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Home My WebLink About2620 ACUNA CT; ; CB040237; Permit01-22-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB040237 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2154911800 Lot#: 0 Applied: 01/22/2004 Reference #: Plan ADDroved: 01/22/2004 2620 ACUNA CT CBAD Construction Type: NEW Entered By: RMA Project Title: PARKER RES-REPLACE GAS LINE TO POOL Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 .. Issued: 01/22/2004 Inspect Area: Owner: PARKER CLAYTON H&SHIRLEY A 2620 ACUNA CT CARLSBAD CA 92009 Plumbing Issue Fee Fixture or Trap 0 Building Sewer 0 Roof Drain 0 InstalllRepair Water Line 0 Water Heater andor Vent 0 Gas Piping System 1 Vacuum Breaker 0 Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $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 FINAL APPROVAL Inspector: Date: .-I Clearance: hOTICE: P:ease lafie hOT CE lnat approra of {o.r pro,en nc..des me' mpos1.on'ol lees aedcalons resmatons, or olner exanons hereaherco. enwell releireo IO as leesexacl ons' You naie W oa)s lmm the oale Inis perrnn Has .ss.ed IO prolen rnpos.1 on 01 lnese Ieesexacl ons If bo. prolesl lnern ,Or m.Sl Io :on tne protesl proceo.res sal lonn .n Gobernmen! Ccae Sen on 66020,al ana tile tne pcolasl an0 any olnel req. reo nlormat.on Am the C p/ Manager lor process.ng n acmroance K In Car soao M.r. c pal Ccae Sen on 3 32 030. Fa .re IO t.niei, Io on mat proceo.re n oar an, s.Dseq.en1 ega an on Io anacK rei en. sei as oe vo d or am1 lne r mpof Lon. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY IPLAN CHECK NO.#(] q&!+?,, EST. VAL. Plan Ck. Deposit this address) Legal Ducriptio" Lat No. Subdivision NameMumbrr Unit No. Phase No. Total #of units Assassafe Parcel t Exlsting Use RopMed Use (Sot. 7031.5 Bluineu and PrOfwl- Code: Any City or County which requlrss a permit to CoMvUct. alter, improve, demolish or repair any Itwcture, prim to its issuance. also requires the applicant for such permit to 1110 a signed statement that hs is licanssd Pumuant to the proviaions of the Comractor's Ucense Law the basis for the eileoed Ndd* Talephone I City Businus ~iesme I $6 / BOO Designer Name Address city statenip Talephone ,& I have and will malntdn a cartlficate of comem to sslf-insun for workers' compsnsation aa provided by Section 3700 of the Labor Code. for the performance I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is for which this permit is Ieaued. worker's ompe sation insurance carrier and plioy number an: Inaurame Company &k fnm0- 1, S. POI~CVNO./~Z~~L~-@ Expiration Date O>/O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS WR ONE HUNDRED DOLLARS 1*1001 OR LESS) CERTIFICATE OF EXEMPTION I csrtlfy that in the performance of the work fw which thia permit Is issusd, I ahall not employ any person in my manner so ai oms subject to the Worksre' Compan*mlm Laws of Cslifomla. cowrage b &vtul. and .h.l sWK( n amploy comp.nmh, damages as pr0vld.d fw In S.cUon k I hereby &firm that I am exempt from the Contractor's License Law for the following reaaon: 0 I, as owner of the pmpsrty or my employeas with wages as their sole comPsnaatl0)n. will do the work and the structure is not intended or offered for -1. (Ssc. 7044. Budnus and Profusions Code: The Comractor's Lieenre Law dou not apply to In owner of Property who builds or impmves thereon, and who dotu such work himielf or through his own employees. provided that such improvemsnts em not intended or Offered for soia. If. hmvever, the building or improvsmsm Is sold wnhin om year of completion, the owner-builder will have the burden of proving that he did nct build or improve for the purpose Of salal. I, as owner of the property, am ~xCIYSIV~IV comracting with licmrsd comractorr tO COMtNCt the Project ISeC. 7044. Business end Profassions Code: The Comractor's License Law does not apply to an owner of property who build. w improves thereon. and contracts for such projects with comr*ctorls) licerued pumuant to tha Contractor's Llcense Law). 0 1. 2. 3. 4. numbr I Mntnctors IIcenaa number): 5. of workl: I am exempt under Section I pemnally plan to provide tha major labor and material8 for cmstructim Of the proposed pr0p.W imprwsmem. 0 YES ON0 I (haw I have not) signed an appliwtlon fw a building permit for the propwed work. I have contracted,with the following Person (firm1 to provide tho proposed connruction ~inciude name I mddrw I phoiw number I comnctom IIctvua number): I pian to provide wrtionr of tho work. but I have hired the following parson to coordinate, auperviss and provide the majw work lindude name 1addr.s. I phona I will provide some of the work. but I have cantreetad (hired) tha following persons to provide the work 1ndic.t.d lincluds name I address I phone numbr I type Businssa and Rofeulom Code for this mason: program under Sections 25505. 25533 or 25534 of the Prsslsy-Tanner Hazardous Substance Account Act7 0 YES 0 NO is the applicam or fmure building occupam required to 0btsin.a psrmit from the air Pollution Control district or air quality management district7 IS the facllitq to ba COnstNCtlld within 1,ooO feet of the Outer boundary of a SChOOl site7 IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MERINO THE REO VIREMENT i hereby affirm that there 16 a Construction lending agency for tho performance of the work for which this permit is issued isec. 3097ii) civil Code). 0 YES 0 NO 0 YES 0 NO I certify that i have read the apPliCatiOn and state thet the above information la COrIect and that the information on the plans is accufate. i agree to comply with all Civ ordinancas and Stete laws rslating to building ConStNCtiOn. I hereby authorize represmtatives Of the CitV 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 UABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is nqulrsd for eXCaVatioM over 5'0' deep and demolition or mnstruction of strUctUres over 3 stories in height. EXPIRATION Evely perm aumorized by such permit te at any tin iner the work is ltatlon and become null and wid if me building or work e date of wch permit or if the building or work authorized by such permit is suspended or abandoned n 106.4.4 Uniform Building Code). APFUCA' 'S SIGNATURE DATE 2a-o+ 1 YELLOW Appiicam PINK Flnsnce City of Carlsbad Bldg Inspection Request For: 01/29/2004 Permit# CB040237 Inspector Assignment: Title: PARKER RES-REPLACE GAS LINE Description: TO POOL Type: PLUM Sub Type: Job Address: 2620 ACUNA CT Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Owner: PARKER CLAYTON H&SHIRLEY A Remarks: Total Time: Phone: 7607262002 Inspector: & Requested By: LISA Entered By: CHRISTINE CD Description 23 GasRestlRepairs Associated PCRdCVs Inspection History Date Description Act lnsp Comments JASAK AGENCY PbGE 02 -81/13/2004 12: 57 6196318660 JFY.I.13.Z&l 1:55PM SCIF(3Z3)266-58S7 NO.EE1 P.1 P >LICYHOLDER copr gTATB P.O. BOX 420807, AN FRANCISCO, CA 94442-m ,w.U*CPtCr WMP.yOATl0 * - ' FUN D CERTIFICATE OF WORKERS' COWPENSA UON INSURANCE . I* .. . ... I. I .. ., I. I !