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Home My WebLink About2621 OCEAN ST; ; CB042534; PermitCity of Carlsbad • 1635 Faraday Av Carlsbad, CA 92008 06-24-2004 Plumbing Permit Permit No: CB042534 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2621 OCEAN ST CBAD PLUM 2031400500 Lot#: 0 Construction Type: NEW MULLEN RES GAS LINE REPAIR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/24/2004 SB 06/24/2004 06/24/2004 Applicant: ~ MULLEN FAMILY TRUST 07-26-91 . MULLEN FAMILY TRUST 07-26-91 2617 OCEAN ST j (\'(\ CARLSBAD CA 92008 \\ \ \ \ 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 Inspector: -~ . I -= 0 0 0 0 0 1 0 2617 OCEAN ST CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL h,P '-R~V h.1 Date: (.p/ /.-fl li~t $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: $27.00 5152 06/24/04 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reserva~·ons, 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 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 /exaci n o whi h o h ve revi \ b n iven N Tl imilart hi or w ich h s f\imi in h h rv{ ex ire. 02 27-00 PERMIT APPLICATION FOR OFFICE USE ~ PLAN CHECK Nov/??lj Z!;sf CITf OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ X tli,":Jlitl?Ro'llECT'INFORMA 110 Address (inc~e BJdg/Suite II ~~, / .,5 A1 ~r~j H~1, ... , i <.9cet0t, sr-Business Name lat this address) Legal Description Alsessor' s Parcel I Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use x~· es ' ion of Wor~ , ttj,/}/ . ~ SO. FT. lot Stories I of Bedrooms I of Bathrooms • ~ -C..Cl.rdic:r PERSi:Uin!lf~ •. Name Address City [ii •• : ~APf!JPAt«'. {!L.tbbiriqto .... >fl.e;gent~for~CQ!iYi~or..i.~O tQ_~~n_el,_~"l,iGE~•nt for O\\'.ner Name ~&.:dt.P80PER am , '1."#0N,T..AA<;TO Address City . . ... State/Zip Telephone I Fax I State/Zip Telephone I 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 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 a permit subjects the applicant to• civil pen1lty of not more than five hundred dollars ($50011. Name Address City State/Zip Telephone I State License II _________ _ License Class _________ _ City Business License I _______ _ Designer Name Address City State/Zip Telephone State License II _________ _ (e. -ORJ(EffS CiOMPEJiSATIO. ......, •• _., .,._ ',_. .,.,. • . --~• -•·t .';•, .•.-· Workers' Compensation Declaration: I hereby affirm under pen1lty of perjury one of the following decl1rations: D I have and will maintain I certificate of consent to self-insure for workers' compen11tion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and will m1int1in workers' compensation, IS 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______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the perform1nce of the work for which this permit is issued, I shall not employ 1ny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure work.,.. compenaetlon coverage la unlawful, and ■hell aubject 1111 employer to criminal peneltiea end civil fine■ up to one hundred thousand dollar• (t100,000), In addition to the coat of compenutlon, damage■ 11 provided for In Section 3706 of the Labor code, lnt1reat end attorney'■ fee■. IGNATURE ______________________________ DATE _""."':'=-::---:--:----- QWN.ffl~et._lfMA.i:!o_ "'~~,-•' .:'i: ·=-· m~ I heieby affirm that I am exempt from the Contractor'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 offered for sale (Sec. 7044, Busineas 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 Coda: The Contractor's Ucense Law doH not 1pply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). O 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. with the following parson (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 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _________________________________________________ _ I will provide some of the work, but I h f work): ___________ 77-'7""---tl-""7;~,<f----:;r;,,----~-,.-=------------;;-"'7'":z:~7"~;,c...-::::--:--;;,L------ ROPERTY OWNER SIG~ATURE --,~r-::::,,'E:::.,l'-r,~-l"""l~:,,lS~F---<'-<----''-------- (poM~ ~H1s:s~c;nott:_FOR~tt N Is the applicant or future building occupant required to submit a businesa plan, acutely hazardous materials registration form or risk program under Sections 25506, 25533 or 25534 of the Presley-Tanner Hazardous Subst1nce 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 foot of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A F1NAL CERTIFICATE OF cccu:•ANCY MA'{ rJOT BE 1S£\!!:0 U~J:.ESS THE A!'J>LICA!l!T ~.AS MET OR IS !'!!F.ETING THE REQUIREMENTS OF THE O!"FICE OF EMl!RGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. t!!.:.:.i.Jt9.NUI\UC.IIQN..:Lf;!!Qllicr.Ai~C_)':~. ,~ t!..:.~..:.........'"1''!':l!-':,."·,~-e-;·~--:_ __________ ·--·-_____ _ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S ADDRESS ________________________ _ _.. .. ~;~,. ·-.. ~,. __ ..,.."'_..,, ... ~ .... ~ .. ·,;.,~""!~.~ t I certify that I have read the 1pplication 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 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. ) PIRATION: Every permit Issued by the building Official under the provisions of this Code shell expire by limitation end become null and void If the building or work thorlzed by such permit is not commenced lthln 180 days from the date of such permit or If the building or work authorized by such pe m11 Is suspen d or abandoned any time after the work is commenc or 18 s (Section 106.-4. niform Building Code). / ~ O PLICANT'S SIGNATURE · DA TE le PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/29/2004 Permit# CB042534 Title: MULLEN RES GAS LINE REPAIR Description: Type: PLUM Sub Type: Job Address: 2621 OCEAN ST Suite: Lot 0 Location: APPLICANT MULLEN FAMILY TRUST 07-26-91 Owner: MULLEN FAMILY TRUST 07-26-91 Remarks: AM PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: 7607296853 Inspector: J\J/\_j Requested By: MRS MULLIN Entered By: CHRISTINE 23 Gas/Test/Repairs U------- Associated PCRs/CVs Inspection History Date Description 06/25/2004 24 Rough/Topout Act lnsp Comments CO PS