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HomeMy WebLinkAbout1390 LAS FLORES DR; ; CB032099; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-30-2003 Plumbing Permit Permit No: CB032099 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1390 LAS FLORES DR CBAD PLUM Status: Parcel No: 1561106600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GAUNCE RES-REPLACE GAS PIPE Inspect Area: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 0 1 0 Owner: GAUNCE FAMILY TRUST 02-03-94 1390 LAS FLORES DR CARLSBAD CA 92008 ISSUED 07/30/2003 RMA 07/30/2003 07/30/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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 0719 07/30/03 0002 01 CGP // Date: Clearance: NOTICE; Please take NOTIC&that approval of your project includes the mpos :on" 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 f x inf 'h hv i I Tl 'h t i in h I h i 02 27. 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.~ 03 Jilf1 EST. VAL. _________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ____ ---,----,.----- Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use # of Bedrooms # of Bathrooms Designer Name Address City State/Zip Telephone State License # O~jRS' CQM~IO. 7-:m Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~· 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 ~he work for which this permit is issued. (ca I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit Is ~ued. My worker's corrpen tion i urance carrier and policy number are: / / ,/ Insurance Company '-f. . , Policy No. / ~ '7ol.7 -,2./Jo 3 Expiration Date / / 6 ":(::_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) r I 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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. 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 tor 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 tor 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 tor 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 tor 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 foljowing 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 / address / phone number/ 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): ________________________________________________________ _ Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25634 of the Presley-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 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 . "'" ·"·--··--1 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). 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 5'0" 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 co enced wi in 80 daY, from the date of such permit or if the building or work authorized by su h permit is suspended or abandoned at any time after the work Is ced for a of 1 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNA TUR E: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE t?-l -0 3 INSPECTOR -P. ) . PERMIT# D 3 )0 q \ , PLAN CHECK# ___ _ JOB ADDRESS --+-''I 3----....C,,--=O __ l_o...._~ _F~(_6_{ e.__5.,,.,.., ----- .. D,:ESCRIPTION _______________ _ CODE DESCRIPTION ACT &d-&~) ~·, ;:12