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