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HomeMy WebLinkAbout2411 BADGER LN; ; CB030117; PermitCity of Carlsbad rb 01 -1 3-2'003 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB030117 241 1 BADGER LN CBAD PLUM 2091104900 Lot #: 0 Construction Type: NEW PEABODY RES-GAS LINE TO BBQ Applicant: PEABODY ALEX .. JDER B TRUST 10-25-02 241 1 BADGER LN CARLSBAD CA 92008 Owner: PEABODY ALE: Status: ISSUED Applied: 01/13/2003 Plan Approved: 01/13/2003 Issued: 0111 312003 Entered By: RMA Inspect Area: ,NDER B TRUST 10-25-02 241 1 BADGER LN CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstallIRepair Water Line Water Heater andor 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 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 FINAL APPROVAL I review, set aside, void, or annul their imposition. FOR OFFICE USE ONLY PLAN CHECK N0.B o? @ 17 EST. VAL. Plan Ck. Deposit PERMIT APPLICATION CITY CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Proposed Use Assessor's Parcel # Existing Use Name Address City StateEip Telephone # (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 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 1$5001). Name Address City Statelzip Telephone # State License # License Class City Business License t Designer Name Address City Statelzip Telephone State License # 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$lOOl 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: Failure to secure workers' compensation coverage is unlawful, end shall subject an employer to crlminel penalties and civil fiws up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's faes. 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 Code, for the performance of the work for which thls permit is 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 improveqents 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 oPproving that he did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The %f ontractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). Business and Professions Code for this reason: provide the major labor and materials for construction of the proposed property improvement. YES "0 4. number I contractors license number): 5. 1 pian 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 persons to provide the work indicated (include name / address / phone number I type 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES NO 0 YES NO 0 YES NO I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit IS issued (Sec. 3097(i) Civil Code). LENDERS NAME LENDERS ADDRESS I certify that I have reed 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 City 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c APPLICANT'S SIGNATURE DATE ys (Section 106.4.4 Uniform Building Code). ile YELLOW: Applicant PINK: Finance d