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Home My WebLink About2410 SACADA CIR; A; CB031568; PermitCity of Carlsbad • 06-0'5-2003 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB031568 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2410 SACADA CR CBAD St: A PLUM Status: ISSUED 06/05/2003 RMA 06/05/2003 06/05/2003 Parcel No: 2161904401 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FRAZIER RES-NEW H2O HEATER Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 0 0 0 0 1 0 0 Owner: FRAZIER DANIELL 2410 SACADA CIR #A CARLSBAD CA 92009 67~'.9 ){/()5/03 ·;002 $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 Payments To Date: $0.00 Balance Due: $27.00 FINAL APPRO L INSP. ~ OfJE <i, /'-( t(} CLEARANCE FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Natl>/) 5/___fb f ' . CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ----,..------- Validatr5y 411 Date ~{SI~ Address (f,;clude Bldg/Suite #) rn Business Name (at this address) Legal Description lot N~ Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged ~ . . . . ·~a~~ City State/Zip Telpi\hone # State License # --~___. ............. ~~-~ license Class --==-=="'-!>---==--City Business license # / CJ2 0 '/ (T{) Designer Name State License # Address O81SlA§'COMeif!$AilQf<I.--.......,._, City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the l abor Code, for the performance of the work for which this permit is issued. A-I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for whi issued. My worker's com ensation i surance carrier and policy number are: () l Insurance Company \.J Policy No.d.Cf ::>J> \{)~ ~ ·:Q \ Expiration Date~-t-~-1-=~~- (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 aecure workers' compensation coverage Is unlawful, and shall subject an employer to crlminal penalties and civil fines up to one hundred thousand dollars ( 1 0,000 In dltlon to the cost of compensation, damagaa as provided for In Section 3706 of the la r co e, Interest and attorney's fees. DATE . ~ 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 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 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). 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 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). 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 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 -=--=--=---=--=--=------,-------------- [COMfi -cifONJOfll!.Q 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 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, O.NSTRUCTION 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 fl, Ae.PI.ICAN""'t~·~~:;;;;;RT;:;;;IF~le.A;;:;~::;;;D:;:QN:;;;==::;:=-:::-=:=:;;:;;;;;;;;; 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 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 date of such permit or if the building or work authorized by such ermit is suspended or abandoned at any time a1 r the work is comme~c1f f a perod of 180 days action 106.4.4 Uniform Building Code). APPLICANT'f 51GNATURE ___ V.:::_~\!Ull.:::I.~~==-~~lL~~::...J.::::::::..,4________ DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/14/2003 Permit# CB031568 Title: FRAZIER RES-NEW H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2410 SACADA CR Suite: Location: APPLICANT ARS Owner: Remarks: Total Time: A Lot 0 Act Comment Inspector Assignment: Phone: 8586n5455 Inspector: ---- Requested By: YOLANDA Entered By: CHRISTINE CD Description 25 Water HeaterNents _ff _______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments