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Home My WebLink About2581 GARDEN HOUSE RD; ; CB052477; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' ,. . 07-01-2005 Plumbing Permit Permit No: CB052477 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2581 GARDEN HOUSE RD CBAD PLUM Status: Parcel No: 2131704600 Lot#: 0 Applied: Reference #: Project Title: KAHNG RESIDENCE GAS LINE TO BBQ 1 ~pplicant: \}A.O. STRAUB CONSTRUCTION ~ PO BOX 1866 ~1f 760 717-4137 :::::, ·,\CA.1...A__ 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 Construction Type: NEW Entered By: 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: KAHNG FAMILY 1992 TRUST 2581 GARDEN HOUSE RD CARLSBAD CA 92009 ISSUED 07/01/2005 MOP 07/01/2005 07/01/2005 $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 1853 07 /01/05 0002 01 02 lnspector:--n2-Date: 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. NOA DOES IT APPLY to any f fwhi h Tl h limi i n r vi I 27-00 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO. 6 S,.... ~ \...[ ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms '·• • <' • Name Address City State/Zip Telephone# Fax# .. El Agjnt fpf Coh\!!1.c.tor, ,. El o.v,mer-· 0 Ag11nt.for Ow!ler · Address City State/Zip Telephone# ) . \•· State/Zip Telephone# Designer Name Address City State/Zip Telephone State License # _________ _ lO..{!iMWORKEMSiGPMUM'OQll.;.iiJl-i:1.~ ·~··• ~.,;.;, :;,,;-'f . ,!t :, " , . .-./}·,' :" ,,i ,,,.,,_ .,, , , , .: --,, ", ·:-,_, ,, ·' ·• "', . , .. { Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the· following declarations: 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 . .li'f' 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 p mit is ~ed. My worker's compensation insuranc~er amlpolicy number are: . ~ ? (IY'1{°) I!... ?q . . '~ ~ 0 5 Insurance Company Grtfli.e... tj;l_'y l[_ Pohcy No. -tJ .....1...--. ~Cl V _;}___ Expiration Date._.y._,r:r'----1'----- (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 Hc:ure workara' companHtion coverage la unlawful, and ahal aubject an employer to criminal penaltlaa and civil fines up to one hundred thousand dollar• ($100,000), In addition to tha coat of companaatlon, damagaa aa provided for In Section 3706 of tha Labor code, lnteraat and attorney's fees. SIGNATURE.______________________________ DATE _________ _ ~1:llti1~~WH.'1BUUIIYmll>li~TiON~•·•~t-t;~•·~:D,' Ji)i!•i'iik''l"•·•'••if 1. -~-. , 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): _________________________________________________________ _ 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? O 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. lf '· •:',_<;PJtHRUQTIQN:L.ffiPffi<i~iEN_C_ d'f:d:U~i t,,' , .,, , 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 ADDRESS _________________________ _ !t~'.~~l81JAMtt~{o,:,,.:l .J \~,~•:.,\.,,.:/J-,, ;:., '1 <t~,. r1 >-,l· :J:;~,t:i"'~ • i--~~-.. .-.' ··~~ ·.:';. ';,-, .• '1'1tt1~ ,\/;"' .~ .. ·~~t;:.. ·,~f-' ·-t•·"-:":_;;~ -~·::. '\, ,:-1 ... ~,:p ~ .) ~,--• 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 visions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced withi days fr th f such mil or if the building or work authorized by such ermit is suspended or abandoned at any time after the work is com d for a s (StiQlilrl,-~i.4.c.il/A·ifornrauilding Code). APPLICANT'S SIGNATURE --tf-'--",.-.-+-,-+--+,,'l,lc'l--,£-,A~:.Y.""'----------- PINK, Finance _________ _,,.,,_ --- m . . . City of Carlsbad Bldg Inspection Request . . Permit# CB052477 Title: KAHNG RESIDENCE Description: GAS LINE TO BBQ For: 07/05/2005 Type: PLUM Sub Type: Job Address: 2581 GARDEN HOUSE RD Suite: Lot 0 Location: APPLICANT R.O. STRAUB CONSTR(leTION Owner: KAHNG FAMILY 1992 TRUST Remarks: Total Time: CD Description Act Comment Inspector Assignment: Phone: 7606721 15 Requested By: ONEIL STRAUB Entered By: CHRISTINE 23 Gasrrest/Repairs L ____________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments