The URL can be used to link to this page

Home My WebLink About2634 HALF DOME PL; ; CB030399; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02,10-2003 Plumbing Permit Permit No: CB030399 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2634 HALF DOME PL CBAD PLUM Status: ISSUED 02/10/2003 SB 02/10/2003 02/10/2003 Parcel No: 1675111700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: IDEN RES NEW H20 HEATER Inspect Area: Applicant: ARS STE 100 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: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: IDEN PAUL&MIKA Y M 2634 HALF DOME PL CARLSBAD CA 92008 Total Payments To Date: $0.00 7788 .}2/10/03 .')()02 )). $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 Balance Due: $27.00 EXPIRED PERtv:r-· PERMIT HAS EXPIRED IN ACCORIWU WITH, SECTION 106.4.4 DATE y\9,\t>} FINAL APPROVAL Date: SIGNATURP ;;J-u< 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 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 fhi h I. irwhihht inh I. ! . PERMIT APPLICATION CITY. OF'CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 :1., PROjecT INFORMATl<illi 2!.c0Y. FOR OFFICE USE ONLY PLAN CHECK No(' B:;~ o3 Ci(°{ EST. VAL. _________ _ Plan Ck. Depos~~ Validated Bv_:::n-~~--------- Date 2-/a-~ Address (include Bldg/Suite #) Business Name fat this address) Legal Description Lot No~r=t<division Name/Number Unit No, Phase No. Total # of units Assessor's Parcel # L()A-:-r--z:e.e._ Description of Work ~ngU••e kt<~ SQ, FT. Y<={) #of Stories Proposed Use II of Bedrooms # of Bathrooms 2, CONTACT'PERSON ilf d111oiiini'i,oin'ipplll!ifnif Name Address City State/Zip Telephone# Fax# ~~X\~~:_ •~::~gt1:;,~:"'::'.;1~wri[.~"•~~~ 1.?i>-1 -o/h 77~'f-fc::; State/Zip Telephone# 4. 5. CONTRACTOR~ COMPANY-NAME'·' (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 CodeJ or that he Is exempt therefrom, and the basis for the alleged exe p. 'SAny violation of tction 2031.5 by any applic nt for a permit subjects th\~ant to a civil penalC-ko more than five h~z~ollar55001). Name Addr City State/Zip Telephone# State License# 7q J 'i5" 2D License Class Clo C-,3,Jo City Business License II l'0-00/Q) Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 l have and will maintain a certificate ot 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 wi/J 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 nu_mbar are: / { Insurance Company ~ t.<.M: Policy No. 2q12~ -ol Expiration Date , , • Ob ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI 0 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 Workers' Compensation laws of California. WARNING: Fallur thousand dollars I c erage 11 unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred o etlon, d8mages 81 provided for In Section 3706 of the Lab , Interest and attorney's tees. SIGNATURE_~,!Ll~.Llc...!L!_L~~~.'.'..Jc._l~f.-<;fk,~~_L-:=----,------.....,------,--- 7. OWNER-BUILDER DECLARATION OATE_""'-...L_L.4--'-"'7'--- I hei"eby affirm that I am exempt from the Contractor's License law tor the following reason: 0 l, 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 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 ot sale). 0 l, es 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). D I am exempt under Section ______ Business and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement, D YES ONO 2. J (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the ma/or work {lnclude name / address / phone number I 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/ phone number I type of work): _______________________________________ ~-------------------- OATE __ -,-_____ _ J 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality m1magement district7 D YES D 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. 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(/) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9; APPucANT tc;ERRTTI11FF1icc;A~T1110J1Nif'---::;----::;---::;:c-c---;:-,;:,---;:----::;-;,: • ,:.;:;:;:-i: ~.;~.;:.:.-;:;,:;•oi"i0:~;;-;;~---;:-;;-;;---;:-;,;-----;:----::::--:;---;:----:::---:::---------- 1 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 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 uitding Official under the provisions of this Code shall expire by llmltation and become null and void ir the building or work aulhorized by such permit is not ence within 180 days from the of uch permit or If the building or work authorized by such rmit is suspended or abandoned at any time after the work is com\ ce or a perio of 180 days (Se n 1 6 4. niform 9uJlding Code). /'J APPLICANT'S SIGNATURE --":..!,"":__.ill,,.,et__J.Ll,,c'.l.""'"---__j_:+__J_~~LL~~~-----DATE --'.L+-"-'{ '"'--='------- WHITE: File YELLOW: Applicant PINK: Finance