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Home My WebLink About1708 BLACKBIRD CIR; ; CB060243; Permit01-30-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB060243 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1708 BLACKBIRD CR CBAD PLUM 2156026500 Lot#: 0 Construction Type: NEW BRAR RES REPLACE H2O HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/30/2006 KG 01/30/2006 01/30/2006 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA 91321 661 259-7131 Owner: BRAR DEV A&LAURA K 1036 S RANGE LINE RD CARMELIN 46032 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector; FINAL APR 2Date: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 lees/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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APP' 1CATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE 01 PLAN CHECK LY EST. VAL. Plan Ck. Deposit jA Validated By, Date Address (include Bldg/Sulte #)no% MAUL BtrA Cu Legal Description Assessor's Parcel * dtPlade SO cjM tAtfV & Description of Work Business Name (at this sddress) Lot No. Subdivision Name/Number Existing Us* „ SQ.FT. •v f of Stories Unit No. Phase No. Proposed Use * of Bedrooms Total # of units t of Bathrooms Name Address Telephone If Fax # •&$$&^^ Telephone * WfaWSSSMffi&fate • Name Address City State/Zip Telephone * (See. 7031.5 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 require* the applicant for such permit to file a signed statement that he to 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 la exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for e permit subjects the applicant to a civil penalty of not more than five hundred dollars |*600|). CA* fe-naixJo /2J- fOt^Wx'l f* JI/JbM Name Address State License # (ff 9- / 3k>*> License Class d <? ** City State/Zip Telephone * City Business License f JAt 7^ *? ) Designer Nsme Address State License f City State/Zip Telephone MttftM^^ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. LTf 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 iasued. My worker's compensation Insurance carrier and policy number are: Insurance Company rjTXl "Z-£fVTX Policy No. Zofe*7#3»?7fli Expiration Pete (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is issued, I shall not employ sny 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 anal subject an employer to criminal penahlM and dvl fines up to one hundred thousand dollars (* 100,000), bi addition to Ae coat of compensation, damage* a* provided for In Section 3708 of the Labor code. Interest and attorney's fee*. SIGNATURE fi&tt- DATE I I hereby affirm that I am exempt from the Contractor's License Law for the following reason; Q I, ss owner of the property or my employees with wages ss their sole compensation, will do the work end 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, snd who does such work himself or through his own employaas, provided thet such improvements ere not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, th* owner-builder will have the burden of proving that he did not build or improve for th* purpose of ssle). G I, as owner of th* 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, snd contracts for such projects with contrector(s) licensed pursuant to the Contractor's License Law). Q 1 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. Q YES QNO 2. I (hav* / have not) signed an application for a building permrt for the proposed work. 3. I have contracted with the following peiton (firm) to provide the proposed construction (include nsme / address I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise snd provide the major work (include name / address / phone number / contractors license number); 5. t wit) provide some of the work, but 1 have contracted (hired) th* following persons to provide the work indicated (include name / address / phon* number / typo of work): PROPERTY OWNER SIGNATURE DATE . I* the applicant or future building occupant required to submit a business plan, acutely hazardoua materials registration form or risk msnsgement snd prevention program under Sections 26505, 26533 or 25534 of the Presley-Tanner Hazardous Substsnce Account Act? Q YES Q NO Is the applicant or future building occupent required to obtain e permit from th* sir pollution control district or sir quality management district? Q YES Q NO Is tn* fscility to be constructed within 1,000 f*et of the outer boundary of a school aite? Q YES Q 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. «te&&ffiM^^ •#.". :•:- .. 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permrt is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify thst I heve read th* application and state that the above information is correct and that the information on the plena is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CUV 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 wrthlp 180 days from the date of such pvrmtt or ff the bulk^ at any time after the work Is commenced lor a peftod of/tBO days (Section 106.4.4 UnHorm Building Code). APPLICANT'S SIGNATURE DATE WHITE: FHe YELLOW: Applicant PINK: Finance