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Home My WebLink About2641 VALEWOOD AVE; ; CB050943; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-22-2005 Plumbing Permit Permit No: CB050943 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2641 VALEWOOD AV CBAD PLUM Status: Parcel No: 1675115500 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: PIRO AES NEW H20 HEATER Inspect Area: Applicant: AAS STE 100 6162 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 Drai nage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: PIRO GARY K 930 BOARDWALK #D SAN MARCOS CA 92078 ISSUED 03/22/2005 SB 03/22/2005 03/22/2005 $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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: EXPIRED PERMIT $27.00 PERMIT HAS EXPIRED IN ACCORDANCE WITMll.B.03, ''.22/ 05 SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 0002 0:1. CGP Inspector: DATE ~~,. l Q.JL. SIGNATURE (JJ_yj 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 n a NOTI E imil • 27 .oo PERMIT APPLICATION FOR OFFICE USE ONLY 17 PLAN CHECK NO. o5o 7 L-// CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit z Validated By_+-~~-L....../-?!'-----. -=~--- Date '.3 /,z __ ~<= , Address (Include Bldg/Suite #) Business Name (et this address) Legal Description Lot No.6 ~divislon Name/Number Unit No. Phasa No. Total # of units Ing Use Proposed Use #of Stories # of Bedrooms # ot Bathrooms Telephone # Fax II Telephone # Name City 5 : ' CONTRACTOR ! C tJ M Pi~N'd·.IAM E1 ' ' ,tn,!,•;fiJ!'l!:'J7'7f,Q ~!?l{''~i£~7ii~rr.r,;Jf~11:~;E\;?i~,:1~l!~,ri~~!l.1'1:11~l1!i9i'l'.~l''ilJ\ .r :slfi\i;c'••7, 1~p1•1 fl" r ': (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 lo 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 Licc11so Law !Chapter 9, commending with Section 7000 of Division 3 of tha Business and Professions Codel or that he Is exempt therefrom, and the basis for the alleged exe ,p i" '.z:.... Any violation of Section 7031 .5 by any appllc nt for a permit subjects the applicant to I civil penalty of no more than five hu~red dollars IS 50011 ";;J '=7 b 2 J.e \w CA-· <t1 l. 7 --5LJ \Ja111e State License # _7-_q_-'-l_'p'~Z-_O ___ _ Addr City Stele/Zip Telephone # License Cless Clo C-,3,fc, City Business License, luoo,co )esigner Name Address City Stata/Zlp ;1ate License # _________ _ i. • ... WORKERS; COM PENSA Tidl'J l if.t I .P'i1·lhi~;:r~I I-"~:!~!~ r,~r,•.1t!11•1~•~r;;~r.~ii-frrJ~-L1~i:~;~~t~[~~rHfr•~i"1:it~~lj.,-.;~, H~J~f,t::f~11f.,;ri'l~f;!;iffl~!l!•flnHt~~~'.Pq I :?~·:•rJ~., f: I .: ; ~.i • ' Norkers' Componsation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone J 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 peilo1111a11rr 1f tho work for which this permit is issued. 29. I have and will maintain workers' compensation, es required by Section 3700 of the Labor Code, for the performance of the work for which !his ne1111i1 is fsued. My worker's compensation insurance carrier and policy number are: 1suronce Company ~ µM • Polley No. 24'1J@t-t? -Q\ Expiration Date __ l _/_f_{_Ob __ _ fl-tlS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) J CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person i11 any rna1111er so as J become subject to Workers' Compensation Laws of California. /ARNING: Fallur o sec re workers' compensatl c erage Is unlawful, and ahall subject an employer to criminal penaltln and civil fines up to one hundred 1011,ond dollars ( \' 0 ), In addition tt, the c../ o o atlon, damages as provided for In Section 3706 of the L ode, Ir ~ est end attorney's Ices. IGNA TURE _ _:~\Ll~~L,,:a,.___L,C:::~~'..__.'.:...1__!_,_~~~::_\....__________ DATE ~ owNrn-eu1LDER DEcLARA Tl'bN . , • ·1 :. =i ,rr·::f.ir-.r1r~'i_!l;pJt1:rif;-(!:1:;rf1j\:Jf'f1\,t-!'!t>rM·1~?~f: •: .;;:riF ~,-r·, , hereby affirm that f am exempt from the Contractor's License Law for the following 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 101 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, arid who rfnn< rch work himself or through his own employees, provided that such Improvements ere not Intended or offered for sale. If, however, the building or irnprnve111r111 is ,Id 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: Tllo ontractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with co1111ac1Pd<I ii,-r11sf'rf irsuant to the Contractor's License Law). I am exempt under Section ______ Business and Professions Code for this reason: I personolly pion to provide the major labor and moterials for construction of the proposed property Improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (Include name/ address / phone number / contractors licen$o 111rr11bp!): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provida the major work (Include name / adrf, ess / pi10110 rmber / contractors license number): ______________________________________________ _ I will provide some of the work, but I heve contracted (hired) the following persons to provide the work Indicated (Include name / address I pho11c 1111111!,er / lypo work): __________________________ ~------------'----------------- tho t1pplicant or future building occupant required to submit a business plnn, acutely hatardous materials registration form or risk mnnagcment anrl prt?vrmtinn ,gram undor Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO the appflcant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 1 0 YES O NO lhe facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO <\NY OF HIE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET on IS MEET ING t IIE OUlnEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. • cONstRucr10N LENDING AtlENCY•i'."',,, ,; : : : ,.r::i_.,i,:;J')'T~~~1~Jf~i~l\\1ffi'.if~j/tii'll'f~i1li1\fif1~-~);l:(,i}\WtT~,;,;j't;;i'ii"':,r., ;-,, , ireby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(i) Civil Codel. ~DER'S N/\ME _______________ _ LENDER'S ADDRESS ---------------------------AP r lf CANT CERTf FiCA TiON :: :-:; ., 1• '''rl ;/ .',:,',11'.,')';'.'11tf•ri\ IJ~i'.f;'(fWf-/'.~!f!e:ii1~:j",\~i~iifli?P,W,r,iw.iri,111r1r1~r.-~'li:~ij:'jW\'1•"'';1 t:' ,, ; ' •• Htify that I have read the application end state thet the above Information Is correct and that the Information· on the plans Is accurate. I agree to comply wilh all V ::>rdin:1nces and State laws relating to building construction. I hereby authorize representatives of the Cltt of Cn,lsbad to ent1Jr upon the aUovc 111cntim1rd rorty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB/ID AGAINST ALL ll/\flll II irS. DGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIIIS PEnMII I IA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. PIRATION: Every permit issued Iha ullding Official under the provisions of this Code shall expire by !Imitation and become null and void ii Ille builtli11g 01 work llorized by SIJCh permit is nol nence wilhln 180 days from th7'6lffif uch permll or If the building or work authorized by such0ermil l/iirsr e11ded nr ~1,,11ulo11<'d 111y lirne iifler the work is com ce for a pe_ri_9.I;( of 180 days (Se n 1 6 4. nlform Building Code). 3 C 1 \- 'LIC/\NT'S SIGNATURE t \ (} /)J l //A..-/ J.. ~ r,,rn:: { ..,) ' ~