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Home My WebLink About2311 TERRAZA RIBERA; ; CB051709; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2005 Plumbing Permit Permit No: CB051709 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2311 TERRAZA RIBERA CBAD PLUM Status: Parcel No: 2155813300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: ROMAN RES INSTALL 50 GAL H2O HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 Plan Approved: Issued: Inspect Area: Owner: ROMANJORGEA&SONDRAJ 2311 TERRAZA RIBERA CARLSBAD CA 92009 ISSUED 05/16/2005 KG 05/16/2005 05/16/2005 $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: EXPIRED PERMIT $27.00 PERMIT HI.S tXl'lftEO IN ACCORDANCE WITHfjfo5 lt.. •n SECTION 106.4.4 AS AMENOEO BY C.M.G.18.04. 0002 01. cr::,p Inspector: DATE 5\ 17 \aca s1GN1<TURE.J.e.:...-~Gl.!.1.1-C---- FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/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 w~h Carlsbad Municipal Code Section 3.32.030. Fanure 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f hi . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. e..(o. FOR OFFICE USE 9!"~ ,,_/ 70Q PLAN CHECK No.C -='--"';a-.>~--'"---~L EST. VAL. __________ _ Plan Ck. Deposit -------,C..-- Validated By -..---./ ____ _.,acc....,,.1/~-- Date / -1 {; -~ z- Legal Description Lot No Subdivision Name/Number Unit No Phase No. Total# of units Assessor's Parcel# Existing Use P reposed Use # of Bathrooms 4. 6,., CONTRACTOR -COMPANY NAME (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 Codaj or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any ap1:i · nt f ape t subjects the applicant to a ivil pe Elli 6f not more than five hundr al dollars [$500]). '_, -... ,_(_, ~ ,/ State/Zip Telephone# / City Business License # _4/J>2.,,_,_/...:tf::i..'~£~g.,__, __ _ I I Designer Name Address City State/Zip Telephone# State License# ________ _ s·; .,· WORKER'S COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. □ l have and will maintain worker's compensation, as re worker's compensation· s an Insurance Company ~"J!l.~,.;J.:S.Cc.1...l!.'::/!.1L¢'£..t,~).,,(::1.d,;tz;,f (THIS SECTION NEED NOT BE COMPLETE □ CERTIFICATE OF EXEMPTION: I become subject to the Workers' Compensation Laws tis issued. My for which this permit is issued, I shall not employ any person in any manner so as to WARNING: Failure to secure workers' compensati d sh II I ubject an employer to criminal penalties and civil fines up to one hu dol\ars($100,000), in addition to the cost of compen ection 3706 of the Labor Code, interest and attorney's fees. , F'I f SIGNATURE,=:-:::-=c==c-:-==:-c:-,,-t-l;\,0'\:,,,,:""j.L--;::;.:,a.\--l------,-----DATE. ___ -.j:;l--f'...-.f...J..L....>..LCC/j 7: . OWNER-BUILDER DE:Cl-'RATION I hereby affirm that I am exempt from the Con~ or' . se Law D I, as owner of the property or my e,P'f'loyees with wages their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law es 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 re 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 e 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(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ________ Business and Professions Code for this reason: 1. t personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES □ NO 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 (indude name/ address/ phone number I lontractors llcense number): ---------------------------------------------- 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): PROPERTY OWNER SIGNATURE _________________________ _ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COIIPLl'IE DIIS Sll!:ffli!N ~~~ ..... 1~¥fr • Is the applicant Or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Ac.count Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. C(INSTI\UCTION U!NDltl(I AQIICY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ LENDER'S ADDRESS ____________________ _ 9. . ·-APPUOAln.CEll"l!FICl<110N .. 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 City 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or construction of structures over 3 stories in height EXPIRATION_: Every permit issued by_ the building Official un _!l"r the rovision_s of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 1 days from th ate of su rm1t or 1f the building or work authonzed by such permit is suspended or abarned at any time after theworl(1scommencedforapericdof180 a ( . . .mBuildingCcde). DATE 0 /,,;,!!{J",~_,, APPLICANT'S SIGNATURE ____ -\-:,-"\+-'7Z--1rf:::=-==-------------_____;J / I [ WHITE: File YELLOW: Applicant PINK: Finance