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Home My WebLink About2333 CARINGA WAY; 32; CB052734; Permit07-25-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB052734 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2333 CARINGA WY CBAD PLUM 2152402727 Lot#: Construction Type: WEILACKER RES REPLACE H2O HEAT 0 NEW Status: ISSUED Applied: 07/25/2005 Entered By: KG Plan Approved: 07/25/2005 Issued: 07/25/2005 Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706HWY8BUS ELCAJONCA 92021 619-390-4477 Owner: RdQUt JLOW M JR&SHERYL N 2333 OMWQA WAY #27 CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Verrt Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $20.00 $0.00 $0.00$0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27,00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 EXPIRED PERM! ;wfmc.B.c. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 PATE \|o:^0ff SIGNATURE. 3455 07/27/05 0002 01 02 CGP 27-00 Inspector: FINAL APPROVAL Date: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 "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 PERMIT APPLICATION ' CITY'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O PLAN CHECK NO, EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/SuiW 0)Business Name (at this address) Leoal De: Ji5_ Description -32-Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units lessor's Parcel # #fo-<-iription of \ Existing Use Proposed Use Desci Work SQ.FT.#of Stories # of Bedrooms # of Bathrooms / lvl(i'B|iE| iil ,^ ,_^^g -/frffi^ gAddressI State/Zip Telephone tt Fax* &13 g«.r.:/i3^. Ufty fl^KCTfr ^)2Q^ ^p-m-fr/dfe Address " ' City State/Zip Telephone #Name (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 exempt therefrom, and the basis for the alleged t to a civjj penalty of not more than five hundred dollars [5500]).ption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty A Ecfe-te^ t/ic, ?3>7ofc AJtt/i co«u, tf feoS #18 £\ ^. Name State License ft Address License Class City State/Zip Telephone # City Business License * 1?~\OR ?fc> Designer Name State License ff Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [~l 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 £e 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: Q Insurance Company >^>1 fft"y C- £*-&* ^ Policy No. (/O ' J ^_? " fc-tXQ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*1001 OR LESS) f_J 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 workp^^uhMBnsationxp*erage l^rflawfu), and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), lymmjjfmyyne "A" t^"~r"\lilf'~vJ^i^T" provided for in Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE 1 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). f~l 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). O 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. C] YES CDNO 2. I (have / have not) signed an application for a building permit for the proposed work; 3. 1 have contracted with the following person (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): . 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): - - PROPERTY OWNER SIGNATURE 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? l~l YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YRS Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? £] 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 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS_ I certify that I have read the applicatiorrand state that the above information 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 City 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 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 over 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 wifflni 80 days from the dateofg»ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencedJojrtTpen^bf IfO da^SectiorTy)BA4J)nifofrn Building Code). ^~7-2-~7 -o5APPLICANT'S SIGNATURE WHITE: DATE YELLOW: Applicant PINK: Finance •-•.' fc 4 • ! t, $••>••• .."C'-i •• . < t . li '. .• jt • \ -> f rw BVAy.zo<JVU ;-, ;.. .. Sf»fr'"-?N;. \V '•• V" ' . y^'si'.'dr-' ' ' • SA^AMW^;^2f|b,;^:|;V;;:;: 3g^-; ; • : .' r/'; r>L''^:?jvV':..;t ••'"''• •T>.|^.-^^'"^^:.':':-. •••,;':%£"• •.' ' ' •5*1®lJ%./:^|:«.i,;;^;; - to fcertifv that i/i/ii 4v9UA.<1a<iiu>^'>'.'r^iij vx/^i.'^-!^ 1j5liJ»_'J'i'?L-"4^."i'This is to certify that we"-»iiy»:Insurinc* policy In « form approved by thepolicy period (ndkatedr*li<AM<i. i_^.__.. /»__t.i__i'-i;" i iv •••••.:, .j^~'!',:'rr"<rm? T^vr'.v "»«••'*•• pv'wy in* Torm BproveQ DV in*i^viTomu insurance ..vommictioniir to th« employer rtarrwd b«lpw-Jg)r- the policy period Indicated Thl, poliey '*•** .ubje^-^^tatio^the' Fyrid e|^^^:;^j^:wln« rxrtic.'tetH;.employer. . '. •' . " . . :->r'TA~^s -'i^-1' '•'•':: ^'.H^r ••-•'•.' '•"•' •'• •'•'•' . ' „ »•. W? •^/*8-^.IW/0/4?3^^':i'«^ ^^^icy'b-^elled prior to ^rio^'-^^oa *T':\. •••'•fni.i •'<*'$ S: ^J;-- ' ' ' •3-1^? '-."•-; is-*.' ^-. • ? . J t , ' • herein fc ^.dl to /iU..^ Jerl^Lded ' ' ^^ &•"&$*?<>> «"/ c««t«^brotner|ddcgmeBU».»..v,ued/or^raay fter^Jn.^'Jhe Inauranee afforded fay -the• T ^ ^^v U I i \\ •^ . il B ^'-Wi . 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