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Home My WebLink About2340 MASTERS RD; ; CB052197; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06~13-2005 Plumbing Permit Permit No: CB052197 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2340 MASTERS RD CBAD PLUM 2121430800 Lot#: 0 Construction Type: NEW MAROIS RES REPLACE H2O HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/13/2005 KG 06/13/2005 06/13/2005 ARS STE 100 TAYLOR-MAROIS FAMILY TRUST 03-26-04 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 Total Fees: $27.00 0 0 0 0 1 0 0 2340 MASTERS RD CARLSBAD CA 92008 $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 Payments To Date: $0.00 Balance Due: $27.00 /\(;,'\•", '':i Inspector: 8. A)tllJcµ,e, FINAL APPROVAL Date: l,~Jt,--o'> ~').,,' , .. '-· 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. r ,JO FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NcCfi)52l q 1 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit -------,;t,,-';'c- Validated By•-~~~---,,..-,~:::;,;.L-- Date, ___ ....ll<:....__.L.L_..L.,'-!._-/-~- Address Unclude Bldg/Suite #) Business Name lat this address) Legat Description Lot No6 ~division Name/Number Unit No, Phase No. Total ff of units Proposed Use ~lX-\,L,MAV'L Asses~'s P~c,.i_ #/ L'.:7 -... ,-:t-/'l.,. Descriptionofwdrk SQ, FT. #of Stories ff of Bedrooms ff of Bathrooms Name Address City State/Zip Telephone# Fax# W£~~~~ □ ~:::~g~?t~=l~~~'r.~~~',":''• v~ .. '2[f ~' Name Address V City State/Zip ~.:>-I 't"/.b 7 7--541-f<.::; Telephone# 4. Pijiii>lifitv oWt,iE . Name Address one # s; \•:·cONTRACToR :.:a:CQMPANV:t NAME!f\:,,\ ;:f\/1f:!!f'.J'1\ c;::1?;c\{Hil\f~i¼f~)['f·t,Mf1~1t~~,ttti#:~~,'1T!.t:.'fif~:i1/2:~!-if~)~i!);;r1t,c1:il::;it~:\;~i1:t~~•:~•:t1:1• ; (Sec. 7031,5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Jmprova, damolish or repair any stn,1cture, 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, end the basis for the alleged exe p '5Any violation of hction 2031.5 by any appllc for a permit subjects th\~cant to civil penal~o more than five h~z.~olla5 500]). Name Addr City State/Zip Telephone # State license# 7C:,, J 'f:;2.0 License Class-=--==~=~~--City Business License I \t)l;,Q/Q) Designer Name Address City State/Zip. Telephone State license # _________ _ Ii. '·'"WtiRkERSi' coNli'EN!fllfldi'l\'?"'f'' '' ''""'''· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one the following 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 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 n~mber ere: / { ~, Insurance Company ~ ~ Policy No. 24'?,~ -o~ Expiration Date __ '~'-,l~_uo ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT rs FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) D 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 Workers' Compensation Laws of Californla. WARNING: Fallu thousand dollars ( re worker■' compensatl c erage I■ unlawful, and shall ■ubJect an employer to crlmlnal penalties ), In addition tb the co o o atlon, d8mages aa provided for In Section 3708 of the labor 90),e SIGNATURE DATE \V 7. OWNER'BUILDER DECLARATION · D 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). 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 apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor{sl licensed pursuant to the Contractor's License law). 0 I am exempt under Section ______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed en 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 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 ot work): _______________________________________ _,_ __________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ 'CoMPLEt1ftH1S·'SECfhjlfFdR'iidNiJft$ibEIV.ffJI.Vli(Ji~fJIJJ&"'.~M;i~o'Ni;~,f1~f'.'1~1ii~~;;~~i~-:l~t?1\~':ttJ'.'.·! t '.t~:ii;if!/t~'. \ ,:1 -'.':, , ', •.• , 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 Hazardoi.Js Substance Account Act7 0 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? D YES O NO Is tha 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. e;, C_ONSTRU CTiOr,J "LENt>_ING iA;GEN_d-:t,·i~":r: .:f.i ,: · ':/¾;:)¥.~'; :t~~i!~~~~1~;~:~,,;it1~;il~~,~;m11i~:'}/a\\t\)Y,{W:f ;\;' · ,,·! I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). I certify that I have read the application and 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 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 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 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued the uilding Official under the provisions of this Code shall expire by Hmltatlon and becomr/;n II and void 1f the building or work authorized by such permit is not ence within 180 days from the of ch permit or 1fthe building or work authorized~ sue er~spended or abandoned at any lime alter the work Is com ce or a perl of 180 days (Se n 1 6 4 niform Building Code). KJ l[; APPLICANT'S SIGNATURE -~_l,Ji.<,:,..iA,""1LJ.<!.e'1..c,=-.-14.....JWi.,L<'.',,!~:...l..------DATE __ .:=__:__ ________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/20/2005 Permit# CB052197 Title: MAROIS RES REPLACE H2O HEATER Description: Type: PLUM Sub Type: Inspector Assignment: Job Address: 2340 MASTERS RD ' 'o7 D 7 Suite: Lot 0 Location: _ I/)..? 13;hone: 7607536203 EX 74 Inspector: /!JU APPLICANT ARS Owner: TAYLOR-MAROIS FAMILY TRUST 03-26-04 Remarks: MOTHER WILL BE HOME FOR INSPECTION Total Time: CD Description 25 Water HeaterNents _li_ '71A-'I'-~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Requested By: ARMAND MAROIS Entered By: CHRISTINE