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Home My WebLink About2730 FERNGLEN RD; ; CB022737; Permitclu 09-13-2002 City of Carlsbad 1635 Faraday Av Carlsbad, OA 92008 Plumbing Permit Permit No: CB022737 Building inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2730 FERNQLEN RD CBAD PLUM 1563312200 Lot#: 0 Construction Type: NEW NASH RESIDENCE GAS & ELEC, & SEWER TO BBQ ISLAND Applicant: NASH TODD M&NICOLE B Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: NASH TODD M&NICOLE B ISSUED 09/13/2002 MDP 09/13/2002 09/13/2002 2730 FERNGLEN RD CARLSBAD CA 92008 2730 FERNGLEN RD CARLSBAD CA 92008 6263 09/13/02 0002 01 02 CGP 61-00 Total Fees:$61.00-;Total Payments To Date:$0.00.' .Balance Due:$61.00 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 $20.00 ; $7.00 $0.00 n .$0.00 $7.00 .'$0.00. $7.00 ' $0.00.' $20.00 ■$0.00 . $0.00 $0.00 TOTAL PERMR" FEES $61.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE &iat£f)proval of your prt^lnductes the "Imposition" of fees, dedications, reservations, or other exadlons hereafter colectlvely 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 foBow the protest procedures set forth In Qovemment Code Section 66020(a), and file the protest arxl any other required hfonnatton witti the City Manager for processing In accordance writh Carlsbad Municipal Code Section 3.32.030. FaOure to timely follow that procedure wll bar any subsequent legal action to attack, review, set aside, void, or annul their ImposHioa You are hereby FURTHER NOTIRED 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 fees/exacflons of which vou teve oreviouslv been given a NOTICE similar to this, or as to which the statute of Bmltations has orevlouslv otherwise exrrired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. 7 ^'7 EST. VAL. Plan Ck. Deposit Validated By, S3 Date_ Address (include BIdg/Sulte ^ , BusinessBusiness Name (at this address) Legal Description lu)t No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use y Description of Work SO. FT. #of Stories Bedrooms/ gLGunjovc GAS, < 5eLj^ -td ^le^ i5S(i LSCahD ,2. CONTACT PERSON Of (flfferent frofti appBcant) # of Bathrooms Name Address City 3. APPLICANT □ Contractor Q Agent for Contractor Q Owner □ Agent for Owner State/Zip Telephone #Fax # Name Address City State/Zip Telephone ff 1 4. PROPERTY OWNER ,^ /\\A^Uf -7130 ^ c/t- <=pjO0j' " City State/Zip Telephone#Name Address B. CONTRACTOR - COMPANY NAME (Sec. 7031.6 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 licertsed pursuant to the provislorrs 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 ttre basis for the allegedexemption. 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 [$5(K)1). Name State License # Address License Class City Stata/ZIp City Business License # Telephone # / Designer Name Address City State/Zip Telephone State License # e. WORKERS' CXiMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 37(30 of the Labor Code, for the performance of the work for which this permit is Issued. □ 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 cmis SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) □ 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 manrter so as to become subject to the Workers' Compensation Lews of California. WARNING: Failure to secure woricers' compensation coverage Is unlawful, and shall aul^act an employer to criminal penaltlss and dvll fhias up to one hundred thousand doOars ($100,000), bi addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, bntereat and attorney's fees. SIGNATURE DATE 7. OWHSR-BUILDBI DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sols 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 Lew does not spply to an owner of property who builds or improves thereon, and who doessuch work himself or through his own employees, provided that such Improveriijents are not Intended or offered for sale. If, however, the building or Improvement iss<^ within one year of completion, the owrrer-bullder will have the burden of-proving that he did not build or Improve for the purpose of sale). 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 contrscta for such projects with contractorls) licensed pursuant to the Contractor's License Law). " l~l 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. Q YES l~lNO 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 / 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 / phonenumber / contractors license number): 5. I will provide some of the work, but I have cxintrscted (Nred) the following persons to provide the work Indicated (inrdude name / address / phone number / type of work): DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-FeStDBWAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preverrtion program under Sections 2B605, 25533 or 25B34 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C] YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AQ0JCY I hereby affirm that there Is a construction lending agency for the performance of the work for which tWa permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPUCANT CERTIFICATION I certify that I have read the application and atate 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 CltV of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANQ 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 B'O' 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 auttiorlzed by such permit Is not commenced^at any time after the work Is commen^d-fOfat APPLICANT'S SIGNATURE 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandonedbd of 180 (teys (Section 1^.M Uniform Building Code). / / date WHITE: File YELLOW: Applicant PINK: Finance a City of Carlsbad BIdg Inspection Request For 02/24/2003 Permit# CB022737 Title: NASH RESIDENCE Description: GAS & ELEC, & SEWER TO BBQ ISLAND Inspector Assignment: PY 2730 FERNGLEN RD Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT NASH TODD M&NICOLE B Owner: NASH TODD M&NICOLE B Remarks: LATEEST PM Phone: 7605184823 inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Comment Associated PCRs/CVs Requested By: TODD NASH Entered By: KAREN Inspection History Date Description 09/20/2002 21 Underground/Under Roor 09/20/2002 23 Gas/Test/Repairs 09/20/2002 31 Underground/Conduit-Wlring Act Insp Comments AP PY AP PY AP PY