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Home My WebLink About1707 EVERGREEN CIR; ; CB000400; Permit~ll~!ooo!O City of Carlsbad 02/07/2000 Plumbing Permit Permit No:CB000400 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1707 EVERGREEN CR CBAD PLUM Parcel No: 2050807 400 Lot #: 0 Construction Type: NEW Reference #: Project Title: VALENZUELA RES-NEW WATER HEATE Applicant: TORREY PINES PLUMBING STE 101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 hX " Status: ISSUED Applied: 02/07/2000 Entered By: RMA Plan Approved: 02/07/2000 Issued: 02/07/2000 lnspect~slf02/07/00 0001 01 02 C-PRMT 27-00 Total Fees: $27.00 " ,, U:llal Pllymeots Te :Pele:. $0.00 j:lp~e Due: $27.00 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 TOTAL PERMIT FEES Inspector: 0 0 0 0 . 1 : 9'~ 9~ 0 f . ' FINAL APPROVAL Date:Z.~/ $'" -(X) ii t ' 4/ •j20.00 Clearance: : $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 r~ht to protest theffl'fiY~leJall!~ifAf!OT APPLY to water and sewer connection fees and capactiy changes. nor planning. zoning. grading 11¥ ~imila',§~~!!£01io;fti;;;"f>i!)9.pJ,!S'Ylce '!1'.'i.>llQll~io9-¥1itl\lh~~[l): OR DOES IT APPLY to_ any fees/exactions of which ou have rev10 beeh' e'1 ff'Mtffl~ ldr!-'t~P.t'M'iig tki1cff'ffl'!ffltut~'offtM1tmtb~S ev1ousl otherwise ex ired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO. CJJ@ l.fP EST.VAL.~~~~~~~~~~ Plan Ck. Deposit ---....--1+----- Validated By,4.-__,1----+-'"'------ Date._~,t-+--+-,'"""'.LJ...L------~ Business Name tat this addre11) Legal D11cription Lot No. Subdivision N1me/Number Unit No. Phase No. Total I of units Proposed Use lof Stories I of Bedrooms. I of Bathrooms tSec. 7031 .6 Busin111 and Profnslons Code: Any City or County which require• a permit to construct, 11ter, Improve, demolish or repair any structure, prior to Its issuance, elso raqulres the 1pplicant for 1uch permit to file a 1igned 1t1tement th1t h9 Is licenHd pursuant to the provisions of the Contrector's License L•w (Ch1pter 9, commending with Section 7000 of Divi1ion 3 of the Business ind Profe11ions Codi) or th1t he ts exempt therefrom, and the basis for the alleged exemption. Any viol1tion of Section 7031.6 by 1ny 1ppllc1nt for I permit subjects th• 1pplic1nt to• civil penalty of not more than five hundred dollars lt500)1. ARS/DBA COAST/MAIO/TORREY PINES PLUMBING 6121 NANCY RIDGE DR #100 SD.CA 92121 Name Address City State/Zip Telephone f 61 g ) 6 7 7 _ S 4 4 c: State Ucen111 I 7 4 2 0 3 9 L!canse C11.J3 / C -3 6 / C -2 0 City BusinNI Ucense I 1 0 3 0 7 0 0 - · D11ign1r N1m1 Addre11 City St1t1/Zip Telephone Stat1 License I---------- •t '.·,!';,"fWOR1ttfta';cOMNN*AtlONW~J,i;W,v~~~ .... ~~~V~~~':?,-~f:~~~':;~,:f.!'!i'~:--:.--;ri:r1;~'.~~~~t.~:?~'!f);($''. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of th9 following declar1tion1: 0 I have and will m1int1in I cenific1ta of consent to self-insure for workers' compensation IS provided by Section 3700 of the Labor Code, for the performance of the work for which this permit I• l11ued. ~ I have ind will m1intain workers' compen11tion, ., required by Section 3700 of the L1bor Code, for the performance of the work for which this permit Is issued. My worker'• compen11tion insur1nce c1rrier and policy number are: lnsur1nc1Comp1ny ____ AON Insurance PoticyN6. 7082973 ExpirationDate, 04-01-0u ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I canify that in tha perform1nce of the work for which this permit is issued, I eh1II not employ any person In any manner so as to become subject to the Workers' Compensation Laws of C11ifomi1. WARNING: Failure to ,_.. wOl'llen' c:ompenutlon COYel'llge la unlawful,. and lhan IUbject an employlf to criminal pen81tle1 and clvl fines up to -hundred thousand ctoa $100,0001, In add o the ost of , damagu u provided few In Section 3708 of the ode terest and attorney's f111. SIGNATURE DATE --'::;;...,J-.>--1-'-'.._.'----- 7;;11.1f>wrmi -~(,,~~a1-1. ~W.ifl~;;:;r,;:..;2;.;;~~ltf~'nt~'l{~~?~~,r,.::-;;J~~-;;fi:f~.:~ .~;{-h-;r.i~.i.~-m.:;.;:;~~.