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Home My WebLink About2450 LA COSTA AVE; ; CB102149; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-16-2010 Plumbing Permit Permit No: CB102149 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2450 LA COSTA AV CBAD PLUM Status: Parcel No: 2161601300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: PC#: Project Title: Applicant: TRAN RES-REPAIR GAS LEAK UNDER HOUSE -CRAWL SPACE TRAN FAMILY TRUST 05-29-96 2450 LA COSTA AVE CARLSBAD CA 92009 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: TRAN FAMILY TRUST 05-29-96 2450 LA COSTA AVE CARLSBAD CA 92009 ISSUED 11/16/2010 RMA 11/16/2010 11/16/2010 $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: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations. or other exactions hereafter collectively referred to as "fees/exactions.'' You have 90 days from the date ths permit was issued to protest imposition of these fees/exactions. 11 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 tees 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 le exactions of which ou have reviousl be n iven NOTICE similar t this r a to whi h the statute of limit lions h s reviousl otherwise ex ired. • • ·~ ~ CITY Of CARLSBAD JOB ADDRESS CT/PROJECT# T# Building Permit Application 1635 Faraday Ave., Gartsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca,gov Cosit:1 PH # # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT #BATHROOMS DESCRIPTION OF WORK: Include Square Feet of Artected AIN(a) rt.f EXISTING USE PROPOSED USE GARAGE (SF) PATIOS(SF) DECKS(SF) CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY PHONE FAA PHONE EMAIL EMAIL PROPERTY OWNER NAME Su,c CONTRACTOR BUS. NAME ADDRESS ADDRESS 1--tA CITY CITY FAA PHONE EMAIL STATE UC.# STATE UC.# ;v /'.I /V f., Plan Check No. Est. Value Plan Ck. Deposit FIREPLACE YES □#_ NOD STATE FAA STATE FAX CLASS SWPP AIR CONDITIONING FIRE SPRINKLERS YES D NOD YES D NO □ ZIP ZIP CITY BUS. UC.# (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 ~ulres the applicant for such permit to file a si~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Dlvlsk>n 3 of the Business and Professions Code} or fhat he is eKem~t therefrom, and the basis for the alleged eKemption. Any violation of Section 7031.5 by any appllcanffor a permit subjects tha appffcant to a civil penalty of not more than five hundred dollars ($500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby 8tfiml under penalty of peljury one of the foHowing declarations: D I have and wiH maintain a certificate of consent to self-insure for workers' compensation as provided by Seclion 3700 of the Labor Code, for the performance of the work for which Ills permit is Issued. D I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for Iha pertormance of h work for 'Mlich this permit is Issued My workers' oompenulion lnatnnc:e carrier and policy number are: Jnsuranc:eCo. ____________________ PoiicyNo. _____________ ----------- This sectioo need not be completed if the pennll Is for one hundred dollars ($100) or less. D Certfflcata of Exemption: I cenlfy that In the performance of the wort( for which this pem,ll is issued, I shalt not employ any person in aiy manner so as to become subject lo lhe Worbtrs' Compansallonlaws of California. WARNING: Failure to sec:ure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penallln and civil finis up to one hundred thousand dolar1 (6100,0IO), In addition lo the cost of compensation, damages•• provided for In Section 3706 of the Labor code, Interest and attomay'a IHI. AS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDEn DECLARATION I heteby affl,m that I am exempt from Contractor's I..Jcense Law for the foHowing reason: □ I, as owner of the property CN' my employees with wages as their sole compensation, will do the WOO( and the slrUclure is not intended CN' offered for sale (Sec. 7044, Business and Profellions 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 inlended or offered for sale. If, hoNever, the buUding or improvement is sold Mlhin one yew: of completion, the owner-builder win have the burden of proving that he did not build or improve for lhe purpose of .. ). D I, as owner of the property, am eKClusiYely contracting with licensed contracloffi to construct the ~ect (Sec. 7044, Business and Professions Code: The Cootractor's l.ic:er.a Law does not apply IO an owner of property who builds or improves thereon, and contracts for such projects with contracto,(s) licensed J)UfSUanl to the Contractor's License Law). I am exempt ooder Secllon ____ Business and Professions Code tor this reason: 1. I personally plan to provide the major labor and matarlals for con&truction of the proposed property improvement. [t{es □ No 2. I (have/ have not) signed an ap~ication for a building permit for the proposed work. 3. I have contracled with the fobrt'ing person (finn) to provid& the proposed construction (include name address I phone I connctors' license number): 4.1 plan to provide portionl of the wont, but I have hired the following person ID coordinate, supeMSt and provide the majCN" work (include name/ addresl I phone I oonhcb'I' lcen&I lll.l'ftDlr): 5. I w111 provide some d lhe work, but I have contraded (hired) the following persons to provide the wOl'k Indicated (include name I address I phone I type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE II Iv COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is Ile applk:anl or future building occupant required lo submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program undet Sections 25505, 25533 or 25534 of the Presley-T 8M8I' Hazardous Substance Aocouri: Ad? □ Yes □ No Is !he applicant or future building occupant required to obtain a permit from the air pollution control dlslrid or air quality management district? □ Yes □ No Is lie l'aclily to be constructed within 1,000 feet of tie ouler boundary of a school silt? □ Yes □ 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 OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affinn that there is a coostruclion len~ng agency for the pertonnance of the wor'< this penn,t IS issued (Sec 3097 (i) Civil Code) Lende(s Name Lender's Address APPLICANT CERTIFICATION I certify ttlat I ha¥e 188d the applcallon and state that the aboYe information Is conectand that the Information on the plans Is accucate. I &gn,e to complyv.tltl all 01¥ o«linaooes and Stale lawS ielatlngto bulldlnC comsavdlDn. I hel8by aulhorize representlwe of Ile City of Callsbad tJ enler upon Ile above Ollnli:lned property for ilspediln ""1)0SOS. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARM.ESS THE CITY C1i CAALS8AD AGAINST AU. LIABILITIES, JlXlGMENTS, COSTS />ID EXPENSES WHM:H MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN COOSEQUENCE C1i THE GRANTING C1i THIS PERMIT. OSHA An OSHA pem,il is f8qUied ill oxtavations ,_ 5'0' deep and_, e<.,,,...._ of slrucbnS°"" 3 smes il hev>L EXPIRATION: Eve,y pennlt issued by lhe Bui~"ll Official under lhe pro,isb'1s of this Code shall expie by lrniation and beco1ro nu1 and wlid I Ile tudilg c,""' aulhlrized by such penrit Is no< commenced witil 18l dajs from Ile date of such pem;t" Ille buldilg """' authorized by such pemil i; suspended" abandoned at any lire afterlle""' iscomn-«oedilr a peood ol 18J dajs (Sedllll 1ll6A.4 lklibm BIDlg Code). Af APPLICANT'S SIGNA11JR£ DATE • . .4,._ ~ "' :~ CITY OF CARLSBAD DATE: ~\-\lp•\C> PERMIT#: \ Q?r,.\':-:\9, ' UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: _____ _ CO NT ACT: \.\O::cn c., t>~ PHO N E #: '::Hri2 -q I.\. 2,,,, • Ca.S:°i°i JOB ADDRESS: _ _.,'d.;""':--\_,_:..f_._?-""---',\~-t;-..._, _...j,.C ...... ~ .... =,_____._"-'-b~>.)~-------- DESCRIPTION: __________________ _ CODE d=> Bldg Inspection Form DESCRIPTION Go~;(\) Page 1 of 1 ACT -f-- COMMENTS r,,J A-t.- Rev. 06/09