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Home My WebLink About2838 FAIRFIELD AVE; ; CB030099; Permit'tl~~ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-10-~03 ~ Plum~lng Permit Permit No: CB030099 Building Inspection Request Line (760) 602-2725 -Job Address: Permit TYJte: 2838 FAIRFIELD AV CBAD PLUM Status: ISSUED Parcel No: 1674802109 Lot#: 0 Applied: 01/10/2003 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 01/10/2003 Project lltle: WEISENSTEIN RES-REPLACE WATER HEATER lnspe~ 88» &JlW0002 01 02 CGP 27a00 Applicant A-AAAAAAAAAAAA DRAINS FOR LESS 300 CARLSBAD VILLAGE DR CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Bulidlng Sewer Roof Drain / ' Install/Repair Water u'ne · / J_ · Water Heater andlor,.Venf '. ' · · ... Gas Piping System , · , 1 • · • · . Vacuum Breaker , · ' .- Other Plumbing F~ · '. :' . Master Drainage F~ Sewer Fee Additional Fees TOTAL PERMIT FEES . '-. . < ' . ·,. , .. o· 0 0 0 1 0 0 Owner: . WEISENSTEIN CABOLE A 2838 FAIRFIELD AVE . CARLSBAD CA 92008: . · .. i' : ,·. : ... ': .... _. ~~-·. : . . ' ) . ~ ;_i . ·.. ·... . $20 . .'o'o .. · . > .·$0.60'' r -' ;$0 00 ' ·, · ·. '. ·. $0·:oo ' . $0.00 ' $7.00 . $0:oo $0.oo:. . . ,-·.$0.00, • j I • , ··. ·~ ', . •, ~ . / , -l I . $0.00 ·: 0 $0.00 \ ••• ,:-i $0:60 • , • i I . ~ • . '' ,, :,,:. $27:"oo·., \ \ Total Fees: $27.00\_·... ··Jolal:~ayrne_nts To Date: $0.00 .. · · Baiance Due: ·, , , ,··. : . ·~· : .. \ ·r , .. : .,. · •. $27.00 . •, ...... •, Ins or: ------ PERMIT HAS EXPIRED' IN.ACCORDANCE WITH U.S.C • . · SECTIONJ06.4.4-· · · / DATE ::,.e , 0 a FINAL APPROVAL Date: ------ SIGNATURE aRM;[ ' Clearance: ------ NOTICE: Please take NOTICE that approval of your prof act Includes the "I rJ1)0SltJon" cl fees, dedk:atlons, reservatloos, or ~ exactions hereafter colectlvely referred to as "lees/exactions.' You have 00 days from the date tlis pecmlt was Issued lo protest lfllX)Sltlon of these fees/exactions. If you protest them, you must foOow the protest procedures set forth In Government Ccx!e Sact!on 66020(a), and flla the protest and any other required lnlormat!on with the City Manager for processing In accoroanca with Carlsbad Munlclpal Coda Sactlon 3.32.030. Failure ti tinaly follow that procedure will bar any subsequent lagaJ action to attack, raYiaw, sat askla, void, or annul their Imposition. You iw hereby RJRTHER NOTIFIED that your right kl protest the spacttlad fae&'exactlons DOES NOT APPLY to water and sawer connactfoo fees and capacity chengas, nor planning, zooilg, gradlr,J or other similar application procasslng or S0(VJca leas In cormactlon with this project. NOR DOES IT APPLY to any FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C/!z Oj ttf{ r CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL·--------~~- Plan Ck. Deposit ______ --,,.,,_.,.._, __ Validated By ___ __,_---,---~- Date _____ ---1-+-+---1,,,i...+---"--.,._-~ 1. wddress (lnclu e Bldg/Suite #) Legal Description Lot No. Subdlvlslon Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from appllcentl Name Address City State/Zlp Telephone I Fax# 3. APPLICANT O Contractor O Agent for Contractor D Owner · 0 Agent for Owner . } Name Address {X 4. PROPERTY OWNER .. LJ..._. 1 -C' O,r D l \ A J LA'L c \I\ 5 1 ~v-"'v· City State/Zlp Telephone II Name v Address City Stete/Zlp Telephone# ~-CONTRACTOR • COMPANY NAME (Sec. 7031.6 Business end Professions Code: Any City or County whlch 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 11lgned statement that he Is licensed pursuant to the provl11lons of the Contractor's License Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, end the basis for th11 alleged exemption. Any violation of Section 7031.6 by any applicant for a permit 11ubjects the applicant to a civil penalty of not more than five hundred doll11IS [$600]). ~ re(, \6 ¥:<2v I -e 2 :5 Designer Name State License I---------- ./ 6. WORKERS' COMPENSATION Address City State/Zip Telephone 1J,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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 ~ for whlch this permit Is Issued. D 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: \/\" \ \ \ 7, \ Insurance Company (-;i (o rrge ~OY) \~ )/0/lf,e_ ~'('alley No. \.Jj ~ _ _ _jQ ( 1 Expiration Date G, :( q · Q J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thie permit Is Issued, I shall not employ any person In any manner so es to bscome subject to the Workers' Compensation Laws of California. WARNING: Fallure to ~e w atlon coverage fa unlawful, and shaD subject en employer to crtmlnal panaltlas and civil fines up to one hlDldred dolJani ($100,000) coat of compensation, damagea aa provided for In Sectlon 3706 of the Labor code,~ end attorney's feea. URE / DATE \ • l C) ' U _? 7. OWNER-BUILDER DECLARA ''9N'"--~ I hereby }fflrm that I em exempt fr~actor's License Lew for the following resson: D 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, Buslneaa and Professions Code: The Contractor's License Lew does not apply to en 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 clld not build or improve for the purpose of sale). D I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busln11Ss and Professions Code: The Contractor's License Lew 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 Lew). 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 ONO 2. I (have I have not) signed an application for a bullding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / 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 coordlnate, supervise and provide the major work (Include name I address I 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 / phone number I type of work)=-------------------------------------------------------- PROPERTY OWNER SIGNATURE----------------------- COMPI..El1: THIS SECTION FOR NON-RES/DENTlAL BUILOINO PERMITS ONLY DATE ----------~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk manegement and prevention program under Ssctlons 26606, 26533 or 25534 of the Presley.. Tanner Hazardous Substance Account Act? D YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control dlstrlct or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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 LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for whlch thls permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ----------------------------9. APPLICANT CERTIACATION I certify thst 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 ordlnances and State laws relating to building construction. I hereby authorize representatives of the CJtt of Carlsbad to enter upon the above mentloned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AOAINST AU. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolltlon or constructlon of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Cods shell 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 Is suspended or abandoned fl any time after the work Is commenced f~r ~~_(Section 106.4.4 Uniform Building Code). • I _ 3 ~APPI.ICANT'SSIGNATU~E-/~c== ~ DATE l D C) /__;.-----WHffE: F' LO~ _PINK: Flnance