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Home My WebLink About2641 VALEWOOD AVE; ; CB050409; PermitCity of Carlsbad 02-09-2005 1635 Faraday Av Carlsbad, CA 92008 I Plumbing Permit Permit No: CB050409 Building Inspection Request Lin e (760) 602-2725 Job Address: Permit Type: 2641 VALEWOOD AV CBAD PLUM Status: Parcel No: 1675115500 Lot #: 0 Applied: Reference #: Project Title: t: PIRO RESIDENCE COPPER REPIPE NCY RIDGE DR SAN DIEGO CA 921 21 858-677-5455 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 Construction Type: NEW Entered By: 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: PI RO GARY K 930 BOARDWALK #D SAN MARCOS CA 92078 PENDING 02/09/2005 MOP $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $0.00 $62.00 Total Fees: $62.00 Total Payments To Date: $0.00 Balance Due: $62.00 1515 02i09/05 0002 01 CGP FINA AP R9VAL DatEl) ).... I>~ Clearance: that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/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 fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. 02 62-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C) ~--\_ 0:'.\, CiTY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By _________ _ Date _______________ _ Addross (Include Bldg/Suite #I Business Name (et this address) Legal Description Lot No.6 r-:t<'dlvislon Name/Number Unit No. Phese No. Total II of units Existing Use Proposed Use SO. FT. lot Stories I of Bedrooms I ot Bathrooms Telephone II Fax II Name S.tete/Zlp 5. •' CONTRACTOR ! cbMPANV.rNAMEt" .~t.;;;:ti:1::,hft9"-1:r,'f,J~,?t,1'i(ll:~r-i,rr:r.f!1~[i;!::.rfl'W1.ll)if1J('ffi[:i,O~f•~f,~j!i:H,N, 1r::c•n~ifl:~:11• ,. '; (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, Improve, demolish or repai, any structure. n1io1 to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions ol the Contracto,·s Licc11so I aw !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, end the basis 101 the alleged exA pi' <z_Any violation of Section 7031.5 by any applic nt for a permit subjects the applicant to civil penalty of no more than five hu~1ed dollars IS50011 ~J ~ b2 \ro 6k · ~l l. 7 -54 \Jame 5tato License I _7_q--'-'-j _,.'p'«--2-_0 __ _ )eslgner Name Address City State/Zip. ,tate License # _________ _ 3. J .... WORKERS' co MPENSA fidNr -rt I :P',1·~~trti 1"".i1_r.iq, !•:~,;' ~f!i:f,',-'~'i~ r;ii·rr q~~;,~~t~tit~-r~wri➔!,li ?~t!r£:r~M11~ft'.',i'rfliiil~f~:rr~~-:iwffi?~j(~'ti~l1/~PA1.:f;; ~-n ~!JC· I I •1 Norkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decleratlonsi Telephone =:J I have and w ill maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code. for the pe1lo1111a11r.P ,r the work for which this permit is issued. ?!l I have and will maintain workers' compensation, as required by Section 3700 of the Lebor Code, for the performance of the work ror which this pr,mit Is ,sued. My worker's compensation insurance carrier end policy n~mber are: . / { 1surance Company ~ 4% Policy No. 24'bg,'-=t:t? -Q\ Expiration Date / I Ob nus SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI ] 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 ma11ner so as J become subject to Workers' Compensation Laws of California. /ARNING: Fallur o sec re workers' compensatfic erage Is unla:,ful, and shall subject an employer to criminal penalties and clvll fines up to one hunrl,r.d 1ousnnd dollars ( 1, 0 I. In addition tt> Iha c/ o o atlon, damages H provided for In Section 3706 of the Lab d . Ir IGNA TURE __ ~ILJ!~UL..o:<:'.L-L,~:!:::::~::___:_!__!_J-~~~:_j..___________ DA TE ----'-+~'-1'--'-,,,_+-- 0WNER-BUILDEll DECLARATION ,· ·~ '. ;1 irr::,'1r:11!~:1,;~:ir~J:1i~"1t1111:r"ii\trf.\r:r1wrr;I:-1ir't'..1ff:~1,;_~,1 • , • , t1ereby affirm that I am exempt from the Contractor's License Law for the following reasoo: ] 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 ror sale :oc. 