The URL can be used to link to this page

Home My WebLink About2617 VALEWOOD AVE; ; CB044132; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-10:2004 Plumbing Permit Permit No: CB044132 Building Inspection Request Line (760} 602-2725 Job Address: Permit Type: 2617 VALEWOOD AV CBAD PLUM Status: Parcel No: 1675116100 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: HALL RES COPPER RE PIPE Inspect Area: Applicant: ARS 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 0 0 0 1 0 0 0 Owner: HALL DAVIDS 2617 VALEWOOD AVE CARLSBAD CA 92008 ISSUED 11/10/2004 SB 11/10/2004 11/10/2004 $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 5257 11/10/04 0002 01 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 OOES IT APPLY to any f es/ xa i n f which u h v r viousl been iv n NOTICE simil r t this or as whi h th statut of limitati ns has reviou I oth rwise ex ired. 60n 00 PERMIT A PPLI CATION FOR OFFICE USE ONL;r / l( I< PLAN CHECK NO. (!)'--1 _! L CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Fara.day Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ---==:c----- Valid ated By·_-~;:;:::2/.....::::L---- Dete, _____ +-1-J~.,:..,...,_+____,.o,..3_.,_1-_ Address (Include Bldg/Suite #) Business Name lat this address) Legal Description Lot No'6r-:t<'dlvislon Name/Number Unit No. Phese No. Total # of units Existing Use Pr oposed Use SO. FT. #of Stories I of Bedrooms # of Bathrooms Fax II City State/Zip Telephone 11 4. fi,(t~_~J.llll~flii~-?!~~t~~)1~f ---~~__.IL..L.J..!._!..J.L.j-l,.a...u~='--l.-~u=----~,-=----~~=...:...:..""---=""~..____,.-\,1--~~ 5 . • ,, CONTRACTOR ' Cb Mp ANY: NAME I • !l.r ,;,; j;!',,);)~;'dl"4.f''l''.~~~'\¥'.~r~'!L1!'f rtr.ffil'i~~~:\:?r~i:Wij'l)jfl~:11tl;!J1J~f,ff 1<17";;'1,'/ ;;J;>c~r; '"1l~l1i'!'.t• [!" ,. ' ' (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure. r rior 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 Licc11so Law JChapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that he Is exempt therefrom, end the basis for the allcgr.cl exe pi' 'z::.....Any violation of Section 7031.5 by any appllc nt for a permit subjects the eppllcent to civil penalty of no more than five hurylred dollars J$500JI -:;-J ~ b2 \o..) CA--'51 l-7 -54 \Jame 5tato License # _7_~_~1 __.'p'<--Z-_0 ___ _ M& a~ License Class Clo C,3,k:, )oslgner Name Address City Stele/Zip ,late License # _________ _ i. • ... WORKE'RS; co MPENSATfdN( ~-t •1:~:,\,·'1'li:=r~' 1~,:~ '! :·t· ~ !IA;(.~,, lt"!:(;i°~~~:1~r~:1~;JJi:,~~~,v1~~:~i t11i~;!f~)'?lti~;j!;ft'.;~j:~qnr::r01,rfi~;9i\(~Jilm~i/'."i'~1!/l!,:i ~-~1.'1:1~· 1 ~: '} Norkers' Compensation 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 lhe perlornranrr rf the work for which this permit is Issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this r r11nit is ;sued. My worker's compensation insurance carrier and policy number ere: ,surence Company ~ ~ • Policy No. 24'b~ ~Q\ Explratio11 Date __ l_/_f_{_Ob __ _ TlffS 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 in any 111ar111e1 so as J become subject to Workers' Compensation Laws of Celifornle. ✓ARNING: Fallur o sec re workers' compensatfic erage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred 1ousond dollars I 1, 0 l. In addition tt> tha c/ o o atlon, damages H provided for In Section 3708 of the La IGNATURE: __ ~\LJ~~1-otl_l,.<'.'.=:!::::~:'._:__J'.._!I_J.-4f~::'::::....!L_________ DATE _ _JJLJ--AL..11-(..,C!JI.--- OWNER-BUILDER DE CLAM rrbN _ , • '\ ·, ;: ;/ r•;~ia'!fit1~,~i'?:~~{:j'.;,'!J'}]i~jT:i;\f,i,f{~1:ri~'f.''riJ~rf' •;:·,1;,\~W ,, ( •• ' •' hereby affirm that I am exempt from the Contractor's License Law for the following reason: J 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 offe1cd for sale, :oc. 7044, Business and Professions Code: The Contrector's License Law does not apply to an owner of property who builds 01 improves ther eon, and who r1ons rch work himself or through his own employees, provided that such Improvements ere not Intended or ofrered for sale. If, however, the building or irnprrwe111r11r