' PLAN CHECK NO.(40 3 00 ( CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck Deposit Validated By________________________ Date W. 'V1At 0 Address (include Bldg/Suite #) J . Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total 1/ of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. '4of Stories # of Bedrop, is # of Bat ro ms iq ft Name Address . , : City State/Zip Telephone # Fax Name Address '. City State/Zip Telephone # P OPERTYJTF" 3 Name Address .. City State/Zip Telephone # NgE''' LL:, (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any itructüre, 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 civil penalty of not more than five hundred dollars ($5001). Name ' Address City ' State/Zip Telephone # State License # - License Class City Business License # Designer Name Address City, State/Zip Telephone State License # Workers' Compensajion Declaration: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent tp 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 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 ($1003 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 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 ($100,000), In addition to the coat of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . ' , ' ' DATE Al I' heieby affirm that I am exempt from the Contractor's License Law for 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 sucl}.work himself or through his own employees, provided that such improveients are not intended or offered for sale. If, however, the building or improvement is sofl 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). IM I, as 'owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec: 7044, Business and Professions 'Coda: 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). - I am exempt under Section Business and Professions Code for this reason: ,, I p onally plan to provide the major labor and thaterials for construction of the proposed property improvement. 0 YES NO '(hay / have no signed an application for a building permit for the proposed work. I ave cc trac with theAollowing pars n (firm) to provide th r osed o tructi (inide name / ddre s hone number / contractors license number): frY,vcAM7 tht! -' I plan to provide portions of the work, but I have hired following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work; but 'I have contracted (hired) the following persons to provide ,the work indicated (include name / address I phone number / typeS of work): PROPERTY OWNER SIGNATURE DATE C=ONCP-LE~TE,T—Hlif,iE=C~T[3[?FF—CFR7N-O—N.4RA 11041; iNao—N 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 0' 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 0 NO Is the facility to be constructed within' 1,000 feat of the outer boundary of a school site? 0 YES 0 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. , CONSTON LENDINGG all LI3 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30910) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above informatiân 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 Citc of Carlsbad tà 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 overr 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 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 co m ad for a period 04 0 •ay (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE t4f _- _'___At;-__-'-- _'' DATE q . WHITE: File' 'YELLOW: Applicant 'PINK: Finance ' . ' UNSCHEDULED BUILDING INSPECTION I j cr* o- Co— 4