~:~~··rr)~!,Jfr'.!Ii~.; m the Contractor', UcenH Lew for the following reason: 0 I, IS owner of the prop, y or my employees with w1gn H their 1ole comp1n11tion, will do the work and the structure is not intended or offered for 1111 tSec. 7044, BuslneH ind Profe11lons Code: TM Contractor's Llc1n11 Law doe• not 1pply to 1n owner of property who builds or improves thereon, ind who d09s such work himself or through his own employeas, provided th1t such Improvements.,, not Intended or offered for 111,. If, however, the building or improvement ia sold within one year of completion, the owner-builder will have the burden of proving th1t ha did not build or Improve for the purpose of sale). 0 I, es owner of the property, am exclusively contr1cting with llcen11d contr1ctor1 to construct the project ISac. 7044, Business and Profeuions Code: The Contractor's License Law dolS not apply to an o-of propeny who builds or improv1S thereon, and contract• for 1uch projects v.ilth contr1ctorl•I lic1n1ed pursuant to the Contr1ctor's Ucen11 L1w). 0 I am exempt under Section Business and Profession• Code for this reason: 1. I personally pl1n to provide the major labor ind material• for con1truction of the propo11d property improvement. 0 YES ONO 2. I thave / have not) signed an application for I building plfmlt for the prop01ed work. 3. I heve contracted with the f«?'lowing per1on tfirml to provide the proposed construction (Include n1me I address I phone number I contr1ctors lic1n11 number): 4. I plan to provide ponions of the work, but I hive hired the following person to coordinate, supervise and provide the m1jor work !include name I addreu I phone number I contractors license number)=----------------------------------------------- 5. I will provide some of the work, but I heve contr1cted lhlredl the following peraons to provide the work indicated tinclude name I 1ddress I phone number I tvo• of work):.~------------------------------------------------------~-- PROPERTY OWNER SIGNATURE-----------------------DATE---------- COMIUT!m,IIS SEetfON:FOA.'NO~ENJJAl.t"Uii'Diiio"NRMttJ;QNe:,~~~~"1;.~~mf,.ff,~~}~'l::~j~hf;t~;~7::C.,:::~·.~::r.:::!~~'?$~~~·~: Is the 1pplicJnt or future building occupant required to submit a bu1ineu pl1n, acutely hezardous materials reglstr1tion form or risk m1n1gement and prevention program under Sttctlons 26605, 25533 or 25534 of the Prasley·Tanner Hazardous Substance Account Act1-Q · VE& 0 NO . Is the 1pplicent or future building occupant required to obt1in I permtt from th9 1ir pollution control district or 1ir quality m1n1gement district7 0 YES O NO ts tha facility to be constNCtad wtthln 1,000 fut of the outer boundary of 11chool 11te7 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. :a:!,:,~~~QN~V¢Ti~'t;!ND!Nci'-KcS~~~~§if~~~~:j!'.q~~~~{i~~~1fflfi&1t:f;,;~:~;D,::"'.}1·,··,i·,;.~:e<F-:;it;· I hereby affirm that there is I construction lending 1gency for the perform1nce of tha work for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS-------------------------- .f.'1~C~Ac:.l\flo;l",1:W~~~ :;., · ·:,. .,. ·· ·, · ,, · ·"'" '•·~~Llfii:'fi'r~lf'!l".Z:!:..;.;,?;::.:·.~:t.:.:!~'.'S.Z.-,.:::Et.r.:~: I certify that I hive rHd the 1pplic1tion and atete that the above information la correct and that the inform1tion on the pl1n1 Is accurate. I 1grN to comply with all City ordin1nces and Stlte law, relating to building construction. I hereby authorize repre11ntatives of the Cltt of C1rlsbad to enter upon the above mentioned propeny for in1paction 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 raquired for excavations over 6'0" deep ind demolition or construction of structures over 3 stories in height. EXPIRATIO~: Every permit iHued by the Building Official under the provi1ions of this Code shill expire by limitation and become null and void if the building or work authorized by such permtt Is .~ot commenced within 366 days from the d1te of such permit or if the ~ullding or work authorized by such permit is suspended or ab1ndoned It any time after I! work is commenced for a perio f 180 divs !Section 108.4.4 Uniform Building Code). 217 J ~ APPLICANT'S SIGNATURE DATE 6,,,-~ PINK: Finance ( . . { City of Carlsbad Bldg Inspection Request For: 2/10/2000 Permit# CB000400 Title: VALENZUELA RES-NEW WATER HEATE Description: Type:PLUM Sub Type: Job Address: 1707 EVERGREEN CR Suite: Lot 0 Location: APPLICANT TORREY PINES PLUMBING Owner: VALENZUELA LORENZO JR&MARIA L Remarks: WATER HEATER Total Time: CD Description Act Comments Inspector Assignment: T/ Phone: 8586775455)(204 Inspector: JL ---- Requested By: TIFFANY Entered By: ROBIN 29 Final Plumbing A£ _____ _ Associated PCRs Inspection History Date Description Act lnsp Comments