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Home My WebLink About2562 DISCOVERY RD; ; CB052987; Permit<v 08-17-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No. CB052987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2562 DISCOVERY RD CBAD PLUM 2131301200 Lot#: Construction Type: SCHAFER RES-GAS TO BBQ 0 NEW Status: ISSUED Applied: 08/17/2005 Entered By: RMA Plan Approved: 08/17/2005 Issued: 08/17/2005 Inspect Area: Applicant: SCHAFER MARTIN P&ROBIN C 2562 DISCOVERY RD CARLSBAD CA 92009 Owner: SCHAFER MARTIN P&ROBIN C 2562 DISCOVERY RD 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 0 0 0 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 4944 08/17/05 0002 01 02 CGP Inspector:£FIN Date: PBOW Clearance: 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 <3k FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date ^ / Address (include* BIdg/Suite * ) ,^J Legal Description Assessor's Parcel * ~ / Description of Work / T Business Lot No. Subdivision Name/Number Existing Use > E> /% SQ> n-tot Stories Name (at this address) Unit No. Phase No. Proposed Use t of Bedrooms Total » of units » of Bathrooms Name Address City ', r Q.Ovwir ' D Agent |pr owner State/Zip Telephone »Fax » Name Address City State/Zip Telephone * Name Address <y City State/Zip 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 1550011. Name State License t Designer Name State License * Address License Class Address City City City &&»#«> State/Zip Business License * State/Zip Telephone » Telephone Jf 1 'it 't Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. Q 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 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 1*100] OR LESS) Q 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 Law* of California. WARNING: Failure to secure worker*' compensation coverage la unlawful, and shall subject en employer to criminal penalties end civil fines up to one hundred thousand dollar* 1*100,000), in addition to the cost of compensation, damage* a* provided for fat Section 3706 of the Labor code, interest and attorney'* fee*. SIGNATURE DATE I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: 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). Q I, aa 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 comractor(s) licensed pursuant to the Contractor's License Law). l~l I am exempt under Section Business and Professions Code for this reason: vide the major labor and materials for construction of the proposed property improvement. [$J YES QNO ed an application for a building permit for the proposed work, rcontracted with the following perqonJfirm) 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 hiredthe following person to coordinate, supervise and provide the major work (include name / address / phone \ number / contractors license number): f\\ $•— \ JB. 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 •^N PROPERTY OWNER SIGNATURE 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the epplicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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. 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). LENDER'S NAME LENDER'S ADDRESS .^^^ I certify that I have read the application and state that the ebove 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 IPERMIT OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. f XmIR|AT!,0KN: E K6ry P8riTlit iSSU8d b/ me bUllding °Wicial under me Provisions °' ^is Code shall expire by limitation and become null and void if the building or workrr«^ V APPLICANT'S SIGNATurfCT^ ^^ V7^ JLJLJ' _ -~)W 6 'I / / WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/19/2005 Permit* CB052987 Title: SCHAFER RES-GAS TO BBQ Description: Inspector Assignment: 2562 DISCOVERY RD Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT SCHAFER MARTIN P&ROBIN C Owner: SCHAFER MARTIN P&ROBIN C Remarks: Total Time: Phone: 7606857103 Inspector: Requested By: ROBIN Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs Act Comment \J_ Associated PCRs/CVs Inspection History Date Description Act Insp Comments "HI