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Home My WebLink About1270 STRATFORD LN; ; CB001636; PermitCity of Carlsbad 04/28/2000 Plumbing Permit Permit No:CB001636 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: NAKAJI SUSAN K 1270 STRATFORD LN CBAD PLUM 1 561643800 Lot #: 0 Construction Type: NEW REPLACE WATER-HEATER 1270 STRATFORD LN CARLSBAD CA 92008 'i .. ' ~ 0 "" .!!,' % , V fa V + , ► cf ,(@ , Status: ISSUED Applied: 04/28/2000 Entered By: GMF Plan Approved: 04/28/2000 lssgsg;s 0~ft~ljl0Qlbo1 01 Inspect Area: C-PRMT t 1', • !~t't.•+, 01," / %-1\:w Total Fees: $27.00 • • 0 • 'l'ota~Payments To Date: ! , , > , $0.00 "* •' .. ; ~ce Due: $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 .. lnspectoo,l i FINAL APPROVAL Date: G,-Os: -a~ \ ... , tr,', ... * 'if! $0.00 $0.00 $27.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv 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. eeoor<o'2.(i, CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By_..:c.-0:.:l....,_ _______ _ Date 4¥1--sd?O '1. PROjECT INFORMATION Business Name (at this address) legal Description Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address 3. APPLICANT .0 C9n~ractor 0 Agent for Contractor Name Address 04, Pl:JQf~Rt)'. OWNER Name Address '6. CONTRA~TOR • COMPANY NAME City D Owner O Agent for Owner City City State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone# (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 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]). Name Address City State/Zip Telephone# State license # _________ _ license Class _________ _ City Business license # _______ _ Designer Name Address City State/Zip Telephone State license # _________ _ 6. WQRKEfl.S" COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. O 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 compensation insurance carrier and policy number are: Insurance Company ______________________ Policy No. ____________ _ Expiration Date _______ _ (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 Worker ' Compensation laws of California. WARNING: Failure t secure w era' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( $10 ,000 , i ad st ~f ~ompensation, damages as provided for In Section 3706 of the lab?ode, l?'rest and attorney's fees. s1GNATURE, __ ~e!.A.,11L~44'A~~~=+-------------DATE ~ d ~-0 a 7. license law for the following reason: 0 I, as owner of the property o y employees with wages as their sole compensation, will do the work and the structure is not intended or ottered tor 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 tor 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). O 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 hav of work):. ______________ -+----~,._=-t'....,,....-.,,_ __________________ -,---,...,.,,---:;----------- ';.. PROPERTY OWNER SIGNATURE ---./J,M.4.UL.4.L,L.,L.f.~~'.!1.::~------DATE -U C'::J COMPLETE THIS SECTION FOR NON-RES Is the applicant or future building occupant required to s it a b siness p program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haza utely hazardous materials registration form or risk management and prevention s 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. 6, C0NSTRUqTION LENDING ~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(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. AP!'LIC~~J CERJIFICATION 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 excav tions over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permil issued y he bui ing Official under the provisions of this Code shall expire by limitation and become null and void if lhe building or work aulhorized by such permit is not co need with s from lhe dale of such permit or if the building or work authorized by such permil is suspended or abandoned at any lime after the work is comma ed for a per' f 18 d s (Seclion 106.4.4 Uniform Building Code).if, -y.._ APPLICANT'S SIGNATURE ---!lE,j.A.,!.~=~4.~-14.,4L-'"-l.,'~+----------DATE z:::. -a~ -o 0 YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 6/2/2000 Permit# CB001636 Title: REPLACE WATER-HEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1270 STRATFORD LN Lot APPLICANT NAKAJI SUSAN K Owner: NAKAJI SUSAN K Remarks: Total Time: CD Description 0 Act Comments 25 Water HeaterNents 4Q_ UriPe/ Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: JL --- Phone: 0000000000 Inspector: •4.,- Requested By: HOMEOWNER Entered By: CHRISTINE 5/26/2000 25 Water HeaterNents CO JL SEE NOTICE AT SITE 5/18/2000 25 Water HeaterNents CO TL SEE NOTICE ATTACHED