HomeMy WebLinkAbout2613 VALEWOOD AVE; ; CB032434; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-04-2003 Plumbing Permit Permit No: CB032434
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2613 VALEWOOD AV CBAD
PLUM
Parcel No: 1675116200 Lot #: 0
Construction Type: NEW
Reference #:
Project Title: CARPS RES COPPER RE-PIPE
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
Total Fees: $57.00
Inspector:
0
0
0
1
0
0
0
Owner:
CARPS KEVIN J
34 7 KOLMAR ST
LA JOLLA CA 92037
Total Payments To Date: $0.00
Date:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/04/2003
SB
09/04/2003
09/04/2003
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$57.00
Balance Due: $57.00
3369 09/04/03 0002 01
CGP
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 ·tees/exactions.' You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Sectioo 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
I I X i I whi h h V I i 'I r hi whi I r • i n i I h rwi X ir '
02
S7 -00
0 ?:,-101 FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK Noclb3 2.l/3y
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Address (Include Bldg/Suite #J Business Name (at this address)
Legal Description Lot No.6 ~division Name/Number Unit No. Phase No. Totel II of units
Existing Use Proposed Use Assessor's Pat;bp(}e£._ fat?l~
Description of Work sa. FT. /lot Stories If of Bedrooms # of Bathrooms
Name Address City State/Zip Telephone II rax II
J • APPLICANt • 0 Contractor''' ~Ag~f\FMf"c~htrncm;mim ·owRfff~G]1 p;1{~Fifllit cl-~~M!"'1":'."li1)'.~11T:",' •;n• .• : ,, '·' VM-:o \c0---CV)::;·Aee.. le:, 1., i.. µfk,.)1~ ~ J'tZ_ LuJ ~ l'..A-.?"J.J1>-f tlb 1 1--5·44 s
Name Address City State/Zip Telephone II
4. p hi owNEii •• , ~-.... :q1ng i] ~-~
Name Telephone #
5. CONTRACTOR ~ coMfiANY NAME!' '.J .t·tt,i,•·-~~·.rrJ~f~-r i11;tW/"~r:t~Gfj!p~i:,frti1~~l(f;tJ.Jt·~J~1{l~iff'.~f~~1i·~rr;-{1~'iPN~n.~,·~'f-''i;'f;f: ·f!:::?::·~·1-::;!r~f.:!~i'-l!'."
(Sec. 7031.5 Business and Professions Code: Any City or County which requires e permit to construct, alter, Improve, demolish or repair any structure. prior to its
issuance, also roQuires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Lice11s0 law
!Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he Is exempt therefrom, end the basis for the alleged
exe pi ~Any violation of t ct: 2031 .5 by any applic nt for a permit subjects th\~ant to clvll penalc,.;t;o more tha_n five l~rz~ollar5 ~011
Name Addr City State/Zip Telephone #
State License# 70 J <f5' 2-0 License Class Clo ~fo City Business License I 1'0Po7Q)
Designer Name Address City State/Zip. Telephone
State License II __________ _
6 ... WORKERS; COMPENSATION'•:· i:•,:,, • -,. "'.'1 ''' ,., ·;._
Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona 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 performa11rP
of the work for which this permit is issued.
~ I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permil is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company [Y'.\A£2£+\ ~ Policy No. 24'12~ -Q\ Expiration Date __ l_/_f _{_Ob ___ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI
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 rna1111er so as
to become subject to Workers' Compensation Laws of California.
WARNING: Faflur o sec workers' compensa c erage Is unlawful, and shall subject an employer to criminal pe
thousend dollars ( 1, O e co o etlon, damages as provided for In Section 3706 of the
SIGNATURE: __ ~\ .,2t;~l.,:l~a_-l,..~~~:::_.:...JL!_+,4~~~~--;:;-.:;:,-:;-:-;:.-::-:-:;-----
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor;s License Law for the following reason:
altf s and clvll fines up to one l11rnrfred
~rest nnd attorney's fees.
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 rfnrs
such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or imprcwrrnrnl 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 Profe ssions Code· Tl,o
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) lirrnsrrl
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 contractsd 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 / nhono
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 ntrrnher I tvno
of work):. ________________________________________ _: ____________________ _
PROPERTY OWNER SIGNATURE __________________________ DATE __________ _
COMPLETE THIS SECTION FOR ,vc,,v:,tifslDEIVff~l"'euirnlNfi'PltRMitslo'Nl!W,;•;~,1:,1i111';1,t:i'1"'''~1/l'~f,'""i'S'',"c"''\ re,,, ' •
Is tho applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program undo, Sections 25505, 25533 or 25534 of the Presley-Tenner HuerdoiJs 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 7 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS HIE APPLICANT HAS MET on IS MEETING TlfE
REQUIREMENTS OF TlfE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY :'.'i;(Jil/;{~;/~j\1W~!l!t%4i'.1Ji,Fli"t:f:ij:i,');J,·:i}'-1\rt,;-'.,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(11 Civil Code)
I certify that I have read the application and state that the above Information is correct end that the Information· on the plans Is accura te. 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 ent~r upon the al>ovc r11e111inrird
r ·oporty for inspection r,urposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST /\LL lll\BlllllFS.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIIIS PEnMll
OSIIA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permil issued lhe ullding Official under the provisions of lhfs Code shall expire by limitation and become null and void if lhe building o, work
;iuthori,ec1 by such permil is nol ence within 180 days from lhe t of uch permit or If the building or work authorized by s~'f)-jer ti Is susrendPrf or ;il,;i11rlc,11~r1
nl ;:111y lirne afler Ille work is com/i ce (or a period of 1BO days (Se n 1 6 4. niform Building Code). A ?, 't)1.
APPLICANT'S SIGNATURE \ DATE -/ J ~
. • City of Carlsbad Bldg Inspection Request
For: 04/07/2004 .
Permit# CB032434
Title: CARPS RES COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2613 VALEWOOD AV
Lot
APPLICANT ARS
Owner: HANES SHELDON P
Remarks: CAN YOU FINAL?
Total Time:
CD Description
19 Final Structural
0
Act Comment
-"-All>
Associated PCRs/CVs
Inspection History
Date Description
10/16/2003 29 Final Plumbing
10/08/2003 24 Rough/Topout
Act lnsp Comments
NA JM
AP JM CWB OK
Inspector Assignment: JM ---
Phone:
Inspector: ~
Requested By: CHRISTINE
Entered By: CHRISTINE