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Home My WebLink About1302 TAMARACK AVE; ; CB012837; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-30-2001 Plumbing Permit Permit No:CB012837 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1302 TAMARACK AV CBAD PLUM 2054305900 Lot#: 0 Construction Type: NEW ST PATRICK'S CHURCH-GAS LINE REPAIR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/30/2001 RMA 08/30/2001 08/30/2001 Applicant: Owner: IIJ41 08/30/01 0002 01 02 BROWN PLUMBING CO, ARTHUR A 2697 STATE ST CARLSBAD, CA 92008 619-729-4914 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 Additional Fees TOTAL PERMIT FEES ,r ROMAN CATHOLIC BISHOP OF SAN DIEGCCGP 27.00 PO BOX 85728 SAN DIEGO CA 92186 Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPRqVAL x /-·I/ .. Date: ---· 1 -1--_,. Ji ) Balance Due: $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 $27.00 Clearance: _____ _ NOTICE: Please take NOTIC~hat 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 inlOl'mation 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 acti:>n to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that yoor right to protest the specified fees/exactions DOES NOT APPLY to water and sewer oonnec!Jon fees and capaciiy changes, nor planning, zoning, grading or other similar application processing OI' service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has orevious/v otherwise Rxnired. PERMIT APPLICATION FOR OFFICE USE O~Y PLAN CHECK NO. [lo 1 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ 1. · ·· PROJECT iNF()RMATfON Business Name (at this address) e,c__ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms II of Bathrooms Name 3. APPLICANT. Name 4, Name 6. CONTRACTOR a COMPANY NAME City D Owner . D Agent fo(Owner .• 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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sect,on 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500](/ 7 J-<t-'i q I -1- Name Address ?-! City State/Ztp P' Telephone # State License # J l{f J,£/V License Class L-.,L..t2 City Business License # / CJ o_D 0 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: D I have and will maintain a certificate of consent to self-insure far workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which th· /;;;;u~. My worker's cm?8nsron insur?~arrier and policy number are: c:-cl I r/ Insurance Company ~l:J_ ,\'.\, ~J{,,t,1\ '-(.. Policy No. / LJ...0 ~ Lb. Expiration Date 'CJ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSl 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 workers(:compensatio age is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 n addit· pensation, damages as provided for in Section 3706 of the Labor co , intere · and attorney's fees. SIGNATURE ;(,,,'if!, :..('. ~_,,.__Q___ DATE 8"J, 3 0 () 7. OWNEJFBUILDER DEClAFIATION < I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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(sJ licensed pursuant to the Contractor's License Law). D 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. D 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 prnvide 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 I: __________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ----------- COMPLETE THIS SECTION FORNOiv4IESiiiENTTALBl.iiLi:illitG PERll41TS ONLY 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 25605, 25533 or 25534 of the Presley-Tanner Haiardous Substance Account Act? D YES D NO · UNSCHEDULED BUILDING INSPECTION DATE . B .;.::a,, ., O , ··. PLAN CHECK# -~f----- JOB ADDRESS __ ,.;..;,,3-'"t.._'> ....... '.c,-..-~"'"'""' ... a_-KO~M=· .-..:· o.::ii::;.:;...i,d,.Q~c::ii... .. .---. ....,... _______ _ CODE . DESCRIPTION ACT COMMENTS d_