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Home My WebLink About2642 VALEWOOD AVE; ; CB032435; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-04-2003 Plumbing Permit Permit No : CB032435 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2642 VALEWOOD AV CBAD PLUM Status: ISSUED 09/04/2003 SB 09/04/2003 09/04/2003 Parcel No: 1675610100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: COLEMAN RES COPPER PE-PIPE Inspect Area: Applicant: ARS STE 100 6162 NANCY RI DGE DR SAN DIEGO CA 92121 858-677-5455 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: $57.00 0 0 0 1 0 0 0 Owner: COLEMAN JOHNNIE O&JOYCE E 2642 VALEWOOD AVE CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 3369 09/04/03 0002 01 02 CGP 57-00 ~ FINAL APPROVAL INSP. ~ DATE /o(i,Lf!J CLEARANCE---------~ City of Carlsbad Bldg Inspection Request For: 1 0 /21 /2003 Permit# CB032435 Title: COLEMAN RES COPPER PE-PIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2642 VALEWOOD AV Lot APPLICANT ARS 0 Owner: COLEMAN JOHNNIE O&JOYCE E Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 8586775455 EX 205 Inspector: J 'N\ Requested By: VERONICA Entered By: CHRISTINE 29 Final Plumbing "-------- Associated PCRs/CVs Inspection History Date Description 10/15/2003 24 Rough/Topout 10/14/2003 24 Rough/Topout Act lnsp Comments AP JM CWR OK CO JM NO ONE HOME o?r72Jo FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO .0R:,3 Zc/ 5..S CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Valida _,....,,~ .... ~-=--------- Date_+-> ...... +->H""-.----------- Address (include Bldg/Suite Ill Business Name (at this address! Legal Description Lot No'6r-:t<1division Name/Number Unit No. Phase No. Tatel # of unit s Assessor's t.5P~ Proposed Use Oescriptlon of Work ~ \ pe, Existing Use SQ. FT. /lot Stories II of Bedrooms If of Bathroo1ns Name Address City Stele/Zip Telephone # Fax /r ~ • ,.. • ' ' •• ' ,, ,. • ~Agtlrit:ftI6htf"ii~l~~ri1u:r0.W~iW~i?fffi]'A'We~c1-~~n-,,r,t:m n• "''~"• • ·I Address City State/Zip Telephone # Address City Telephone # 5. CONTRACTOR ~ COMPANY. NAME\ i :,, ·, .·}r1~~':··\~:~fJLt!J r:J110~r1!l~~f~[fr.f,]r:fi~H?~1ifl:Cl~~~1~1~n~i'.l\f~'~ff1~J;~~'lfjf)if'._~'f"';r~/ ,.;;~: ·:r·· ~,;'.•i~f,'.r~;:: ll ... (Sec. 7031 .5 Business and Professions Code: Any City or County which requires e permit to construct, alter, Improve, demolish or repair any structure. nrior 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 I aw (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 allegr.d exe •n i ~Any violation of t el~ 2 0 31 .5 by any appllc nt fore permit subjects th\~cant to civil penal~o more tha_n five '~Y z ~olla,5~0 11 Name Addr City State License II 70. J 'p' 2.0 License Class Clo C,-3,k:, City Business License II ______ _ Designer Name Address City State/Zip Telephone State License II __________ _ 6. " WORKERS' cbMPENSATION' "' 'r,,,., •.. ;i -'\" ·' ,.,,,, .,, ,:; .,,,,. ··,,,,, •. ,.,.,,,"''"''"•'''' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performnncP of the work for which this permit is issued. gf. 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 pe, mit is issued. My worker's compensation insurance carrier and policy number are: lnsuronce Company ~ ll% Policy No. 24'3~ -Q\ Expiration Date __ l _/_f_{_Ob __ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100I OR LESS) 0 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 to become subject to Workers' Compensation Laws of California. WARNING: Fallur. o sec re workers' compensatF}c erege Is unle!"ful, and shall subject en employer to crlmlnel pa altles and civil fines up to one hunrl,ed thousond dollars I 1, 0 I. In addition tt, th11 c/ o o atlon, damages as provided for In Section 3706 of the r est ond attorney's fee, SIGNA TURE __ ~,U~UL..o:a -1.,c::~::::::::__:-1_!.~,_,~::::::~:...J.~c:-:-c:-:-c:-:-------OA TE --,f-/--'-'"-'--.:::::.--- 7. OWNER-BUILDER DECLARATION -•• ,,. ,, ',, I hereby affirm that I am exempt from the Contracto/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 end the structure is not intended or offered for sale (Soc. 7044, Business and Professions Code: The Contra ctor'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 sre not Intended or offered for sale. If, however, the building o, improvrmrnl is sold w ithin 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, as owner or the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tl,o Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with cont,acl(l,(sl lirensrrl pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business end Professions Coda 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/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm! to provide tho proposed construction (Include name / address / phone number I contractms license numherl· 4. I plan to provide portions of the work, but I have hired the followlng person to coordinate, supervise and provide the me/or work (include name I ndd,ess / nlrnno number I contractors license number): _________________________________________________ _ 5 I will provide soma of tho work, but I have contracted (hired) the foliowlng persons to provide the work Indicated (include name/ address I phone nurnhe, / tyro of work): ________________________________________ _._ ___________________ _ PROPERTY OWNER SIGNATURE __________________________ DATE __________ _ coMPLETE Tt-l1s sEcTib N FOR l'iaN:1ti:~1oirrittlli'eUn:fi1No'PeArJitsl'ciNll:ljt11;,r~-t1··:i:-,i:!~'f1''·1•'.,i,•i,·, "•·0c,•.,·,,., ":· : ..,.,,. • Is tho applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and nrP-vcntion program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the elr pollution control district or air quality management district I O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 on IS MEEltNG lltE REQUIREMENTS OF Tl-IE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY ::'' •, ' , {·:,,.,; (:fCi',ilw.;,•'i/~1i~/ff':'~t";:.(/l~.fi/l'::::::f,!~l'f"ff1: (rj\,Ti'• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code!. 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 comnly with nll City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to entijr upon the above r11e11tionrd p·opo,ty for inspection nurposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST All LI/\Bllll lfS, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIIIS l'EnMll OSIIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every perrnil issued lhe uilding Official under the provisions of this Code shall expire by limllalion and become null and void if the buillfing or wo1k m11horized by such permit is not nence within 180 days from the t of uch permit or if the building or work authorized by such~rmi~· susrended o, nl•n11dc111"" nl nny lirne alter the work is comh ce for a period of 180 days (Se n 1 6 4. niform Building Code) .11/ ~ /J2 APPLICANT'S SIGNATURE \ OATE ..-/4 7 ------------·--·· ---