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Home My WebLink About2618 HALF DOME PL; ; CB071282; Permit1 City of Carlsbad •• 1635 Faraday Av Carlsbad, CA 92008 ' . 05-08-2007 Plumbing Permit Permit No: CB071282 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2618 HALF DOME PL CBAD PLUM 1675111300 Lot#: 0 Construction Type: NEW REISER RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 05/08/2007 LSM ARS STE 100 REISER CHRISTOPHER M&CATHERINE 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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: Inspector: $27.00 0 0 0 0 1 0 0 2618 HALF DOME PL CARLSBAD CA 92010 $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: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposit1on" of ees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this pem,lt 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. NOR DOES IT APPLY to any f fwhi h N Tl imil r hi r hl h h u flimi i h I h i FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. t!..8 er-; I ;)._g ~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ..,.....__,,,,---""""----- Validated By ~ Date ~'7 Address (include Bldg/Suite #) Business Neme (et this eddress) Legal Description Lot No.,Sf::'."~division Neme/Number Unit No. Phase No. Total # of units Proposed Use SO. FT. #of Stories # of Bedrooms II of Bathrooms Fax# Neme Address City S.tate/Zip Telephone # '&~';l'c'o~fiiActoFl'!P'.<'51.W"ANWNl~-~Ul:tifil'~~~!>'.~i!;ri\ft:t !";"'""''.nF~ .. :m"'; · -~"''."...,F·t• ,¾:,;;,.~~·r-:i, 't Name State License # _:._>....:...>oc.-==----- Designer Name Address City State/Zip Telephone State License # _________ _ l'jjffl1!:WBRkERS7 COMPE~sA'fm~• ' ,.,.il"!!f\11~&'1"1'1"!:,,.,."~'!l't~ ~~~tfll~..,~~,:1':'\~"'-!''!t,, ~•'f;I:"'. Workers' Compensation Decleretion: I hereby affirm under penelty of perjury one of the following decleretions: 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. ~ 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 comp~ensation 'nsurance carrier and policy number are: , '2 C. fl I. 2. Jo J .b . ql1u/o ·7 Insurance Company U ,_ Polley No.lb::;)-:,.., OD 1:7::,.., _ Expiration Date_~/_ccr __ l _~--- ITHIS SECTION NEED NOT BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. nsatlon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred t compensation, damages III provided for In Section 3706 of the Lab co , Interest and attorney's fees. DATE __ "-1-...._"'+-~-+---- 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 end Professions Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements ere 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, es owner of the property, em 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 ~nd 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 e building permit for the proposed work. 3. I have contractad 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 heve 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 person.9 to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ 'COMPLET~fH1s, sl:crrd'fJ F6r0lb7J':RfsitJin,r,ll 11u1l1i.)iNO~l>EiOOits;o1{1iv'l!P:''!$'~1!\_,~. ~~'I '""r'•JM!'"'.'.'':r~.~P~"'"'ll'r":, ,,,"'" 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? 0 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. 18 (· ;,CONSTRUctibN lENOIUG AGENC~:~•f:~::~;,41.~\; :;:~f;if '1 ~Zhl!i!~:"Cil;W:'l'%\":•l't•fl!.'it't''.;~" : '.,·:,. .~c.,,f.·,,, .. ,\ .• ',. :, 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). LENOER'S NAME ______________ _ 1' -~ I certify that I have read the application and state that the above information is correct and that the information on the plens 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 Issue by th building Official under the provisions ol this Code shall expire by llmitalion and become null and void if the building or work authorized IJy such permit is not mence within 180 days from the date of such permit or If lhe building or work authorized p.!1-Sf).Jrrmit Is suspended or abandoned at any tim· '•H the work is co enced for a perio\of 180 s Seclion 106.4.4 Uniform Building Code). ~ / '6 / 0 7 APPLICAI SIGNATURE -ffi'rfH-,'t-+-J'-:----f-f-f--,1'--H-ft--.------------DATE _____________ _ . pplicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DAIB '¢4 - INSPECTOR _J_· \f/'.._ __ _ PERMIT# Pf::, 0] 1 dZ'.;it £ . PLAN CHECK# JOB ADDRESS __,2,""'---"-{, ~/ $"-------£....;~~aeL...J_'---2)....::;...:;.:_otvl,,L..,---'----,------- DESCRIPTION ____ ""M~t:.Ac,_~-· -_/_~/k.___v~.c.... _( ____ _ CODE DESCRIPTION ACT Ff lnspec;:tion List Permit#: CB071282 Type: PLUM Date lnspectio_11 ltllm_ 05/01/2008 25 Water HeaterNents 04/30/2008 29 Final Plumbing 05/14/2007 24 Rough/Topout 05/14/2007 25 Water HeaterNents 05110/2007 25 Water HeaterNents Wednesday, April 30, 2008 Inspector Act RI JM Fl JM CA JM JM CA co REISER RES· REPLACE WTR HTR Comments a.m. please FINALED ON 6-1-07. KATHY SEE RECORD CARD Page 1 of 1