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Home My WebLink About1760 KIRK PL; ; CB062007; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-13-2006 Plumbing Permit Permit No: CB062007 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: 1760 KIRK PL CBAD PLUM 2072607200 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: ISSUED 07/13/2006 KG 07/13/2006 07/13/2006 Project Title: DODSON RES REPLACE H2O HEATER Inspect Area: Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 Owner: DODSON WILLIAM R&CRYSTAL D 1760 KIRK PL CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: EXPIRED PERMIT PERMIT HAS f.)(f'i!lHJ lN i\GCCRDANCE Wini C.B.C. SECl ;-;;N rnu .. 4 .i\S A'MEN!)l:fl BY C.M.C.18.04.030 DAT~ .:il'4Jl-1--SIGNATURE--"a""h""JI.._ __ _ FINAL APPROVAL Date: Clearance: $0.00 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 lo 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 f x tin fwhih hv rvi I en in N Tl E imi!r hi r hihth tue flimi i h I hlWi PERMIT APPLICATION FOR OFFICE USE O.~L Y 1211?' PLAN CHECK NO~....i~~"""'"~-...;;..,~ CITY-OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit----+-,----- Address (Include Bldg/Suite II 1 Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use I of Bathrooms Name Address City Fax I , _ _......_.......,_ .... ..._ •• 1..,'..,•· .... • ~~~~•ii~:.. """' (Sac. 7031.6 Business and Professions Coda: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure1 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 ha is exempt therefrom, and the basis for the alleged e~mition. An): violation of Section 7031.6 by any applicant fore permit su~acts the applicant to a civil penalty of not more than five hundred dollar• ($600)). c:,,,. Deff0c. M~c~otn1cM/ ~t) .5 ~olA.>e..<l .ed 11 120 P_,s:9., A-2 la-<-0 9- Name Address City State/Zi', "1/~~~ona I 1/80 -J?'F-Ooo:. State License I 3/1 // 4z' License Class (I -3.B City Business License I -#-(,-'-r----'-,--,<----" ~ .... Li.___ Designer Name State License I Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a cartlflceta of con.sent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance of the work for which this permit is Issued. (V 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 co:::::::on Insurance carrier and policy number are: ! / Insurance Company ~'t-<. -/u ??ef Polley No. / '39'-?£/l..3 Expiration Date tJ~f..P//O~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) □ ·~ ' 0 I, aa owner of the property or my employees with wages as their sole compensation, wiU do the work and the structure is not intended or offered for sale (Sac. 7044, Business and Profasaiona Code: The Contractor's UcenH Law do•• not apply to an owner of property who build• or Improve• thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for Hie. If, however, the building or Improvement 11 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpoH of sale). 0 I, ea owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profesalona Code: The ·contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contract• for such project, with contractor(sl licen1ad pursuant to the Contractor'• License Lawl. 0 I am exempt under Section ______ Buslne11 end Profe11lons Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the propoHd property Improvement. 0 YES ONO 2. I (have / have not) signed en application for • building permit for the proposed work. 3. I have contracted _with the following person (firml to provide the proposed construction (include name / addrau / phone number/ contractors llcenH number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, aupervl1e end provide the major work (Include name / addr111 / phone number/ contractors license number): ____________________________________________ _ 6. I will provide 1oma of the work, but I have contracted (hired) the following persona to provide the work Indicated (Include name / addraaa / phone number / type of work): _______________ ,--______________________________________ _ PROPERTY OWNER SIGNATURE DATE !ifoMillef§ffii?Slcliio'miirNOMiHi~iiIDfb~~ . . . 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 26606, 26633 or 26634 of the P;esley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. ~J111.fc:f1'§MLE~l~~CY S ~;;;.;&~ ~,. . ----· , ~1°tt;. ,,,; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~AN.ulBil~ · · • .. ;;:.;:~~~cr~~~ , ,1. -• . 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. J 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 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 pe!mlt Issued by the bulldi~g Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such perrmt ls not commenced w1th1n 180 days from the date of such pennit or If Jhe building or work authorized by such pennit Is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code). APPLICANT'S SIGNATURE --~a-~~"-o/'-------------------DATE _t).....;:;i_.l:_;~----()_:f'.;__ __ _