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Home My WebLink About2359 TERRAZA RIBERA; ; CB053036; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-23-2005 Plumbing Permit Permit No: CB053036 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2359 TERRAZA RIBERA CBAD PLUM 2155823000 Lot#: 0 Construction Type: NEW GIROUX RES REPLACE H2O HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/23/2005 KG 08/23/2005 08/23/2005 ARS STE 100 GIROUX ALMA F SEPARATE PROPERTY REVOCABLE 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 0 0 0 0 1 0 0 2359 TERRAZA RIBERA CARLSBAD CA 92009 $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 Payments To Date: $0.00 Balance Due: $27.00 Inspector: 8 J...XLU.A? FINAL APPROVAL Date: ~/-t»Y-Clearance: ------ NOTICE: Please take NOTICE lhat approval of your project includes the "Imposition" of lees, 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 ot these lees/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 f es/exa · · · been iven NO · ·red. PERMIT APPLICATION FOR OFFICE USE ON~~ i\ PLAN CHECK No(-: /JJJ ~# CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Legal Description Lot No.--SF=kdivision Name/Number Existing Use 1 Plan Ck. Deposit '11- Validated By ~ Date~ 2 ~ -a5:Z 7 Unit No. Phase No. Total II of units Proposed Use SO. FT. #of Stories If of Bedrooms II ot Bathrooms 2; . CONTACT PERSON (lfiiifflitiiriHfom'/ippliearid'' Name Address City State/Zip Telephone# Fax# • ·· · · · , · · · · · ·, ~ii~iitTtcii'cdiii:fa•iitMft'U"6wi'iiiffi''''EJ'At1,l'nH8fowniirt>'i::: ~L,:UL___U;~::,.__!_~~~-_y;z,~l l.,~L=-1~~~-'<:!~-~__,!JfZ_~~l.::::uJ~' ----=u.__.,.,..:::::~__,~!!::_L_____ct~·L'.:',,h,:'._'_1 1-5':±':t_ s Stele/Zip Telephone # 4. Telephone # 5. CONTRACTOR , COMPANY NAME0 (Sec. 7031 .5 Business end Professions Code: Any C\ty or County which requires a permit to construct, alter, improve, demolish or repair any structwe, 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 Contrac,tor's License law IChapte, 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 al!oged exe p · ~Any violation of Section 7031.5 by any applic nt for a permit subjects the applicant to a civil penalty of no more than five hu~red dollars 1$50011. ✓J h b2 \ro ~ -$ll.-1 .5·4 Name State License # ~7'~q------'J'--i5'=-L_O __ _ Addr City State/Zip Telephone # City Business License # __ l_'O_?x,_· _7_Q)~_ Designer Name Address City State/Zip Telephone State License # -------~-- EL WORKERS' COMPENSATiciN' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wiH 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. ~ I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for whkh this permit is ,ssued. My worke,'s compensation insurance carrier and policy number are: / { Insurance Company ~ 4%: Policy No. 24:Mbf.:::tQ -QI Expiration Date_ l • _ Ot. ___ _ !TfilS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 n1Mmer so as to become subject to Workers' Compensation Laws or Caliromia. WARNING: Fallu o sec c eraga 11 unlawful, aod ■hall subject an employer to criminal penalties and clvil fines up to one hundred thousand dollars I t O o , atlon, damages as provided for In Section 3706 of the Labor .• i teres . d ~ey's fees. SIGNATURE: _ ___:~IL.,1!;.L_)...1....,,;:,_::t....U'.!::!::e'.'.'.'.~_::__L._1__.....J,.-4~::=::'.".::....L ________ ~ DATE ----t,,~>'Y.~+-"_,_· 7. I heieby affom 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 wagr,s 11s 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, tho building or improvernen! is sold within one year of completion, the owner-builder will have tho burden of proving that ho d',d 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 p,oject (Sec. 7044, Business and Profossions 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 c,ontractor(s) licensed pursuant to the Contractor's License L"w). D I sm exempt under Section ______ Business and Professions Code for th"1s 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 parmit for the proposed work. 3. I have contracted with the following person (firm! to provide the proposed construction (include name/ address / phone number I contractors r,censa 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 I address / r,hone number I contractors license number): _________________________________________ _ 5. I will provide some of the work, but I have contracted fhiredl the following persons to provide the work Indicated !include name / address I phone number / typo of work I: ___________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ coMPte1·1: TH1s sEcTrON i=ciR l'iatot:ilts,oiNi'iAt auit.611'iiffi'eiti\iiits'olilL'v",;,; ";,<·,s:·;•','""'•'·'''•-·"' ·' · · ·· Is the applicant or future building occupant required to submit II business plan, acutely hazardous materials registration form or risk management and prev.,nlion program under Sec1ions 25505, 25 533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management d;strict7 0 YES O r,io Is the facility to be constructed within 1,000 feat of the outer bounda,y of a school site7 D YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, CONSTRUCTION LENDING AGENCY . I hereby affirm that there is a construction lending agencr for the performance of the work for which this permit is issued (Sec. 30971il Civil Code). LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATiON I certify that l 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 wltli all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above rnentioned r,roperty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITJES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requin,d for excavations over 5'0" deep and demolition or construction or structures over 3 stories in height. EXPIRATION: Every pe_rmit issued the ulJdi~g Official under the provisions of this Code shall expire by limitation and become nu/I and void it 111e building or work mrlhor1zed by such perm11 _,s not . ence w1th1n 180 days from the of uch permit or ii !he building or work authorized b such permil is suspended or ntiandnt1f!d al any time alter !he work ,s com ce or a per10 of 180 days (Se n 1 4. niform Bullding Code). ' APPLICANT'S SIGNATURE WHfTE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/01/2005 Permit# CB053036 Title: GIROUX RES REPLACE H2O HEATER Description: Type: PLUM Sub Type: Job Address: 2359 TERRAZA RIBERA I IJ.7 t-,t, Suite: Lot 0 Location: APPLICANT ARS Inspector Assignment: Phone: 7604316898 Inspector: Bu Owner: GIROUX ALMA F SEPARATE PROPERTY REVOCABLE TRUST Remark~~~!;!:, Total Time: CD Description Act Comment Requested By: HOMEOWNER Entered By: CHRISTINE _h__5 :__~_t_'/V_:_~~ ~-() --~~~~~~-~~ ater ea er en s fA)t,-L- Assoclated PCRs/CVs Inspection History Date Description Act lnsp Comments