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Home My WebLink About2612 LA GOLONDRINA ST; ; CB040630; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-25-2004' Plumbing Permit Permit No: CB040630 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2612 LA GOLONDRINA ST CBAD PLUM Status: ISSUED 02/25/2004 SB 02/25/2004 02/25/2004 Parcel No: 2155620300 Lot #: 0 Applied: Reference #: Construction Type: NEW Entered By: Plan Approved: Issued: Project Title: PURDY RES NEW H20 HEATER Inspect Area: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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: $27.00 0 0 0 0 1 0 0 Owner: PURDY ROB S&TERRIE L FAMILY 1999 TRUST 2612 LA GOLONDRINA ST CARLSBAD CA 92009 $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: $0.00 Balance Due: $27.00 6113 02/25/04 0002 01 CGP lnspecto · 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 pennit 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 i n f hi I N Tl i r whi h h limi i I 02 27-00 FOR OFFICE USE ONLY /_ 1. PLAN CHECK NoeJ>oL{ e>_? fe) PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ . . . Validated {Y-~-=-r-'--r--------- Date :Z. • p { 01 ~1llQ~'5 ~ ~ ,~ ~ ~ ~ a: Ams (Include Bldg/Suite I) ~ ' ·~ ' • •, C .. I , ' l • ' ' •• ' ,• • Business Name (at this address) Legal Description Lot No. Subdivision Name/Numb~r Unit No. Phase No. Totil I of units Asseaaor's Parcel I , Existing Use Propqsed Use lot Stories II of Bedrooms II of Bathrooms Designer Name Address City State/Zip Telephone State ·UcenH I _________ _ Workers' Compensation Daclaratlon: I hereby affirm under penalty of perjury 9ne 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 /"~the work for which this permit ls.Issued. U7f" I have and will _maintain workers' compensation, as required by Section 3 700 of the Labor Code, for the performance of the work for which this permit Is ~ued. My worker's co pen atlon urance carrl,d policy number are: ~ ,/ { 5 Insurance Company ' ( r . Polley No. I ;?Jzol..,1 • ~ Oo.,...., Expiration Oate t) I -0 -0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 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 menner so aa /~become aubject_to the Worker•• Compensation Laws of California. · WARNING: · Failure to aacur work • ompanaatlon coverage la unlawful, and ahall subject an employer to criminal penaltl11 and clvU flnN up to one hwldred thquaand do • 100,000) In di to the coat of comp1naatlon, darnagN u provided for In Section 3708 of the Labor code, lntare,i and 1ttom1y'1 , .... SIGNATURE DATE~ -;).. 5"-D "i: . I hereby affirm that I am exempt from the Contractor'• Ucense Law for the following reason: 0 I, ■1 owner of the property or my employe■a with weg■a ■1 their aole compenaatlon, will do the work ,nd the structure Is not Intended or offered for ·sale (Sec, 7044, Bualne11 and Professions Code: The Contractor's Llcenaa Law does not apply to an owner of property who builds or Improves thereon, and who doN 1uch work hlm1elf or through his own employees, provided that such Improvement• are not Intended or offered for sale. If, however, the building· cir Improvement 11 sold within one year of completion, the owner-builder will have the burden of proving that ha did riot build or Improve for the purpose of sale). 0 I, H owner of tha property, am exclusively contracting with licensed contractors to construct the project (Sec. 07044, Business a~d Profeaslona Coda: Tha Contractor', LlcenH Law doH not apply to an owner of property who build• or lmprovH thereon, end contracts for such projects with contractor(s) llcen1ed pursuant to the Contractor'• Ucense Law), 0 I am exempt under Section ______ Business and Profe91lon1 Code for thla reason: 1. I personally plan to provide the major labor and materials for con,tructlon 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 / contractora license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (Include name / address / phone number/ contractor• 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===----------- Is the applicant or future building occupant required to submit a buslneH plan, acutely hazardou, materials registration form or risk management and prevention program under Section• 26606, 26533 or 26634 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 7 O YES O NO Is the faclilty to be conatructed within 1,000 feet of the out11r boundary of a school"alte7 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 h•ve read the application and state that the above Information la 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 Cit~ of Carlsbad to enter upon the above mentioned _property for inapectlon purpose, •. I ALS.Q AGREE TO SAVE, INDEMNIFY AND KEEP HAI\MLESS THE CITY OF CARLSBAD AGAINST A.U LIABILITIES, JUD~MENTS, COSTS ANO 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 s•o• deep end demolition or construction of structures over 3 ·stories In _height. E~PIRATION: Every permit Issued by the building Official under 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 wlthl 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any llm after the work Is commen d foJ. ape od 1 ays (Section 106.4.4 Uniform Building Code). · / / £:_ APPLICA: 'S SIGNATURE f--7'-"""'"-""t,,--Wci..L.:~;:::~----_-_-__________ DATE e? _.J_:;)Q _ . . FIie · YELLOW: Applicant PINK: Finance / ( City of Carlsbad Bldg Inspection Request For: 03/04/2004 Permit# CB040630 Title: PURDY RES NEW H20 HEATER Description: Type: PLUM Sub Type: Job Address: 2612 LA GOLONDRINA ST Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Inspector Assignment: ~'""1? Inspect~ Owner: PURDY ROB S& TERRIE L FAMILY 1999 TRUST Remarks· ?Iii! F,&$1= -1SW,1OP OF THE DAY PLEEESE Total Time: Requested By: TERRY PURDY Entered By: CHRISTINE CD Description Act Com7nt 25 _w_a_t_e_r H_e_a_te_r_tv_e_n_ts ____ 1ft_ (::_ { ,J fcL----- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments