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Home My WebLink About2364 ALTISMA WAY; E; CB043447; Permit09-02-BO4 * Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB043447 2364 ALTISMA WY CBAD PLUM Status: ISSUED 21 52403405 Lot#: 0 Applied: 09/02/2004 Plan Approved: 09/02/2004 Issued: 09/02/2004 Construction Type: NEW Entered By: RMA TILTON RES-NEW WATER HEATER Inspect Area: Applicant: AJACKS MAINTENANCE SERVICE 7631 LEMON AVE LEMON GROVE 91 945 61 9-589-a~~ Owner: HAMMARSTEN DENNIS F 2364 ALTISMA WAY #A CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $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 0329 09/02/04 OOO2 01 CGP 02 27.00 FINAL APPROVAL InsDector: 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 "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 feeslexactions DOES NOT APPLY to wafer 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 ~ .rMIT APPLICATION / CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. Plan Ck. Deposit Date Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bathrooms #of Stories # of Bedrooms (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 Codel or that he IS exempt therefrom, and the basis for the alleged ection 7031.5 by any applicant f r a permit subjects the appllcant to a CIVII pe alty of not more than five hundred ollars IS n - \-QWUmW. &W'UM (o(c13Pl Telephone # LmJQ (f\4 c Name AddrbsF City StateRip State License # s (0-7 ,%c 3 Designer fikfmb State License # License ClassC -)b Lqfb e, b /[3b3 City Business License # I 2 OW0 I Address city StateIZip Telephone k lie e 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 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is Expiration Date1 oh \ / &'! 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 n caverage is unlawful, and shdl subject an employer to criminal penalties and civil fines up to one hundred of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company 7 \* (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' co thousand dollar- 00). in ad- n to the copt compensation, damages as provided for in Section 3706 of the Labdodeaterest and ettomey's fees. Policy No. 20 qa 8 4 b8ob L I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 fdr 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). 1, 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 1. 2. 3. 4. number I contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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 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 number I type Business and Professions Code for this reason: I PROPERTY OWNER SIGNATURE DATE Is the ap,plicant or future buildiny occupant required to submit a business plat', acutely haraiclour materials registration form ti risk rnsnagamunt and p,eventisn program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution controt district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OK IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO ereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(il Civil Code). I 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 Cit). 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. authonzed by s at any time a''- APPLICANT' SI DATE by limitation and become null and void if the building or work 01 /21/ 2004 18: 01 61 95898888 AJACKS MAINTENANCE PAGE 81 DRlVER ALLlANT INSURANCE 1620 FIFTH AVENUE SAN OIEGO, CA 921 01 Ajacks Maintenanoe Service Ino 7631 Lemon Avenue LemonGrove CA QlB4S T"I0 IS TO CERtlM THAT 7°C WuCIlrS OF WIWRANCC LISTED BROW HAVe BCPI I NDICATED, NOTWrmSTANDhlG t I ~WQmCIWNULOOA110)~tMltYI CONTRACTORS 8TAl'E LICENSE I667683 '10 DAY3 NOTICE COR NOKPAY -7 CONTRACTOR'S STATE LICENSE BOARD P.O. BOX 26000 SACRAMENTO, CA 95826