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Home My WebLink About2364 MERWIN DR; ; CB070748; PermitCity of Carlsbad ·, 1635 Faraday Av Carlsbad, CA 92008 03-19-2007 Plumbing Permit Permit No: CB070748 Building Inspection Request Line (760) 602-2725 Job Address: 2364 MERWIN DR CBAD PLUM Status: Permit Type: Parcel No: 2081622200 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: RAYNER RES GAS LINE TO BBQ PRE-EXISTING RAYNER STEVE S&LINDA C PO BOX 33202 SAN DIEGO CA 92163 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 0 1 0 Plan Approved: Issued: Inspect Area: Owner: RAYNER STEVE S&LINDA C PO BOX 33202 SAN DIEGO CA 92163 ISSUED 03/19/2007 KG 03/19/2007 03/19/2007 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees, edications, 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 waler and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any f fwhi h h v r I n ·v n N Tl imil r hi whi h t flimi in vi I h i PERMIT APPLICATION • l CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 oc FOR OFFICE USE ONLY 1_/' PLAN CHECK NoCb:JlfJ7 W EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By._,----,,.+-~~-=---=--- Date, ___ _.."-~=il!Z--~-+--- Address (include Bldg/Suite ll Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bathrooms Name Address City State/Zip Telephone I Fax I !l!ll.t~ Cl.2ml.'l 0 Agent for ~nar Name Address City State/Zip Telephone I ']Go.&; l)--0'{7 'f ~) or CA 9Mo8: 9111,J)~ Address City Telephone I (Sec. 7031.6 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ .....,-'~!lmti!:!!"-• ~,.,N,_ ____ _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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: Insurance Company _____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 the Workers' Compensation Laws of California. WARNING: F■llure to ncu,e wo,tiere' compenntlon coverage la unlllwful, ■nd lhell aubject en employer to criminal penaltle■ ■nd civil fine■ up to one hundred thounnd dollar■ ($100,000), In addition to the coat of compensation, damage■ u provided for in Sactlon 3708 of the Labor code, lntereat and attomey'a fHa. SIGNATURE_____________________________ DATE _-:::;;::;;:::;:;;;=;;;;:=;;:;;:::::.,,..,_..,...,,.,._, 7. OWNER-IUILDP 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 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 ISec. 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 contractorls) licensed pursuant to the Contractor's License Law). 0 0 (\ 01"' J(:.OO\l'I who O \ 1) WiY le. 0 I am exempt under Section _____ Business and Professions Code for this reason: \l '?C't. €.)L~S-\ "' n :t ¼~ (\o-+ \ fl~l\t~ 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 ~ES ONO ~~ x> A\ p h ~ .. 2. I lhave / have not) signed an application for a building permit for the proposed work. I(\ S ¼A I l C\.f ~ () (\ 3. I have contracted with the following parson lfirm) 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): ______________________________________________ _ :, wolr;:'11 provide some of the_ woErk, but I have contracted lhiredl the following persons to provide the 0 :,___~ndicated (include name / address / phone number / type PROPERTY OWNER SIGNATURE~~/ . )Q...ATE ~-IC\-07 l@MJIJ.ETl..lltll--HmC>NfOR 11.L ____ -~PERMI.TLQ......, ___ _ 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 26606, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O 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 site 7 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 30971i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 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 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 co menced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned V at any time after the work Is co ced for a~ri of 180 da i~n 1~.4.4 Uniform Building Code). A APPLICANT'S SIGNATURE ..,_,,IIIL:J.AJ;:.=._.::d--=-....:::.:"'w'.__-------------""4.. DATE '1-15-0--7 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 04/20/2007 Permit# CB070748 Title RAYNER RES GAS LINE TO BBQ Description PRE-EXISTING Type PLUM Sub Type: Job Address: Suite Location 2364 MERWIN DR Lot: 0 OWNER RAYNER STEVE S&LINDA C Total Time: CD Description 23 Gas/Test/Repairs Act Comments f;( Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: PD --- Phone: 7606130474 -Inspector: j \}J'-, Requested By: STEVE Entered By: JANEAN