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HomeMy WebLinkAbout2629 VALEWOOD AVE; ; CB010234; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/22/2001 Plumbing Permit Permit No:CB010234 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2629 VALEWOOD AV CBAD PLUM 1675115800 Lot#: 0 Construction Type: NEW NIBLO RES/ COPPER REPIPE Owner: Status: Applied : Entered By: Plan Approved : Issued: Inspect Area: ANDERSON PLUMBING INC.WALTER NIBLO FAMILY TRUST 06-25-96 1150N MARSHALL ISSUED 01 /22/2001 CB 01 /22/2001 01 /22/2001 EL CAJON, CA 92020 619-449-3852 2629 VALEWOOD AVE CARLSBAD CA 92008 9568 01122. 0~ J002 )_ 2CF" Total Fees: $52.00 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 TOTAL PERMIT FEES Inspector: Total Payments To Date: 0 0 0 1 0 0 0 $0.00 Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $52.00 $52.00 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 capactiy 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. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK Nct:f;o I01';ff CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave .. Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ______ _ Validated By __.(_',,1f-;l;..,<... ____ _ Date /-ZkC { 1. PROJECTINFORMATION 2629 VALEWOOD AVE Carlsbad CA 92008 <Suite> <Name> Business Name (at this address) Address (inciude Bldg/Suite#) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> Legal Description <Assessor No> Assessor's Parcel # COPPER REPIPE Description of Wor1< Lot No Subdivision Name/Number <Existing Use> Existing Use <SQ FT> SQ. FT. <Stories> # ot Stories 2. CONTACT PERSON (If different from applicant) Unit No. Phase No. <Proposed Use> Proposed Use <Bedrooms> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City State/Zip Telephone# Fax# 3 APPLICANT C Contractor liZ) Agent for Co.Vactor c Owner NetClerk Inc 720 Dubuque Ave C Agent for Owner South San Fr. ST 94080 8883301777 Name Address City State/Zip Telephone# 4. PROPERTY OWNER Peter & Sylvia Niblo 2629 Valewood Ave Carlsbad ca 92008 760-729-6344 Name Address City State/Zip Telephone# 5. CONTRACTOR • COMPANY NAME (See. 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 lts 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 exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars ($500)). WALTER ANDERSON PLUMB IN 1150 N. Marshall Ave. El Cajon CA 92020 6194493852 Name Address City State/Zip Telephone# State License # _4:..,9,:.:3e..1,..:6,:.:3e._ ___ _ <Name> License Class C16 C36 C20 HIC <Address> City Business License # 107 4400 <City> ST <Zio> <Phone> Designer Name Address c;Iy Slate/Z;p Telephooe State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration. I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as pro11ided by Sectlon 3700 of the labor Code. for the Performance of the work for which this permit ls Issued. 0 I ha11e and w,11 maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit ts issued. My worker's compensation insurance carrier and policy number are: Insurance Company Advanced Insurance S Policy No. 20A2WC900007300 Expiralion 0ate 10/01/2001 (THIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100) 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 the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand don.··i:J.;£~.: .. ,>. ln addition to the cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE A<K'-?-f-·•--------------------OATE _,0c.;1.,_/1.:..,6!!./=.20"-0"-1.,__ ___ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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. pro11ided that such Improvements are not Intended or offered for sate. If, however, the building or impro11ement is sold within one year of completion. the O'Hrler-buikter will ha11e the burden of proving that he did not build or improve for the purpose of sale). D 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 threreon, and contracts for such projects with con1ractor(s) licensed pursuant to the Contractor's license law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of !he proposed property 1mpro11ement. D YES D NO 2. I (ha11e I ha11e not) signed an applicant for a building permit for the proposed work. 3. I h~~ contracted with the following person (firm) to prqvu:le the~roposed construction (include name~ il~dr~sU phone number I contractors license number): <Name> <Aaaress <WorK Phone> <State License> 4. I plan to provide portions or the :-,rqrk, but I have hired the fol!OW"ing person Ip s:qo,rd,nate, supervise and provide lhc m,aJC?r work (include name I address I S?h.one number I contractors license number):<Name> <Aaaress> <w ork Phone> <State ucense> 5. I will P!QVide some of the work, but I have contracted (l)ir~) the following person to provide the work indicated (include name I address I Rt\Qne rumber I type or work)· <Name> <Aaaress> <Work Phone> <worK I ype> PROPERTY OWNER SIGNATURE _____________________ _ OATE ________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regist,alion form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future bu1ldmg occupant required to obtain a perm1t from the air pollution control district or air quality management district? 0 YES □No ls the facility to be constructed within 1,000 feet of the outer boundary of school s11e? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS.:---------------=------- 9. APPLICANT CERTIFICATION 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 City of Carlsbad to enter upon the above mentioned property tor Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: E11ery permit issued by the bu1lding Official under the provisions ot this Code shall expire by limitation and become null and 11oid If the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period or 180 days (Section 106 4.4 Uniform Building Code), APPLICANTS SIGNATURE ~ ____________________ OATE ..;0:..1:.:./.;.1.::;6:..:/2:..:0:..:0:..1;__ ______ _ City of Carlsbad Bldg Inspection Request For: 02/21/2001 Permit# CB010234 Title: NIBLO RES/ COPPER REPIPE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2629 VALEWOOD AV Lot 0 APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: NIBLO FAMILY TRUST 06-25-96 Remarks: Total Time: CD Description Act Comments Inspector Assignment: AR --- Phone: 7607296344 lnspectortfL...__ Requested By: NIBLO RESIDENCE Entered By: CHRISTINE 29 _F_i_na_l_P_lu_m_b_in_g ______ ~--------------------- Associated PCRs Inspection History Date Description 02/08/2001 24 Rough/Topout Act lnsp Comments AP AR