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Home My WebLink About2297 LINDSAY DR; ; CB100836; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-12-2010 Plumbing Permit Permit No: CB100836 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2297 LINDSAY DR CBAD PLUM 2121013200 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: HUBIK: REPLACE HOTWTR. HEATER TO OVERHEAD Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 0 0 0 0 0 1 0 Owner: HUBIK DOLORES H 2297 LINDSAY DR CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/12/2010 JMA 05/12/2010 05/12/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: Clearance: $0.00 approval of your project Includes the "lmpositionn of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'foes/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 le x ti n of which ou v revi I een iven a NOTJ E imil r hi r t whi h he I imit i n ha revi u I otherwise ex ired. «t~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. C BtoO ~ "?b ~ EITY OF CARLSBAD JOB ADDRESS CT/PROJECT# EXISTING USE PROPOSED USE CONTACT NAME (ff Different Fom Applicant ARCH/DESIGNER NAME & ADDRESS - Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UN!T# Est. Value Plan Ck. Deposit Date~/ (Z..\ I 0 APN # BEDROOMS # BATHROOMS TENANT BUSINESS NAME GARAGE (SF) PATIOS {SF) DECKS (Sf) APPLICANT NAME ZIP STATE UC.# CONSTR. TYPE CCC. GROUF FIRE SPRINKLERS YES □ NO □ (Sec. 7031.5 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 exemJ.)t 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 \$500}). ,,-¥ -,, --~ , ~ WORKERS' COMPENSATION · · " * ~ " • " ,= '" ~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ror which this permit is issued. ~ have and will maintain workers' compe sation. as reQuired b Section 37 of th labor Code, for the performance or the work for whicilthis pprmit is issued. My WOl'kers' compensatio ins nee ca number are: Insurance Co. A Policy No. a D I O O O 3 3 5'. In 2" 3 Expiration Date I 2-() ection need not be comp1e ed if the permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that in the perfocmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of nia. WARNING: Failure to s e workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and cl vii fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensatl , d mages as prov~706 of the labor code, interest and attorney's fees. _,8$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensahon, 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 Iha! 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License law does not ap~y 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). D I am exempt under Section _____ ,Business and Professions Code for !his reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes □ No 2. I (have I have not) signed 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 I address I phone I 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 □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or fuhJre building occupant required to submit a business plan, acutely hazardous materials registration l'onn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-T anner'Hazardous Substance Account Ad? □ Yes □ No Is lhe applicant or Muri building occupant required to obtain a pennit from the air pollution control disbict or air quality management district? D Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 certify that I have read the application and state that the above information Is correct and that the infonnation on the plans Is accurate. I agree to comply'Mth all City ordinances and State laws relating to building construction. I hereby aulhorize reprasenlative of 1he Cit\' of Carlsbad I> erner upon 1he above mentioned property for i1spedion purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /,Jf'/ WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA pem,l is requred for excavations over SU' deep and demoltioo c, 001Slruction of slrucUJres owr 3 slolies n height EXPIRATION: Every pe,mil issued by -~ing Oflk:ial under 1he provisions of tis Code shal e,q,re by n1ation and become nul and void W ~• bui~ing or -aulOOrized by such pemit • not coom>rl03d wi1hil 180 days from 1he dale of such · or W lxilding or -authorized penn! is suspended c, abandoned at any lire after ~• -s oon,menced for a period of 180 days (Section 106.4.4 UnifO<m Bui<ling Code). ~ APPLICANT'S SIGNATURE DATE m • . City of Carlsbad Bldg Inspection Request . . Permit# CB100836 For: 05/28/2010 Title: HUBIK: REPLACE HOT WTR. HEATER Description: TO OVERHEAD Type:PLUM Sub Type: Job Address: 2297 LINDSAY DR Suite: Lot: 0 Location: APPLICANT HANNA PLUMBING Owner: HUBIK DOLORES H Remarks: Total Time: Inspector Assignment: Phone: 7609180727 Inspector: ---- Requested By: NA Entered By: CHRISTINE CD Description 25 Water HeaterNents Act CommenJt~J Aj---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments