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Home My WebLink About1374 SPARROW RD; ; CB031609; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB031609 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1374 SPARROW RD CBAD PLUM 2156410400 Lot#: 0 Construction Type: NEW WALSH RES-NEW H2O HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/11/2003 RMA 06/11/2003 06/11/2003 ARS STE 100 WALSH FAMILY REVOCABLE LIVING TRUST 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 Total Fees: $27.00 Inspector: 13713 NE 45TH PL VANCOUVER WA 98686 0 0 0 0 1 0 0 Total Payments To Date: $0.00 FINAL APPROVAL Date: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 73.35 ,i:~102 $27.00 Clearance: NOTICE: Please take NO prova1 of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y ave 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 i n f hi h I N Tl i i r thi r whic f lim' 1 -----... ---------- PERMIT APPLICATION FOR OFFICE USE o/1; Y PLAN CHECK Nol/)0 3 ltc, J CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit----:::--:----- Validated By . 4 Date b ( If/ f:};i.__ Business Name (at this address) Legal Description bdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name State/Zip Telephone# Fax# (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 p · n. Any violation of Section 7031.5 by any ap llcan for a permi subjects the applicant to aRil penalty of not more than fve hundred dollars ($500)). s . , lJD ,u, 0. ,;z ..... lS'." Designer Name State License # Address City [i. W mt(El\~OMPENSA:rtO, ... ,__ ___ ....,.....__ ..... ...:t ....... _.....,_,,:....,;.~"!,":,,-:,.,.._ ... ., ... .,. ... _ ... _-_..-_ ""'""" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. ¼ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic permit is issued. My worker's com ensation ins ranee c~r(J,er and olicy number are: . /l'.:i'"2. 0 lo}b ] T\ I A Insurance Company -L-L....,J->o<..._._.,_.CL...,__ __ V_;;_.,__.,.,__....______ Polley No.~ v O _.::L.2 --0 _ Expiration Date._,_,1-J,_,_....;v_l..t/.::;._ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 secure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fine■ up to one hundred thouaand dollars ( 1 0,000), in itlon to the c f co nsation, damages aa provided for in Section 3706 of the bor de, I erest and attorney's fees. DATE 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): ________________________________________________________ _ 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? 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? O YES O NO Is the facility to be constructed w ithin 1,000 feet of the outer boundary of a school site? O 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. CO STRiTgJ)ON (ENDING ~Q.ENCY:~---•"• 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 Gitt 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 limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days fro t date of such permit or if the building or work authorized by such ermit s suspended or abandoned at any time ,fter the work is com ence or a peri of 180 d s e tion 106.4.4 Uniform Building Code). le Cl APPLICAN S SIGNATURE __::::::...:VJ,,,~.jl,J:.=!..i.::..£.~-..lc-~~.t.U!.~q.---------DATE ----,f---, l,__~"""''----- PINK: Finance <i~f ,ra, -c~ City of Carlsbad Bldg Inspection Request For: 06/17/2003 Permit# CB031609 Title: WALSH RES-NEW H2O HEATER Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1374 SPARROW RD Lot APPLICANT ARS 0 Owner: WALSH FAMILY REVOCABLE LIVING TRUST Remarks: Total Time: Inspector Assignment: :]ti, Phone: 7604388947 Inspector: ---- Requested By: JIM Entered By: CHRISTINE CD Description Act Comment } 25 _w_a,_e_r_H_e_a,_e_rN-en_t_s ____ 4L!-V \~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments