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Home My WebLink About2642 VALEWOOD AVE; ; CB040167; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 , 01-14-2004 Plumbing Permit Permit No: CB0401 67 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2642 VALEWOOD AV CBAD PLUM Status: ISSUED 01/14/2004 SB 01/14/2004 01/14/2004 Parcel No: 1675610100 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: COLEMAN RES NEW H20 HEATER Inspect Area: Applicant: ARS STE 100 61 62 NANCY RIDGE 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: $27.00 Inspector: 0 0 0 0 1 0 0 Owner: COLEMAN JOHNNIE O&JOYCE E 2642 VALEWOOD AVE CARLSBAD CA 92008 $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: fYP!~ED PERMIT $27.00 PEmf:1T ~ ,. • ' 111:D IN ACCORDANCE WITH U.B.C SECTION 100.4.4 30 k 0 )1/ 1.4/0➔ 0002 n /J .. I CGP DATE J 1 \.'='\ o ':\. SIGNATURE ~ .. -j FINAL APPROVAL Date: ______ _ 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 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 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 x i hi h h v I I whi h h f limi i n h I h rwi x ir r. lO PERMIT APPLICATION PLAN CHECK Nol"f¾~o, bl CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated Bf! :::~ 1. J~~C~fQ!IMt\ IQ Address lincludo Bldg/StJite #l Date fµ'H4cf- Business Name (at this address) Legal Description Lot N~dbdivislon Name/Number Unit No. Phase No. Total # of units Assossor's Parcel # Existing Use Proposed Use O~pllon rm__ wd::ef \-le~ so. FT. #of Stories # of Bedrooms # of Bathrooms ~. ~8~.T.lll:fl~AN UI Allli1100U111m.1gPlJgtntl,...,.~.~~i .. ~ti~i.h.'11,:-.,.;J.,,i~\,,~_.,,h,\,.1,;.,.,_,,..J,,, .. ;.,*, ... ,;,_,.,; ... , ... , ''""'""'~••,,,, . , . ,. , ...... 6, D r Address City . ,~!l~[ ',.:.,.-~" ,'' .) I ) City State/Zip Telephone # Telephone # ~ . I-' ' • ' o'; ,.l Fax# (Su~ /OJ I .b 13u~111<iss ar,J P,ofossions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its I:.:,1Jancu. al.a roqtJiras the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Loccnso Law IChaptor 9, comma11di119 with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the allogod u,01 Hoon. Any ~iolatiu11 of S ctior~ 7931 .5 by any)ppl)s.11_nt for ~ permit subjrts the, ~pplicant to a civil pe ,al~y f not moJ than five hu_ndre~ _ _flol).il,rs I$ 5091~.} , '-,, .r:U 1JV •:1/),<L),\t ' :-'\/l(v,D ·dGiJl /U(tt.,,tl/ · _''l, . , "Z:.1 Ou ">-II C-(1 ·1(.J.1. Name i\o (._ Address , ,.. . ...., • City State/It. Telephone # "-rYS~ l:.•~·7 s Stato L1ce11sa # _cit 1> ,;)._ 0 License Class C. d,.() I C,. ::ila City Business License ,o 3.0 7 OD Dosignor Name Slato License # Address City 0. WORKEf1S' COMPEN$A TION .·, "' <!. • :, .:-,,: itl: .c , .. ,.,,..;,i,,t;,..•:,:.,_ • . ., ,:::.!•:·,,;;.-;,-:!~'""".·,,,; . Workers' Compensation Daclaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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 tho wo,k for which this permit is issued. U •• I have and will mamtaon workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic tlus permit is ~od. r,ly workor's co{\~~sto~ i surance ca'.~erxnd policy number are: .,.,9 0 l i 12 ... . \ I lo,s11ranctl Company _f: • --~-~-.,,.._--;:, L\ Policy No. !X_ ~ !) j) 'i .. ..> 0 _ Expiration Date ( 0 l.(] !1 111S SECTION NEED NOT BE COMPLETED IF Tl-IE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 ns to l>ecoma subjact to tho Workers' Compensation Laws of California. WARNING: Fuilu,e to secure workers' cornpenaation coverage la unlawful, and 1hall subject an employer to criminal p naltiea and civil fines up to ono hundred tl,ousunu uollors ($100,000), h!_ad jt',on to tho cost of compansatlon, damages aa provided for In Section 3706 of the L , lntere tend attorney·• feos. ::.IGNAllJRE ___ l,~. :\ , .. -.,.. ' DATE 7. OWNER-BUILDER/0 CµIR~T!QN , ·' , • ,,,_;,_;,,1 #,.,::.:,.