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Home My WebLink About2872 NANTUCKET LN; ; CB981652; PermitB UILDI N G P E R MIT Permit No: CB981652 05/29/98 .12: 5B . •. - .•.. Project No: A902200 Page i 6f .1 .. .. - Development No:, Job Address 2872 NANTUCKET LN Suite , Permit Type PLUMBING Parcel No 167-472-24-00 Lot# Valuation. - 0 Construction Type 'VN OccupähcyGroup: Ref erence#: . Status ISSUED. . Description:'REPLACE APORTION OF SEWER Applied 05/29/98 : LINE - . .- Apr/Issue: 05/29/98: -. - - Entered By: MDP Appl/0wnr DRAIN PATROL 619 530-3265 7764 ARJONS 7521'05/2?/98 0001 Ci. 02 SAN DIEGO, CA.-92121 *** Fees Required *** *i Fes.1lected & Credl1RMT **°.°° .,Adjustmnts: . • TotalFees: - .00 To Total .00 tsfrnt- --Ext fee Data Enter Y" for -Plumb n e 20.00 Y Other > 0 10 00 SEWER REP Q9 , . . - INCORPORATED - - '• * - - . 1952 - 4 . - •• • ..- - l •_ ., .• '•. • •.. - •. .• •- - • ... . - FIJAL APPROVAL INSP _ DATE f 8' p CLEARANCE' I - ••. • , CItY OFCARLSBAD - . • •• -• '2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT. 2075 Las Palmas Dr., Carlsbad CA 92009 - (760) 438-1161 I FOR OFFICE USE ONLY PLAN CHECK N6.70 EST. VAL.: Plan Ck. Deposit Validated By_________________________ Date 11PRoJEcT INFORMATION ii73. Address (include Bldg/Suit (• Business Name (at this address) ness CLt -€ fa Legal Description Lot No. Subdivision Name/Number Unit No. Phase Nd' Total # Assessor's Parcel # Existing Use - Proposed Use DescrQtion of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms ReylqcA. 2CONTACT:PERSON (cant LZ,' Name Address - . City State/Zip Telephone # . Fax # 3APPLlCANTConctoD Name Address City State/Zip Telephone # Name • Address City State/Zip Telephone #- 5CONTRACTOR (Sec. 7031.5 Business and Prof esions 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 Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($50011. Name State License # S.d' Address 77 License Class City .4 Z,StateIZip Tale one # City Business License #. ' \7'tO C_ Designer Name Address City State/Zip Telephone State License # . . .• 6 - WORKERS COMPENSATI N.. 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 of the work for which this permit is issued. 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: - Insurance Company Policy No. Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued. I shall not employ any parson in any manner so as ecome subject to the Workers' Compensation Laws of California. . WARNING: Failure o secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars C 1 .0 . addi ion to the cost of compensation, damages as provided for in Section 3706 of the Labor cod ,i terast and attorney's fees. SIGNATURE LM - DATE wat .?9-- 7 OWNER I ER D& RATION I hereby affirm t I am exempt from the Contractor'sLicense Law for the following reason: 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 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:. Th. 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 . Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement.,YES ONO I (have / baé9 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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 / contractors license nu,iiber): A 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 COMPLETE THIS SECTION FOR NON-RESIDLNTFAL BUILDING PERMITS ONLYL T LJ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? U YES U NO Is the facility to be constructed within 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT; 8CONSTRUCTION LENDING AGENCY )jt'ZZ ..: .. r: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME - LENDER'S ADDRESS_______________________________________________________ 9 'i APPLICANT CERTIFICATION .;=i=-:~rj 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 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 required for excavations 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 permit il1jot commenced within 365 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 tljil tvorkjw"Emmnced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance 5 C' CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981652 FOR 06/03/98 INSPECTOR AREA PD. DESCRIPTION: REPLACE A PORTION OF SEWER PLANCK# CB981652 LINE . 0CC GRP TYPE: PLUM CONSTR. TYPE VN JOB ADDRESS: 2872 NANTUCKET LN STE: LOT: APPLICANT: DRAIN PATROL PHONE: 619 530-3265 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/DRAIN PATROL . INSPECTO ~&e, e,,tl SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 22 PL Sewer/Water Service . ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 060198 Sewer/Water Service NR, PD COULDN'T LOCATE -4 • 4, • I'