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Home My WebLink About2326 LONGFELLOW RD; ; CB100877; Permit( ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-19-2010 Plumbing Permit Permit No: CB100877 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2326 LONGFELLOW RD CBAD PLUM Status: Parcel No: 2121424600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: HAN RES-REPLACE WATER HEATER Inspect Area: 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 1 0 0 Owner: HAN DAVIDS 2326 LONGFELLOW RD CARLSBAD CA 92008 ISSUED 05/19/2010 RMA 05/19/2010 05/19/2010 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: FINAL AP.PR ~AL Inspector: Date: '2..l, -Z.ot 0 Clearance: $0.00 at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as ~fees/exactions." cu have 90 days from the date this permit was issued to protest imposition of these fees/exactions. It you protest them, you must follow the protest procedures set to.1h in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Car1sbad 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 xa ins fw i h aver.ii vio I Tl simil r hi r whi h hest e fl"mi lion h s r vi I i ee ·re. r~ ~ «·-~ ~ CITY OF CARLSBAD JOB ADDRESS Lo CT/PROJE # LOT# EXISTING USE CONT ACT NAME (If Different Fom Applicant) ARCH/DESIGNER NAME & ADDRESS Buildin'e Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 ow Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/ UNIT# Plan Check No Est. Value Plan Ck. Deposit Date APN # OF UNITS # BEDROOMS # BATHRO ENANT BUSINESS NAME J PROPOSED USE GARAGE (SF) ZIP STATE UC.# 5~ G.,..Jf PATIOS (SF) DECKS (SF) APPLICANT NAME AIR CONDITIONING NOD ZIP OCC. ROUF FIRE SPRINKLERS YES □ NOD (Sec. 7031.5 Business and Professions Code: Acy 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 siined 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 fhat he Is exem!)t therefrom, and the basis for the a"lleged exemption. Any violation of Section 7031.5 by any applicant for a permit sub}ects the applicant to a civil penalty of not more than five hundred dollars t~500}). WORKERS" COMPENSATION Workers' Compensation DeclaraUon: I hereby affirm under penalty of perjury ooe of the following dedarations: D I have and wlll maintain a certificate of consent to'iiff-lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the perlormance of the work for whid'l this permit is issued. ,ci-1 ha,e and will maintain :pi"' comp~satlon, as required,_~ of~ Labor Code, for~• pertonnance of the work for,,tlit;/11tn issued. My workers' com-tiotmsJ.ince carrier and poliq numberare:lnsuranceC~ ~ VMl4 )'IL-tw'U'S PolicyNn ;::.> c:>!OOt,:l'S• ? Ex~rationOa~ I / '-DI/ section need not be completed if the permit is for one hundred dollars ($100) or less. ' ' Certificate of Exemption: I certify !hat in the performance of the work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to lhe Workers' Compensalion Laws of Cal mia. WARNING: Failure to se~ workers' compensation coverage Is unlawful, and shall subject an emptoyer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, da""ges as provided for In Section 3706 of the Labor code, interest and attorney's fees • .Jt5 CONTRACTOR SIGNATURE ~-/"' AGENT DATE y;:._ I hereby afflrm I hat I am exempt trom Contractor's Ucenu 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 in.tended or offered for sale (Sec. 7044, Business and Professions Code: The Conlraclor's License Law does not apply to an owner of property who bulds or improves thereon, and who does such work himself or through l)is 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). □ ~ as owner of the property, am exclusively conlracting 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). □ 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 □ Yes □ No 2. I (have/ 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 (indude 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/ contractors' license number): 5. I will provide SO!lle of lhe work, but I have conlracted (hired) the following persons to provide the work indicated {include name/ address I phone I type of WOO(.): .Jt5 PROPERlY OWNER SIGNATURE □AGENT DATE ·-·--MPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY lie applicant or future building occupant required to submit a business plan, aootely hazardous materials cegistration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the . P ley-Ta~ Hazardous Substance Account Act? □ Yes □ No I e applicianl or futurt! building occupant required to obtain a permit from the air pollution control district or air qualily management district? □ Yes □ No Is lhe facilily to be constructed within 1,000 feet of the outer boundary of a school site? □ Yas □ 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION lc:eotifylhatlhaYe~lheappllcallonand-lhallheabcM>lnlom\atlon~c:onectandlhatlhelnbma1iononlheplanslsac:cuia1e.lag,eetoconq>lywllhallCllyonllnancesandStamllwis-.,gtobuildlngCO<IS1rucllon. I hereby auliorize rep,esenlalive of lhe Cllyof cartsbadl:> nrll)Oll lhe abow menlbiedprope,ty t>r ilspedionp!.IJ>)SOS. I ALSO AGREE TOSAVE, ~OEMNIFY ANO KEEP HARMLESS THE CITY Of CARLS8AO AGAINST ALL LIABILITIES, JUOGMENTS, COSTS ANO EXPENSES WHICH MAY~ ANYWAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA:MOSHAperrriisl9q!ndt>rexcavatms<N015'()' deepanddemdilloooraris1ruelionofSlrucueS""'3stooesnhel,hl EXPIRATION: Every pemit issued by toe Blildir1l Official tllder toe pro,isians of Ills Code shal e,q,ie by linila1ion and becare Id and YOid I Ile building orv.ak lllJl-ori2>d by such perrri Is 1<ll o, "'"' «dv.til 180 days too, toe dal! of such pemitor~ buiili1g orv.ak authorized by such pem,i is Sl_.sed or-all/II/lire allertoe \Wik b 0,111.,....i t,ra peood of 180 days (Seclion 106.4.4 Uriixm 11utt1J Code). ,(i!$ APPLICANT'S SIGNATURE ~-·· DATE City of Carlsbad Bldg Inspection Request For: 10/26/2010 Permit# CB100877 Title: HAN RES-REPLACE WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2326 LONGFELLOW RD Suite: Lot: O Inspector Assignment: Phone: 7602771226 Location: Inspector: OWNER HAN DAVID S Owner: HAN DAVIDS Remarks: Total Time: ---- Requested By: NA Entered By: CHRISTINE CD Description 25 Water HeaterNents ~Com~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments