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Home My WebLink About2606 COLIBRI LN; ; CB980294; PermitV *. BUILDING PERMIT Permit No CE 98 02 94 02/03/98*08 47 Project No A9800370 Page L of 1 Development No Job Address 2606 COLIBRI LN Suite Permit Type PLUMBING Parcel No 215-534-07-00 Lot# Valuation 0 Construction Type NEW Occupancy Group Reference* Status ISSUED Description REPLACE WATER HEATER Applied 02/03/98 Apr/Issue 02/03/98 Entered By RMA Appl/Ownr LEE, MARY 760 438-5091 2606 COLIBRI LN CARLSBAD CA 92009 *** Fees Required *** A**- -- Fees Collec)'te%%'%13§dQD0.i. 03 02*** ,..,---. -'--- CrfBMJ 2Z*00 Fees 27^,00 ,..-: /> '' , "~\ ~..^ '\ Adjustments ,/'X00,, -..'),'-'-:;• \l, -./"'Total C.recJ-its 00 /27 OO"N'V\\ ' "'"' Total, Payments 00 : x '; Balance.x;Due. 27 00 Total Fees Fee description Ext fee Data Enter "Y" for Plumbin%.. Issue Fee ^'':\ Each Water Heater/and/of) Veftt--^. -.;.•-> .-••.--—•--., ,,..-±-' \ ""-,-.,7; 06/ C-;;--... / x ~-".^.-;-i;:' :.-.-.;,;••--;-;' •• .;•; - \ i 20 00 Y 7 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CAffLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 ^ FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Ln Address (include Bldg/Suita *) Legal Description Assessor s Parcel 1 Description of Work Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total ( of units SFR Existing Use Proposed Use SO FT f of Stories I of Bedrooms <» of Bathrooms M. V. i. i,J—H. i •*LJK+? - * TACT PERSON (If Lee. Mary ,_ 2606 Colibri Ln Name Address 3 r*fAPj>UCANT iiQConJl gHT'T.r.v .TOHNSON/KRISTY FOSTER City State/Zip Telephone #Fax , 13706-B HWY 8 BUS Name Address City State/Zip Telephone if (Sec 7031 5 Business and Profeaslons Code Any City or County which requires * permit to construct elter. Improve, demolish or repair any structure prior to Its Issuance also requiies the applicant for such permit to file a signed statement that he Is licensed pursuent to the provisions of the Contractor s License Law IChapter 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 e civil penalty of not morfe^hap,4lve bunded. dq,'lar^47»BOO]) 13706-B HWY 8 BUS EL CAJON CA Nime State license I 630120 Address license Class C-36 City City Business License t Designer Name State License I Address City State/Zip Telephone N/A X cOMPENSATot Workers Compensation Decleretlon I hereby effirm under penalty of perjury one of the following declarations O I have end 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 O I have and will maintain workers' compensstlon, as required by Section 3700 of the Labor Code, for the performance of the work for whli h this permit Is N2007-56-51 CONTINUOUS Expiration Data Issued My worker s compensation Insurance carrier and policy number ire Insurance Company FARMER INSURANCE Policy No (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 Laws of California WARNING Failure to secure workers compensation coverage Is unlawful and shall subject en employer to criminal penalties end civil fines up to one hundred thousand dollars 1*100 000) In addition to the cost of compensation damages is provided for In Section 3706 of the Labo/ code Interest and attorney s fees SIGNATURE DATE 7. OWNER BUILDER DECLARATION^^ ^'»?W^j!^^ ' I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q I as owner of the property or my employees with wages as their sole compensstlon, will do the work end the structure Is not intended or offered for sale (Sec 7044 Business end Professions Code The Contractor's License Law does not apply to in owner of property who builds or Improves thereon and who does such work himself or through his own employees provided that such Improvements ire 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 selel G I ss owner of the property, am exclusively contracting with licensed contractor* to construct the project (Sec 7044, Business and Professions Code The Contractor s license law does not spply to an owner of pioperty who builds or Improves thereon, and contract* for such protects with contractor!*) licensed pursuant to the Contractor's License Law) n I «m exempt under Section Business ind Professions Code tor this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement O YES [UNO 2 I (have / neve 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 plen to provide portions of the work but I have hired the following person to coordinate, supervise end 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 person* to provide the work Indicated (include name / address / phone number / type of work! PROPERTY OWNER SIGNATURE DATE NO COMKLETILTHIS SECT10N/OR /toV^aOBtflMlBUlLDIMO.REIlMITfiTfiMLY^ rli,!^'^-,', I I la the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management imd prevention program under Sections 26506 25633 or 26634 of the Presley Tenner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality management district? Q YES O Is the facility to be constructed within 1,000 feet of the outer boundary of • school tile? O YES D NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEET INQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT V CONSTRUCTION LENDINO'AGENCY it '*• '8 I hereby affirm that there is e construction lending egency for the performance of the work for which this permit Is Issued (Sec 3097(1) Civil Code) LENDER S NAME 9 ' APPLICANT CERTIFICATION.?! LENDER S ADDRESS I certify that I heve read the application and state that the above Information 1* correct end that the Information on the plans Is accurate I agree to comply with all City ordinances and Slate laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned ptoperty lor inspection purposes t 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 ind demolition or construction of structures over 3 storie* in height EXPIRATION Every permit issued by the Building Official under the provision* of thl* Code (hell expire by limitation and become null and void if the building or work authorized by such permit It not commenced within 365 days Irom the data of such permit or If the building or work authorized by such poimlt Is suspended or abandoned et any time after the work ^ cornmenced for i period j)f 180 diys (Section 106 4 4 Uniform Building Code) _ £ ^y-6/ ffAPPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance