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Home My WebLink About1324 SHOREBIRD LN; ; CB021021; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-04-2002 Plumbing Permit Permit No: CB021021 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1324 SHOREBIRD LN CBAD PLUM 2157910700 Lot#: O Construction Type: NEW MOLES RES-GAS & ELECT-FIRE PIT & FUTURE BBQ (MIN 5 FT FROM PL) Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/04/2002 RMA 04/04/2002 04/04/2002 NEW HORIZONS LANDSCAPE MOLES STEPHEN W&CASENDRA S )002 01. c:.c:;:~> 810 APPLEWILDER DR 92078 760 591-4410 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $47.00 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: 1324 SHOREBIRD LN CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 0 1 0 FINAL APiOVAL Date: /fJ Ir: /4 'L-- $0.00 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 $47.00 hat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must folbw 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 )2 PE~MIT .APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. Qtrd/b:?. I CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ Validated By , ~ Date lj( C-/4/6 ~ 1. PROJECT INFORMATION l:3il¥ :5Jzgr(J;l:nr-d L 11'.• Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Unit No. Phase No. Total # of units 2. CONTACT PERSON (It different from appllcantl. -· Name ,3. Fax# ...,.'.J,o Name 4, •. P'-'OPERTY OWNER Mole:, Address ci.c/hh:zef -471,, 9(4,D Name City State/Zip Telephone# 6. CONTRACTOR • COMPANY NAME • (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 applican or a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ~ ,L • I ,• 7~cf} !f" J,i). /. Address City State/Zip ele hone # State License # 3 8 if 'JJ '3 ~ License Class C! ·,? 7 City Business License ..:Z;..:.f.L.....SJ"'--..L.:.~.J- Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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) ~ 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 Qecome subject to the Workers' Compensation Laws of California. WARNING: Fail thouaa era' compenaatlon coverage la unlawful, and ahan subject an employer to criminal penalties and civil fines up to one hundred the coat of compensation, damages ea provided for in Section 3706 of the Labor od , i erest and attorney's fees. SIGNAlllRE:::::~~~!/-~~~~~~~!.._ ________________ _ DA TE __::;z::::......,~-.c..~.cL.:_,:~_ 7. 0 I hereby affirm that 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). 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 for 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 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 _______________________ _ DATE _________ _ ,COMPLETE THIS SECTION FOR NON-RESIDEN11ALBUILDING PERMITS ONLY 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? 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? 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. 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 ______________ _ LENDER'S ADDRESS. ________________________ _ ·9. APPLICANT 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. 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 permit issued by the building Official under the provisions of lhis Code shall expire by limitation and become null and void if the building or wor1< aulhorized by such permit is not commenced 1thin 180 days from the date of such permit or if lhe building or work authorized by such permit is suspended or abandoned at any lime after the work is commenced r peri of 180 days (Section 106.4.4 Uniform Building Code). 1 / APPLICANT'S SIGNATU L.,~:?--~-r:--:-::-.. DATE -t/£/P~ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/09/2002 Permit# CB021021 Title: MOLES RES-GAS & ELECT-FIRE PIT Description: & FUTURE BBQ (MIN 5 FT FROM PL) Type:PLUM Sub Type: Job Address: Suite: Location: 1324 SHOREBIRD LN Lot 0 APPLICANT NEW HORIZONS LANDSCAPE Inspector Assignment: PY --- Phone: Inspector: 'P l Owner: MOLES STEPHEN W&CASENDRA S TRUST 11-10-95 Remarks: GO INTO BACK YARD ·FRIENDLY LITTLE PUP Total Time: CD Description 29 Final Plumbing Act Comments Requested By: MRS MOLES Entered By: CHRISTINE J;i!... _______ _ Associated PCRs/CVs losgectioo Histo[ll Date Description Act lnsp Comments 09/04/2002 29 Final Plumbing co PY NOONE HOME 04/05/2002 21 Underground/Under Floor AP JC NOTE: PUMP MAY NOT BE U.L. APPROVED 04/05/2002 23 Gas/Test/Repairs AP JC 04/05/2002 31 Underground/Conduit-Wiring AP JC