~.',': ... :,li.Sil!'l:.ill/,~'>'t, ..... ,;,.,:, _. I h~rol>y Jff11m that I ;Ir, , xempt from the Con Cl I, as owner of tha piop,Hty or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for salo (Sue. 70-14, B11sinuss and Profossions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who doos ,11,,i, w or, h,msolf 01 through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvenount is said wi1l11n 0110 year of cc,mplotion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as ownor of the propeity, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Comractor's Loconse Law doos not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor{s) licensed p111s11ant tu the Co11tractor's License Law). [] I don exompt unuar Section ______ Business and Professions Code for this reason: I. I personally plan to provide the major labor and materials tor construction of the proposed property improvement. 0 YES ONO 2. I (havo / havo not) signou an application for a building permit for tha proposed work. :i. I l1ave cornractod woth tile following parson (firm) to provide the proposed construction (include name / address / phone nurnber / contractors license number): 4. I µIan to provido porllons of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors liconsa number):. _________________________________________________ _ b. I w,11 provido some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name/ address/ phone number / type of wor,I: ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ DATE _________ _ COl\1PLETE TIIIS SECTION FOR NOIV.-fifSIP.Ff'ITIAt l!lJl~QINQ;flf,,BM!T~-O~l.Y,i:ifmJ1:£,tJI\.,': .. ,.L ,,,:· .. ;-., ; ',,~ '. .i ''., Is 1ho appi1ca11t or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention prograni ,11,Lier Sections 25505. 25533 or 26534 of the Presley-Tanna, Hazardous Substance Account Act7 0 YES O NO 1, tl,o applicant or future buoi<.11119 occupant required to obtain a permit from the air pollution control district or air quality management district ? 0 YES O NO Is the fa~iii1y to be constructed with111 1,000 feet of tho outer boundary of a school site? 0 YES O NO if ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0. CONSTRUCTION LENDING A,GEN!:Y ... , ·,;-., ... ,, , , , ·,.· ··· I i,erully di firm that thero ,s a construction lending agency for the performance of the w 9rk for which this permit is issued (Sec. 30971i) Civil Codel. L l:rJDER'S NAME _______________ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION . , "'", '.,,!' d • ·:•oe•.t,,/,; t•;.,.,, 1,,,: I cu111fy tlodt I have reaLi tho 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 ordonancos and State laws relating to building construction. I hereby authorize representatives of the Cit~ of Carlsbad to enter upon the above monuoneJ µru~urty for inspoctoon purposas I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WIIICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSIIA. An OSIIA permit os required for excavations over 6'0• deep and demolition or construction of structures over 3 stories in height. EXPIRATION. Ev.;ry perr1111 ,,sued by the bt1ilding Oflicial under the provisions ol this Code shall expire by limitation and become null and void if the building or work ,111ll1011LCJ by such permil is nol commenced willlin 180 days from tile dale of such permit or if Iha building or work aull1orized by su permit is suspended or abandoned at any lon10 ullcr lhe wall, Is comorej ced for ~~e~~d of 180 days (Seer . n 106.4.4 Unifo~ Building Code). APPLICANT'S SIGNATURE _l \ I LJJ\.iU, (2_ , ( z_ DATE _ __,__,_..:___,-...,~+----- PINK: Finance