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Home My WebLink About2826 CEBU CT; ; CB052960; Permitv/ 08^15-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB052960 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2826 CEBU CT CBAD PLUM 2153102500 Lottf 0 Construction Type NEW HARTMUSS RES REPLACE EXISTING GAS LINE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/15/2005 KG 08/15/2005 08/15/2005 Applicant COASTAL PLUMBING 4882 HILLSIDE DR 92008 760 720-2991 Owner HARTMUSS DIANE C/O DIANE HARTMUSS 2826 CEBU CT #28 CARLSBADCA 92009 Plumbing Issue Fee \ " Fixture or Trap Building Sewer , , \ Roof Dram Install/Repair Water Line / ' Water Heater and/or Vent , , , Gas Piping System ( ^ * Vacuum Breaker j < Other Plumbing Fees , , __ , Master Drainage Fee ^ Sewer Fee Additional Fees I 1 TOTAL PERMIT FEES , 1 ; 0 0 °' ',0 - .' o 1 0 ~ • '*" , / \ )* / '«/ ' -v / ("it1 " ' ' ' '.' ^ '' ' - V' - -~~ \ ' '., ' ^ ^ *" ' ^ / ' ' , -" ^v\ ^ ! $2000 • ' - (- $0 00 " t - .'• ^ $000 - 11 $0 00 ! $o oo^ [ $000 *' ~sf ' ' '$700S >' i $000 ; , -"i, ' $000-',.(,, .- * • -|, $000 / " , , ; , )! $0 oo ' ,' ' * * - / , ', $0 00 + ' f IS , J $2700' / 1 / Total Fees $27 00 Total Payments To Date Cf •$0 00 Balance Due- I / $27 00 4734 08/15/05 0002 01 02 CGP 27-00 Inspector Clearance — NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures sei forth in Government: Code Section 66020(a), and frfe the protest and any other required information with the City Manager lor processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer cDnnection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any tees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY Of CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 OJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck {Deposit Validated Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms •$& jO'V^^C,.'.'^^^?' ^y^VJ] '' ' Address (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 Low (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt tierefrom, and the basts for the alleged tion. Any violation gt Sect ion 703 1.6 by any applicant for a permit subjects the applicant to a civil penalty Of not moie than five hundred dollars ($5001) Name State License # Address License Class City ~State/Zj City Business License # ' ionejE Designer Name State License ff Address City State/Zip Telephone V^i j'^.Ltf prv.^E: Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations i> O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the-work for which this permit is issued \jj I have and will maintain workers' compensation, as required by Section 37OO of the Labor Code, for the performani e of the work for which this permit is issued My worker's compensation insurance earner and policy number are Insurance Company fSTYTT^ ^Pl^ tJA? Policy No If/U /U 3 ^-""fW Expiration Date3?\s LETED I(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [»100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that tn the performance of the work for which thia permit Is issued, I shall not employ any person in any manner so as to become subject to tHe Workers' Compensation Laws of California \ WARNING Failure tgf secure workers' compensation coverage I* unlawful, and shall subject on employer to criminal penalties and cfvP fines up to one hundred thousand do[MrsJ$lQ£DOO), In addition to the cost of compensation, damages as provided for In Section 3706 of the^Labor code, interest and attorney's feas SIGNATURE iXl / /T\&^^~^ \ DATE *mI hereby affirm that t am exempt from the Contractor's License Law for the following reason 0 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 wn° 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) Q 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^) 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 Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work jl 3 t have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the rmijor work (include name / address / phone number / contractors license number) _ _ __ 5 1 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 icoMRUSTdfrHitiiira^ ^fw;i..j< iSr"; '*, A Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fo m or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? P] 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? O YES O NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? fj YES fj 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 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) LENDER'S NAME LENDER'S ADDRESS ^^%&U4fe'^ 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 CitV °' Carlsb.id 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-forBxeovationS 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 permitjs 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 at any time after the woriFTs-eofflqjgnced/f^E^Qe.rftpd'^f 18° daVS (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE PATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 08/16/2005 Permit# CB052960 Title HARTMUSS RES REPLACE EXISTING Description GAS LINE Inspector Assignment Type PLUM Sub Type Job Address 2826 CEBU CT Suite Lot 0 Location APPLICANT COASTAL PLUMBING Owner Remarks Phone 0000000000 Inspector Total Time Requested By N/A Entered By JANEAN CD Description 23 Gas/Test/Repairs Act Comment BB& Associated PCRs/CVs Inspection History Date Description Act Insp Comments