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Home My WebLink About2743 VICTORIA AVE; ; CB091740; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-20-2009 Plumbing Permit Permit No: CB091740 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2743 VICTORIA AV CBAD PLUM Status: Parcel No: 167 4206500 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: PC #: Project Title: ZAMORA RES-RE-PIPE HOME WITH AQUAPEX -HOT & COLD WATER Applicant: MASTERS ERV 560 LIBRARY STREET 91340 818-408-41 00 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 Plan Approved: Issued: Inspect Area: Owner: ZAMORA FAMILY TRUST 12-05-04 2743 VICTORIA AVE CARLSBAD CA 92010 ISSUED 10/20/2009 RMA 10/20/2009 10/20/2009 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $103.00 $0.00 $0.00 $0.00 $130.00 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: Inspector: FINAL APPROVAL !rJ.., 2-2 -~ Date: 1-. / 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 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 Section 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 f~~ ,,~ .~).C I TY OF CARLSBAD JOB ADDRESS 2-? '/ 3 CT/PROJECT# LOT # Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date / o/-i--o 0 9 APN PHASE# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 0 EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD AIR CONDITIONING FIRE SPRINKLERS YES O NOD YES O NOD CONT APPLICANT NAME ADDRESS CITY ZIP CITY STATE Go c) llA- PHONE FAX EMAIL EMAIL V 57 I ZIP (:_ 2.--0/ 0 PHONE It, 0 - EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STAT:.r 00 17 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter. improve, demolish or repair any structure. prior to its is 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 Se Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for ape civil penalty of not more than five hundred dollars {$500)). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ZIP 0 0 I ~d will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 or the Labor Code, for the performance of the work for which this perm ii is issued. !ZJ.-'l'have and will maintain workers' compensation, s required by Section 3700 of the Labor Code, for the performance of the worx for which this permit is issued. My 1!l't.ers' compensation insurance carrier and policy number are: Insurance Co._.,_,,_....,_.__,,,"'-£._ ____________ Policy No. (!} L t;,,<g/1/ -UJOZ-$J1xpiration Date 7,./ /?, /I O This section need not be completed if the permit is for one hundred dollars {$100) or less. 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 manner so as to become subject lo the Worxers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in ection 3706 of the Labor code, interest and attorney's fees:--- ,2S CONTRACTOR SIGNATURE .A-....._.""'V./ E'J'AGENT I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I. as owner of the property or my employees wilh 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 does such work himself or through his own employees, provided lhat 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 lhal he did not build or improve for the purpose of sale). □ I, as owner of the properly, am exclusively contracting with licensed conlractors to construct the projecl (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves lhereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). □ I am exempl under Section Business and Professions Code for this reason: 1. I personally plan to provide the maIor labor and materials for construction of the proposed property improvement. D Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracled with lhe following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide pcrtions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name / address / phone/ contractors' license number): 5. I will provide some of the worx, but I have contracted (hired) the following persons to provide the work ind,caled (include name / address / phone/ type of WOfk): _2S PROPERTY OWNER SIGNATURE □AGENT DATE 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 25505, 25533 or 25534 of the Presley•T~nner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D 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, of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above information is correct and thatthe information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. thereby authorize representative of the City 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 S'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pemnit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void ~ the building or wori< authorized by such pemnit is not commenced withn 180 days from the date of such pemnit or if the building orwori< au • ed by such pemnit is suspended or abandoned at any time after the wori< is commenced for a period of 180 days (Section 106.4.4 Unifoon Building Code). _£5 APPLICANT'S SIGNATURE ~ DATE / IS) -Z..0 O City of Carlsbad Bldg Inspection Request For: 10/21/2009 Permit# CB091740 Title: ZAMORA RES-RE-PIPE HOME WITH Description: AQUAPEX -HOT & COLD WATER Type:PLUM Sub Type: Job Address: 2743 VICTORIA AV Suite: Lot: 0 Location: OWNER ZAMORA FAMILY TRUST 12-05-04 Owner: ZAMORA FAMILY TRUST 12-05-04 Remarks: Total Time: Act Comments Inspector Assignment: Phone: 8008067374 Inspector: ---1-/~ Requested By: TAYLOR Entered By: JANEAN CD Description A£_ __________ _ 24 Rough/Topout 'Li ------JIJ--~---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments