HomeMy WebLinkAbout2621 VALEWOOD AVE; ; CB080508; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-19-2008 Plumbing Permit Permit No: CB080508
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2621 VALEWOOD AV CBAD
PLUM
1675116000 Lot#: 0
Construction Type: NEW
HSU: COPPER REP I PEW/ WTR HTR
REPLACEMENT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/19/2008
JMA
03/19/2008
03/19/2008
ARS CHU JAN-JON JAMES&HSU SHAU-LING REVOCABLE TRUST
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 Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Total Fees: $147.00
Inspector:
0
0
0
0
1
0
0
2621 VALEWOOD AVE
CARLSBAD CA 92010
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$120.00
$0.00
$0.00
$0.00
$147.00
Total Payments To Date: $147.00 Balance Due:
Date: Clearance:
$0.00
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/e.xactions. 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 ba1 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 end 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
City of Carlsbad Plan Check No. Q'.jQcfo S-
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
/PROJE T #
DESCRIPTION OF wo'l;Dp~
EXISTING USE PROPOSED USE
# OF UNI
GARAGE (SF)
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT#
TENANT BU INESS NAME
PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NOD
AIR CONDITIONING FIRE SPRINKLERS
YES D NO D YES D NO D
CONTACT NAME (If Different Fom App/leant) APPUCANTNAME' ~\£..A t/),A-1~£
ADDRESS
CITY STATE ZIP CITY .g tA-STATE
PHONE FAX
EMAIL
ADDRESS Ol) Mu
CITY CITY
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
l!tc. 7031.5 8111inm and Profmions (odt: Any City 0< County which requires a ptrmir 10 construe~ ahtrj improV!, demolish or rtP.air any scructurtl prior to iu issuance, abo rtquirts tht applicant for such ptrmit to filt a signed Stlttmtnt that ht is r.c,nstd _11unuant to tht provisions of tht Contracto~s License I.Jw (Chapter 9, commending wirh Section 000 of Division J of tht Bu1int1s and Pro t11ions Codt} 0< that ht ~ mmpt thtrt&om, and tht WIS for th! alltgtd mmption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civa penalty of not mort than r,,, hundred dollar, {$500)).
Worllen' Compensation Declaration: I hereby alfi,m under penalty of perjury one of the following declarations:
□ I have and will maintain • certificate of con,ent to 1elf-ln1ure for wOlkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the won< for which this permit is issued. '14" 1 have and will maintain worllers' com 1atlon, as required by Section 3700 of the Labor Code, for the performc~ 9f.111e ~rk for which t~is ~rmit is is~. My won<ers' compenji!~On insur4nce ~rrier and policy
number are: Insurance Co. • Policy No. ~ J'2_2 l'z(){ b,2 \DI Expiration Date ..,'2._._l._2=-Pl~I_O"'-';t"'-----
This section need not be completed if the permit is for e hundred dollars ($100) or less.
□ Certlficate 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 Won<ers' Compensation Laws of
California. WARNING: Failure to secure wo e compensation coverage is unlawful, and shall subject an employer to criminal penattles and civil flnet up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, da ovlded for In Section ~,V'r)lt~bor cod9) Interest and attorney's fees. _). I ( , 1 / ~A
.f6 CONTRACTOR SIGNATURE // f ~ (./ ~{.)1)
I hereby aff,rm that I am exempt from Contrach:rs License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do lhe work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The ContractOl's
License Law does not apply to an owner of property who builds or Improves thereon, and who does such won< 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).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracto(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 lo the Contracto~s License Law).
□ I am exempt under Section ----~Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for conslruction of the proposed property improvemenl □ Yes □ No
2. I (have I have not) signed an application for a building permit for the proposed won<.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address / phone I contractors' license number):
4. I plan lo provide portions of the work, bul I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the won< indicated (include name I address/ phone/ type of work):
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupanl required to submit a business plan, acutely hazardous materials registration form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account lv:X? □ Yes □ No
Is the applicant or future· building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
I certify that I haw read the application and state that the aboYe lnfoonation Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and Stale laws relating to building construction.
I hereby aulhorize representawe ct the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEM'IIFY AND KEEP HARM.ESS THE CfJY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH W.Y IN ANY WAY ACCRUE AGAINST SAID CnY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennt is requi'ed fer ex:cay.!iliaii!l(Ner 5'0' deep 111d demolition or coostruction ct svuctures ()18( 3 stories in height
EXPIRATION: Every permit issued by • ing • under the proYisions of this Code shaA expre by Imitation Im become nul Im void w the butlding ()( WOO( authorized by such permil is not commenced within
180 days from the date of such permil if • or wa1t • by pennl is suspended or abaldoned at Ill}' tine after the wa1t is~ b' a .~,.J)80 days (Sectioo 106.4.4 Unifolm Building Code) .
.,eS' APPLICANT'S SIGNATURE DATE -3 lt <..\-f 06
• City of Carlsbad Bldg Inspection Request
For 03/31 /2008
Permit# CB080508
Title-HSU : COPPER REPIPE W/ WTR HTR
Description REPLACEMENT
Type: PLUM . Sub Type:
Job Address.
Suite
2621 VALEWOOD AV
Lot: 0
In spector Assig nment: JM ---
Phone: 8586775455EX 205
Location Inspector: ----
OWNER CHU JAN-JON JAMES&HSU SHAU-LING REVOCABLE TRUST
Owner: CHU JAN-JON JAMES&HSU SHAU-LING REVOCABLE TRUST
Remarks
Total Time. Requested By: VERONICA
Entered By: CHRISTINE
CD Description
19 Final Structural
~t Comments
1-;; ------------
29 Final Plumbing t
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments