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Home My WebLink About2600 LA GOLONDRINA ST; ; CB054282; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2005 Plumbing Permit Permit No: CB054282 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2600 LA GOLONDRINA ST CBAD PLUM 2155610400 Lot#: 0 Construction Type: NEW LOPEZ RES-REPLACE WATER HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/20/2005 LSM 12/20/2005 12/20/2005 AFFORDABLE WATER HEATER LOPEZ ROBERT&BARBARA FAMILY TRUST 04-22-92 24707 SAN FRANANDO RD SANTA CLARITA 91321 661 259-7131 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 Total Fees: $27.00 0 0 0 0 1 0 0 2600 LA GOLONDRINA ST CARLSBAD CA 92009 $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 Total Payments To Date: $27. 00 Balance Due: EXPIRED PERMIT $0.00 PERMIT HAS FJ(Plf!ED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 Inspector: DATE 131\ g \Di., SIGNATIJRE4.QL>¼""'-f,.._ ___ _ FINAL APPROVAL 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 pem1it 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 wm 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 f f I Tl Esimilr hi r h flimi in rviul h i PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. {M0'5 l.j;).~~ EST. VAL. _________ _ Plan Ck. Oeposit __ _,.__,,--r.,,,...,..--- Validated By ~A JO{ Date, ____ ~.::.....%...:..;....;:;.. _____ _ Addres■ (Include Bldg/Suite I) Business Name {at this address) Legel Deacrlptlon Lot No. Subdivision Name/Number Unit No. Ph■ae No. Total I of units A11es1or'1 Parcel I 11 Existing Use • B.e-PI o.te. 50 5" \ t>:?~i'~ ~~u -i'."t'I\Q. I oc.c,.-r, 0" Proposed Use Description of Work SQ. FT. lof Storias I of Bedrooms I of Bathrooms (Sec. 7031.6 BualneH and Profeaalona Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repair any structure, prior to Its l11u1nce, 1110 require, th• applicant for auch permit to fil• • signed 1t1t1ment that he la llc-ed purauant to the provlalona of the Contractor'• UcenH Law (Chapter 9, commending with Section 7000 of Division 3 of the 8u1lne11 and Profe11lon1 Codel or that he la exempt therefrom, and the bula for the alleged exemption. An violation of Section 7031.6 by any applicant for• per t aubjecta the• pllcant to• civil penalty of not mor• than flv• hundred dollars ($600)). I t< :T. A ti · I I I I , 5' • O t;;) 0 Name Addreaa City State/Zip Telephone I State Ucense I {; g--] '3 log License Cl•H C. 3 ~ City Bu1lne11 Llcana• I I<?, I 1.:,, 7 / Designer Name Addreu City State/Zip Telephone State Ucense I ________ _ (03~-'it~{l-~~~ :tJ£!Ji~Jil5'&li!Wi.\/..~~r. .:, ' ~~,S'~di,, ji/:;r .)' .• \,. '. Workers' Compen11tlon Declaration: I hereby affirm under penalty of perjury one of the following dec:leretlona: 0 I have and will maintain • certificate of consent to Hlf-lnaure for workers' compenntlon u provided by Section 3700 of the Labor Code, for the performance of t!J, work for which thla permit la laaued. . !lr' I have and will maintain workers' compensation, •• requlrlld by Section 3700 of the Labor Code, for the performance of the work for which this permit is l11ued. My worker'• compensation lnaU1'1nc1 carrier and policy number are: ./ / Insurance Company s. .,.-tA Te f'-"'" d Polley No. / (e ':> 'i 3 3 S" Expiration Date O I Lo / lJ (, {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1♦1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la laaued, I ahall not employ any person in any manner so as to become aubject to the Workers' Compenaatlon Laws of Callfomla. WARNING: Fellure to 11cure wortcer • compensation covange la unlawful, and ahall aubjec:t an employ• to crlmlnel penaltlN end dvl flnN up to one hundrlld thouund dollar, 1•100,0001, In to coat of c:ompeneatJon, darnegea u prowled for In Section 3708 of the labor code, lntwNt end ettomey'• f-. SIGNATURE DATE / 2 -( i ' c< ~~~ . ' . '" "'•"' , ~. ~it ........ """"'"" I hereby affirm that I am exempt from the Contractor'• Llcenae Law for th• following rHaon: 0 I, as owner of the property or my ~mployHs with wag" •• their aola compenaation, will do tha work and the structure la not Intended or offered for sale {Sec. 7044, Buaineaa and Profusions Code: The Contractor'• Llcanae Law doa not apply to an owner of property who bullda or lmprovea thereo,;, and who does such work himHlf or through his own employees, provided that such Improvements are not Intended or offered for 111•. If, howaver, the building or Improvement Is acid within one yHr of completion, the owner-bullder will have the burden of proving that he did not build or improve for the purpoaa of Hie). 0 I, H owner of the property, am exclusively contracting_ with llc1n11d contractors to conatruct th• project {Sec. 7044, Buaineaa and Professions Coda: The Contractor'• Ucenae Lew does not apply to en owner of property who bulld1 or Improves thereon, and contracts for auch projects with contractor(1) licensed pursuant to the Contractor's Llcenae Law). 0 I em exempt under Section ______ Business end Professions Code for this reeaon: 1 • I personally plan to provide th• major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (hava / have not) signed an application for • building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name / address / phone numbar / contractors llcanse number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work {Include name / address / phone number / contractors license number): ____________________________________________ _ 6. I will provide acme of the work, but I have contracted (hired) the following persona to provide the work lndlcatlld (Include name / add, .. • / phone number / type of work):. ________ ..._ _____________________________________________ _ PROPERTY OWNER SIGNATURE---------------------..----DATE tt;9~t£tl.lla,~no.l'Al:EQIVM~~-!Nlll'IIBMlllioNJ.~Jf.li,i(\~:i)Jlt~·--, --.. -.-. --. -. ~-. --~~--~--~i;,.,:;:, V'.i,;, :,i: , .. la the applicant or future building occupant required to aubmlt • buaineu plan, acutely hazardous materials registration form or risk management and prevention program und!lr Sections 26605, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO la 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 11 the facility to be constructed within 1,000 feet of the outer boundary of a school alta7 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. ll~.HJ1rn.\t'1;JJQ.H11efflg1f®'61Jn ~ r.:;:r.r.Wlm~~~~&tt~~t:';°tsf 1J~}.-t i'~~l:,;,l; Th1i.1~1iihi-~ • . 'I'-'"'\ .,i. . .,.;:.: I hereby affirm that there Is • construction lending agency for the performenca of the work for which this permit la luued {Sac. 3097(11 Civil Code) . . I cartlfy that I have read the application and stat• that the above Information 11 corract and that the Information on the plans la accur1t1: I agree to comply with all City ordlnancea and State law, relating to building con1tructlon. I hereby authorize repreaentatlvea of th• 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 6'0" deep and demolition or construction of structurea over 3 atoriea In height. EXPIRATION: Every permit Issued by the building Official under the provlslona of this Code shall expire by limitation and become null and void If the building or work authorized by such pennlt la not commenced wlthi 180 days from the date of IUCh permlt or If the building or work authorized by IUCh permlt ta IUapended or abandoned at any lime after the work Is commenced for a of 80 days (Section 106.4.4 Unifonn Building Code). DATE __._/_2_-___ / ..,_7_-_,D )......._ ___ _ WHITE: FIia . YELLOW: Applicant PINK: Finance