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Home My WebLink About1609 STARLING CT; ; CB071485; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 05-30-2007 Plumbing Permit Permit No: CB071485 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: 1609 STARLING CT CBAD PLUM 2155906800 Lot#: 0 Construction Type: NEW KARLOVSKY RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ARS STE 100 KARLOVSKY FAMILY TRUST 02-04-04 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 0 0 0 0 1 0 0 1609 STARLING CT CARLSBAD CA 92011 ISSUED 05/30/2007 KG 05/30/2007 05/30/2007 $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: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fe s, 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 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 f v r i I imil hi r i h h fli r i I h i FOR OFFICE USE ONLY PERMIT APPLICATION 48f7~ PLAN CHECK NcCB:)7/t(~ CltY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.----------,,- Plan Ck. Deposit ------7'7'!'r'l"-J-- Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No.:;>F='."~division Name/Number Unit No. Phase No. Total # of units ing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms I t~~-1. Fax# Name Address City "&!?:!''COITTRACToli:?'ebMl'ANV, Nl\MErlSt.':"?'~ ..,.~,·-~•t=.~~~~'m,:~ Name State/Zip Telephone # State License# -'--L.a.-"""-"'=--'------City Business License # / D 30 · 7Qo Address City State/Zip Telephone ~~. r;~i:';'ll~~~-~~-, .... -r.-r,rr;!:;'~~-ffl .. ""'":' .. , . ,. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain e 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. ~ 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 comp~ensatlon 'nsurance carrier and policy number are: . .., ·1. C. I]_ I. --1.. ) 0 / .lo . . q I ')£#lo 7 Insurance Company U 1 _ Pohcy No.1b.-:Jk,10D~:,.t _ Exp1rat1on Date_..c./_C.<7"" __ 1 _~-~- (THIS SECTION NEED NOT BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS )$1001 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 ec e workers' comp nsatlon coverage Is unlawful, and shall subjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ,000 , In addition .to t t compensation, damages as provided for In Section 3706 of the L Interest and attorney·s fees. SIGNATURE __ .:,.....p;::..:...,.,,.,~L-IL>...:......L..H---',:{L-f..L."-"""""'"'--------------DATE ----::,~'-1.c,;,L----- 0 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 _______________________ DATE _________ _ , COMPLETE·THis.'secTION, FOR NOIV•RE$IDE,V77Al1i1JiLl5iNd'.PERMITS1blJly;,!~• ~~"f.'~~j'l'~f ';i~• '!i!}')Jr,~l'"",r 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 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 7 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. :a; •',,F<':ONSTRUCTIONtENDING' ~GEN CY, ,-11: ' . , "'.':""'.:~s~'11~";:\'£'1;~'W~';<ciff'4Jn' ''. 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). 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 Issue by th building Otticlal under the provisions of this Code shall expire by llmitalion and become null and void ir the building or work authorized by such permit is not mence within 180 days from lhe date of such permit or if the building or work authorized by /Jch permit is suspended or abandoned at any tim· ·•er the work is co enced for a period\! 180 s Sec ion 106.4.4 Unirorm Building Code). F. / 0 ,,.r, APPLICAI SIGNATURE -ttt'T1't-#--f-t--t-1"-:---f'-t-r--:ll'--'"ff"Tt--r-----------DATE ? J ..> I V / PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/29/2007 Permit# CB071485 Title: KARLOVSKY RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: Suite: 1609 STARLING CT Lot 0 Inspector Assignment: Phone: 7602711208 Location: Inspector: ----- OWNER KARLOVSKY FAMILY TRUST 02-04-04 Owner: KARLOVSKY FAMILY TRUST 02-04-04 Remarks: call with 2hour window Total Time: Act Comment Requested By: JIM Entered By: CHRISTINE CD Description 25 Water Heater/Vents 4------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments