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Home My WebLink About1750 KALMIA CIR; ; CB012188; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 C /L--· 0~/26/2001 Plumbing Permit Permit No:CB012188 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1750 KALMIA CR CBAD PLUM Lot#: 0 Construction Type: NEW Reference #: Project Tille: EXECUTIVE COMMUNITY MANAGEMENT REPAIR GAS LINE Applicant: EPOCH CONSTRUCTION 7062 CONVOY COURT SAN DIEGO CA 92111 858-560-0698 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/26/2001 CB 06/26/2001 06/26/2001 3188 ;'.)6/26/01 0002 OJ J2 CGF'· r·, )0 Total Fees: $27,00 Total Payments To Date: $0.00 Balance 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 Additional Fees TOTAL PERMIT FEES lnspector:Mefe. f;:,..,.,/· 0 0 0 0 0 1 0 FINAL APPROVAL Date: t,,/4g/4 I I I Clearance: $20.00 $0.00 $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, 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 r~ht to protest the specffied fees/exactions DOES NOT APPLY to water and sewer oonnection fees and capactiy changes, nor planning, zoning, grading or other sinjlar application processing or service fees in oonnection with this project NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has previouslv othe1Wise exnired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Subdivision Name/Number Assessor's Parcel # Existing Use SO. FT. #of Stories City !3;•:,t;, C,Aft;a:.rC~T' <<EJ::.c9ntri(Q1,QI\'" · El~Agt,rlft-01;1,QO~t&'°'tOi: :'.'□;own,ef": "QAU,nt,(~r:~hElfi> Name Address Name -~· ,:,:e,11,iqiy,QlN~~!i, £;UJ1e Name Address City City FOR OFFICE USE ONLY PLAN CHECK NO.Cfu 12/ef; EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By,_.,,C-e,-='""'------,,----- Date (I,-'] (e~c, / ~ ; Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# State/Zip Telephone# S.tate/Zip Telephone# (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 ($500]). Ei"oc:,,,1-\ < QJ\.)St 7oc,,), Ca1,.1vo1 dnt1&t 5',t,1cL,C-!70 c./\ ~Ill 858 SWe>Gq~ Name Address \ City State/Zip Telephone # State License # J] 4 S B ~ License Class B J;-] C City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 11:, ,,;W/;illjllilis:<!lQM1>1;ill!ATIQ!\IC,,Ji ; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: &f I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. JlL I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Cr,. 5. iev IN e I N 5 Policy No. 4 /,$ 7 8 '--1 Expiration Date {) ) Q \ d 4 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 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: Failure to aecur workera' compensation coverage i1 unlawful, and shall subject an amployer to criminal penaldH and civil fine, up to one hundrad thousand dollars I 0,0 , In addition to the coat of compensation, damages as provided for in Section 3706 of the Labor coda, Interest and attorney's fees. DATE (p -;:lfu-Q l SIGNATURE 1,,·'•;;'Q)Olfl . , I hereby affir that I am exam 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 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). 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) licensed pursuant to the Contractor's License Law). 0 I 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 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 I address / phone number/ contractors license number): ________________________________________________ _ 5. I will provide some of the work, but J have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work),._------------------------------------------------------ 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? D YES D NO ls 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 ls the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 D YES D 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. 8,, 'it®"Jii•T~llcrloNill;lllll)NGAGEN/;Y. ' ',' ·' 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 _____________ _ 8.i' • ·,Afl'IOllANT'CeRTIFl!lATIQII'-.. 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 Officia 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 within 1 clays fr the date of such permit or building or work authorized by such permit is suspended or abandoned APPLICANT'S SIGNATURE at any time after the work is commenced to P. cl of 18 ays (Section 106.4.4 rm Buil g Code). DATE ~ft~~-2_<:49_-_C)~( __ _ PINK: Finance J/).1 o ~s- UNSCHEDULED BUILDING INSPECTION INSPECTOR . .....;R...._L_f::, ___ _ PERMIT # Q \?.. \ ~2,, . PLAN CHECK# ____ _ JOB ADDRESS \"JSO '&._Q,,,,., ~. C,., > CODE . DESCRIPTION ACT COMMENTS L 1f/~ ~PAP ~01-v •