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Home My WebLink About2622 VALEWOOD AVE; ; CB051684; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB051684 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2622 VALEWOOD AV CBAD PLUM 16751 15000 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: SHEIRD RES-COPPER RE-PIPE Applicant: CALIFORNIA DEL TA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 0 0 0 1 0 0 0 Owner: CLARK JANET TR 2622 VALEWOOD AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/13/2005 AMA 05/13/2005 05/13/2005 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 8198 05/13/05 0002 01 02 Date: Clearance: NOTICE: Please take OTICE t at approval of your project includes the 'Imp sition" f fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issu 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 Cartsbad 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 f x i n f whi h h v r vi I n iv n N imil r hi • h i i i n h r vi I h rwi ir . 60 .. 00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ()PaS! {;j c; CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit-----,----- Validated By {lit" Date 5" / j? / t)J ..( lt-L Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms 'fk 0 I ity State/Zip Telephone# Fax# 3. APPLICANT O Contra,ator O •Agent for Contractor O Owner O Agent for Owner Name ,47 1 P,l;IOPERT..V. OWN~ • • •• / Mei<.Ctl!. Pdl.Cl!f!L Name Address City CcAR-L9 4oJ S;ate/Zip Telephone # 2 C 22 VA-le ivoo4 l\._g. Address City <?20rJrY 1cO-?I'? ¥!/5 S.tate/Zip Telephone # :S. CONTAACirQR .,CO.MP.ANY> l'tAMI: (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 re ption. Any tolatio of z ection 70~. ;V~~ant i°r a per;; subjects th ;licant to a c~alty of ~p 0an five h dred dollars [$500 ). Name Address C /' City State/Zip !:lephone # State License, olll/L( License Class ~ Lr2 City Business License, /2. II[ 2([_✓ Designer Name Address City State/Zip Telephone State License # _________ _ 18. WQRl<~RS' COMP~S4TIQN 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 o the work for which this permit is issued. ve 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 ssued. My worker's compensation insurance carrier and policy n ber are: Insurance Company '1 Policy No. /(if(£?? .. o:-E Expiration Date (~ ( (THIS SECTION NEEO NOT BE COMPLET D IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 ae workers' compenaetlon coverage la unlawful, and ahall aubJect an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 ,000 • ition to the cost of compensation, damage, a, provided for in Section 3706 of the Labor0ode, interest and attorney's fees. SIGNATURE:_-6...L+:,,....~::.i::::::::::_________________ DATE !/ .. _/ 2_-crtr= -:,,, OWt,1ER•Bl:Jt1tjLtiQ(lirtl.;DlmON--_. __ _ I hereby affirm t at I am exempt from the Contractor's License Law for the following reason: 0 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). 0 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 and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work,. 3. I have contracted with 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 I 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 __________ _ 1COMP.LETE;T1:11S.SEC:TION F.OR NON.RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous mate,ials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 7 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 OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 18, , 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. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS, __________________________ _ ·~. AP.P.!,.J~ANjf "CJ:RJlf.lCAl'ION. 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from lhe 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 of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE __________________________ _ DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/17/2005 Permit# CB051684 Title: SHEIRD RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: 2622 VALEWOOD AV Suite: Location: OWNER CLARK JANET TR Owner: CLARK JANET TR Remarks: Total Time: Description Lot 0 Act Comment Inspector Assignment 9 "S, Phone: 6193475184 Inspector: ~ Requested By: BIANCO Entered By: CHRISTINE CD 24 Rough/Topout ,1/1£_ ye~rr:>S {j?~Y ~ ---------------tA--,,,,,~.....-t ---..,..-...1 ~ h~ ?% Associated PCRs/CVs Inspection History Date Description Act lnsp Comments W' e f2, -er1 A-