The URL can be used to link to this page

Home My WebLink About1780 BLACKBIRD CiR; ; CB033038; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 1 1 -0S-iOO3 Plumbing Permit Permit No: CB033038 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2156028800 Lot#: 0 Applied: 11/05/2003 Reference #: Plan Approved: 11/05/2003 Issued: 11/05/2003 Project Title: BHULLAR RES NEW H20 HEATER Inspect Area: 1780 BLACKBIRD CR CBAD Construction Type: NEW Entered By: SB Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: BHULLAR ROMEL S 1780 BLACKBIRD CIR CARLSBAD CA 92009 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 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 E Y PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 b FOR OFFICE USE ONLY PLAN CHECK NO. E?' EST. VAL. Date 1780 Balckbird Cir. Address (include BldgfSuite #) Business Name (at this address) -+ Legal Description Lot No. Subdivision Name/Numbar Unit No. Phase No. Total # of units SFR Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms 215-602-88-00 Name Address City State/Zip Telephone # Fax # (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 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 1$5001). PA wn3i (61 9) wn - 4477 State/Zip Telephone # State License # m7 20 License Class C-36 Designer Name Address City StatelZip Telephone City Business License # 1210836 0 of the work for which this permit is issued. I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f I have and will maintain workers' compensation, asrequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. My worker's Compensation insurance carrier and policy number are: Insurance Company Y c+- Q-~C -. Policy N0.&7-n7 . m71 3 Expiration Date 04 -01-04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS1001 OR LESS) to become subject to the Workers' Compensation Laws of California. WARNING: Failure thousand dollars ($ 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 , damages as provided for in Section 3706 o 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 ha 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 6%. 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 1. 2. 3. 4. number f contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. YES UNO I (have / have not) signed an application for a building permit far the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number f contractors license number): 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 I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name f address / phone number / type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE 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 quality management district? 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. 0 YES NdlN 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 LENDER'S ADDRESS 9, APPLICANT CERTlFICATi 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. EXPIRATM)N: Every permit issued by the building Official under the provisions of thls Code shall expire by limitation and become null and void if the building or work at any time after the work is comm APPLICANT'S SIGNATURE DATE authorized by such permit is not co or if the building or work m Building Code).