is ,Id wilhin 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 ownor of the property, am exclusively contracting with llcensed contractors to construct the project ISec. 7044, Business and Professions Code: Tim onlraclor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with conlracr<'r(sl li,·r11sr•rl ,rsuent to the Contractor's License Law). I am exempt under Section ______ Business and Professions Coda for this reason: I personally plan to provide the major labor and materials for construction of the proposed property Improvement, 0 YES ONO I (have / have not) signed an application for e building permit for the proposed work. I have contractsd with the following person lfirm) to provide the proposed construction (Include name/ address I phone number I con11ac1ors licen~e number): ------------------------------------------------------· •• - 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/ adriress I rl10110 rmber / contrectors license number): ______________________________________________ _ I will provide some of the work, but I have contracted (hired! the following persons to provide the work Indicated (Include name / address I phone rnrrnber I typo work): __________________________ ~------------'----------------- IOPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ )MPLETE Tflts SECTiON FOR NO/V-RESibi,vttJil1i!Ui~filN6'JS'~AM'lt&lo'Nll,'t)rf1if,~'f 1~~ri~;1.11•.~;j/~';'Pf{i·"f(";'iI~",:,;r""i '.-'. '' "." tho applicant or future building occupant required to submit a business plan, acutely hazardous meterlals registration form or risk managemen! a11cl rrevr.ntin11 ,gram undo, Seclions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES D NO tho facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O NO !\NY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE DF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET o n IS MEEl ING TIIE OUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING At.ENCV•\c'"';1' ,; : : '. 1 1'.\11,;,,,1.=!)~w,j1fl/:'!;i~~{W~il1~)11il'i,,(!f;14/,,!e'\;l}i~}.\1~•fri,~;,r'!l't'iii,>f. ireby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued !Sec. 3097(il Civil Codel. ~DER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ A p rll CANT CEirn Fi cA Tio N ;: 1·,; ·"" 1 •·' ',!1 ~! '.',j':;r1•);'.'ffTf'~-/1\ rrn!tl'1TWf~!l!l~JfilP,1/~1\lli!1,Wftf,~:ll~~,tJ~' /1•11i'> :?f!1ili'm~j':t-'!t' r'~"j !'"rJ ';:' ' r' ,rtify that I have read the application and state thet the above Information Is correct end that the Information· on the plans Is accurate. I agree to comrly with all y ~rr1ir,ances and Stale laws relaling to building construclion. I hereby authorize representatives of the Cl1t of Carlsbad to enter upo11 the auovc 111e111i1111cd porly for insrection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAnLSBAD AGAINST ALL ll/\81111 rrs. OGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PEnMll IIA: An OSHA permil is reQuired for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. PlnATION: Every permit issued lhe ullding Official under the provisions ol this Code shall expire by llmllatlon and become null and void ii 11,e buillli11g 01 work horlzed by strch permil is nol ence wilhln 180 days from lh7Ftffif uch permll or If lhe building or work authorized by su{h perm7 ls susrendPri 01 Rl•~!!dc>nrd 111y lime ;ifler lhe work is com& ce lor a pe,ri~ of 180 days (Se n 1 6 4. nlform Building Code). // ~ ,X J 'LICI\NT'S SIGN/\ TURE t \ (} ;(JJ I J / A...-f J... ~ nAT~ D <Yf I). . . City of Carlsbad Bldg Inspection Request For: 11 /23/2004 Permit# CB044132 Title: HALL RES COPPER RE PIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2617 VALEWOOD AV Lot APPLICANT ARS Owner: HALL DAVIDS Remarks: Total Time: 0 CD Description Act Comment 29 _F_i_n_al_P_l_u_m_b_in_g ______ f Associated PCRs/CVs Inspection History Date Description 11/19/2004 24 Rough/Topout Act lnsp Comments AP PD water bond ok Inspector Assignment: PD --- Phone: 8586775455 EXT 205 lnspe~ Requested By: VERONICA Entered By: CHRISTINE