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Home My WebLink About2603 OCEAN ST; ; CB040353; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-02-2004 Plumbing Permit Permit No: CB040353 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2603 OCEAN ST CBAD PLUM 2031402803 Lot #: 0 Construction Type: NEW HOUSE METER-GASLINE REPAIR AT HOUSE GAS METER StatUs: ISSUED Applied: 02/02/2004 Entered By: RMA Plan Approved: 02/02/2004 Issued: 02/02/2004 Inspect Area: Applicant: Owner: - GLENN JONES KLETT FAMILY TRUST 09-14-90 1730 MACHADO ST 2603 OCEAN ST OCEANSIDE CA 92054 / CARLSBADCA 92á?" 760433-1495 7 • :;i ••/ / - .. c. '• Plumbing Issue Fee $20.00 Fixture or Trap / . -. '0c, ..z" \..,). ,...$0.00 Building Sewer / -j / 0' . . . \, (\-'$O.00 Roof Drain / .. 0 / . Install/Repair Water Line ,/ '- 0 " -$0.00 Water Heater and/or Vent / --. "0 ' - - '- '\ $0.00 Gas Piping System ' I . 2 ' \ $7 00 Vacuum Breaker "-) ' 0 .- .-.- : .. . ,/ \ "$0.00. Other Plumbing Fees $0.00 Master Drainage Fee "-... 1/ i-i k • / •__ - ' "'-.$0.00' Sewer Fee c.-.. f , J . . 7.. . - $0.00 Additional Fees . ._.. ..--_.I l ! / .. $0.00 TOTAL PERMIT FEES - \. ',- . / $27.00 Total Fees: $2740 (/Total, Payments ORATEfOOO/"Balce Due: / $27.00 ( 2 / • / . -. .- - - \ '. 7 L (( I - -- 4351 02/02/04 0002 01 02 COP 27.00 FINAL APPROVAL DATE CLEARANCE_________ SIGNATURE______________________ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Fárádäy Ave. Carlsbad,"CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST,VAL..____________________ Plan Ck. Deposit.____________________ Validated By . Date Address (include Bldg/Suite #) . - . Business Name (at this address) Legal Description Lot No.. Subdivision Name/Number Unit No. Phase No. Total #'of'units Assessor's Parcel # . Existing Use' . : Proposed Use . Descri tion of Work . SQ. FT. '' #of Stories # of BedroOms # of. BathroOms i -r-i t(L ( Name •.. Address City State/Zip . Telephone # Fax # Name . Address " City state/Zip Telephone # Address City State/Zip - Telephone I ;(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 stOtement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9, commending with Section 7000 of Division- 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged. exemption. Any violation ot Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars l$5001). L .— a...) c -i 'AJ /%. LnJ J i'Sr*- C...k-" Ci "zc 7.K2- (41Z Name Address - City - State/Zip Telephone # State License # '2(c "2(c3 License Class CL . , - CityBusiness License # t"2-'%,_01 Designer Name . Address . . . City , State/Zip Telephone State License # .. . . . [6.7 ;WORKERS,-C.0MPENSATION'-_ Workers' Compensation Declaration: I hereby affirm under penalty of -perjury one of the following declarations: 0 I have and will maintain a certificate of consOnt'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. . . I hOve and will maintain workers' compensation, as requiredby 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_________________ (THISJECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) . -. 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 secure worke s compensation coverage Is' unlawful, and shall- subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( 0 00), In a dl n to the cost of compensation, damages as provided for In Section 3706 of the, Labor cod, interest 'and attorney's fees. 'SIGNATURE - —e . . ' DATE I hereby affirm that I am exernWorTi the ontractor'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 offOred,for sale (Sec. 7044, Business and Professions -Code: The Contractor's License' Law does not apply to an owns of property who builds, or irnpro'es 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 contiactO for such projects with contractor(s) licensed -pursuant to the Contractor's License Law). o I am exempt under-Section Business and Professions Code for this reason: - I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have /have not) signed an application for a building permit for the. proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors'license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervisi and 'provide the major work (include name / address / phone number / contractors license number): 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): PROPERTY OWNER SIGNATURE ' _.' 'DATE .. Lö1fDJOLLL..IT .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 0 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 0 NO Is the facility to be constructed within 1;000 feet of the outer boundary of a school site? 0 YES . .0 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. ------- IMAGE 7 -------------- L8",NSTRUcTfL I hereby affirm that there. is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(i) Civil Code)., LENDER'S NAME - ---- LENDER'S ADDRESS - ' - ',-•-' 9NjT(jLj - 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, Cit,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 buildinb ÔffiOiOl under tihiii provisions of this Code shal'expire by limitdtion and become null and void if the-building or work authorized by such permit is not commenced within 1 Sgdays 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 c=per80 days-(Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ' , - 'DATE -, -, - HITE: File YELLOW: Applicant PINK: Finance - - City of Carlsbad' Bldg Inspection Request For: 02/04/2004 Inspector Assignment: Permit# CB040353 Title: HOUSE METER-GASLINE REPAIR Description: AT HOUSE GAS METER Type: PLUM Sub Type: Job Address: 2603 OCEAN ST Suite: Lot 0 Location: APPLICANT GLENN JONES Owner: KLETT FAMILY. TRUST 09-14-90 Remarks: Total Time: CD Description Act Comment 23 Gas/Test/Repairs Associated PCRs/CVs Inspection History Date Description Act Insp. Comments Phone: 7607584321 Inspector: Requested By: GLEN Entered By: CHRISTINE