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Home My WebLink About2410 BURGOS CT; ; CB993515; PermitCity of Carlsbad Plumbing Permit Permit No:CB993515 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 21 62404000 Lot #: 0 Applied: 09/22/1999 Reference #: Plan Awroved: 09/22/1999 2410 BURGOS CT CBAD Construction Type: NEW Entered By: RMA Project Title: KlNDlNGER RES-NEW GAS LINE Applicant: BERCKS OLD TIME PLUMBING 640 ALPINE WAY ESCONDIDO CA 92029 IAM R&DARRELYN K 760 745-9955 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 TOTAL PERMIT FEES $27.00 Dl:rAYdPP7:f- Inspector: Clearance: ,-I NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as Yeeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 promsing 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 fght to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application pmsing or Service fees in connection with this project NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PGRMiT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438- 1 1 6 1 FOR OFFICE USE PLAN CHECK NO. EST. VAL. I 1 1/1 1. PRWECT INFORMATION Address (include BldglSuite t) Business Name (at this address) r.f Subdivis',on NamelNurnber Unit No. Phase No. Total # of units +/](T BkMQ2 Legal Description Lot M , Assessor's Parcel I Existing Use Proposed Use (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 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 t55001). Name Address City State License # v/ Po? License Class City Business License # ~ Designer Name Address city Statelzip Telephone State License # 6.. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby a m under penalty of perjury o 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 work for which this permit is issued. . My worker's coppe sat n insurance carrier and policy number are: I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work &?,a/ 5) 6 Expiration Date .C L&h&p%,& 1JPAfl J - Policy No. [THIS SECTION NEED NOT BE COMPLETED IF THE PbllT IS FOR Od HUNDRED DOLLARS jSl00l 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' Compeniation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE 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 improvemevt 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 (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 wtth contractorls) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNA DA COMPLETE THIS SECTION 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? 0 YES 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school sne? [7 YES 0 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 R FFICE OF EMERGE TlON CONTROL DISTRICT. a DING AGENCY I hereby affirm that there is a construction lending agency for the Performance of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME 9. APPLICANT CERTIflCATiON 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. 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 l address I 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 I phone I will provide some of the work, but I have contracted (hired) the following pwsons to provide the work indicated (include name I address / phone number I type Business and Professions Code for this reason: nder the provisions of this Code shall expire by limitation and become null and void if the building or 5 days from the date of such permit or if the building or work authorized by such permit IS suspended period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE - wui-rr F,I. VCI I nw- A~~I~~~~* PinIIv. clnanrn ~ 1 City of Carlsbad Inspection Request For: 9/23/99 Permit## CB993515 Inspector Assignment: Title: KlNDlNGER RES-NEW GAS LINE Description: Type: PLUM Sub Type: Job Address: 2410 BURGOS CT Suite: Lot 0 Location: APPLICANT BERCKS OLD TIME PLUMBING Owner: KUNDINGER WILLIAM R&DARRELYN K Remarks: "PLUMBING" INSPECTION Total Time: Phone: 7607459955 Inspector: 32s Requested By: JASON Entered By: CHRISTINE CD Description Act Comments 24 Roughfropout we a e Inspection History Date Description Act lnsp Comments