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Home My WebLink About1375 BUENA VISTA WAY; ; CB042683; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-09-2004' Plumbing Permit Permit No: CB042683 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1562312100 Lot #: 0 Applied: 07/09/2004 Reference #: Plan Approved: 07/09/2004 Issued: 07/09/2004 Project Title: DELUCA RES-REPLACE DRAIN LINES Inspect Area: 1375 BUENA VISTA WY CBAD Construction Type: NEW Entered By: RMA FROM BATHROOM & KITCHEN SINK Applicant: MR ROOTER 9170 CHESAPEAK DR 92123 1800-976-6837 Owner: DELUCA DAVID T 1375 BUENA VISTA WAY CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair 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 $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 .oo $35.00 Total Fees: $35.00 Total Payments To Date: $0.00 Balance Due: $35.00 / Clearance: NOTICE: Please take NO; ICE Kat approval of your project includes the "lm&sition" of f&s, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions 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 feesiexactions of which vou have sreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has sreviouslv otherwise exsired. PERMIT APPLICATION GlTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ' FOR OFFICE USE ONLY PLAN CHECK NO. I CA oq2@3 EST. VAL. Plan Ck. Deposit Date Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units Assewr's Parggl X Existing Use Proposed Use ~ - C X of Bedrooms # of Bathrooms City Business License X ) Address City StateRip Telephone State License t Po gfo I Compensation Declarati of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: 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 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 p rmit is -&POIICY No. 7D7 0 0 ,) *Expiration Date y// 2f CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as 5 Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE 0 to become subject to the Workers' Compensation Laws of California. NDRED DOLLARS IS1001 OR LESS) I hereby affirm that I am exempt from the Contractor's License Law for tho following reason: 0 I, es 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, Buainess and Profesdons Code: The Contractor's Ucensa 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 yeer of completion, the owner-builder will have the burdan of proving that he did not build or improve for the purpose of sale). 0 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 Licenaa Low does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s1 licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 1 am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an epplication 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 I contractors license number): Business and Professions Code for this reeson: 4. number I contractors licenae number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I will provide some of the work, but I have contracted (hiredl the following parsons to provide the work indicated (include name / address I phone number / type &lMPmg@HIs:SE Is the applicant or fu program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the epplicant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? 1s the facility to be constructed within 1.000 feet of the outer boundary of a school site? IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MkT OR IS MEETING THE 0 YES 0 NO 0 YES 0 NO 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 tho Cit) 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 CONSEOUENCE 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 is of such permit or if the building or work authorized by such permit IS suspended or abandoned at any time afler the work is 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE $,DATE H- OL;~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/16/2004 Permit# CB042683 Title: DELUCA RES-REPLACE DRAIN LINES Description: FROM BATHROOM & KITCHEN SINK Type: PLUM Sub Type: Job Address: 1375 BUENA VISTA WY Suite: Lot 0 Location: APPLICANT MR ROOTER Owner: DELUCA DAVID T Remarks: AM PLEASE Inspector Assignment: PS Phone: 76064471 07 Inspector: B Total Time: Requested By: GARY Entered By: ROBIN CD Description Comment 21 UndergroundNnder Floor Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 0711 412004 24 Roughfropout CO PS SEE NOTICE ATTACHED 0711 312004 22 SewerhVater Service NR PS