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Home My WebLink About2303 KIMBERLY CT; ; CB053791; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-31-2005 Plumbing Permit Permit No: CB053791 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2303 KIMBERLY CT CBAD PLUM Status: Parcel No: 1675312600 Lot#: 0 Applied: Reference #: Project Title: Applicant: ARS STE 100 OBRIEN RESIDENCE COPPER REPIPE 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Construction Type: NEW Entered By: 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: OBRIEN MARK C&LAURIE A 2303 KIMBERLY CT CARLSBAD CA 92008 ISSUED 10/31/2005 MDP 10/31/2005 10/31/2005 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 Total Fees: $57.00 Total Payments To Date: $57.00 Balance Due: EXPIRED PERMIT $0.00 PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 Inspector: DATE •Pba(oc,s1GNATURE_c,@~.i..J ___ _ FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ~1mposttionff of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff 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 · ' Ii FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK N00~ .. 3, 1 't ( I EST. VAL.---------+-CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit --------+-- Validated By ________ --+-- Date, _____________ _,... __ Business Name (at this addrass) Legal Description Lot No'6~division Name/Number Unit No. Phase No. Total # of u its Existing Us~ Proposed Use SQ. FT. #of Stories II of Bedrooms II• of Bat.hroo1 s I Telephone II f,6 i·::J,:'cof,ii;RAClf .i:l:iU~1q~MP~NY/fl\iA'"MJIV,,;'J';);,I~~m~'il'f:,[{iilliF0~]i~nl:;,1/'tl:!'.~lt1t\f,?{ffl~~,g~~;(Jf;olfi¥~1-V<Jl'!1i!.l.&11f'1];1g ~l'i:'";,!:f:;'f. l;· ',: ' Fax II I (Sec. 7031.5 Business and Professions Code: Any City or County vJhich requires a permit to construct, alter, improve, demolish or repair any stn,,cture, prior to its issuance, also requires the applicant for such permit to file a signdd 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 B'usiness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged exe p .. rny violation of Section 7031.5 by any appllc for a p~rmit subjects the applicant to civil penalty of no more than five hu!Jllred dollars [$5001). -;;J b 2 . \CD 6k $((..1 -5 Name State License # _7_q_'-j _,,'6'<--2..0 ___ _ Addr State/Zip Telephone II License Class C Z..O C,-3,k, City Business License II \'C)l,c7Q) Designer Name Address City State/Zip. Telephone State License II _________ _ .,. 1 • -;•••w=-.. ,-,.--..,.., ....... ,.,.,..,1,_.""~•,"''"""""'' "'"''""i "·' ~z,·· ,.,-l'_,.,,,i,,.l'!"'''"'"W '1'""1' ••"I~"l• • ..,~i.r:li!l""'""I\!!•~~ ....... ,.~ .•. .,...,,,.,...,-;;<.,,, .. • •,.,,, ,. · · t~l .. >:·.i!••vvv~nJ\l;H$.11' CuJV1,..c.N::.A I unfi, ,·1:,t~?'''P,:.f;t~· ·, ~1~·1•·•' if:/r.::t '·.tit!'· .~,~~~lii~~:rt~\,:.>-\~~~'il/i·~ :,.f;il,,'::{U~t;~,,i,.1! ,;-;¾)11·~.,\.J.:'tl~":r-1~:'.t:;"Ji~J~~l.!t;.~:!'~";(:t;~\~'''fA .1 --~t',~: ·r, ' .' ' · · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure fc!r 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 Saction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation in~urance carrier and policy numb'e~ are: / { ,..,,/ Insurance Company~ ~ ,, Policy No. 24''.b~ -o\ Expiration Date __ l-'/_1• __ uo __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 Workers' Compensation Laws of California. WARNING: Fallu c erage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars ( o atlon) damages as provided for In Section 3706 of the Labor cod , Interest and attorney's fees. DATE _·---f--4-4H-',,_ __ _ ~ ;i7 !'.' ~r.~C>WNi!"~~u,tOEif bECl!ARA Ti'O N ~'.-'\ ::i: ~~~\; .. ! .;):;:~;~Tur~1~1!~.:~'1•1:f~l{41t~i~~~ij~![ri~:~I'Wf~t~~~~1dt~;w:~r:f:~'.~~J:f~~It~Jtil:~]~]'.Yfif };Jtf~~~!\ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). 0 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 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for, the proposed work. 3. I have contracted ,with the following pei'son (firm) to provide the proposed construction (include name / address / phone number / 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 number/ contractors license number): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) th~ following persons to provide the work Indicated (include name / address / phone number / type of work):. ______________________________________ :_ _________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE __________ _ i'cOMPth~'TftlS•'si:fffrdN!FORWdN':/#'ilsibEN77ll4et)1i;iiiffJfi'!p.elf~s'fdN'ii,,~~'l~ir~~~~f;~;1'.:·~~~~ri:r."<\•·e"':i:f~J:j'."';~'':'',f(,'!''. 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 25605, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O 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 . . ~t? ~ij~ stRucrioN f(eNf;iiN~.i:Ao~rilov~1~11/r•r01~;•:.,ifi1IEi/¥::0,'ir.f!:~ilm'iitfi.f\1'1t'l1:!l1~B~~?l.~;fi~i:?~ft~ir.~~,frtllr'fr~'f:ffr?ii\\i ;:c'! '"' ·• , I hereby affirm that there is a construction leJding agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code), . LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ ,g'n, ·.;· AP.PUCANTt' CERfii=i:c~:floil~:Jl.::1, ;~t(,y:tiJt)1i~fii~llf!,,'ti\i~1~1\!J~'ir~.fi.m~~ffil n}~1i~,~•f~.ir_;Fr~m.~ :i"'l1if'1l!::> ,_,,. '.', I certify that I have read the application and state that the above lnfofmation is correct and that the information' on tha plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 ANO 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 stories in height. EXPIRATION: Every permit issued the uildlng 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 ence within 180 days from the of uch permit or If the building or work authorized by such permit Is suspended or abandoned al any lime afler the work is com or a perl of 180 days (Se n 1 6 4. nlform Building Code). fi) I'-? I -. APPLICANT'S SIGNATURE -~,b,~:..,4.0,.~LJ~a,~::::__,4_L..U,...a...~=~------DATE / V 1 :,t{ Ct> WHITE: File YELLOW: Applicant PINK: Finance