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Home My WebLink About1321 SHOREBIRD LN; ; CB090008; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-05-2009 Plumbing Permit Permit No: CB090008 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1321 SHOREBIRD LN CBAD PLUM 2157911100 Lot#: Construction Type: 0 NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: NEESON RES-REPLACE H2O HEATER Inspect Area: Applicant: ARS STEA 9895 OLSON DR SAN DIEGO CA 92121 858 457 6557 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 0 0 0 0 1 0 0 Owner: NEESON FAMILY SURVIVORS TRUST 1321 SHOREBIRD LN CARLSBAD CA 92011 ISSUED 01/05/2009 RMA 01/05/2009 0110512009 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that 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 pem,it 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 f x in fwhih hv rvi I n ivn Tl E ·milr this r whihth sttut flimi in h I h I xir City of Carlsbad 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS • IPTION OF WORK: EXISTING USE PROPOSED USE CONTACT NAME (If Olff'went Fom Applicant) ADDRESS CITY STATE PHONE FAX EMAIL ZIP Plan Check No. Est. Value Plan Ck. Deposit GARAGE (SF) PATI (SF) FIREPLACE AIR CONDITIONING FIRE PRINKLERS YES □#_ NOD YES D NOD YES □ NO □ -S.l--' A EMAIL STATE 0 ,Y,; FAX <ti b71-5c.f1Cj ARCH/DESIGNER NAME & ADDRESS STATE UC.# STA"/°t11(2o <Sec. 7031.S Bu1ine5' and Profmiom Code: Any City or Counrr, which requires a pfflllit to construct, alte~ improve, demolish OI' l!J!lir any strvcture, prior 19 [ll iswal:Ke. ak9 requires ~ applicant for such pttllit ID lilt t siptd statement that he is frctrdtd Jl!l'Slllnt lo the pmi1ion1 of tbt Contractor's License law {Owter 9, commending with 5tcrion 1000 of DM5ion 3 of the Businm and Pl'llftssiOls Code} or that ht a exempt lhtfenm, ud tht basis fDr ~ ale&H enmption. bly nolm of Section 7031.5 hy any applicant for a permit subjtca 1bt appliw110 I civil ptnalty of not more than five hundred dollars {SSOO}i WORl<ERS' COMPENSATION -• Compensation Dlclnllon: I hereby amrm ....., ,,.natty of pot/i,y one of the following dec/MafiOns: □ I have and wm maintain • certfflclltl of con1111t to Hff.in111r1 for workers' compensation as provided by Section 3700 of the Labor Code, f« the performance of the work for which this permit is issued. '1'"1 hovund wtU molntaln 'C llllon, as required by Section 3700 of the~ Code, for lhe peifom,:9"'.J !!Uh• V for which !ii•~oi• i•,.-···'d ..... --compeo'1J1." iF."1""" C#TI8f and policy numberare:lnsuranceCo, l'<llicyNo,l!,l;,:/h&l'z{)(b,2f -~ Ex~rallo•Oale~ /U/ I 0::, __ _ This section need not be completed lflhe permit is for; hundred dollars ($100) or less. □ Certificate of Exemption: I certify that ln the perfonnance of the work for which this permit is issued, I shall not employ any person in ooy manner so as to become subject to the Worl<ers' Compensation Laws of Catifomla. WARNING: Failure to secure wo mpen111Hon cover11ge 11 unlawful, and shall subject.,. employer to criminal penaltin and cfvll fines up to one hundred thou11nd dollm (&100,000~ In addition to the cost of compensation, d Id for In Sittion 3~ ~bor code. inttmt and ltlomty'I fats. f /4 8$coNTRACTORSIGNATURE // f ~ DATE J:;1~ I hel8by affirm that I am &Xempt from Contractor's Ucense Law for the folk:Ming reason: □ I, as owner of the property or my employees with wages as their sole compensation, wiH 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 proper1y who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements n not Intended or offered for sale. If, however, the building Of improvement Is sold within one year of completion, the owner-builder wnl have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as own8' or the property, an excluslvely 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 contra::ts for such proiects with contra::tor(s) licensed pursuant k> the Contractors License Law). □ I am exempt under Section, ____ Business aid Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvemenl □ Yes □ No 2, I (have I have not) s~ned an ap~n for e buDding peonlt for lhe proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include mme 11:ldress f phone f contra:tors' license numbef): 4. I plan ID provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include nane / address I phone I conlracbn' 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/ type of 'M>rk): _g PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a busine&s 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? □ Yes □ No Is the applk:ant or future· building occupant required to obtain a permit from the air pollution ctmlrol district or air quality management district? □ Yes □ No Is the facility lo be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No IF ANY DF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY IIAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OFTHE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, • City of Carlsbad Bldg Inspection Request . For: 04/22/2009 . Permit# CB090008 Title: NEESON RES-REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1321 SHOREBIRD LN Lot: 0 OWNER NEESON FAMILY SURVIVORS TRUST Owner: NEESON FAMILY SURVIVORS TRUST Remarks: a m please -gate code is 9533 Total Time: CD Description Act Comments Inspector Assignment: Phone: 7609315474 Inspector: Mv Requested By: TOM NEESON Entered By: CHRISTINE 25 Water HeaterNents ~ f>M:G,-1(.., k<?~"rt.:>~ ~c,..us. * !£l~ ~~S l~ ~---- Pl Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments