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Home My WebLink About2374 ALTISMA WAY; BLDG 1; CB032248; Permit08-19-2063 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB032248 Job Address: Permit Type: Parcel No: Reference # 2374 ALTISMA WY CBAD PLUM Status: ISSUED 215240341 1 Lot# 0 Applied 08/13/2003 Plan Approved: 08/13/2003 Issued: 08/13/2003 Construction Type: NEW Entered By: SB Project Title: BARNES RES REPLACE GAS LINE Inspect Area: POOL EQUIP Applicant ARROW PIPELINE ovmer: BARNES A STE G 2374 ALTtSM '& 5671 PALOMAR WY 92008 760 476-9388 CARLSBAD CAM009 Plumbing Issue Fee $20.00 Fixture or Trap 0 w4.00 Building Sewer 0 $0.00 Roof Drain 0 so.00 InstalVRepair Water Llne 0 50.00 Water Heater and/or Vent 0 $0.00 Gas Piping System 1 $7.60 Vacuum Breaker 0 so.00 Other Plumbing Fees $0.00 Master Drainage Fee .aa Sewer Fee .oo Additional Fees so.00 I TOTAL PERMIT FEES $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 W9 W/13/03 0002 01 02 CGP 27.00 Inspector: Date: Clearance: NOTICE: Pime take NOTiCE that appmvai of ywr pmjea includes the'lmpcsition' d fees, dedications, reservations. or other exactions hereafter collectively referred to as 'fee&wtims.' You hawe So days from the date this permil was issued to prolet impmition of tkse feedexadom. if you pmtest them, you must follow the pmtest pmcedures set Mh in Govmment Code Sdn 6602qa), and Iie the pmtest and any othw required information wiih the City Manager lor pmcessing in acmtdance with Cadssbad Municipal Code Section 3.32.030. Failure to timely fdlow ht Mure will bar any subsequent legal action to attaex, review. set aside, void, or annul their impition. FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By ;Date ' , PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 4. I plan to numtMf I cont,aclww 5. i will providi of work): Addms (include BldglSuite XI Lspal Dsrcription Business Namn Iat this address1 5 &A phase No. Total I of unitb 4rS WA 171rl M ' Lot No. Subdivision Nnmemumber Unit No. provids portions of tha work, but I havo hired the foliowing pnrson to cocfdinm. SupeNiStl and provids the major work (include nnma I addrnss I phons some of the work, but I have contracted (hiredl the faliowing persons to provide the wock indicated (include name I addrnss I phone number I two N0.nw number): Ass~or's Parco1 t Existing Van Ropoaad Use Addre68 City SLatnlZip Tdsphae X Fax I [Sec. 7031.5 Business and Rofessions Code: Any City or County which.rsquirsr II permit to conrtruct, abr, improve, demolish or repair any strUEtYI0. prior to its issuance, also mquima tha applicant far such permit to file II signed statement that he is licensed pursuant to the provision3 of the Contractafs License Law [Chapter 9, commending with Section 7000 of Division 3 of tha Business and Profnssions Codel or thnt ha is exempt therefrom, and the basis for the allegsd Address Statelzip state Licsnsn X €3llWG Designer Name Addrnss City St.t.lZiP Talephone 5t.t. Licw x Workers' Compensation Declaration: I hereby affirm under penaltv of perjury one of the following dsclsrationa: 0 of tho work for whieh this permit Is issued. License Clary I have and will maintain a certificate of consent to self-insure for workers' compensation as providad by Section 3700 of the Labor Code, for the pnrformsncn I have and will maintiin workers' compsnration. as rnquirad by Snction 3700 of thv Labor Codn, for the performance of tha work for which this pnrmit is Insurance Campeny P~licyNo.~~6fOZ~67-~3 Expiration Date [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS hR ONE HUNDRED DOLLARS IIlOOl OR LESS1 0 to bnmme subject to the Workers' Compensation Laws of California. WARNINO: Folk to .e- work."' wmpms.tlon w- is mI.wh~I. md .h.l thwund dolw l~100.0001, In addition to tha wit of aompmsdon, dun- as pmM fa, h,* 3708 of tin L.bor md.. Interest and mmVs hu. CERTIFICATE OF EXEMPTION I certifv that in the performance of the work for which this permit is ikuusd, I ahdl not employ any person in any manner so as m .ntWwf to aimhd prult*. md sMI R*s up to one hundnd SIGNATURE DATE I hembv affirm that I am mxemot from the Contractor's Ucmss Law fof the follDWinD reason: ~. - I. as ownar of thn property or my employees with waps as their sola compmsation, will do thn work and the structure is not intended or offarnd f6r sale (Sac. 7044. Buainws and Professions Code: The Contractor's LiCEMO Law doas not apply to an owner of property who builds or improves thereon. and who do- such work himself or through his own employaes, providnd that such imProvsment8 are not intended or offmd for sale. If, howsw, the building OT improvemrt ia told within one year of completion. the owner-builder will haw the burden of proving that he did not build or improve for the purpose of SaIeI. I, as owner of the proparty. am excldvnlv contracting with licnnand Contractors to construct tha project [Sac. 7044. Businass and Piofsssions Cod.: The Contiactor's License Lnw doen not apply to an awnaf of property who builds or improves therm, and contracts for such projects with contractoI(r1 liconssd Businoss and Profouiona Codn for this reason: pmpsny improvement. 0 YES UNO (includn name I addtam I phons number I cantractors licansn number): IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF DCCUPANCV MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFnCE OF EMERQENCV SERVICES AND THE AIR WLLUTION CONTROL DISTRICT. I certify the I ha n read tha application and state that the above information is correct and that tha Information on the plans is accurata. I .Ores to wmplv with all City ordinrneer nd State law8 dating to building construction. I hereby authwiza rapresentativns of th CitV of Cndsbad to mwr upon the abovn mMionnd property for ins ection purposes. I ALSO AQREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AQAINST ALL LIABILITIES, JUDQMENTS. C STS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEOUENCE OF THE QRANTINQ OF THIS PERMIT. OSHA An OSH EXPIRATION E ery permit issu authorized by su& permit is at any time after p? work is APPLICANT'S SI~NATURE parmit is requimd avatiom over 5'0' deep and demolition or conitrwtion of structures over 3 stories in height. ions of this Code shall expire by limitation and become null and void if me building or work f swh permit or il the building or work authorized by such permit is suspended or abandoned .4.4 Unilwm SUiMjns Code). DATE i WHITE File YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/14/2003 Permit# CB032246 Inspector Assignment: Jk Title: BARNES RES REPLACE GAS LINE Description: POOL EQUIP Type: PLUM Sub Type: Job Address: 2374 ALTISMA WY Suite: Lot 0 Location: APPLICANT ARROW PIPELINE Owner: Remarks GAS IS BY SWIMMING POOL Phone: 7604769388 Inspector: + Total Time: CD Description Requested By: LANE POST Entered By: CHRISTINE z Comment 23 GawTestlRepalrs Associated PCRdCVs lnwection History Date Description Act lnsp Comments