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Home My WebLink About2462 TORREJON PL; ; CB021564; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-22-2002 Plumbing Permit Permit No: CB021564 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2462 TORREJON PL CBAD PLUM 21624016(100 1 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: Project Title: Applicant: ARS STE 100 LEE RESIDENCE SLAB LEAK REPAIR 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 P O BOX 232342 ENCINITAS CA 92023 Issued: Inspect Area: ISSUED 05/22/2002 MOP 05/22/2002 05/22/2002 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: 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 1 0 0 0 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 EXPIRED PERMIT Inspector: PERMIT HAS EXPIRED IN ACCORDANCE WITH U.8.C. SECTION 106.4.4 DATE 1\\3o\07= SIGNATURE ... a:fw ....... ___ _ FINAL APPROVAL Date: Clearance: NOTICE: Please lake NOTICE that 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 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 I x i n f whi h v r vi I Tl imil hi r whi h h t f ·mi i h I FOR OFFICE USE ONLY PERMIT· APPLICATION PLAN CHECK NO. (jZ-{'5:b'f CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _____________ _ Address (include Bldg/Suite #) Business Name (at this address) legal Description Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address ci.·Agent.for Contra·ctor I.:> b2. Address State/Zip Telephone# Fax# City State/Zip Telephon ~id~,f!' --f~oo e~ Cw1s~,:0 9 ~!.?frl;-9'/t/-79~ 5. 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 Code] or that he is exempt therefrom, and the basis for the alleged "F®{c;;;;-;·~~1?ci~~d,rcant ID[• ;Jt' subjects th•~:;t•nt to, civil penal ?' not mo,o '~;JV, hund,od dolla,sqz.o/'2-1 Name , . Address . City S ~I b17 State License# ___Jg_ i ~,2.0 License Class BJ [., ~,, C,, Z() City Business License it _-1,.,_e,.,,__,__,_,_,.___ S4'SS, 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. • ~ave 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 anrl nnlicy number are: / / , 1IVl ,,,_o,. 1,, • • • • ' 7(). 2...ni IL'> ''" I l ()~ Insurance Company_ II I~~ \,A--tfi\:-\nc;;.. _____ Policy No._~ ·1~~--\....-V Exprrat1on Date___ :.'> (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D CERTIFICATE OF EXEMPTION: l 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 thousand dollar n covernge is unlawful, and shell subject an employeJ to criminal penalties and civil fines up to one hundred f compensation, damages as provided for in Section 3706 of the La d ettorney's fees. SIGNATURE 7, DATE I hereby affirm that am exempt from the Contractor'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 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 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(sl licensed pursuant to the Contractor's License Law). D t am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor arid materials for construction of the proposed property improvement. 0 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 provide the proposed construction (include name / address I phone number/ contractors license number): 4. 1 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. l 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 ________________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILblNiJ PERMITS"0NLY 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 Act7 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 district] 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 rs 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. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ 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 comp!y 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 DF THIS PERMIT. OStiA: An OSHA permit is required for excavations over 5'0H deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by lim)tation and become null and void if the building or work nuthorized by such permit Is not commenced within 180 days from the date I such permit or ii the bu!lding or work authorized by such ermlt is suspended or abandoned at any time after the work is com d I period of days (S t 1 6.4.4 Uniform Building Code). ~ "'"" APPLICANT'S SIGNATURE -~:::'.'.~,J;,,-t:~~0~~~~-)!_~~~':::~,,------DATE c,(c,l., O PINK: Finance Inspection List Permit#: CB021564 Type: PLUM Date Inspection Item ___ Inspector Act 05/23/2002 21 Underground/Under Floor PY AP Tuesday, September 24, 2002 LEE RESIDENCE SLAB LEAK REPAIR Comments Page 1 of 1