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Home My WebLink About1718 BLACKBIRD CIR; ; CB021575; Permit05-23-2002 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB021575 1718 BLACKBIRD CR CBAD PLUM 2 1 56027000 Lot #: 0 Applied: 05/23/2002 Plan Approved: 05/23/2002 Issued: 05/23/2002 Status: ISSUED Construction Type: NEW Entered By: MDP BAKER RESIDENCE Inspect Area: WATER HEATER REPLACEMENT 7865 05/23/02 0002 01 02 Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 171 8 BLACKBIRD CIR CARLSBAD CA 92009 61 9-390-4477 Total Fees: $27.00 Total Payments To Date: $0.00 Balam Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalURepair Water Me 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 $?.a0 $0.00 $0.00 $0.00 $a.W $a.m 4m.m $27.00 I FINAL APPROVAL I Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collediiely referred to as "feeslexactis.' You have 90 days from the date this permit was issued to protest imposition of these feedexactions. If you protest them, you must follow the protest procedures set forth in Government Code Sedion -(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 fdlow that procedure will bar any subsequent @a1 action to atlack, review, sat aside, void, 01 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 I I chanaes. nor Dlannina. zonina. aradina or other similar a~~lication ~rocessina or sefvice fees in connetton with this Moiect. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Date INF~RMATION Business Name (at this address) 1718 BLACKBIRD CIRCLE Address (include BldglSuite #I FOR OFFICE USE ONLY PLAN CHECK NO. ('i@% 15 2' EST. VAL. Plan Ck. Deposit Validated By Legal Description .( Lot No, Subdivision NamelNumber Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use SFR 215-602-10-00 \ Description of Work SQ. FT. #of Stories # of Bedrooms t of Bathrooms Address City Statelzip Telephone # Fax # ! Name Name Address city Statelzip Telephone # 1 issuance, also requires the applicant for such permit to file a signed statement that he Is llcensed 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 than five hundred dollars [$5001). Name Address City StatelZi lslo836 Telephone # State License t 630120 Designer Name Address City P E. 2 mCf- P'1qnrj 17706 R Hwy-8 Bus. - El Caion CA. 92021 (619)390-4477 License Class C-36 City Business License X Statelzip Telephone 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 f of the work for which this permit is issued. Igued. My worker's compensation insurance carrier and policy number are: ' Insurance Company Policy ~0.467-01 0000713 Expiration Date 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 181001 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 one hundred 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 doas 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 intendad 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 1, 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, a contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). a 1. 2. 3. 7 I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contractad with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): Business and Rofessions Code for this reason: ~ ~~ 4. number I contractors license number): 5. of work): 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 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number / type 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 qudity management district? 0 YES 0 NO is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 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 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). LENDER'S NAME "E LENDER'S 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 Cit). of Carlsbad to anter 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 Ihe buildino or work or If the bullding 0; work authorbed b u p authorized by such permit is APPLICANT'S SIGNATURE MA^ rf or alkdoned DATE at any time after the work is WHITE& YELLOW Applicant PINK: Finance