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Home My WebLink About2637 VALEWOOD AVE; ; CB021495; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-16-2002 Plumbing Permit Permit No: CB021495 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2637 VALEWOOD AV CBAD PLUM 1675115600 Lot #: 0 Construction Type: NEW ROBINSON -COPPER REPIPE W/DWL Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ROBINSON MARK T&SUSAN A ISSUED 05/16/2002 JM 05/16/2002 05/16/2002 ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 2637 VALEWOOD AVE CARLSBAD CA 92008 7282 05/16/02 0002 01 CGP Total Fees: $87.00 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 Payments To Date: 0 0 0 1 0 0 0 $0.00 Inspector: ~C f>,.L FINAL APPROVAL Date: (Q/t >/o "2--, Balance Due: $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $60.00 $0.00 $0.00 $0.00 $87.00 $87.00 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 aocordance 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, zornng, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any x i n f w i h h r vi I T hi whi h f i i i n h h i 02 87-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFO'!Mf TION ~ A....! .. ·_ --~~ FOR OFFICE USE ONLY PLAN CHECK NO. L/9bll4,15 EST. VAL. __________ _ Plan Ck. Depo Validated By___,...J.-..i...~...,--1-r-++..,.,..c---, Date, ________ e::..,.....lf..Jl:'£.IL...,A<L-"""-- 7..bb--Z VA:\£i .:>:)QQ ~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ££e Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dlfferimtfrom'applicant) Name Name Address Ll'Agent for Contractor. ft, b2. Address Address 5. CONTRACTOR -COMPANY NAME· City State/Zip Telephone# Fax# .. '• ~ ~ . ,, :,, ~--~\ City State/Zip Telephone # (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, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged e_;fftytr,W)f ~~)Qa~x1.rcant I.or a v;r;nit subjects the~2:,ant to a civil penal ?f not more t~;,te hundred dollars q zO(Z-J Name Address . City S e/Zip 'f::j:;:fo/ b17 State License# 7a. i Z,2.0, License Class BJ C, ?k?/ (.., w City Business License ii I o3Q7CX) 64'5S Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS' COMPENSATION 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 as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ( CY'"") have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~d. My worker'~ CO!llpensation insurance_carries anr1 nnUcy number are: , . . _ I/ { ~ Insurance Company _ Mf\12f2e: l,L_<:::cA--ln~. -----Policy No._.Z.ti3W8 Ou Expiration Date 1 ()~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) O 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 t Workers' Compensation Laws of California. WARNING: Fol tion coverage Is unlawful, and sholl subject an employer to criminal penalties and civil fines up to one hundred ~~~:;;~::,_11_a~rs~j.!'.L!~l.-t:l.'....l.tC.~-~!C..~,.,<_LL.L~~sa5,t~lo'.:n~,::d::a::m=:ag:_e_s_a,_p_ro_v_ld_e_d_fo_r_l_n_s_e_c_t_lon 3~:6T:f tlt~'Vr '(Jd~ l~ijUf nd attorney· s fees. 7. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). O 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 License 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor arid materials for construction of the proposed property improvement. 0 YES ONO 2. I I have / have not) signed an application for a building permit for the proposed work. 3. I have contracted wit h the following person (firm) to provide the proposed construction (include name / address / phone number/ contractors license number): 4. 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 / phone number/ contractors license number): _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS''dNt:Y ''': ,,,.: 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LEND.ING AGENCY ,1,· . ••i 'i ••• 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). LENDER'S NAME ______________ _ 9. APPLICANT CERTIFICATION ,, -~ ~'' , 'I ·i • (•.i! !I 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 comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requir or excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit • d by he building Official under the provisions of this Code shall expire by limltallon and become null and void If the building or work authorized by such permit Is ced within 1B0 days from the date of such permit or If the building or work authorized by Uftliflr1Jt ~Sl/lilUlfWed or abandoned at any time after lhe work is c or period of 180 days (Section 106.4.4 Uniform Building Code). m,'11 f '£.'YJYJt. DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/13/2002 Permit# CB021495 Title: ROBINSON -COPPER REPIPE W/DWL Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2637 VALEWOOD AV Lot APPLICANT ARS 0 Owner: ROBINSON MARK T&SUSAN A Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing Associated PCRs Act Comments ~ ~~ 'V Inspection History Date Description Act lnsp Comments Inspector Assignment: SR --- Phone: 8586775455 EX 205 Inspector: SR Requested By: VERONICA Entered By: CHRISTINE 06/11/2002 24 Roughffopout AP SR COLD WATER BONDED AT PANEL OK