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Home My WebLink About2375 TERRAZA PANGA; ; CB050202; Permit\ \\ . ;J-: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-20-2005 Plumbing Permit Permit No: CB050202 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2375 TERRAZA PANGA CBAD PLUM Status: Parcel No: 2155712300 Lot#: O Applied: Construction Type: NEW Entered By: Reference It: Project Title: Applicant HAIRSTON RES REPLACE H2O HEATER AJACKS MAINTENANCE SERVICE 7631 LEMON AVE LEMON GROVE 91945 619-589-8888 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: HAIRSTON KOLAN J&MARIA G 2375 TERRAZA PANGA CARLSBAD CA 92009 ISSUED 01/20/2005 KG 01/20/2005 01/20/2005 $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: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH C.8.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 o,\TF ,.b.&"·{os s1GNATURE_,~------ FINAL APPROVAL Date: Clearance: $27.00 NOTICE: Please take NOTICE that approval of your project inclucles the ··imposition" of lees, cleclications. reservations, or other exactions hereafter co\lect1vely relerred to as ''fees/exactions" You have 90 days from the date this permit was issuecl to protest imposition ot these fees/exactions. If you protest \hem, you must follow the protest procedures set 1orth in Government Code Section 66020(a), ancl tile the protest and any other required inlormation 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 lo any feesiexactions of which vou have oreviouslv been oiven a NOTICE similar to this. or as lo which the statute of limitations has oreviouslv otherwise exoired FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoC 01,5Zl,2v'.2J elTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ Validated Bv ___ .,,..... __ .,6;_"---'!ii=,,---- Date /-2() -0~ J Address linclude(Bldg/Suite _!l - i..u H '(l;:il G<-. \( Business Name (at this address) legal De Lat Na. Subdivisioo Name/Number Unlt Na. Phase Na. Total II of units Assessor's Parcel# Existing Use Proposed Use Lu~ I <-'6,·fF-" \.. Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms City 0 Owner ·0 Agent for Ownei State/Zip Telephone# Fax ti Name J\1 Ulc S Gt,< kr_1tf{. Address 71., ·J (. State/Zip (' .{-Telephone # (ofl-J"i;?-~ ~ f:fi ,4,":_ 'iPij!)l!EflTY,'QWN,ER ·· Name (: u<....::i:,J 1-\J.\·t!Z'A J Address 2-3 7) :ik-•:.,, :,e:oi\i:tiiACTO:R+COMPANv·\\iAM.E( ... ··. State/Zip Qi-· (Sec. 7031. 5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, d11molish 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 Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applica t t ~ civil r,enalty of not ,rror,, than five hundred dollars ($500)1. A (C..) ~ -L--1 b 7 C ¼ 4-r , l f:«,tr+J l)t' Wt' Name State license # _51.c....c:::...·1...:......,;5_'t)_"3__,,_ __ Address license Class _C_' -l_O __ <:_-_J_lo __ City State/Zip Telephone I City Business license I f z (/ '-/'7c., ( Designer Name Address City State/Zip Telephone State license# _________ _ :.6,. · ·\WQRkea:sn;;,oMPEN.SA'IlOltf: •.. Workers' Compensation Decleration: 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 th,"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 this permit is issued. My worker's compensation insurance carrier and policy number are: ,/, /;r / Insurance Company '2...E?t1,JI Vf Policy Na. '2~ 1/ Z!:::; 7'=-8ofi Expiration Date / 0 /c...,.Y-- ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI { 0 CERTIFICATE OF EXEMPTION: I Cllftify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ta became subject to the Workers' Compens1nion Laws of California. WARNING: FailUre to secure workers' compensation coverage Is unlawful, end ahall subject an employer to criminal penalties .-.d civil fines up to one hundred thousand dollar. ($100,0001, In addltlon to the cost of compensatlon, damages as provided for in Section 3706 of the Labor code. interest and attorney's f8h. SIGNATURE ______________________________ DATE ________ _ ':);·.·::'l•·QWtilE~~BtlllQl!liQEC~mi.ON·.·•••: I hereby affirm that I am exempt from the Contractor's License Law far 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 offer11d for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of p,operty 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), 0 l, as owner of the property, am exclusively contracting with licensed contractors to construct the project !Sac. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of properw who builds or improves thereon, end contracts for such projects with contractorlsl r1censed pursuant to tha Contractor's License LawJ. 0 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 th& proposed property imp,ovement. 0 YES ONO 2. I (have/ have notl 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 Ucense numberl: 4. I plan to provide partions of the work, but I have hired the following person to coordinate, supervise and provide the major work !include name / 11ddress / phone number/ contractors license number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted lhiredl th11 following persons to provide the work indicated (include name/ address/ phone number/ type of work): _______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ :cofiliPt:E'l".E'rT!ilJi$EC'J'IONIFOR:N,QN~S/DEN7/At'BUIQ>lNQ,:f!ERll(ITS.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 25505, 25533 or 25534 of the Preslev•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 cootral district or air quality management district? 0 YES O NO Is the facility ta be constructed within 1,000 feet of the outar boundary of a school site? 0 YES O 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 OFF.ICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. i,:;;;-::.,c<>r.1rt.avc11or.1;•~~,.P1NG',~:GEN.cv· : ... I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Codel. LENDER'S NAME _____________ _ :,~/eiAPffl/;I.CAr,tr::t1;~tiflCATJQI\I•·· .•. LENDER0S ADDRESS _________________________ _ 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 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 5'0w deep and demolition or consuuctian of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not co n · hin 180 da1VS-.ffBfft-'1Re.t1ate of such permit or if the building or work authori2:ed by such p rmil is suspended or abandoned at any time after 1he work is com e for a p riod of 1sp days (8ectio 106.4.4 Unilonn Building Code). APPUCAr, 1'S SIGNATURE _;.} · \ l_ •.. ~ITT; File YELLOW: Applicant PINK: Financ11