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Home My WebLink About2614 HALF DOME PL; ; CB011474; PermitCity of Carlsbad 04'1~/2001 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:C8011474 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2614 HALF DOME PL CBAD PLUM Status: ISSUED 04/19/2001 MOP 04/19/2001 04/19/2001 Parcel No: 1675111200 Lot#: O Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project TiUe: FITZGERALD RESIDENCE COPPER REPIPE Inspect Area: Applicant: TORREY PINES PLUMBING STE 101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 Total Fees: $57.00 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 Inspector: Owner: FITZGERALD BRIAN&ANITA J 2614 HALF DOME PL CARLSBAD CA 92008 7045 04/19/01 0002 01 CGP Total Payments To Date: $0.00 Balance Due: $57.00 0 0 0 1 0 0 0 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 EXPIRED PERMIT p;-"'• '"T HAS EXPIRED IN ACCORD'IINCE Wii'{ 11 n C ' . l H·, • 4 4 • .J,U. • \ , 1 >~vO •• SIGNATURE clu) 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 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 capactiy 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 vou have nreviouslv been Qiven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otheiwise exnired. 02 57-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. d,.. l l{ 1'f_ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _____________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. G~ivision Name/Number Unit No. Phase No. T ota1 # of units Existing Use Proposed Use Assessor's Parcel # r!:' C.OPCJER ee.P, Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax# 3, APPLICANT \ ~/A98nt: fofC60liii0idr:, ;\1CJ'.QW~e~;;1~~-[t! A~imffot 'Owhet? · i\,>· · 1>-IDJ 0~ Name City tate/Zip 4-. PROPElitv'OWIIIER . ·.: · · · erz; A1,,) El:rz6A?'A:\ ~ Name Address W,\i';,lb&,:> hl- S,tate/Zip Telephone# 5. CONTRACTOR· COMPANY NAIii~'• (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 aAermit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). A-e0toe,.,., Ll';,o,b, /tv1A-iD I -r::,~ -Virro RLQ:) 1<?11,,,z ~ e.1>u:: :oe, ~100, -&.1> .CMt.2..121 Name ' Addres; / City State/Zip Telephone# ,S.S<i$-k1?---9f.65:' State License# 140 2:?fl License Class f,(; b/o/C,. ... ).D City Business License# ID.3olOO ' Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS"COMPENS.6.TION' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 J 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. ~ 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 /\0t-J l~le. Policy No. 7DS2."113 Expiration Date 01-DI -O 2. ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS! D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure ation coverage is unlawful, end shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars($ st nsation, damages as provided for In Section 3706 of the,~eJ,,or co e, Interest and attorney's fees. SIGNATURE _ _:t:::"~~~~:::=:..LLl.<'...!..J.'_J,d.,.~~-,-.,----,--,--,-----DATE '-HI h 0 7. OWNER'BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 sate (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). D 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 haye contracted with the following person (firm) to provide the proposed construction (include name I 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 I address I 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 I phone number / type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE------------,------------- COMPLETE THIS SECTION FOR' NON'IIESIDENTIAl el11loliiil'PERIIIITlfdNL'l'lf, DATE _________ _ 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 Act1 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district1 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY 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 ,9·, APPLICANT CERTIFrCA Tl0N / t certify that I have read the application and state that the above information ls 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 the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co ced within 180 days f m 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 for a periq,d of 18 s ( ec ion 106.4.4 Uniform Bullding Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB011474 Title: FITZGERALD RESIDENCE Description: COPPER REPIPE For: 10/18/2001 Type:PLUM Sub Type: Job Address: 2614 HALF DOME PL Suite: Lot 0 Location: APPLICANT TORREY PINES PLUMBING Owner: WOODWARD JANICE Remarks: EARLY AM PLEASE Total Time: CD Description 19 Final Structural 29 Final Plumbing Associated PCRs Inspection History Date Description 05/11/2001 84 Rough Combo 04/30/2001 24 Rough/Topout Act lnsp Comments AP AR AP AR Inspector Assignment: AR --- Phone: Inspector: -7 ~ , • L v Requested By: VERONICA ,,;,;"'~~~~B~y: CHRISTINE C?l?'e;/Jr;e rt/P ~ t:?o~t: rf-S' 1/T'TP--/C.