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Home My WebLink About2435 GARFIELD ST; ; CB021765; Permit. ~ \ \ :} \O ' ;}-C\ I City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2002 Plumbing Permit Permit No: CB021765 Job Address: Permit Type: Parcel No: Reference #: Project Tille: Applicant: ARS STE 100 Building Inspection Request Line (760) 602-2725 2435 GARFIELD ST CBAD PLUM 2030221202 Lot#: 0 Construction Type: NEW FITZGERALD-REPLACE WATER HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: FITZGERALD DAVID C&MARILYN ISSUED 06/12/2002 JM 06/12/2002 06/12/2002 il162 NANCY RIDGE DR ,iAN DIEGO CA 92121 858-677-5455 2435 GARFIELD ST CARLSBAD CA 92008 9033 06/12/02 0002 01 CGP Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Inspector: Total Payments To Date: 0 0 0 0 1 0 0 FINAL APPROVAL Date: bJJb/0¢ $0.00 Balance Due: Clearance: $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 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 water 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 ' . nf .. ,hl,.h """ h,,,,,. ' · L ... 1""'1 ;a NnTIC:F .. 1 ... ;1,.. tn thl.-. nr ::ii:: tn u,hl"h ., ' ' _., · L ' , ""'"nulc,o """1.,.~ 02 27-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK Noefw117 (;5 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave ., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. De=_. ________ _ Validated By..,._"-V-':......::....,.-+--+---.---:,--- D ate ______ __,.4--w,~~c......-- s+. Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Description of W~ 4-f la..c:e._ t/\Ja,-hr ~ #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (It different frpm ·appllcentJ Name 3. 5. CONTRACTOR • COMPANY NAME Designer Name State License # _________ _ 6. WORKERS' COMPENSATION Address City City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone# Fax# Telephone # State/Zip Telephone 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 maintai.n workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thisv-er it is issued. My w orker's cr,irxensation,insur~nre~~~~r and yolicy number are: (.}-i O I .( / ";} 2 /. Q t? Insurance Company Y..l-.\{t("S~ \.:J ~f"t _____ Policy Nc._2\1 3 ~ ~:l ✓ -0-0 Expiration Dat~.2~ 0 :;> (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: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred SIGNATURE __ __.:~~~~~~~~:__l,_..l~~!l:::::::;;i.....,,......----DATE le,_ ? _ 0 ci, thousand dollars ($10 .O ), in a ition to th ost of com • ti n, damages as pr.ovided for In Section 3706 of the Labof. codaL, · terest and attorney·, fees. 7. . . ' \ 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 (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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. i personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) 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): ______________________________________________ _ 5. 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 / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDEN77AL BUILDING PERMITS ONLY 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 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? 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. B. CONSTRUCTION LEND.ING AGENCY " ., : '~ I hereby affirm that there is a construction lending agency for the performance of the work for which t his permit is issued (Sec. 3og11i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 limllation and become null and void if the building or work <1uthorized 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 any time after the work is commen e lor erlod 180 days e n 106.4.4 Unllorm Building Code). ': /--, / fJ , •CANT'S SIGNATURE __ _::_~o._~==---=-KC=:..=-=..__:=--~:::.....______ DATE V/:_ I' _ ~ f I PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/25/2002 Permit# CB021765 Title: FITZGERALD-REPLACE WATER HTR Description: Type:PLUM Sub Type: Job Address: 2435 GARFIELD ST Suite: Lot 0 Location: APPLICANT ARS Owner: FITZGERALD DAVID C&MARILYN Remarks: Total Time: CD Description Act Comments 25 Water HeaterNents Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: ..IB._ Phone: 7607205350 Inspector: <3,'\<. Requested By: FITZGERALD Entered By: CHRISTINE