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Home My WebLink About2640 HIGHLAND DR; ; CB051713; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2005 Plumbing Permit Permit No: CB051713 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2640 HIGHLAND DR CBAD PLUM 1561300900 Lot#: O Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: VAUGHN RES INSTALL 40 GAL H2O HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 0 0 0 0 1 0 0 Owner: VAUGHN LIGIA 2640 HIGHLAND DR CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/16/2005 KG 05/16/2005 05/16/2005 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Inspector: PERMIT HAS t:XPIREO IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE s\,.., loc, SIGNATURE...1.0..;..;;:.Lls:.));.._ ___ _ FINAL APPROVAL Date: Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth ln Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with C8rlsbad 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 1T APPLY to any . . . ' . ' . Z? ,,:)0 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1; Legal Description Lot No. Subdivision Name/Number Assesso(s Parcel# Existing Use Unit No. FOR OFFICE USE ONJ,'t_,,,~ ... , 71~ 'Z PLAN CHECK No.C=-=cu~_.J_ '~L.-,c_ EST. VAL. __________ _ Plan Ck. Deposit ~ Validated By ____ ~'-='---- Date 5"-/~ ~ _g Phase No. Proposed Use # of Bathrooms :~mePRie:trYNNE!liJa~(/-;?(,/fOc;,,4:tLfag.if: _di· r,r&:f.Jli&J,. Co-qzoo8 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 Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any a ph for permit su~Jecls the a ph t a CIVIi penalty of not "1.. ore than five hundr doll,$5 i O $-L'L..~, i,r' "rJ -I/ / Zi) ~.J-a--Q ~") Name tJ_, Address City T~lEfhone # lf s~ State License # R // ( / ~ License Class c-,3 {b City Business License # / 2 / "f": K /J / Designer Name Address City State/Zip Telephone# State License# ________ _ S:"., _WOR~E,R'S-CO/olPEN,S~l)QN·, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· □ t have and will maintain a certificate of consent to self-insure for workers' compensation as provi·ded by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. □ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for whi Insurance Company ;i.'Tf,Js.t:tc.-C.W'Lj(J._V,LL.;f!,1:.11.a.~ Policy No. / b q 'ff:)( £,3 Expiration Date, __ ~l--'---1'-""-=--- (THIS SECTION NEED NOT BE COMPL TED IF THE ERMIT IS FOR ONE H NORED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify become subject to the Workers' Compensation 1;·.; ! / OV\l'.~E~-BUlLDER o~_LARA_tlo~ _: ,. , I hereby affirm that I am exempt from the S9 and shall subject an employer to criminal penalties and civil fines up to on Jded or In Section 3706 of the Labor Code, Interest and attorney's fees. I DATE, ____ -l-....,__."--/C--'"'.L- □ I, as owner of the property orlJ.Rf empl ees with wages as t eir sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code; The Contracto License L does not apply to an owner of property who b.Jitds or improves thereon, and who does such work himself or through his own employees, provided that such improvement 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 th e did not build or improve for the purpose of sale). 0 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). □ 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. □ YES □ NO 2. I (have/have 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 I address I phone number I contractors license number): 4. I plan to provi'de portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (lndude name I address/ phone number f /ontractors license number): ,-,-,-,--------,--,-----,------------------------------------ 5. 1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (in dude name/ address/ phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Cl)MPLE11i! t)tlS SECT!(!N ~Cit N0N-R/iS/DEN1JAL SIJILDINO PERMITS ONLY · .. · Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 district? □ YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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 LENDIN(! 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(1) Civil Code). LENDER'S NAME___________________ LENDER'S ADDRESS ___________________ _ 9.'.".Al'PLICAN~.C~RTIFlCATION .;,. • '·• • ., , , I 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 City 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, JUDGEMENTS, COSTS ANO 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 of 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Offida1 un ;,r the rovisions of this Code shall expire by limitation and become null and void if the building or work authorized by such perrrit is not commenced within 1 days from th ate of su rmit or if the building or work authorized by such pennit is suspended or abarned at any time after the work is commenced for a period of 18 ( . . · ~ m Building Code). DATE a/,:-, f ll r', APPLICANTS SIGNATURE ____ h-'\-+-.::;;'Y+---c=c-='------------_:;J. Y. I VJ WHITE: File YELLOW: Applicant PINK: Finance