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Home My WebLink About1723 BLUEBIRD LN; ; CB110077; PermitCity of Carlsbad , • > 1635 Faraday Av Carlsbad, CA 92008 01-12-2011 Plumbing Permit Permit No: CB110077 Building Inspection Request Line (760) 602-2725 Job Address: 1723 BLUEBIRD LN CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2158801206 Lot#: 0 Applied: 01/12/2011 Construction Type: NEW Entered By: JMA Reference*: Plan Approved: 01/12/2011 PC#: Issued: 01/12/2011 Project Title: HAYES: REPLACE WTR. HTR. Inspect Area: Applicant: Owner: HANNA PLUMBING HAYES ANDREW D&SIAN 643 S. SANTA FE 1723 BLUEBIRD LN VISTA CA 92083 CARLSBAD CA 92011 760-726-2002 Plumbing Issue Fee ; $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain Y 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent : 0 $0.00 Gas Piping System 1 $7.00 Vacuum Breaker .;,• 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee ; $0,00 Sewer Fee '•+: $0.00 Additional Fees fl t : $0.00 TOTAL PERMIT FEES/ + : $27.00 Total Fees: $27,00 Total Payments To Date: $27.00 Balance Due: $0.00 FINAL APPROVAL Inspector: is*, ——— Date: v^ ' / '—U— 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 "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 tees/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. CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# # BATHROOMS I TENANT BUSINESS NAME CONSTR.TYPE I OCC. GROUPCT/PROJECT*oTi PHASE"* I # OF UNITS I # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)"mft /Mfo. Alt EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESO #_NOD AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Font Applicant)APPLICANT NAME ADDRESS,,ADDRI 5. STA ZIP CITY Ok STATE ZIP PHONE PHONEj-bo EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME ADDRESS ADDRESS Pg. Gb- STATE ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL ^ frARCH/DESIGNER NAME & ADDRESS STATE LIC. #STATE LIC.#CLASS I/ CITY BUS. LJC.# (Sec. 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 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 Code} 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 ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of (he 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. J3-I have and will maintain worker*1 ™™**n*;,tjr,n « roniiirBrt hvKegtion 37J30 of the Labor Code, for the performance of the viatk for which this permit is issued. My workers' compensatyh insurance carrier and policy ' number are: Insurance Co._£X%<n£ f&IW bJaXlWUM 'Jj^iMirfaq(S. Policy No. k^PcJ? ^>// /*??• t ' _ Expiration Date / / / This section need not be completed if the permit is for one hundred dollars ($100) or less. G 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: Failure to secure-workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8.100,000), in addition to the cost of compensation; damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. I hereby affirm that I am exempt from Contractor's License Law for the following reason: O 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 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). G 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 contractors) licensed pursuant to the Contractor's License Law). D lam exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvemenL O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address I phone / type of work): ^PROPERTY OWNER SIGNATURE OAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous maten'als registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the • Presley-Tanner Hazardous Substance Account Act? OYes DNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Isjhefao1lityitobeconstructedwithin1,000feetoftheouterbciundaryofaschoolsite? a Yes ONo IF ANY OF THE ANSWERS ARE YES,/ EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I hereby authorize representative of Ihe City of Cartsbad to enter upon Ihe above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CRY 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 50' deep and demolition or construction of structures over 3 stories 'm height EXPIRATION: Every rjermit issued by ttie/MmOftol under the provisions of this Cod^^ 180 days frcm the date of such perrritW'rfthebuife .^APPLICANT'S SIGNATURE V ^~J A /\ „•• I /^^- ^-- DATEi/ City of Carlsbad Bldg Inspection Request For: 06/06/2011 Permit# CB110077 Title: HAYES: REPLACE WTR. HTR. Description: 1723 BLUEBIRD LN Lot: Type: PLUM Sub Type: Job Address: Suite: Location: OWNER HAYES ANDREW D&SIAN Owner: HAYES ANDREW D&SIAN Remarks: GATE CODE 2879 Inspector Assignment: Phone: Inspector Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: NA Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments