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Home My WebLink About1227 MARIPOSA RD; ; CB031831; PermitCity of Carlsbad 07-07-2003 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB031831 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1227 MARIPOSA RD CBAD PLUM Status: ISSUED 07/07/2003 SB 07/07/2003 07/07/2003 Parcel No: 2122214000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: MAGDALENA KASA KASA RES GAS FOR FIRE PIT ELEC FOR SPA 1227 MARIPOSA RD 92009 438-1408 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 SewerFee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Plan Approved: Owner: DRABEK THOMAS J 1227 MARIPOSA RD CARLSBAD CA 92009 Issued: Inspect Area: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 8939 07/07/03 0002 01 02 CGp, 47.oo FINAL APPROVAL INSP. ~ DATE ~r C[/4J CLEARANCE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number FOR OFFICE USE ONLY PLAN CHECK N~ /S 3 { EST. VAL. _________ _ Unit No. Phase No. Total # of units Assessor's Parcel #, r?t , Proposed Use XDescription of Work #of Stories # of Bedrooms # of Bathrooms -~l/-iliiilt--lll,,.~"li'11,';~l/Jl&~f~l•lil!:l!t'4iiMIElilil~~fti&f~£~ Name Address City State/Zip Telephone # Fax # · B,t~~lw1l-tf~~-'l;.-1l~0'l,~11\ci,;;, -. ] Name-""'"""' Address City !ll~IJII] State/Zip Telephone # r .Y,"~~Tr~'z\~'.!~~PJ,"vocY Name Address City S.tata/Zip Telephone # '. -llllf-~~ltl,ii!1_._._, (Sec. 7031.6 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 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 1$6001). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ -~lflf>Jtlli~_@i#N:¾r•i~~~,;~~rwrY~'f;Vff,1\~J?1\~~117m:ttibft~t_½tl:iJf:,~';4fi~t~~ii"W, 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. D 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: Insurance Company_____________________ Policy No._____________ Expiration Date _______ _ ITHIS 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 secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltlH and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damagH as provlded for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE ________ _ . . ... l!llil!IPlrllitl~illll--1\~!~~1---!~ml:1!l!ift1!!'-«l!f,!! affirm that I am exempt from the Contractor's License Law for the following reason: 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(s) 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 (include name f address f phone number/ contractors license number): ________________________________________________ _ arsons to provide the work indicated (include name / address / phone number / type 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, 25633 or 26634 of the Presley-Tenner Hazardoi.Js Substance Account Act7 D YES O NO Js the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. I hereby affirm that there is a construction lending agency for the performa_nce of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S 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, 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Gitt 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 GR4NTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s•on deep and demolition or construction of structures over 3 stories in height. J EXPIRATION· Every permit issued by the bwld1ng Official under the provisions of this Code shall expire by Um1tat1on and become null and void If the building or work authorlz£>'1 by such permit ls not com enced within 180 days from the date of such permit or 1t the building or work authorized by such permit ts suspended or abandoned at any t1r after the work is comma ced for a per d of 180 days (S on 06.4.4 Uniform Building Code) APPLICP •s SIGNATURE -t,,':1,:'.k:Q,(£,~~2:il~~~~S:Z'...!.::;::::=--------DATE 7-:?-0 3 PINK: Finance --·········----·------ UNSCHEDULED BUILDING INSPECTION . INSPECTOR A .' PLAN CHECK# ___ _ JOB ADDRESS _ _J,../,.L,<U=~""-'7'---~$~·4o-"'4.,;,o::;v"'-~=• ---=~=~=--------- DESCRJPTION ___ .-Ou.,;.~=-=-· -~~,1_,ff--v_. _______ _ CODE DESCRIPTION 21 3f ACT · COMMENTS