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Home My WebLink About2746 BLUFF CT; ; CB032924; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 10-2312b03’ Plumbing Permit Permit No: CB032924 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2081023500 Lot#: 0 Applied: 10/23/2003 Reference #: Plan Approved: 10/23/2003 Issued: 10/23/2003 Project Title: HAASIS RES-REPLACE WATER HEATE Inspect Area: 2746 BANFF CT CBAD Construction Type: NEW Entered By: RMA Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 Owner: HAASIS BARBARA J TR 2746 BANFF CT CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $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: $27.00 7259 10/23/03 QOOZ 01 02 CGF 27.00 Inspector: 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 “feedexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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.’ ES IT APPLY to an PERMIT APPLICATION PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, ** Cq 92008 - Legal Descrlption Lot No. Subdivision Name/Numbdr Unit No. Phase No. Total X of units Assessor's Parcel # : Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name city --1 - State/Up felephone-# FexX ' I. - -. Address (Sec. 7031.6 Businaas 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 requlres the applicant for such parmit to file a signed statement that he is licensed pursuant to the provisions of the Contrector's License Law 'ICha~ter 9, commending with Section 7000 of Division 3 of the Buslness and Professions Codel or that he is exempt therefrom, and the basis for the alleged Designer Name Address Clty Statelzip Telephone State License X ,Workern' Cornpensatton Declaration: i hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certlflcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance 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 of the work for which this permit is issued. Insurance Company Policy No. /Ab 3 7 *200.3 Explration Date 0 I 10 f! /$L (THIS SECTION NEED NOT BE COMPLETED IF THE ~RMIT IS FOR ONE HUNDRED DOLLARS i$iooi OR LESS) CERTIFICATE OF EXEI#VN: 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 es st of compensation, damages as provided for In Section 3706 of t and ettomey's fees. 4 hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, as owner of tho property or my employees with wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sic. 7044, Business and Profassions Code: The Contractor's License Law does not apply to an owner of property who builds or improves theraon, and who doea 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 compietlon, the owner-builder will have the burden of provlng that he did not build or improve for the purpose of sale). 0 I, as owner of tha property, am exclusively contrecting with llcansed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcenre Law does not apply to an owner of property who bullds or improves thereon, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number / contractors iicense number): 6. I am axempt under Sactlon I personally plan to provide the major labor and materials for construction of the proposed property improvemat. 0 YES ON0 I (have / hava not) signed en application for a building permit for the proposed work. I have contmcted,with the following person (flrm) to provide the proposed construction (include name / address I phone number I contractors licwe number): I plan to provlde portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address / phons I will provide some of the work, but I have contracted (hiredl the following persons to provide the work Indicated (include name I address I Dholre number I tvw Buslness and Professlons Cobe for this reason: PROPERTY OWNER SIBNATURE DATE Is the applicant or future building occupant required to submit a business plsn, acutely hazardous meterials registration form or risk management and prevention program under Sections 26605, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to 0btain.a permit from the sir doliution control district or sir quality manegement district7 Is the facility to be constructed withln 1.000 feet of the outer boundary of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEEllNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 309711) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed 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 Ck). of Cerlsbad to enter upon the above mentloned property for inspection purposes. I ALSQ AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDQMENTS, 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 6'0' deep and demolition or construction of structures over 3 storles in height. EXPIRATION Every perm authodzed by such pennit is not at any tin. qfter the work Is APPLICA 'S SIGNATURE and become null and void if the bullding or work odzed by such permit is suspended or abandoned TE ;/D.T of Carlsbad Bldg For: 1 1/25/2003 Permit# CB032924 Title: HAASIS RES-REPLACE WATER HEATE Description: Type: PLUM Sub Type: Job Address: 2746 BANFF CT Suite: Lot Location: APPLICANT HANNA PLUMBING Owner: HAASIS BARBARA J TR Remarks: Total Time: CD Description 0 Act Comment Inspection Request 3h Inspector Assignment: Phone: 7607294304 Inseector: Jb Requested By: BARBARA Entered By: CHRISTINE 25 Water HeaterNents a Associated PCRs/CVs InsDection Historv Date Description Act lnsp Comments 11/17/2003 25 Water HeaterNents CA PD ! ' JAN. 13.2003 12:03PM NO. 7616 P. 3/3 L CERTIFICATE HOLDER COPY STATE P.O. BOX 420607. SAN FRANCISCO, CA ~142-0807 COMPON8ATION INQU~ANCC , FUN b CERTIFICATE OF WORKERS' COMPENSAfllDN INSURANCE i I. f' --. .... .-. -- - ~- 01 -01-2003 /01-01-20"04 -- 4 This is to ceru(y that we hove leoucld E did Worker'e Campemtlon lmurrncc polky In a form appnwed by the Callkmia lnsuranae Commissioner to the employer named below for the pori period indicatad. Thie palicy ie not SUbja to cancellation by the Fund except upon 10 days adran0e lrvrltten notice Lo the emptOyer, We Writ a180 give you 10 &ye advance notlee should ws pdlcy be cancalled prior b Its norms1 expiration. This certificate of inslrrance is not an insurance polley and does not amend, rntend or elter the coverage anPrded b~ the policies listed hereln, Notwlthetandlng say re@nment. term or condition of any mritrecl or OtIlPr document With respect b which W Wlticate of insurans may be Issued or ma pertaln, the Insulance alrorded by the pdWes ch?~~itiN heroin ie subject tO all the tern, exdwkn9, and condll Y om, Of euch pDllCicsa. I I SUF 10265 WF4k JE 1