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Home My WebLink About2861 CACATUA ST; ; CB021364; Permit05-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB021364 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2153701600 Lot #: 0 Applied: 05/03/2002 Reference #: Plan Approved: 05/03/2002 Issued: 05/03/2002 Project Title: NICOSIA RES/ REPLACE WATER Inspect Area: 2861 CACATUA ST CBAD Construction Type: NEW Entered By: CB HEATER Applicant: ALL STARS WATER HEATERS & PLUMBING 26867 PELHAM PL HAYWARD CA 94542 51 0-583-1 300 Owner: NICOSIA JOSEPH M JR&ELOISE B 6456 05/03/02 0002 01 02 2861 CACATUA ST CARLSBAD CA 92009 cer 27=# I Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer ' Roof Drain i Install/Repair Water Line Water Heater and/or Vent ' Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Additional Fees ' Sewer Fee ! TOTAL PERMIT FEES I i, $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 FINAL APPROVAL I Inspector: 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 'feesfexactions." You have 90 days from the date this permit was issued to protest imposition of these feesfexactions. 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 feesfexactions 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 feedexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA92008 Address (indude Bld@'Suite x) Legal DsscnpUon Lot No Subdivision NamelNumber Unit No Phaae No Total Y of units Aases <s Parcel1 hsbng Use Proped Use Deauiptidn of Work SO FT X of Stones #l of Bedmoms X of BPlhmoms Business Name (at this address) residential home same w /?e* k< &A, 'c< NLAPL8-2 FOR OFFICE USE ONLY PLAN CHECK NO. cmz 1%' 4 EST VAL Plan Ck Deposit Validated By Date Q24Z ._-. . - -r (Sec 7031 5 Business and Proteasions Code Anv Ctv or Countv wncn read res a mmit to constrxt alter morwe demo sh or reoair aw strdctdre onor to ts issuance, also requires the applicant for such permiito file a signed statement that he is licensed pursuant to the provisionsof the Coiracio?a L;&nse 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 5 by any applicant for a permit subjecta the applicant to a civil penaky of not more than five hundred dollars [s500]). Name Address city StateRip Telephone# state License x 7781 56 Designer Name Address city State/Zip Telephone Slate Licence Y 6. WORKERS'COYPENSATDN Workers' Compensation Declarabon: I hereby affm under penalty of perjury one of the following dedaratwns: of the wrk for which this permit is isswd. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Fund poiicy NO. 159113900 qlration p ate 08/01/2002 b CERTIFICATE OF EXEMPTION: I certlfy lhat in the petformance of the work for which this permli is isued, I shall not empioy any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawlul. and shall subject an employer to criminal penalties and civil tinea up to one hundred thousand dollars (SlOO.000). in addition to the cost of compensation. damages as pmvided for in Section 3708 of the Labor coda, interest and attorney's fees. SIGNATURE DATE 04/24/2002 7. OWNER-WILDERDECLARATION I hereby atlrm that I am exempt from the Contractoh License Law for the following reason: 0 I, as owner of the properly or my employees wth wagea as their sole compensation, will do the work and the structure is rot inlanded or offered for sale (Sec. 704.4, Business and Professions Code: The Contradoh License Law does not apply lo an owner of propelty who builda or improves thereon. and who does such rmrk himsen or thmugh his own employees, pmvlded that such impmvements are not intended or offered for sale. K howmr, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did no( build or impmve for the purpose of Sale). 0 I, as owner of the property. am exclusively contracting with licensed contmtors to construct the project (See. 7044. Business and Professions Code: The Contractoh License Law does not apply to an owner of property who builds or improves threreon. and contracts for such projects with contractor(s) licensed pursuant to the Contradoh License Law). 0 I. 2. All Star Water Heaters and Plumb 17886 Lakeshore Drive <Name> <Address> <C#y> ST <ZiD> <Phone> Lake Elsinore CA 92530 8007270977 License class C36, HIC C! Business License X 1210402 I have and will maintain a certificate Of consent to sen-insure for workers' compenaation BI provided by Section 3700 of the Labor Code. for the Petformanca I have and will maintain workers' compensa(ion. as required by Section 3700 of the Labor Code, for the pefirmance of the work for which this permlt is HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ploo] OR LESS) I am exempt under Section I personally plan to pmvide me major labor and materiais for construction of the pmpmed propew improvement. I (have / have not) signed an applicant for a building permit for me propsed work. Business and Professions Code for this reason: YES 0 NO contracted wih the (allowing person (flrm) to ' e the mposed conlmudon (include nam 3. < am> <A?I'&essS 4 I plan to prwide portions of the rk, but I have hired the follmvirg person rdinate superase and pmvide the ma or work include name I a ress / hone number / contractors license number) <lame> <X8ress>z <hark Phone> &ate 'License> ~~~ ~~~ 5 I willmde some of the wrk. but I have contrackdowing kin to pmvidethe wrk indimtad (include name I address ame> <Work Phone> PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely haLardOus matenals registration form or risk management and prevention program under Sections 25505.25533 or 25534 ofthe Presley Tanner Hazardous Substaw Account Am Is the applicant or future building occupant required to obtain e permit fmm the air pliubon control distnct or air quallty management district7 It the faultly to be constructad wlthln 1,000 feet of the outer bundaly of school ske7 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESAND THE AIR POLLUTION CONTROL DlSTRlCT 0 YES 0 NO 0 YES NO 0 YES NO I hereby firm that there 1s a mnslruction lending agency for the perlarmance of the wrk for which this permit is issued (Sec 3087(1) Civll Code) LENDER'S NAME LENDER'S ADDRESS I certily that I have read the application and state that the abwe information is correct and that the information on the plans is accurate I agree to comply wlth a11 City ordinances and State law relabng to building construction I hereby authorize representatives of the Clty 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, JUWEMENTS,COSTSAND EXPENSESWHICH MAYINANYWAYACCRUEAOAINSTSAIDCI~IN CONSEQUENCEOF THEORANTINOOFTHIS PERMIT. OSHA: An OSHA permit is required for exavabons over 5'0' deep and demolition or constrwlion of structures over 3 stones in height EXPIRATIOW: Every permlt iseued by the building Omwal under the pmvisions of thia Code shall expire by limitation and become null and void If the building or work aulhorized by such permlt is not commenced mthin 180 days fmm me dete of such permlt or if the building or work authorized by such permit is svapended or abandoned APPLICANT'S SIGNATURE 04/24/2002