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Home My WebLink About1351 SPARROW RD; ; CB002407; PermitCity of Carlsbad 06/28/2000 Plumbing Permit Permit No:CB002407 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1351 SPARROW RD CBAD PLUM Parcel No: 2156403000 Lot#: 0 Construction Type: NEW Reference #: Project Title: MILLER RES-NEW WATER HEATER Applicant: TORREY PINES PLUMBING STE 101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: SR I FINAL APPROVAL Date: .., I \ ~k)(:) Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Clearance: ISSUED 06/28/2000 RMA 06/28/2000 06/28/2000 $0.00 $0.00 $27.00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective.ly 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 capactiy changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project NOR DOES 1T APPLY to any fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 27-00 FOR OFFICE USE ONLY ' . PERMIT APPLICATION PLAN CHECK NO. Cl3@ ~7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Validate Date_--1o...,.--1----...4---1---"<------- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ;,e_ Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2.. , CONTACT> PERSON (If different from·applicant) Name City D Owner.: □ Agent•(or Owner' State/Zip Telephone # Fax# 0 Contra_ctor IC,. ~ 'I {i/J '7 State/Zip Telephone# ., City «14 f,J.~tlf 1U.V4& 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 eAmp_tion-;Jy ;J')/J/'/t;P, S~ction 7031 vli.ny ap licant fR~rmit s:;te 'A.the applica~ to a ci~penalty of not92:e*i five hundred ~olla.7 1~500)).:s-,;- Name ·/I 't'.~ ~ Address City State/Zip Telephone # State License # / 7 ?< :;I "I License Class /.:JIJ/lt'✓tJM, tf 5 IJ JIJC City Business License # _______ _ 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: O 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 rork for which this permit is issued. [3"" 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 CO)P;,ensation insuran:7arr~er and policy number are: fl i C,, ./J ! , I; Insurance Company tl/1lt,rlf'tll1 t1.d..!lJL. /119. Policy No. I/Jc; Joo '2 t17 3 Expiration Date zip I If. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 secure workers' compensation coverage s unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compe o , damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE, ______________ ___:~~~:;.e/1,.~---------DATE 7, OWNER-BUILDER DECLARATION JUN 2 6 2000 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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 P.erson (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 ________________________ _ 'COMPLETE THIS, SECTION FOR. NON-RESIDENTTAL BUILDING PERMlTS ONl:Y ' 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 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 7 D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D 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. 15/,\ c'dNSTRUCTION i..E~DtNG ~GENCY,·' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. __________________________ _ ·9, · APPLICANT CERTIFICATION, · ' ,,J .• 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 this Code shall expire by limitalion and become null and void If the building or work authorized by such permit Is not commenced within 180 days rom lhe date of such permit or ii lhe building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of t 8 (Section 106.4.4 Uniform Building Code). DATE __ J_U_N_2_6_20_00 __ _ YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 7/11/2000 Permit# CB002407 Title: MILLER RES-NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1351 SPARROW RD Lot 0 APPLICANT TORREY PINES PLUMBING Owner: MILLER FAMILY TRUST 10-08-84 Remarks: Inspector Assignment: ~ Phone: 8586775455 EX 204 Inspector: ~ • Total Time: CD 25 Description Act Requested By: TIFFANY Entered By: CHRISTINE Comments Water HeaterNents ~~ \:""~ -- Associated PCRs Inspection History Date Description Act lnsp Comments