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HomeMy WebLinkAbout1120 HARBOR VIEW LN; ; CB051588; Permit[IL Ylol lOftj.tJ,L City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-04-2005 Plumbing Permit Permit No: CB051588 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1120 HARBOR VIEW LN CBAD PLUM Status: Parcel No: 2061401300 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: TURNBULL RES-REPLACE WATER HEATER Applicant: DRAIN PATROL 4807 MERCURY ST SAN DIEGO, CA 92111 619-560-1137 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: TURNBULL GEOFFREY E&RITA S 1120 HARBOR VIEW LN CARLSBAD CA 92008 ISSUED 05/04/2005 LSM 05/04/2005 05/04/2005 $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: $27.00 EXPIRED PE2Mll1os 0002 01 Inspector: CGP PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. - SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE#ll> s:: SIGNATURE_~&.,..,.'A,..,.11,11/ __ _ 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 "fees/exactions." You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must fol tow 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 w · h vi I · f • i i I I i 21 .. 00 FOR OFFICE USE ONL V PERMIT .APPLICATION PLAN CHECK No.AA OS: t > tfs CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit~ Validated By=~~h-"=~'--·---- Date £>/<-i-S-' 1. PROJECT INFOl\lo!ATION Address (include Bldg7/te #) l... \\2. 0 @I'( vO( ;4-Business Name t~ Jhis address) e "lt-t9o o Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT, #of Stories # of Bedrooms II of Bathrooms Name Address State/Zip ;;a; Al!l!llCANT Contraptor, •::Agent-for COntralrtor D Owner City 0 Agent for Owner Name Address City State/Zip ,4. P,IJ!IPEllt:'tOWNER jlA V "tUVb U lf \\. 'l. 0 /{ &. ( P/9 r v:-e,u/ Cot rl-s hPI J Name Address py~;vl City I. S.tatp!Zip AJ!tJo u" ~e.Yivi srfe.f Telephone# Fax# Telephone# e 11 t1t "lrJJdi ~ (Sec, 7031 . 5 Businesa 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)1. Name State Uconso # _,t::.i/_1,__.<=_'2-=...,\_2.,_.,,b::.__ Address /o Uconso Class _(:...:;___1,,_ __ C_lf __ 1--_ City Statetzip 1'ephone # City Business License # / / qq US ~ Designer Name 1-i Stato Llconso # _c{-"-'.f...__'2 __ "/ __ _ Address City State/Zip Telephone ;8. J!Vll8-CO~PEI/AllDlol . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I heve 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. 0 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 ·nsuranca carrier and policy number are: Insurance Company --~::t;&,2~~.J;::i.WD:l...-----Polley No. \:JO lo ]5':;, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100) OR LESS) Expiration Date,_,_j ,,0,_.,/_0"""-~"-~-i 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which ttis 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: Falhne to • worker•' compensation coverage I• unlawful, and shan subject an employer to crlmlnal penalties and civil fines up to one hundred thousand doUars ,000), In addition to the cost of compensation, damages•• provided for In Section 3706 of the Labor code, Interest and attorney'• fees. ~'.G~~:E .· iJIC!i~~~;iK)N DATE 7 q /9 5" I hereby affirm that I 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 improvaments 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 contractorls) licensed pursuant to the Contractor's License Law). 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 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 / 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 Onclude name / address / phone number I contractors license number):. ________________________________________________ _ 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 _____________________ _ DATE _________ _ COMRt6.l'.e1:THIS:SECTION1FOR:NON-RE'SIDEN.17AL BUILI;,ING·.PERMITS 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 26506, 2.5533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES· 0 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 O NO Is the facility to be constructed within 1,000 feet of the outer 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 OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,,. ~sr11,IIC"!ION•IJiNDING.ACIENCr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097111 Civil Codel. LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ ilt,>· ,'.:Al!l!t.iCANT··ol:RTl!i!C.ATI~ 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 ANO 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 ~RMIT. OSHA: An OSHA permit 111 required for excavations over 6'0• 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 limitation and become null and void If the building or work authorized by such pennit is not commenc within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is commence period of 180 days (Section 106.4.4 Uniform Building Code). DATE _5..L-___ e:_,_;_.-__c(;l>-<._....,~c__- WHITE: Fite YELLOW: Applicant PINK: Finance