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Home My WebLink About2314 TERRAZA RIBERA; ; CB022597; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-03-2002 Plumbing Permit Permit No: CB022597 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2314 TERRAZA RIBERA CBAD PLUM 2155811000 Lot#: 0 Construction Type: NEW HEFFERNAN RES-NEW WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/03/2002 RMA 09/03/2002 09/03/2002 Applicant: ARS STE 100 Owner: HEFFERNAN KATHLEEN 5370 09/03/02 0002 01 02 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Inspector: 2314 TERRAZA RIBERA CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Balance Due: $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 Clearance: CGP 27,00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition· of fees, dedications, reservatlons, 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 ! x i n I h" h h r i I Tl . ii r . hi h u f lim"t i h I h FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C,60 l.., flS? 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit--~------- Validated By /L.4=::, Date 1 (S /pk Business Name (at this address) Legal Description Lot ~ ~ubdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax II "'tor Owtiif'· : ' , ~1 ro ::,; City 6. · ·, CONTRACTOR 1 COMPANY NAME: ·· {SBC. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any stn,Jcture, 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 . . . . . +-\J~L-1.J~t:6---LYJ.~:d4-~~~~~~~~~~-LLI.l-.-:J~~~~5L.LL..§J-/f5:o City State/Zig City Business License # _7,__ __ o_· ~"'-'=--~-""- 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: 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. "R--1 have and will maintain workers' compensation, as required by Section 3700 of the Labor C. ode, for the performance of the work tor which his permit is ~ed. My worker's compensation i. urance carrier a d policy number are: !E· c?1 _/ /1.Z / Insurance Company C C' Policy No __:__3~ {Q::1_ ..J--00 Expiration Date / ~'---,~---,,-.~-_,_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D 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 s coverage Is unlawful. and shall subject an employer to crlmlnal pen11lties ond clvll fines up to one hundred thousand dollars $ 00. f compensation, domagea as provided for In Section 3706 of La or code "nterest and attorney"s fees. DATE 0 7. I hereby affirm that am exempt from the Contracto,·s License Law for the following reason: 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 o, 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 Professjons 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). D I am e)(empt 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 tor 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 I phone number I contractors license numberl: ___________________________________________ ~----- 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): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ COMPLETE THIS SECTION FORW'r)N,RES/DENtiALBUllDINGl•ERMifs.'oNtY> ... 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 districtl O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309701 Civil Code). LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 ANO 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 buildmg Offlciat under the provisions of this Code shall expire by limitation and become n II and vo1 11 the bu1ld1ng or work authonzed by such permit is not commen d withim1 0 days fro !~date of such permit or if the building or work authorized by such errnit 1s s spended or abandoned at any time atter the work 1s co m need r a peri t 1 BO day tion 106.4 4 Uniform Building Code). APPLICANT"S SIGNATURE {,iJ_ DA TE --'-£.1..--"a::....:.._'l~,,.._1 _ _,,,,__:::,~~-- PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/03/2002 Permit# CB022597 Titre: HEFFERNAN RES-NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2314 TERRAZA RIBERA Suite: Lot Location: APPLICANT ARS Owner: HEFFERNAN KA TH LEEN Remarks: Total Time: CD Description 0 Act Comments Lil/ Inspector Assignment: Phone: 8586775455 Inspector: ~J\I\ Requested By: YOLANDA Entered By: CHRISTINE 25 Water HeaterNents 29 Final Plumbing yf, _________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments