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Home My WebLink About150 TAMARACK AVE; ; CB044111; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-09-2004 Plumbing Permit Permit No: CB044111 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 150 TAMARACK AV CBAD PLUM Status: Parcel No: 2042530600 Lot #: 0 Applied: Reference #: Construction Type: NEW Entered By: Plan Approved: Project Title: FEARN RESIDENCE Issued: WATER HEATER REPLACEMENT Inspect Area: Applicant: ARS STE 100 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 Owner: FEARN LL C 6956 BLUE ORCHID LN CARLSBAD CA 92009 ISSUED 11/09/2004 MOP 11/09/2004 11/09/2004 $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: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: Clearance: $27.00 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 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 fees/exactions of which vou have orevin11slv been niv"'n .::i NOTICE similQr to thi"-or a'-to which the statut,:, of limitation"-h.::i<:. nreviou.::.lv o!hArwi'-"' exnir"'d FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. 0 <-( -L\ \ l \ \ cri'Y OF"CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date _______________ _ Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONT ACT PERSON {if Qlfh•tern frqm ~gpliCl!!llO Name State/Zip City State/Zip 5. CONTRACTOR· COMPANY NAME i/f I Telephone # G 1.JZ,1:{ Telephone # Fax # (:Jue 7031.5 Busine% and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its is:..uJllt.:e, 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 !Chi!p\m 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 li11~J)On...:.-f1-11y violation of Section~ 31.~ py any applic_~nt ffr a permik_ subje~t;, t~~ !pplican~t t.o ".;.~ pen.elty of not .!!10.~ tha,,n five hun red __ dg_!l_ar 1~500))..., (("· r :::°) · 1 ,. Ai, --({( -ur.<H w < ,,,,1 'J .,, -c--r\ q . . g) L _), am t .. _ tl ,-: . ..---.. Addrea L \ .--.. , • City State/Zi~ ,.~ Teleph_one_# State License# .. ~J ____ U_ ,) ) ( ) License Class Lll.Jj C ?:,l:} City Business License# JO :i)t"] Qo Designer Name StiltU LICOJ\Se /I 6. WORKERS' COMPENSATIOI\I Address City Wrnkurs' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone [] I have and w1U maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tl1e wurk for which this permit is issued . ..,_'liJ-·1··hav1-.1 and will maintc1in workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thi permit is -~tJ. My worker's c -~pe~sa~~-_J surance :ar:ie:-~nd olicy number are: .,..,19 •30 / (}'"3 ·-·./J / · ,,/ .... l1isur<>nce Company \J (. ' -._ ) Policy No.::;:,(. . D [J Li..... l_ Expiration Date / I U\(".1 (HUS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 Is unlawful, and shell subject an employer to criminal penalti,es and civil fines up to one hundred thousand dollars l$1 o,009~ edd_ition t.o Jl1_!-~ost of compensation, damages aa provided for In Section 3706 of t~e L bar c de, i1Jt rest and attorney's fees. SIGNATURE _____ •· • • l \C v-Jc L--DATE c 7. OWNER-BUILD I heroby clffirm that I am exempt from the Contractor's License Law for the following reason: CJ I. as owno, of the p,ope,ty o, my employees w;th wages es the;, sole compensat;oo, wHI do the wo,k end the sUuctu,e ;, not ;nteoded o, offe,ed fo, sale (Sue. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does s11L.:h woIk him:,elf or througt1 his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is soltJ w1tllin on!l year of completion, the owner•builder will have the burden of proving that he did not build or improve for the purpose of sale). [] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contrnctor'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). [] , ani exempt undar Section ______ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have noO signed an application for a building permit for the proposed work. 3. I have contracttid 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 11111nber / contractors license number): ________________________________________________ _ 5 I will provide some of Urn work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ___ -------a------------------------------------------------------ PROPEHTY OWNER SIGNATURE __________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BU!LDIN_G PERMIT& ONLY ls the applicant or futurn building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progranl under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or futurc, building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of e school site7 D YES O NO IF ANY OF HIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION ~ENDING MENCY I hereby ilff11m that there Is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097{/) Civil Code). LENDER'S NAME LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATION I curt1/y 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 rapresentatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes l 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. EXPJRATION. Every perIn1\ Issui:,d by lhe building Otticial under the provisions of this Code shall explre by limitation and become null and void if the building or work ciultiori.Led by sucil permit _is not commenced within 180 d.ays from the dale of such permit or if the building or work authorized by such ermit i sust1qded or abandoned u! any time after the work Is comrnenc for a peri¥1Jol 180 days {Section 106.4.4 Uniform Building Code). ·/ APPLICANT'S SIGNATURE \j ! \l.t\({_).._} ,--DATE ~ 0 OW: Applicant PINK: Finance