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Home My WebLink About1772 BLACKBIRD CIR; ; CB022117; Permit07-1 8-2002 FINAL APPROVAL Inspector: SR Date: -wLba Clearance: . Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB022117 1772 BLACKBIRD CR CBAD PLUM Status: ISSUED 21 56020900 Lot #: 0 Applied: 07/18/2002 Plan Approved: 07/18/2002 Issued: 07/18/2002 Construction Type: NEW Entered By: MDP CHRISTIAN RESIDENCE Inspect Area: WATER HEATER REPLACEMENT Owner: I534 07/1.8/02 0002 31 02 &=@P 27 f$(j CHRISTIAN SCOTT W&LYNN R’ 1772 BLACKBIRD CIR CARLSBAD CA 92009 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalURepair 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 $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 NOTICE: Please take NOTICE that approval of your project includes the ‘Imposition” of fees, dedications, reservations, or other exactions hereafter collectively referred to as “feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 Muniapal 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity hanges, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date ROSEET~INF~R~VIATION I C1RC.T - Business Name (at this address) Address (include BidglSuite #) Total # of units Phase No. Legal Description Lot No. Subdivision NamelNumber Unit No. CVR "I I. Proposed Use Descriotibn of Work SQ. FT. #of Stories # of Bedroorns # of Bathrooms Name Address 47 Name (Sec. 7031.5 Business and Professions Code: Any City or County which requiras 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 ha 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 clvil penalty of not more than five hundred dollars [$5001). -. 137M - R --8 -_ El flinn f!- 93031 ( 61 9 1390-4477 Address tity Statelzip Telephone # City Business License # 1210836 State License # 6303 70 License Class C-36 Designer Name Address City Statelzip Telephone State License # h 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f of the work for which this permit is issued. 9 I have and will maintain workers' cornpensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is I sued. My worker's compensation insurance carrier and policy number are: Insurance Company -. Policy ~0.467-01 00_00713 Expiration Date 04-01-03 __- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$IO01 On LESS) 0 to become subject to the Workers' Compensation Laws of California. CERTIFICATE OF EXEMPTION: I certifvthat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as WARNING: Failu thousand dollars ( unlawful, and shall subject an employer to crlminal penalties and civil fines up to one hundred 0 1, 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 fbr 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 UNO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name l address'/ phone number / contractors license number): 4. number I contractors license number): 5. I plan to provide portions of the work, but I have hired the following person to coordinate, supervis- and provide the malor work (include name I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the vrmk indicated (include name I address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE EN Is the applicant or future building occupant required to submit a business plan, acutely hazardous rnatwisls 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 e permit from the air pollution control district or air qiality 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 YES 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. N LENDIN 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 NONE LENDER'S ADDRESS ~RTIF~ATI~N 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 City 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 i authorized by such permit is n at any time after the work is c APPLICANT'S SIGNATURE DATE mitation and become null and void if the building or work ork authorized by such per 7' it 6 s y~$flyi or abandoned J!..!f - J I f WHITdFile YELLOW: Applicant PINK: Finance I of Carlsbad Bldg Inspection Request For: 08/05/2002 P. fi Permit# CB022117 Title: CHRISTIAN RESIDENCE Description: WATER HEATER REPLACEMENT Inspector Assignment: Type: PLUM Sub Type: Job Address: 1772 BLACKBIRD CR Suite: Lot 0 Location : APPLICANT A&J FOSTER, INC. Owner: Remarks: Phone: 7606030963 Inspector: si?- Total Time: CD Description 25 Water HeaterNents Requested By: NA Entered By: CHRISTINE Act Comments Associated PCRslCVs Date InsDection History Description Act lnsp Comments