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HomeMy WebLinkAbout1216 SPAR CT; ; CB004823; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12/20/21)00 ' Plumbing Permit Permit No:CB004823 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1216 SPAR CT CBAD PLUM 2122102000 Lot#: 0 Construction Type: NEW HECKER RES/ GAS LINE TO BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/20/2000 CB 12/20/2000 12/20/2000 Applicant: HECKER FAMILY TRUST 02-12-91 HECKER FAMILY TRUST 02";J1~9.Q/20!00 ·)002 )~. 1216 SPAR CT CARLSBAD CA 92009 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: 1216 SPAR CT CARLSBAD CA 92009 Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPROVAL Date dvo:/ Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 $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 "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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired " 37. Unl"O FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cba--o 48)3 CITY'OF C0ARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By C..~ Date I k /-ZC) ~o 1. 2. CONTACT PERSON Clf dlfferent from appHcant).. Name 3. APPLICANT Name 4. Name 0 Contractor Address 0 Agentfor·Contractor Address 6, CONTRACTOR • COMPANY NAME City □-owner :-·o_Agent•for Owner City State/Zip State/Zip r I Telephone# Fax# ne • (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 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 civil penalty of not more than five hundred dollars [$5001). Name Address State License # ---~L-----License Class ----,,<'------ Designer Name Address City State/Zip ,, Telephone State License 'Y----------- 8, WORK RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 of the work for which this permit is issued. D 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No .. ____________ _ Expiration Date. _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenutlon coverage 11 unlawful, and shall subject an employer to criminal penattle1 end civil flnu up to one hundred thousand dollars ($100,000), in adcfitJon to the coat of compensatJon, damages•• provided for In SectJon 3706 of the Labor code, Interest and attorney's fHa. SIGNATURE______________________________ DATE ________ _ 7. OWNER•BUILDER'DECLARATION 1. h'8by affirm that I am exempt from the Contractor's License Law for the following reason: Ill 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 .so'7within 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). l2f" 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 eur,_.lant to the Contractor's License Law). ~ 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. ~S ONO I (have / have not) signed an application for a building permit for the proposed work. 2. 3. I have contractedQt e following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. l plan to provide portions of the work, but ,e hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number),, ___ .JJ4'£./,c_ _________________________________________ _ 5, I will provide some of the work but I have contracted (hired) the following P:ersons to provide the work indicated {include name / address / phone number / tyoe of work):, __________ ++--+--ft!J-~!.f----jf---t~.-,,:---1'""---------------;--:--+:--/--,.----------- PROPERTY OWNER SIGNATURE _:~UC~fh,~4,/f).~lt>,,,../.:..L'./.l,~,.&~------- COMPLETe THIS Sl!CTION FOR N Is the applicant or future building cupant required to submit a business plan, acutely hazardous materials registration _toryr 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 dist-~ct o~ quality management district? 0 YES ~ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES !ir'"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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constrp~ion lending agency for the performance of the work for whjt').,"1is permit is issued (Sec. 30970) Civil Code). LENDER'S NAME ____ ..JJ,'.J..!..l!,_i_______ LENDER'S ADDRESS_...1.2!...µ./_l ___________________ _ 9. APPLICANT CERTIFICATION 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 Citt 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 issue 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 c men ed i in 8 da from the e of such p rmit or if the building or work authorized by such ermit is spended or abandoned at any time attar the work is com f 1 days ( 06.4.4 itorm Building Code). PINK: Finance , ---------------- · UNSCHEDULED BUILDING INSPECTION INSPECTOR _____ _ PERMIT# C/3 00 L/ ~). 3 . PLAN CHECK# ____ _ JOB ADDRESS 1»( SPJJI?. e f: DESCRIPTION --'---~4;,;:_.:'/JR',__---"11"--Jt!;__-r-/--"-oJ.!./~.l.!;;;t.,..t:../1...,...u~c""'/f!:_. _________ _ 7 CODE DESCRIPTION ACT iii p COMMENTS