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Home My WebLink About2217 RECODO CT; ; CB023808; Permitv'6/ lo {D}S g / City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-18-2002 Plumbing Permit Permit No: CB023808 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2217 RECODO CT CBAD PLUM 2164931700 Lot#: 0 Construction Type: NEW KUTLOW RESIDENCE GAS LINE REPAIR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: KUTLOW CAROL TRUST 07-29-98 ISSUED 12/18/2002 MOP 12/18/2002 12/18/2002 AAS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 2217 RECODO CT CARLSBAD CA 92009 3805 12/18/02 0002 01 CGP 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 Total Fees: $27.00 Inspector: 0 0 0 0 0 1 0 Total Payments To Date: $0.00 FINAL APPROVAL Date: $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 Balance Due: Clearance: $27.00 NOTICE: Please take NOTICE t t approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.fl You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 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 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 hih 'vnNTI imilr hi imiinh I . --- 02 27-00 FOR OFFICE USE ONLY PERMl:r APPLICATION PLAN CHECK NO. 60-S 808 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ z+ Address (include Bldg/Suite #) Business Name tat this address) ' Legal Description Unit No. Phase No. Total # ot units Proposed Use # of Bedrooms # of Bathrooms Name City State/Zip Telephone# Fax# ,;, cn;o_w~err> 'LFA9~riffoH5.wher-i-•'./ ·1,:,.-.:> • IC() "=>~. 7- City Name Address 6; CONTRACTOR-~ -coMPANYiNAliiiE'C (Sec. 7031.5 Business and Professions 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 Code) or that he is exempt therefrom, and the basis for the alleged exe p ·on. Any violation of Section 7031.5 by any applicant for a permit subjects the ap licant to a ~ii penalty of not m r than five hundr dollars {$500)l. I f "b-l>. ,,,,. ·'"A.;)1 b -9"'% Name City State/Zip Telephone# State License # _14_,__~J'--"$,._,Z=O~---License Class (!,,'ZD ~~ City Business License# JD,?{)700 Designer Name Address City State/Zip. Telephone State License # _________ ___ 6. WtiRKEIIS'. COMi>EIIIS'Ai'iDN' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. pzi, 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 n~mber are: . / j Insurance Company (V}A..e.Gl--f-u..5d: f()C, Policy No. 246~~ -l.l) Expiration Date Dl_c)I 03, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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. erage la unlawful. end shall subject an employer to criminal penaltiea and civil fines up to one hundred mpensatlon, damages as provided for In Section 3706 of ttr9 Labo code, erest and attorney's fees. SIGNATURE_k'7-£"::<,.<>;:2~~::...,-L~~~="'¥=,,,-=--,,-------,,-.,----DATE / J... b--Z- 7. OWNER~B I hereby affirm t or the following reason: D 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 tor 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). D 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 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 personally plan to provide the major labor and materials tor construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contract8d with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but t have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number/ contractors license number): ________________________________________________ _ 5. I 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 _________ _ coMPLi:'rE ·THIS SECTION 'Fbh"NdN::AS/bENTiAt'BUILDINi:i'PtRM1t&:'.d~ltt;:t. -;'_i,,;',':":"t'"' '-< ~" 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 Act7 D 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? D YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. CONSTRUCTION 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(i) Civil Code). LENDER'S NAME ______________ _ 9. APPUCANT CERTIFICATiON':·, 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. 1 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 is not commenced within 180 days from the dat f such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com e ad lo period 80 days ( I 06.4.4 Uniform Building Code). ,_ • n O., ')(_APPLICANT'S SIGNATURE _J~(J11ie1&-~------~~~~'.J!.______ DATE ~ _ • ~ PINK: Finance .. - City of Carlsbad Bldg Inspection Request Permit# CB023808 Title: KUTLOW RESIDENCE Description: GAS LINE REPAIR For: 12/20/2002 Type: PLUM Sub Type: Job Address: 2217 RECODO CT Suite: Lot 0 Location: APPLICANT ARS Owner: KUTLOW CAROL TRUST 07-29-98 Remarks: REQUESTED FRIDAY Total Time: CD Description Act Comment Phone: 8586775455 Inspector: ---- Requested By: YOLANDSA Entered By: BINSPECT vv,~, 29 Final Plumbing ~----.,--=----~----------~ ~¥P'=-----~ -----1f-~vvi~' ~J~----~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments