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Home My WebLink About2645 VALEWOOD AVE; ; CB950407; Permit. PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161 • . ' . ' Pl.AN CHECK NO. FST.VAL. ___________ _ I . PERMIT 'IYPE PLAN CK DEPOSIT, _______ _ VAIJD.BY __________ _ DATE From List I (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PRQJECf INFORMATION FOR OFFICE USE ONLY Address vcJewood Av ~ross Street e \ Building or Suite No. Co.rtstnd , 92.COB LEGAL DESCRIPTION Lot No. Subd1vis1on Name/Number Unit No. Phase No. CHECK BElbW IF s0BMI 11 Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK • rep, pe of o... mvJtiDle s -\ory home wt+h CDDOer SQ. IT. # OF STORIES # OF BEDROOM~ # OF BATiiROOMS 3. WN IACI PERSON (1f dulerent from applicant) NAME (last name first) ADDRESS CI1Y 4. APPUCAN I O cON lHACJOR NAME (last name first) CI1Y STATE ZIP CODE LI ACEN I FOR cON I RACJOR ADDRESS STATE ZIP CODE DAY TELEPHONE □OWNER OACENI FOR OWNER DAY TELEPHONE s. PR0PER1Y OWNER N~Jlast name first) crrl(.Jf w,~ ' 9re3 6. OONTIW;IOR STATE ADDRESS same Qf) o.bove ZIP CODE DAY TELEPHONE(J,1g) 12.g -5(oJ5t!me (419)45,5-t5tt, NAME (last name first) Ho.nno. P\umb, n.9 STATE C Q - STATE UC. # 55/p398 ADDREss IA-o 5. ~ le Ave. CI1Y vi.s +a... ZIP CODE 'f206."3 DAY TEI.J!.PHON~/'l)7.ll,-UX)2 UCENSE ClASS C j!5le CI1Y BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TEI.J!.PHONE STATE UC.# 1. WoRl<mts CDMPENSAllON Workers' Compensation beclarat,on: I hereby all1rm that I have a certificate of consent to sell-insure issued by ihe Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY ~..\e, EXPIRATION DATE xempuon: cert 1c t 1s permit 1s issue , s a not emp oy any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNER-BOIIDER OECLARA'i10N □ □ □ uwner-tmuaer uec1aration: I hereby afhrm that I am exempt from the Contracto?s License Law for the iollowmg reason: 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.). 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 Llcense 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). I am exempt under Section _______ Business and Professions Code for this reason: (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, commencing 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 [$500]). SIGNATURE DA'IB COMPLETE tflls SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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? □ YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YF.S, A FINAL CERTIFICA'IB OF ocx:uPANCY MAY NOf BE ISSUED AFfER JULY I, 1989 UNLESS TI-IE APPLICANT HAS MET OR IS MEETING THE RF.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLU11ON illNTROL DISilUCT. 9. OONS'i R0Cl1ON LENOCNG AGENCY I hereby affirm that there 1s a construcuon lending agency for the perlonnance of the work tor which this permit 1s issued (Sec 3097{1) Civil Code). I.J!.NDER'S NAME I.J!.NDER'S ADDRESS to. APPUCAN I CE.RnFICAIION I cernfy that I have read the apphcauon and state that the above mlormat1on 1s correct. I agree to comply with all Ctty ordmances 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 CTIY OF CARISBAD AGAINST AU. UABill11F.S, JUDGMENTS, CDSTS AND EXPENSES WJI!Cl-1 MAY IN ANY WAY Aa::RUE AGAINSI' SAID CTIY IN illNSEQUENCE OF THE GRANTING OF TIIlS 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 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 within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned a ny .time ler thew rk is mmenced for a period of 180 days (Section 303(d) Uniform Buildinl we). APPUCANTS SIGNATURE DATE: '!, 2. '1.5 . PINK: Finance PERMIT# CB950407 DESCRIPTION: COPPER REPIPE TYPE: PLUM JOB ADDRESS: 2645 VALEWOOD APPLICANT: HANNA PLUMBING CONTRACTOR: OWNER: REMARKS: RS/SUSAN/726-2002 SPECIAL INSTRUCT: TOTAL TIME: CD 29 LVL DESCRIPTION PL Final Plumbing CITY OF CARLSBAD INSPECTION REQUEST FOR 04/10/95 INSPECTOR AREA PY PLANCK# CB950407 OCC GRP AV CONSTR. TYPE NEW STE: PHONE: 619 726-2002 PHONE: PHONE: LOT: INSPECTOR-~'?"..___,~-------- ACT COMMENTS fSf ____ _ ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 033195 Rough/Topout ACT INSP AP PY COMMENTS