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Home My WebLink About2661 GARFIELD ST; ; CB033395; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-08-200:r Plumbing Permit Permit No: CB033395 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2661 GARFIELD ST CBAD PLUM Status: Parcel No: 2031411600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Tille: FULLMER APTS-REPAIR GAS LEAK AT METER UNITS A&B Applicant: FULLMER FAMILY TRUST 11-10-99 2838 DENTRO DE LOMAS RD VISTA CA 92084 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 0 1 0 Plan Approved: Issued: Inspect Area: Owner: FULLMER FAMILY TRUST 11-10-99 2838 DENTRO DE LOMAS RD VISTA CA 92084 ISSUED 12/08/2003 RMA 12/08/2003 12/08/2003 $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 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Inspector: FINAL APPiVAL Date: I z_ / 9 • 0 $ 0-4.1.4 .12/08/03 0002 'J.1. 02 CGP 27 .. )0 Clearance: NOTICE: Please take NOTICE at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." au 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. • PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. {))r[J33CJS CITY OF eARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Pia~ Ck. Deposit ~,7 Valtdated By __ ~-+-• ....J=L4--<b.1~'.J/----- Date / o2 (d'l . }1, . PROjECT INFOBl\ll~N 'f-.. 2.6& I G1'f'fl-t-::ief{1 S"C IHIC Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Sub.division Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Lc?Hc. /fr /¥~ j f eWV tz Clt <: j'\ Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms C~SQ..~ (!Ldj_ffarant from IIP111lc;Jntl Name Address City State/Zip Telephone# Fax# •· .f.!gent for Ow,ner Address City State/Zip Telephone# ,4,t'.'CM&-Z<fl' 3 ~ .~ ~?'?Zo b1 F' Ct>/t'/JS t//57#-I"';;~ "t.{ 0/45' 7GZ( Address City State/Zip Telephone# (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 a civil penalty of not more than five hundred dollars [$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ ,...,__,.,,=08.ltERS;.&QMl'_jNSjl TJ9N Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 _____________________ Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED 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 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worken1' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages aa provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE.______________________________ DATE ,..,.,._,,...,1ftlIB·BUJLDE8J)EC.!;,MATION --~=""""'=, ::--;;;;:::;:::;:;;,::;:;;::::;:;;;;;;;::::::;;;:;.,.,,...,,,,._...,.~ . .,,.~,.,..,,,,,,,...., I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 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 ~in 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). g," 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. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES @have not) signed an application for a building permit for the proposed work. I have contracted with the follo~g person (firmJ .~ provide the proposed construction (include name J address / phon &.2 CvN'--t '/7 //(_ -Z.. ~ t:?'2_. C number / contractors license number): 4. I plan to provide portions of the w rk, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): ______________________________________________ _ !; .~;;:" pm,;do ,om, of <ho wo,k,~""' '"i "' fo,Oow;"g ,.,.oo," """' <ho •t;"a;,,.., U"''"'' "•m• f '""" / p>o"• ""mbo, 1,,,. PROPERTYOWNERSIGNATU~ 14:~ ~ATE /2-11-os [COMP~TI; THIS SECTION FOR fi_QN.flDl(!EN]!AL BUl!.Pl~qJ>ERMl:TS ON~ 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. ~Nllft!JWr!.bENDING 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). -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 Cit\' 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 by 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned , .. J at any time after the work is coymep ced for a ~erio~ ~18~~S==niform Building Code). ~ _A APPLICANT'SSIGNATU~~ K ~~ DATE /,f -&~CJ3 WHITE: File YELLOW: Applicant PINK: Finance I,: UNSCHEDULED BUILDING INSPECTION . INSPECTOR-~..,..£_._• __ . :::o~:~~,2;;:k / bvcf l!JCHECI(# DESCR1PTION __ ____,_(_......,J/J"""-a.l...:.~'-'-q-_&----'T-J-.8_. _____ _____ CODE DESCRIPTION . · ACT · CO:MMENTS