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Home My WebLink About2646 STATE ST; ; CB110376; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-18-2011 Plumbing Permit Permit No: CB110376 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2646 STATE ST CBAD PLUM 2031012000 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Project Title: JAIME RES-REPLACE GAS LINE FROM GAS METER TO WATER HEATER & STOVE Applicant: ANNA JAIME 2646 STA TEST 92008 760 720-0306 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 0 1 0 Owner: ANNA JAIME 2646 STA TEST 92008 760 720-0306 Issued: Inspect Area: ISSUED 02/18/2011 RMA 02/18/2011 02/18/2011 $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 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: 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 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 tile the protest and any other required information with the City Manager for processing in accordance w11h 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 hv r Tl hi wh· flimi I hrwi ~ . « ... ~ ~ CITY OF CARLSBAD JOBADDR~(o CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov # BATHROOMS Plan Check No. Est. Value SWPP OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □#_ NOD YES □ NOD .YES □ NO□ CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME STATE ZIP FAX STATE LIC.# CLASS CITY BUS. LIC.# (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 fhat he iS exemJlt 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}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby Bfflrm under penalty of perjury one of the following declarations: D I havt and wll maintain a certificate of consent to self-lnaure for workers' compensation as provided by Section 3700 of the.Labor Code, for the perfomlance of Iha work for which lhis pennit is issued. □ I have and wiN maintain workers' compenaatlon, as required by Section 3700 of the Labor Code, for lhe pertormance of lhe work for which this pem,il is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Policy No.______________ Expiration Dale _________ _ This section need not be com~ated if the pannit is for one hundred dollars ($100) or less. · D Certlffcate of Exemption: I certify that in the performance of the work for which this pem,it is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Galilornia. WARNING: Failure to Stcure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and clYII Hnta up to one hundred thousand dollars {&100,000), In addiUon to the cost of compensation, damages as providad for In SecUon 3706 of the Labor code, lntarnt and attorney's fees. ,65 CONTRACTOR SIGNATURE □AGENT DATE I, as owner of the property or my employees with wages as their sole compensation, will do the work and Iha 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 !hereon, and who does such work himself CN' through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden ol proving that he did not build or improve for the purpose of sale). □ I, as ownei" of the property, am exdusively contracting with licensed contractors lo cons Sec. 7044, Business and Profes s Coda: The Contractor's License Law does not apply to an owner of property who builds or improves !hereon, and contracts for such pro;acts with or(s) licensed pursu to lhe Contractor's e Law). □ _6S PROPERTY OWNER SIGNATURE ent. Yes □ No address/ phone/ conlractors' license number): and provide the major work (include name I address I phone I contractors' license number): led (include name I address I phone I type of v«lrk): □AGENT DATle COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or Mure building occupant required to submit a business plan, acutely hazardous materials registration lonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Ad? □ Yes □ No Is lhe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. ,t:$' APPLICANrS SIGNATURE tlon on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. · ~-"'!'-IJl0'8S· I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMl£SS THE Cf!YOF CARLSBAD SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. i, height become ool and V4ld if tie buildi'lg a \Wik authorized by such pemil is not oorrmenced Mm atanylinealllrto~::-br~;';7(SectiJn106.4.4lkmnnBuidilgCode). .·~. ; '4.. ·~ CITY OF CARLSBAD DATE:~~,~,, PERM IT #: _,.u,.,_0.._,;,;..._"T..,_, _,,.12'--- JOB ADDRESS: 7,,.le'-\lo ~ • UNSCHEDULED BUILDING INSPECTION B-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 INSPECTOR: _____ _ • 2.±: CONT ACT: _.:): ..... · ''""'a"""""'a • .__.,,2,""'---- PHONE #: 'l""o/ ,, 0 -~o~ DESCRIPTION: ___________________ _ CODE ~ Bldg Inspection Form DESCRIPTION ACT -¥- Page 1 of 1 -------~ ·----,. COMMENTS FrtJA-L Rev. 06/09