Loading...
HomeMy WebLinkAbout2746 VICTORIA AVE; ; CB043274; PermitCCt~h City of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 08-19-2004 Plumbing Permit Perm it No: CB043274 Building Inspecti on Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2746 VICTORIA AV CBAD PLUM 167 4203600 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 08/19/2004 KMT 08/19/2004 08/19/2004 Project Title: KIM RES-REPLACE GAS LI NE FROM POOL HEATER TO MAIN Applicant: KIM SUK HUI ATTN: JOHN KIM 2746 VICTORIA AVE CARLSBAD CA 92008 760-720-9667 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 0 0 1 0 Owner: KIM SUK HUI 2746 VICTORIA AVE CARLSBAD CA 92008 Total Fees: $27.00 Total Payments To Date: $0.00 Inspector: Issued: Inspect Area: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Balance Due: $27.00 9254 08/19/04 0002 01 CGP Clearance: ______ _ NOTICE: Please take NOTICE that approval of your project includes the "lmpos1tion' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review. set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any 02 27-00 FOR OFFICE U~t: UNL Y PERMIT APPLICATION PLAN CHECK NO. Cf2,D4321 Y CITY OF CARLSBAD BUILDING DEPARTMENT 1 'l 6S5 P:araday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Plan Ck. Deposit..--------- Validated By ~~ Date ~\~~ Address (include Bldg/Suite II !).. 14-t Legal Description Assessor's Parcel II Y Des~ription of Work iP$,. ~(._p,,c,£.. ···--'""" Business Name (at this address) (A:q s MQ cA. q2:99B Subdivision Name/Number Unit No. Phase No. Existing Use SQ. FT. l.-1;.Jc-re,,,-,... .. Proposed Use #of Stories # of Bedrooms Total II of units # of Bathrooms Neme AddreSI City State/Zip Telephone II Fex I ~~DM IIW4'1nfr~7,~"ft~tL~i.mtYm~~ -.,--z~ 1/tc,o,:tl'r Ai&-• CARL~MO CA · 1;<Jd9 --/60 7 olo '?6(7 Jc:. I M Address City State/Zip Telephone I -~~~.iiJitiili}~d~~l.,' .. /.\il5i~I!~~~~ .$-H1M &,.--U.{. c/1c..--rOl(.1A th-€, C'N?-s t'MP C8 -q,y;o8 "'1601:J.o 9U,1 Address City S.tata/Zip Telephone II Name (Sac. 7031.6 Business and Professions Coda: 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 bivision 3 of the Business and P_rofassions Codal or that he Is exempt therefrom,. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Name Address City State/Zip Telephone I State License I _________ _ License Class _________ _ City Business License # _______ _ Designer Name Address City State/Zip Telephone State License I _________ _ ·· ,r,;~~~~"~tlr!h~..:l&~'t~~St;~;.z:;;-;;.>.~W'~;~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tha following declarations: O I have and will maintain a certificate of consent to salt-insure for workers; compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for. the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Co,;,pany ___________ _;.__________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($ 1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation· Laws of California. WARNING: Failure to Hcwa workara' compensation coverage la unlawful, and ahall aubjact an employ• to criminal panaltlea and clvM flnea up to ona hundred thousand dollar• ($100,000), In addition to tha co.at of compensation, damagea u provldacl for In Section 3706 of the Labor code, lntereat end attorney'• f,eaa. -~ii· miiiiiil01llliMiiiiii•iii!Jii•i .. iriirimii·i ·i1i1ii...,,,..,,,,,iiiii·ii· 1·· ·iiiiii·•-•· -~~·ti, ii. ii:· =,";,\;.; ~,. • .~~~ ·1 hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 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, B11slnesa aod Professio.ns Code: Tha Cootractor's Ucansa 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 sala. If, however, the building or Improvement is ~o~ithin one year of completion, the owner-builder will heve the burden of proving that he did not build or improve fo~ the purpose of salel. a_ I, ■s owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Coda: The Contractor'• License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractcir(sl licen:;ed pursuant to the Contractor'• 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 fafi[o 2. I (have / have notl signed an application for a building permit for the proposed work. 3. I h ha proposed construction (Include name / address / phone number / cont :; lie nsa numberl: ~ 4. I plan to provide portion of the work, t:iut I have hired the f owing parson to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license numbari=·------------------------~---------------------- I will provide some of the work, but I have contracted (hired) the following parsons to provide the work Indicated (include name I address / phone number / type f work):, _______________ .;_ ________________________________________ _ PROPERTY OWNER SIGNATURE ~ ~ 'DATE R ·!9 ·i?r: ~ffiffr~~Ifili'i~BMlili~~~~&i.1~~11-{%J~~~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25605, 26533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? -0 YES O NO Is the applicant or future building occ_upant 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 COf\Structed within 1,000 feet of the outer boundary of a school site? 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. ~'c1NUIW~D™m~~~:i¾t'Jl:%t/!f~fB@l]t'k;f!'l;~;t,"!fl!~\fll;if.J&:,,i~~iim1ffii.,:1f .W~:iltt;;ii:<"'.ffile'ii£1/,~;.,1rn)·i~l;t!;)•·,~.;:::~c :;_ll~B:z,~,l'J; I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sac. 3097(1) Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS. __________________________ _ ~~~ra amm~/{fs?~M414fla ~~~~~~tiiit~~~ 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 .AND 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 ii the building or work X uthorized by such permit is not commenced within 1 BO days from Iha data of such permit or ii the building or work authorized by such permit Is suspended or abandoned t any time after the work is commenced lor a period ol 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'SSIGNATURE ~~-..:...---DATE g.,;9 . 0 ~ ~HITE: Fila YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/17/2004 Permit# CB043274 Title: KIM RES-REPLACE GAS LINE FROM Description: POOL HEATER TO MAIN Type: PLUM Sub Type: Job Address: Suite: Location: 2746 VICTORIA AV Lot APPLICANT KIM SUK HUI Owner: KIM SUK HUI 0 Inspector Assignment: JM --- Phone: Inspector: Remarks: H.O. SAID YOU WANTED ANOTHER INSPECTION Total Time: CD Description Act Comment Requested By: HOMEOWNER Entered By: CHRISTINE 29 Final Plumbing ~------ Associated PCRs/CVs lns12ection HistOCi Date Description Act lnsp Comments 08/31/2004 23 Gas/Test/Repairs AP JM 08/30/2004 21 Underground/Under Floor WC JM 08/30/2004 23 Gasrrest/Repairs NA JM SAME 08/23/2004 23 GasfTest/Repairs NA JM NOT UNDER TEST