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Home My WebLink About1666 PLOVER CT; ; CB051718; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2005 Plumbing Permit Permit No: CB051718 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1666 PLOVER CT CBAD PLUM 2157300804 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: CLYMER RES INSTALL 40 GAL H2O HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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: CLYMER JANICE J 1666 PLOVER CT CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 05/16/2005 KG 05/16/2005 05/16/2005 $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: Inspector: EXPIRE.D PERMrr PERMIT HAS EXPIRED IN ACCORDANCE WiT:-1 G.P.C SECTION 106.4.4 AS AMENDED BY C.M,(,_iWJ3.6305/16/05 DATE ~\w. l bC SIGNATURE O~Mi FINAL APPROVAL Date: Clearance: $27.00 0002 01. CGP NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions: You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government COOe 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 • l nf whi~h ,.,,,, h,..,-,,. · · L ----'··-, <> ' • • f.-.-~L,_ -· ,.., +.-. ...... ,_... • lirnif""♦innc, hno · · · 02 27 .. oo PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Legal Descrip1ion Lot No. Subdivision Name/Number Assessor's Parcel# Existing Use A 5, · 'coNi'RACJOR: COMPANY NAME. Unit No. FOR OFFICE USE ON}, ~171 _ / PLAN CHECK NOCc.~---'---'--"----'-----'~"- EST. VAL. __________ _ Plan Ck. Deposit ____ 7!/3_"-,,c._· __ _ Validated By---~~!'-'~~---- Date 5"'-/f--cK Phase No. Total# of units Proposed Use # of Bathrooms (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, after, 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 7031.5 by any a pli f permit subtects the applicant o civil penalty of not more than five huhdred la rs [$500]). Designer Name Address City State/Zip Tetephone # State license# ________ _ 6,.-, \,'IOR~~~•SC\>r,!r.~~~i)qtf' . . , .• .. ·. ·· .. · · ·.· ..... ; 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 worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for w ich thi permit is issued. My policy numb Polley No. l (i} 3-:\s. 23, E>~,ation Date,_.:::i..-1-wl-'O~S.1._ __ IT IS FOR ONE HUNDRED DOLLARS {$100] OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performan of the work for which this permit is issued, I shall not employ any person in any manner so as to WARNING: Failure to secure workers' com l.'f'~"':!l!!C::-"'"wfu and shall subject an employer to criminal penalUas and civil fines up to one dollars($100,000), In addition to the cost of c,.,,, •• ""'I" I ad for in Section 3706 oftha Labor Coda, Interest and attorney's faas0. SIGNATURE DATE, ___ ~:::..._-\r-1..!~!µ~ ·7:., ·~. OWNER-BUILDER DECLARA I h~rebY crtflr;,, that I am ~x~~pl from nse for the following reasoff □ wages as their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Lice e 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). D I, as owner of the property, am exdusively 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). D I am exempt under Section ________ Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. □ YES □ NO 2. I (have/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/ address/ phone number I oontractors 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 I phone number/ /ontractors license number): ----,-------------------------------------------- 5. l will provide some of the work, but I have contracted (hired) the following persons to provide' the work indicated (include name f address/ phone number/ type of work): PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 ~~'i!E '1)118 SEC1!C1,N l'QR NON-RESlllENTJAUIJ.ILDING PERMI~ _ONLY Is the applicant or future building occupant required to submit a business ptan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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. CQNSTRUCTION LENDING AGENCY 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 ___________________ _ 1.-:.:, ,\PPUCANtCERTIFICATION.,, ·· ;~.· .. , · ~-· , . 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 aH City ordinances and Stale laws relating to building construction. I hereby authorize representatives of the City 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, JUDGEMENTS, 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 of 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official un ~r the revisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 1 days from th ate of su rmit or if the building or work authorized by such permit is suspended or abarned al any time after the work is commenced for a period of 18/ a ( ·o . . · m Building Code). / / / ;,, APPLICANT'S SIGNATURE • DATE ----3 _ fl 0.1 WHITE: File YELLOW: Applicant PINK: Finance