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Home My WebLink About2830 RANCHO PANCHO; ; CB023263; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-29-2002 Plumbing Permit Permit No: CB023263 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2830 RANCHO PANCHO CBAD PLUM 2225912000 Lot#: 0 Construction Type: NEW SHAVER RESIDENCE GAS LINE TO FIRE PIT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/29/2002 MOP 10/29/2002 10/29/2002 99'+4 .L0/29 / 02 )002 )1. Applicant: SHAVER JAMES M 2830 RANCHO PANCHO CARLSBAD CA 92009 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Inspector: Owner: SHAVER JAMES M 2830 RANCHO PANCHO CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 0 1 0 Balance Due: $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 Clearance: CGF·· $27.00 NOTICE: Please take N val of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exacti ." You e 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 i n f whi h r vi 1 Tl imil r hi r h f limi i r vi sl h rwi x '.:2 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK No6 -z ~ sz--~3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ ddress (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use y Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms J\ vNWINb ~ (.,IN€ 7t> tv£:,,,._. r-1/l~ ~~.M_QH.1Jf.J!!!fe!J!1t from.J1ppJjc11nt}_ Address City State/Zip State/Zip Telephone# Telephone# 7t.o Fax# C+-5'.Z<>o "i I S.tate/Zip Yo 'f -r.;7'-lf> Telephone# (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 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 [$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # .:;::;::::::;:;:::::;:::::;::::;;;::-;:::::::=;;;-:;;; 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 for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 ($100) OR LESS) 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: Failure to secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DA TE Q..WNER•QVJJ.Dm.l.l~BATIQN .. ;;--;;:::::;=:;;;:;;:::=:;;:::::=::::::;;::;,...,.., ,......,.....""2 ,--...,,.. ffirm that I am exempt from the Contractor's License Law for the following reason: s 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 44, Business and Pro_fessions 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 improvervents are not intended or offered for sale. If, however, the building or improvement is within one year of completion, the owner-builder will have the burden of''l)roving 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: The tractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). · 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 / contractors 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 / phone number/ contractors license number):. ______________________________________________ _ 5. I will provide some of the wor ing persons to provide the wo k indicated (include name / address / phone number / type f work): _________ +---+----.. .... f:H-I--/.IF-,--,1,;f"---==--------+-------r---f------------- PROPERTY OWNER SIGNATURE _ _::;~~~z__:~:.=.__:__:::,.j,LL ________ __) tf;QMRW:E.I!:!~.§..ErnQN FOflNO .. ,, ... I~"-'""' 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 25605, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. ONSTRUCTION LENDING AG~~CY 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 ______________ _ LENDER'S ADDRESS. ________________________ _ !i., Affil.!CANT CERTIFIC~ TION 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 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 · ·ssued by lhe building Official under the rovisions of this Code shall expire by limitation and become null and void if lhe building or work .authorized by such rmit is no commenced wilhln 180 ays from of such permit or ii the building or work authorized by such permit is suspended or abandoned '\ Ly time after th work is co enced eriod ol daY, 10n 106.4.4 Uniform Building Code). ) ! xr-r-LICANT'S SIGNl,!NJUBf'-7~~~-)~~'$_:::;:z!;f..-h,){,.-=:::::::::::::~::_-______ ,J DATE _/_O+[_z;_Cf-+c__0_2,.:.._ _____ _ PINK: Financ City of Carlsbad Bldg Inspection Request Permit# CB023263 Title: SHAVER RESIDENCE Description: GAS LINE TO FIRE PIT For: 04/25/2003 Inspector Assignment: RF --- Type: PLUM Sub Type: Phone: 7608045748 Job Address: 2830 RANCHO PANCHO Suite: Location: APPLICANT SHAVER JAMES M Owner: SHAVER JAMES M Remarks: Total Time: CD Description 29 Final Plumbing Lot 0 Requested By: JIM Entered By: CHRISTINE Act Comment __.i!!__ 11a-:z ... w{ r,,,~ L Associated PCRs/CVs lnsgection Histo!Y Date Description Act lnsp Comments 11/04/2002 21 Underground/Under Floor AP RF 11/04/2002 23 Gas/Test/Repairs AP RF 11/01/2002 23 Gas/TesVRepairs co RF INSTALL GAS SHUT OFF 10/30/2002 23 Gas/Test/Repairs co RF NO GAS TEST OR COMPLETE RUN