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Home My WebLink About2297 LINDSAY DR; ; CB032922; PermitCity of Carlsbad -1635 Faraday Av Carlsbad, CA 92008 10-23-2003 Plumbing Permit Permit No: CB032922 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2297 LINDSAY DR CBAD PLUM 2121013200 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Tille: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 HUBIK RES-REPLACE GAS LINE FROM METER TO HOUSE 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 0 0 0 0 0 1 0 Owner: HUBIK DOLORES H 2297 LINDSAY DR CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 10/23/2003 RMA 10/23/2003 10/23/2003 $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 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 7259 10/23/03 0002 01 ()2 Inspector: FINAL APR OV i Date: J 2 ?, ) 3 CGP 27-00 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 f I . n f hi h h v vi I T i i r h' f Ii i ' n h I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C(jC? 3 2f J-...J-., CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit--------,,.---- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total ti of units Assessor's Parcel I , Existing Use Propqsed Use ti of Bathrooms City State/Zi'} I.L /gelephone I City Business License I ~ 00 Designer Name Address City State/Zip Telephone State License I _________ _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: \;?. 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 ~e work for which this permit Is Issued. lVl 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 li:i"ued. My worker's co pen atlon insu nee carrier olicy number are: / 2 7 d 3 /4 / 'f Insurance Company......:'.-+~--• S. , Polley No. / o{.u, -(JO Expiration DateO~~ b / D ITHIS SECTION NEED NOT BE COMPLETED IF E PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) / \;;.( 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 ~ecome subject.to the Workers' Compensation Laws of California. WARNING: Fall I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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, aa 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 / hsva 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 / address / phone number/ contractors license number): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~q~~fflDM1tifflw &¥AM¥MM4iifMWFi¥1&H 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 26605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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 facfllty to be constructed within 1,000 feet of the outer boundary of a school site? 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. 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 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 lawa relating to building construction. I hereby authorize representatives of tha Citt of Carlsbad to enter upon the above mentioned ,property for Inspection purposes. I ALS.O 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Olli lal under the provisions of this Code shall expire by limitation and become null and void II the building or work authorized by such permit Is not co enced withl 180 ays ro the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any tin 1fter the work Is ad for a pe o 1 6.4.4 Uniform Building Code). / ! APPL1cA •s s1GNATu ... DATE /o _2 :3 L"l>,$ I I PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/24/2003 Permit# CB032922 Title: HUBIK RES-REPLACE GAS LINE Description: FROM METER TO HOUSE Type: PLUM Sub Type: Job Address: 2297 LINDSAY DR Suite: Lot 0 Inspector Assignment: \ Phone: Inspector: Location: ---- APPLICANT HANNA PLUMBING Owner: HUBIK DOLORES H Remarks: ..PM Pl ~SE -WILL CALL WHEN REPAIR COMPLE~ C:.11.~ ~C>\::l•: .. :\lt-)_'-1,~1- Total Time: Requested By: NA Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs , Act Comment A / Q q)_ ,.¼}:;~-/ \J ,t< f5( _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments