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Home My WebLink About2761 GLASGOW DR; ; CB044178; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ~oo4' Plumbing Permit Permit No:CB044178 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2761 GLASGOW DR CBAD PLUM Status: Parcel No: 2081023100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ADAMS RESIDENCE Inspect Area: WATER HEATER REPLACEMENT Applicant: AJACKS MAINTENANCE SERVICE 7631 LEMON AVE LEMON GROVE 91945 619-589-8888 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: ADAMS RANDOLPH C JR&MELANIE K 2761 GLASGOW DR CARLSBAD CA 92008 ISSUED 11/17/2004 MOP 11/17/2004 11/17/2004 $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 ·~·:""""""':·"•"', .···. r.-~~;01":t~~~, ~i .. :_ij j Inspector: ,~,., ""'.ii ~~ 1.11..U"? _)'\)Oj (Ml~ 01 02 ?ERWJT I : · . IRED IN ACCORDANCE vfiffiff.B.C. SECTION ivu.4.4 n f DI\TF s1_7 0 ( c;, s;::: SIGNATURE . .QJi!ll~.L,jf:.------ FINAL APPROVAL Date: 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 "fees/exactions." You have 90 days from the date this pe1mit 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 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 x in fwhih hv rviousl en ivn N Tl Esimilartohi r whihth statteoflimi in hs reviul hrwi 27 .. 00 PERMIT APPLICATION CITY OF Cf\f LS~AD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 t'UH Ut't'I\,;~ U~~ UNL Y ' PLAN CHECK NO .. ____ _ EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Address (Include Bldg/Sre I) Business Name (at this address) t., (., I ~LAS c"') a vv ~- Legal Description w(l::( e,Mt..~ Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use Description of Work SQ. FT. #of Stories I of Bedrooms I of Bathrooms l ~ddress J.{e(,,~ ~ .. }~ •.. ~ U-~-~~~i~;~~i~ t 9( 7 (Sec. 7031 .6 Business and Professions Code: Any City or County which reciuires 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 7031.6 by any applicant for a permit subjects t e applicant to a civil pen lty of not more than five hundr dollars [$600)). :1°()<(.lC S 1/v..fl.::tN .:A L <Av.J CT. PY f City S ate/Zip Te ephone I Name State License I _5l,~"--'7--==~'---)"---License Class _C.._-_l_o_.,......,C.=-_-_'5_,_(c_ City Business License # ( 2,,. 6 ~ 7 0 / Address City State/Zip Telephone Designer Name State License I tlBW~iiK'ffi..'l'BO.Mtl6J.tilr . ' ' •. ~~ffii~~~~1r'~gj:;U~&'l~tm~t'?l.l'ilf~l:J::'..t,t~'.!i:~.r.J;ik~:Jt.~-~~:u~i.t,l&\1~~¾~};~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 ~rk for which this permit is Issued. Er 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 ~orker's compensation insurance carrier and policy number are: ! ! Insurance Company Z.@-,/'=1(1\{ PollcyNo. Z.rffZ..t1 (.,ff08 Expiration Date /C\ 0;_( µC (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) { O ,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 Hcute workers' compenHtlon coverage la unlawful, and llhel subject en employer to criminal penaltiea and civU finea up to one hundred thousand dollars ($100,000), In addition to the co.at of compenaation, damages aa provided fOI' In Section 3706 of the Labor code, lnt!ueat and attorney'• feea. SIGNATURE. ______________________________ DATE _________ _ .~O~Jl ~AliiT~'m1i™""~iimJMtliR~~ ·1 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 Profess.io.ns Coda: 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 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, es 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 ______ Buslne11 and Professions Code for this reason: 1. I ·personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have I 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 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number):, ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / type of workJ:. __________________________________________________ _;_ _____ _ PROPERTY OWNER SIGNATURE_______________________ . DATE _________ _ ~~iif:l~~-j~~.&YflipJti.MefBM1la®'mr!r~'!l~~&u1i~~~~!&M~~)~~~\~~~~~ Is the applicant or future building occupant reciuired to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26533 or 26634 of the Presley-Tanner Hazardous Substance Ac.count Act?-· 0 YES O NO Is the applicant or future building occupant reciulred to obtain a permit from the air pollution control district or air ciuality 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. ~~~tmf~e.rl~.ffL&fA.<OOl~~-l'!f;@iit~~,,w~~~~~'l~i~~~~\l\~~:.tl!Ji-:'J~r~:~~'i.\1~f!t~~i,tJ£1[::.£~~i;~~.i~;fa~li:~~t''.':I:l;ill,:,&~ 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 ________________________ _ ~-~ -~~~~~~}~~~:-~ I certify that I have read the application and state that the above Information is correct and that the Information on tha plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 reciuired for excavations over. 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit lss ed by tti' uilding Official under ihe provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit is enced hln 1 m the date of such permit or if the building or work authorized by such ermit is uspended or abandoned at any time after the wor s co ad for d of 180 da (Section 106.4.4 Uniform · in Code . . APPLICANT'S SIGNA DATE. --+-+-,~,--:.e;._i'------- YELLOW: 'Applicant PINK: Finance