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Home My WebLink About2291 MORGAN RD; ; CB092128; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-14-2009 Plumbing Permit Permit No: CB092 128 Building Inspection Request Line (760) 602-2725 Job Address: 2291 MORGAN RD CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2121011500 Lot #: 0 Applied: 12/14/2009 Construction Type: NEW Entered By: KG Reference #: Plan Approved: 12/14/2009 PC #: Issued: 12/14/2009 Project Title: KASSNER RES GAS LINE REPAIR Inspect Area: Owner: KASSNERJANICE / 2291 MORGANRD ' CARLSBAD CA 92008 /1 \ - - ---- T / ) / Plumbing Issue Fee Fixture or Trap 0 $0.00 Vacuum Breaker X 0 Water Heater and/or Vent Gas Piping System - ..; / 1 Other Plumbina Fees Building Sewer 0 Roof Drain / / . 7 0 Install/Repair Water Line / '- -- / 0 -.---- \ "$o:oo \ $0.00 \ : $0 :00 \ $0.00 $0 .00 FINAL APPROVAL InspectoT Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impositiorf of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions? You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any Applicant: ARS STE A 9895 OLSON DR SAN DIEGO CA 92121 858 457 6557 CITY OF xk P. 0 i , . m I I "Okk ~, Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/ 2718/ 2719 Fax: 760-602-8558 www.carlsbadca.gg Plan Check llilaoq4t671-2" Est. Value Plan Ck. Deposit !JOB ADDRESS, _M09644-11 SUITEv/SPACEv/UNIT# i (YO2.4-i1 4z:i APN - - /7 CT/PROJECT It I LOT I PHASE A INUF-UNITS [NBEDROOMS II BATHROOMS I - J TENANT BUSINESS NAME . CONSTR. TYPE 0CC. GROUP aESCRIPTIOtNQRi:lncl(e$ar,aFFeet IF Affected Area (s) - EXISTING USE 77rOPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES 0 #_ NOD I AIR CONDITIONING YES 0 NOD I FIRE SPRINKLERS f YES 0 NOD CONTACT NAME (If Different Fom Applicant) APPLICANT NAME .4 104 ADDRESS ADORE I VWCITY OV STATE ZIP CITY C4TATE ZIP PHONE Iei54-1- c' EM AIL JffiA4 EM PROPERTY OWNER NAME oa ADDRESS 2 Z" --J CONTRACTOR ADD6S o ftc- CITY . e4TE ZIP CITY STATE 1)-4H Pi-i 1P7' — I FAX PHO S 1k" FAXØ 1 /6-11 - '-t.7 EMAIL EMAIL 4i mde_l ARCH/DESIGNER NAME & ADDRESS - i sAw'e. . SAIa 2o — j I CIT I! BUS.0 ,C U I 1 o1 , e,,u r,u,eIuns i,.oUe: Any r.icy or uouncy wflICfl 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 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 1$50011. Workers' Compensation Declaration: I hereby affirm under penalty of perjuiy one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. QPL I have and will maintain work rs' c pensation as required by Section 3700 of the Labor Code, for the park: a" "-" -: ''ch this permit is issued. My workers' compensalnstan carder and policy number are: Insurance Co. . Policyh 7 , t) _( ?%_DI )xpiralion Date I _I_1 _1_0. This section need not be completed if the permit is for one undred dollars ($100) or less. O Certificate of Exemption: I certily that fl the performance of the work for which this permit is issued, I shall not employ any person in any manner so as 10 become subject 10 the Workers Compensation Laws of California. WARNING: Failure to sec orkers' 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, d geW d for in Section 3706 of the Labor code, Interest and attorney's lees. CONTRACTOR SIGNATURE 44.'L..—' 'AGENT DATE 0I Lei?1 thereby affirm that lam exempt from Contractors License Law for the following reason: 0 I. as owner of the properly 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 awn 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 [hat he did not build or improve for the purpose of sale). -J I, as owner of the properly, 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 properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). -J I am exempt under Section ____________Business and Professions Code for this reason: I personally plan to provide the major tabor and materials for construction of the proposed property improvement. 0 Yes 0 No I (bevel have not) signed an application for a building permit for the proposed work. I hae contracted with the following person (firm) to provide the proposed construction (include name address I phone! contractors' license number): I plan to provide portions of the work, bull have hired the following person to coordinate, supervise and provide the major work (include name! address! phone! conlractors' license number): I will provide some of the work, bull have contracted (hired) the following persons to provide the work indicated (include name I address! phone! type of work): - ,.PROPERTY OWNER SIGNATURE DAGENT DATE 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? -J Yes 0 No Is tre applicantur future building occupant required to obtain a permit from the air pollution control district or air quality management district? - 3 Yes 0 No Is the facility lobe constiuctedwilhin 1.000 feet of the outer boundary of a school site? i Yes 3 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 hereby affirm that there isa construction lending agency for the performance of the work this permit is issued (Sec. 3097 (1) Civil Code). Lender's Name . - : Lender's Address I certify that I have mad the application and state that the above Information Is correct and that the information on the plans isaccurate. I agree tocomptywith all City ordinances and State laws relating to building construction. Ihereby authorize representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COST AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA. An OSHA permit is required for excava s ver5'O' deep and demolition or construction of structures over 3stories in height. EXPIRATION: Every permit issued by the Build 0 lu der the provisions of this Code shall expire by limitation arid become null and void I the building orwt authorized by such penrdtls not commenced within 180 days from the date of such pem,it ordthe b d a orized by such permit issuspended or abandoned at anytime after the work is commenced bra period of 110 days(Section 106.4.4 Uniform Building Code). .APPLICANT'S SIGNATURE - DATE t?'j4tLY) City of.CarlsbadBlcg Inspection Request For 12/15/2OO9 Permit# CB092128 Inspector Assignment: Title: KASSNER RES GAS LINE REPAIR Description: V Type: PLUM Sub Type: V Phone: 000000 00 Job Address: 2291 MORGAN RD Suite: Lot: 0 V Location: Inspector: -. OWNER KASSNER JANICE Owner: KASSNER JANICE V Remarks: V V Total Time: Requested By: ARS. V Entered By: CHRISTINE CD Description Act Comments. 23 Gas/Test/Repairs V Comments/Notices/Holds V Associated PCRs/CVs Original PC# Inspection History V Date Description Act Insp. Comments