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Home My WebLink About2506 JACARANDA AVE; ; CB023742; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-12-2002 Plumbing Permit Permit No: CB023742 Job Address: Permit Type: Parcel No: Reference#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2506 JACARANDA AV CBAD PLUM ..;iS60'70~0iOO Lot#: O Construction Type: NEW SANDERS RES-NEW WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/12/2002 CB 12/12/2002 12/12/2002 HANNA PLUMBING THOMPSON FAMILY TAUT 09-031¥97 12112102 0002 Ol 643 S. SANT A FE VI ST A CA 92083 760-726-2002 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: a I ,. o3 ,,.,o.J 4320 TRIESTE DR CGP CARLSBAD CA 92008 Total Payments To Date: 0 0 0 0 1 0 0 $0.00 Balance Due: $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 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes mpo · 1 fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions.• You have 90 days from the date this permit w s protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020( , and Iii e 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 thaf your right to protest the specified fees/exactions DOES NOT APPLY to water and sawer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOA DOES IT APPLY to any f . hi h hi h f limi ' h . h rvvi 27, JJ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NOC-)?Qz ?::,7'1e- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit · -~--------Va Iida t e d By _ ____.C,"";_e-i'--'-_____ _ Date {::z,--('"2--0:Z--:: Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Numbei Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms J •.~ . (Sec. 7031.6 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 ha 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 ption. Any violq of Se $n 7031.6 b',' any applicant for a per 'ts eta the applicant to a civil penalty of not more than five h;ljldred dollars ($5~0]). a. -' {_ -2-... N e State License # 70 5 7 9 City State/Zip Telephone # City Business License# '/h/8QO Designer Name Stete License # Address City State/Zip Telephone ~IBDVJ9f ~~~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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. 'or'" I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ued. My worker's compensation I urance carrier and policy number are: • / 1 /0 _ / · j / Insurance Companyr~--"""'-"''--4-.L.L-=-==:::;....---------Policy No.NWl!..0/(3&--r i)_ D . Expiration Date/ / _O 3 IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) r ( 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 ecome subject to the Workers' Compensation Laws of California. WARNING: Failure aecura wo ' compenaetlon coverage la unlawful, and ahall aubject an employer to criminal penaltles and civil fines up to one hundred 0,0001 I a ltl t the coat of compensation, damagH aa provided for In Section 3706 of the La or code, nterHt and attomay'a fees. -DATE / z._ / z.._ :2.- . X'!· I hereby-;fflrm 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 Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the P.roposed property improvement. 0 YES ONO 2. I (have/ have notl signed an application for a building permit for the proposed work. 3. I have contracted .with the following person (flrml 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 i phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~~~ 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 26605, 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? O 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 EMERGENC.Y SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ii·-'~~~ffl_~t '' ', ~~-~~•fil:t~":1$.,4";'ii,(;~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~ · fflc~~-. · 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 Cltt 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 co menced 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 com nei!d for a rio of days (Section 106.4.4 Uniform Building Code). /. / APPLICANT'S SIGNATUR ' DATE 'q. / c.-I oz__ 7 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/03/2003 Permit# CB023742 Title: SANDERS RES•NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: 2506 JACARANDA AV Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Owner: SANDERS CLIFFORD B&AIDA R Remarks: Total Time: CD Description 25 Water HeaterNents Act Comment -hi( f,(l,J Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: J<V Phone: 7609442932 Inspector: ---- Requested By: CLIFF SANDERS Entered By: CHRISTINE