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HomeMy WebLinkAbout1352 BULRUSH CT; ; CB031915; Permitc 09-22-5003 ’ Job Address: Permit Type: Parcel No: Reference #: Project Title: ADD I icant : City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB031915 1352 BULRUSH CT CBAD PLUM Status: ISSUED 21 58500500 Lot #: 0 Applied: 07/11/2003 Plan Approved: 07/11/2003 Issued: 07/11/2003 Construction Type: NEW Entered By: SB JOHNSON RES GAS TO FUTURE BBQ/ Inspect Area: PY & ELECT CONDUIT ONLYTO PLUG BY THE BBQ JOHNSON JEFFREY P&DONNA 1352 BULRUSH CT CARLSBAD CA 92009 Owner: JOHNSON JEFFREY P&DONNA 1352 BULRUSH CT CARLSBAD CA 92009 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 $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: $47.00 Balance Due: $0.00 FINALAP R VAL Clearance: Date: q,Jq 4.3 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. b PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 % fm Assessor's Parcel # Existing Use Proposed Use Name Address City State/Zip Telephone # (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 Codel 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 then five hundred dollars 156001). Name Address city State/Zip Telephone d State License # License Class City Business License # Designer Name Address ' City State License # StateRip Telephone 0 of the work for which this permit is issued. 0 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 OR LESS1 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 1 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 penalties and civil fines up to one hundred thousand dollars ($100.000). In addltlon to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fens. SIGNATURE DATE 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 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 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(s) licensed pursuant to the Contractor's License Law). , 1 0 I am exempt under Section Business and Professions Code for this reason: \ ::: a not) signed an application for a building permit for the proposed work. nally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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 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? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO FOR OFFICE USE ONLI PLAN CHECK NOCST 19 6 EST. VAL. Plan Ck. Deposit Validated By Date 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). LENDERS NAME LENDERS 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 Citv 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 5'0" 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 permit is not commenced 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 tir after the work is VCP 'S SIGNATURE DATE 7//4 ’ City of Carlsbad Bldg Inspection Request A, For: 08/04/2003 Permit# CB031915 Inspector Assignment: Title: JOHNSON RES GAS TO BBWFIRE PI Description: & ELECT TO PLUG BY THE BBQ Type: PLUM Sub Type: Job Address: 1352 BULRUSH CT Suite: Lot 0 Location: APPLICANT JOHNSON JEFFREY P&DONNA Owner: JOHNSON JEFFREY P&DONNA Remarks: ENTER RT SIDWDOG IS IN GARAGE Phone: 760931590 c3 Inspector: Total Time: Requested By: JEFF CD Description Act Comment Entered By: ROBIN 21 UndergroundUnder Floor 31 UndergroundConduit-Wiring ~ PP V Associated PCRsKVs lnwection Historv Date Description Act lnsp Comments