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Home My WebLink About2700 OLYMPIA DR; ; CB072899; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-19-2007 Plumbing Permit Permit No: CB072899 Building Inspection Request Line (760) 602-2725 Job Address: 2700 OLYMPIA DR CBAD PLUM Status: Permit Type Parcel No 1674411500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: ROBERTS RES REPLACE WTR HTR Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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: ROBERTS JEWELL A TR 2700 OLYMPIA DR CARLSBAD CA 92010 ISSUED 11/16/2007 KG 11/16/2007 11/16/2007 $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: $27. 00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'lmpo lion' off es, dedicatlons, reservations, or other exactions hereafter collectively referred to as ''fees/exactions." You have 90 days from the date this peITTlit was issued to protest imposition of these fees/exactions. lf 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 infom1ation with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action lo 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 es/exa ti n of w i h I n iv n N Tl imi1ar hi h" h t "mi i n I h rwi ' ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Legal Description lot No. Subdivision Name/Number Existing Use SQ. FT. 2. Name Address City 5. 01{ Unit No. # of Stories FOR OFFICE USE ONL Y~~Or'JI? PLAN CHECK No.CJt'i.,,.,,'--1_..L..ld-()""-. _ -___,__l7 EST. VAL. __________ _ Plan Ck. Deposit+.~-------- Validated By~'--:,....~-,-~---~- Date ---~'--~~-1--=----=--+--- Phase No. Total# of units Proposed Use # of Bedrooms # of Bathrooms Fax# (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 /4n a~ nt for a er it subj ts the applicant to a civil pen ty of no more th five hundred dollars ($500 ). Name State License# <::Z/1, gq l/ Designer Name Address City State/Zip Telephone# State License# ________ _ 6. WORKER'S COMPENSATlON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 107hich 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 which this permit is issued. My wor1<er's compensation in~~rrier and p:~ number are: / 1 Insurance Company S/:z:;A.1..e -fvnai. Policy No. /'t(i/6 tiO l Expiration Date. ___________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that In the performance of the wor1< 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 worke dollars($100,000), In addition to the SIGNATURE ~ J I hereby affirm that I am exempt from the Contractor's license Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will d 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 wor1< 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). 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). D 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. D YES D NO 2. I (have/have not) signed an application for a building permit for the proposed wor1<. 3. I have contracted 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 wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name/ address/ phone number/ /ontractors 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/ type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance P.ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-flESIDENTIAt. BUILD_IN_G_P_E_R_M..,JT_s_o_N_t:._v _______ _ 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 Secuons 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? D YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ 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 LEND_IN_G_A_G_E_N_c_v _______ --------------- 1 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 ___________________ _ 9. APPLICANT CEJ~TIFIGAI,l.,.,OnN ________________ ------~--.---. 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 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 of 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 1s suspended or abandoned at any t,me after the work ,s commenced for a period of 180 days (Section 106 . .4 Uniform Building Code). APPLICANT'S SIGNATURE y DATE_-,..../,__/•--,..,/2=---=• {)_)_.____ __ _ /F ' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 01/14/2008 Perm it# CB072899 Title: ROBERTS RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2700 OLYMPIA DR Suite: Lot Location: OWNER ROBERTS JEWELL A TR Owner: ROBERTS JEWELL A TR Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: Phone: 7607298999 Inspector: Requested By: GLENN Entered By: JANEAN 25 29 Water HeaterNents ~------- Final Plumbing + --------C-om-ments/NotEld_s ___________________ _ Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments