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Home My WebLink About1416 BRANTA AVE; ; CB991573; Permitz Y6sq2- ~ 04/23/1999 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: City of Carlsbad Plumbing Permit Permit No:CB991573 Building Inspection Request Line (760) 438-31 01 141 6 BRANTA AV CBAD PLUM Status: ISSUED 2156207900 Lot #: 0 Applied: 04/23/1999 Plan Approved: 04/23/1999 Issued: 04/23/1999 Construction Type: NEW Entered By: MDP PETERSON RESIDENCE Inspect Area: INSTALL GAS LINE @eaa3m ow101 02 ANDERSON'S LA COSTA NURSERY 400 LA COSTA AV ENClNlTAS CA 92054 760-753-31 53 0 1 Q C-PIWT 27-00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES $27.00 FINAL APPROVAL Inspector: Date: f-9 -49 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 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othelwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 \ FOR OFFICE USE ONLY PLAN CHECK NO. 99- / g3 EST. VAL. Plan Ck. Deposit Validated By PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carisbad CA 92009 (760) 438-11 61 1. PRO.&CTIFORMATION Address (include BldglSuite X) Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units Assessor's Parcel X Existing Use Proposed Use #of Stories t of Bedrooms Description of Work so. FT. Business Name (at ths address) INSTA LL olhs L1 NE t of Bathrooms 2. CONTACT PERSON Of Mu&t Name Address City Statelzip Telephone # Fax 1 L I ANIYRSOO 's LA cw5t-AN-y q av 2 60 /VS3 Name Address City Statelzip Telephone # ' 5. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any Ci 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 exemDtion. 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 dpllars 1$5001). E F UGerRS CP sa0a.q 760/7s3-3153 4a cAG2n-A Av StatelZip F Telephoh X City Address 'h LA Cm MT Am Name +- State License x 70 4 64-3 License class c.27 City Bwiness bcanse 1 Designer Name Address city StateRip Telephone State License t 6. WORKERS' COMPENSATION Workers' Cornpensation Declaration: I hereby affirm under penalty of parjury one of the fo 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 161001 OR LESS) 0 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: Fdlure to sacura workers' compensation coveraga I. unlawful. nd shall udrjsct UI unpl0y.r to almicul p.ndtiar and civil finu up to ma hundmd thousand dollars ~$100,0001. in addition to the cost of cornpenration. damages as pr0vid.d for in Section 3706 of the Labof code, interest and attomey'a fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's bcense Law for the followng reason: 0 I, as owner of the property or my employees wnh wages as their sole compensation, will do the work and the structure is not intended or offered for sala ISec. 7044, Business and Professions Code: The Contractor's hcense 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 sala. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he Bd 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) Itcensed pursuant to the Contractor's License Law). 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 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 7. OWNER-BUILDER DECLARATION I am exempt under Section Business and Professions Code for this reason: 1. 2. 3. I personelly plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number I contractors license number): ~~ 4. number I contracfors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NONBD- EUIIDRQ PfRMlTS ON Is the applicant or future building occupant required to submn a business oh, 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? 0 YES 0 NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 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 8. CONSTRUCTION LENDING 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 LENDER'S ADDRESS 9. APPUCANTCamFlCATlON 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 comruction. I hereby authorize representatives of the Cie of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrrY 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' dwp 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 ns commenced within 365 days from the date of such permit or if the buildinn or work authorized bv such nermit IS susnendad 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 I phone I will provide some of the work, but I have contracted (hired1 the following persons to provide the work indicated (include name / address / phone number I type 0 YES [7 NO or abandoned at any time ays (Section 106.4.4 Unifon Building Code). APPLICANT'S SIGNATUR DATE L/.23+?L7 WHITE: File YELLOW Applicant PINK: Finance fl City of Carlsbad Inspection Request For: 9/8/99 Permit# CB991573 Title: PETERSON RESIDENCE Description: INSTALL GAS LINE Type: PLUM Sub Type: Job Address: 1416 BRANTA AV Suite: Lot 0 Location: APPLICANT ANDERSON'S LA COSTA NURSERY Owner: KRICHBAUM SCOTT M&DEBORAH D Remarks: INSP SET PER PETE/ FINAL? Total Time: Inspector Assignment: SP Phone: 0000000000 Inspector: Requested By: CHRISTINE Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing 47- Inspection History Date Description Act lnsp Comments 4/26/99 21 UndergroundlUnder Floor AP SP 4/26/99 23 GasTTesURepairs AP SP