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 rfor.s rch work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or imrr<'vr11,r11t is 1ld 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· Tho ontrnctor's License Law does not apply to an owner of property who builds or Improves thereon, end contracts for such projects with contract<>•lsl n,·r11s1·rl ,rsuant to the Contractor's License l•wl. ] I am exempt under Section ______ Business and Professions Code for this re•son: I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO I !have / have not) signed an application for a building permit for tho proposed work. I have contracted with the following person tfirml to provide the proposed construction (Include name/ address / phone number / cont1act01s license 11u111be.!)· I plan to provide portions of the work. but I have hired the following person to coordinate, supervise and provide the major work (Include name / address / nhn110 1mber / contractors license number): ______________________________________________ _ I will provide some of the work, but I hove contracted (hired) the following persons to provide the work Indicated (Include name I eddress / phone 111111,hc, / ll'O~ work): __________________________ ~------------'---------------- IOPERTY OWNER SIGNATURE --------------------------DATE __________ _ )MPLETE THIS SECTidN FOR N'oN:RESiDENt7Jllt1'iiUll!filNij'J>ifRi'Altslo"N\!,'t1'r\i'\!'~:ffll;i~t4ttil/",',;l:(i1'~~'1'''r.':,~s11f1;,r.o-"i: , •• " t .,.. ' tho applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management a11r! n11•,·c11tin11 Jgram undor Sections 25505, 25533 or 25534 of the Presley-Tenner Hazardous Substance Account Act7 O YES O NO the applicant or future building occupant required to obtain a permit from the air pollution control district or elr quality management district 7 0 YES O NO lhe racilily to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O NO I\NY OF Tl-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET on IS MEEl ING TIIE OUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND HIE AIR POLLUTION CONTROL DISTRICT. • CONSTRUCTION LENDING AGENCY '.'.!,"',/,, : .: ,.r~~i,b\t1'~f!'.~t~1~l\\TIVfitt!tefi',~r,~(!&\'itlfl~~:i"1.W:i-l'/:1:N~,i.r'f;;ij§i?,!' ;! r,, • !feby arfirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097fil Civil Code). ~DER'S NI\ME _______________ _ LENDER'S ADDRESS ______________________ _ APPLICANT CERTIFICAiioNl:' I\ ,, i''',lsi ',;';':ir,•r:~';',ff,.;~1,;r11.~n;r,1,w:rirJ1:.'ll:'1i'it~!'lf.!~ll.",!f1fif.i!i11iil,l~.",,l,'f,lrf:l\lo/i'ftl'IY.•~~r'~i~l ~ViY''i~·::•,·'!' ,rtify that I have read the application end state that the above Information Is correct and that the Information' on the plans Is accurate. I agree to comply with all y orrlinances and State laws relating to building construction. I hereby authorize representatives of the Cftt of Carlsbad to ent,:,r upon the above 111en1in11rd r,o,ty for i11snectio11 purposes. I /\LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL ll/\011.111F~. DGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIits rrnMI I IIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction or structures over 3 stories In height. PIRATION: Every permit issued lhe ulldlng Official under the provisions of this Code shall expire by llrnllallon and become null and void ii lhe buillling o, work 111y time aller the work is corn~ ce for a pe,r~ or 180 days (Se n 1 6 4. ~nllorm Building Code). '1 horlzed by s11ch permit Is not ence wilhln 180 days rrom lh~l™f uch permit or II lhe bulldlng or work aulhorlzed3'y s :~wmlt Is s re11dPd nr ~1,~11r1,,,,,,r1 'LICI\NT'S SIGNATURE l \ 0 ,.()j I J / ,L.. J ,{ ~ n,rn: City of Carlsbad Bldg Inspection Request Permit# CB050409 Title: PIRO RESIDENCE Description: COPPER REPIPE For: 03/02/2005 Type: PLUM Sub Type: Job Address: 2641 VALEWOOD AV Suite: Location: APPLICANT ARS Owner: PIRO GARY K Remarks: Total Time: Lot 0 CD _D_e_s_c-rip-t-io_n _______ Act~!enl 29 Final Plumbing [I Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: PY --- Phone: 858Gn5455 Inspector: ---- Requested By: VERONICA Entered By: CHRISTINE