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Home My WebLink About1375 BUENA VISTA WAY; ; CB042526; Permit. b 06-24-2004 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or sewice fees in connection with this project. NOR DOES IT APPLY to any - feeslexactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB042526 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 156231 21 00 Lot#: 0 Applied: 06/24/2004 Reference #: Plan Approved: 06/24/2004 Issued: 06/24/2004 Project Title: DELUCA RES- REPAIR GAS LINE Inspect Area : 1375 BUENA VISTA WY CBAD Construction Type: NEW Entered By: KMT Applicant : DELUCA DAVID T 1375 BUENA VISTA WAY CARLSBAD CA 92008 Owner: DELUCA DAVID T 1375 BUENA VISTA WAY CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair 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 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 5104 06/24/04 0002 01 02 CGP 27-00 FINAL PPR VA Date: 6-aB-b lf Clearance: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT Legel Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total X of units Assessorls Parcel # Existing Use Proposed Use FOR OFFICE USE 0 L PLAN CHECK NO. <W& EST. VAL. Plan Ck. Deposit Name Address City Statelzip Telephone X issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the besis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IO50011. Name Address City StatelZip Telephone # Stete License t License Class City Business License X Designer Name Address City Statelzip Telephone State License X RKEtI8MoMrO Compensation Declerati 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: lnsurence Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS1 0 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failurn to sewe workers' compenaatlan covarclg. Is uJ.wM, md shd aubjact an employer to criminal penalties Md clvil fines up to one hundred thousand dollan ($100.0001. In eddltlm to the cost of compensation. damages M provided for in Section 3706 of the Labor code, interest and attorney's fwa. 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, e8 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, as owner of the property or my employees with wages es 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 throubh 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). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Eractor's License Law does not apply to an owner of property who builds or improvas thereon, and contracts for such projects with contractorlo) licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): I am exempt under Section I personally plan to provide the mejor labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed en application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I 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 I address I phone Business end Professions Code for this reason: program under Sections 25505, 25533 or 25534 of the Presley-Tanner Herardous Substance Account Act? - 0 YES Is the applicant or future building occupant required to obtain a permit from the air pollution control district or eir quality management district? Is the fecility to ba constructed within 1,000 feel 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 MEETIEG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 NO 0 YES 0 NO City ordinances and State laws relating to building construction. I hereby authorize representetives of the 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 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 th authorized by such permit is not corn at any time after the work is co x APPLICANT'S SIGNA itation and become null and void if the building or work te of such permit or if the building or work authorized by such permit is suspended or abandoned DATE 6.4.4 Uniform Building Code). City of Carlsbad Bldg Inspection Request For: 06/28/2004 Permit# CB042526 Title: DELUCA RES- REPAIR GAS LINE Description: Type: PLUM Sub Type: Job Address: 1375 BUENA VISTA WY Suite: Lot 0 Location: APPLICANT DELUCA DAVID T Owner: DELUCA DAVID T Remarks: Total Time: CD Description 23 GasTTesVRepairs Inspector Assignment: PS Phone: 76064471 07 Inspector: Requested By: GARY Entered By: ROBIN Act Comment Associated PCRsKVs Inspection History Date Description Act lnsp Comments 06/25/2004 23 GasKesVRepairs co PS