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Home My WebLink About1866 FOREST AVE; ; CB101501; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-12-2010 Plumbing Permit Permit No: CB101501 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1866 FOREST AV CBAD PLUM 1562705000 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: SHAMANSKY RES-RE ROUT THE Inspect Area: SEWER LINE IN THE KIT/LAUNDRY TO MAIN IN FRONT Applicant: VETS 4 YOU PLUMBING STEA 601 S TREMONT ST 92054 760 521 2914 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 1 0 0 0 0 0 Owner: GILBERT PETER J TRUST 06-28-03 1866 FOREST AVE CARLSBAD CA 92008 ISSUED 08/12/2010 LSM 08/12/2010 08/12/2010 $20.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Total Fees: $35.00 Total Payments To Date: $35.00 Balance Due: Inspector: Clearance: $0.00 at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter co!!ectively 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 f x lions f which h v r vi s be n iv n N Tl E imil r hi r a t which the tat e f Ii i i n h reviousl otherwis ex ire . i11t> ~ CITY OF Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 I 2719 Plan Check No. C!..8 f O I SO I Est. Value Plan Ck. Deposit CARLSBAD JOBADDRESS I 5 Fax: 760-602-8558 www.carlsbadca.gov CT/PROJECT# I LOT# PHASE# I# OF UNITS I# ~MS DESCRIPTION OF WORK: lnclW. Square Feet of A1tfected Atu(s) e,. r...JT ,,..., I IC;\-LA..,,.Jt..J I ~r•,.t.,U ~or EXISTING USE I PROPOSED USE CONTACT NAME (ff D1tfet8llt Fom Applicant) ADDRESS CHY STATE PHONE I FAX EMAIL ADORES~ ' t I r,6, rwtl.1 Ave PHONE6 '°I .l.. () ' EMAIL ARCH/OE.SIGNER NAME & ADDRESS - STATE LA I GARAGE (SF) ZIP ,ZIP ~ "'I L .-c, X I STATE UC.# SUffE#/SPACE#/UNIT# -#BATHROOMS ~ I TENANT BUSINESS NAME To :... 1"1.. PATIOS (SF) I DECKS (SF) !FIREPLACE IAIR CONDITIONING IFIRE SPRINKLERS YESD #_ NOD YES O NOD YES O NOD ADDJl'!!: I ~ -..,.. A , '"' -'. 'Tr( ,.... .,..,rr ,.., t1 CONTRACTOR BUS. NAME v'e-t s '<1 'I Ov ADDRESS (A l'Vli' A.f.>,vvC. "'--~ CITY STATE ZIP PHONE IFAX EMAIL STATE UC~ ,,, 3 IC:: ~ I "Z: } , t~>Tid'> (Sec. 7031.5 Bus mess and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to ltS issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the irovlslons of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem9.t therefrom, and the basis for the a leged exemption. Any violation of Section 7031.5 l)y any applk:anffor a permit subjects the applicant to a civil penalty of not more than five hundred dollars (~500)). WORKERS' COMPENSATION Workers' Compensation Otclantion: I hereby Blfirm under penalty of perjury one of /he following declarabons: 1 [] I have and will maintain a certificate of consent to Hlf.ifllllrt for workers' compensation as provided by Section 3700 of Iha Labor Code, for the performance of the work for which lhis pem,11 is issued. [] I have ind wlU m1lntaln workers' compensation, as required by Section 3700 of the Labor Code, for the perfoonenai of the work for which this permit Is Issued. My workers' compensation insurance carrier end policy number ar8: lllSurance Co. Policy No. Expiration Dale--------- !section need not be completed if Iha permit is for one hundred dollars ($100) or less. Certificate of Exemption: I certify that In the perfonnance of the wOfk for which this pennil is issued, I shall not employ any 1)9($00 in any manner so as to become subject to the Workers' Compensation Laws of forn!a. WARNING: Falktle to secure workerl' compensation c:overage Is unlawful, and 1hall 1M1bjtc:f. an empk>yerto crlrnln1I penlltlH and c:MI flnH up to one hundred thouund doll1ra (&100,000), In addition to the c:ost of c:ompen1ation, damagn a, provided for In Sec:tlon 3706 of the Labor code, lntet'Ut and attorney's fffL .Af5 CONTRACTOR SIGNATURE 0AGENT DATE OWNER-BUILDER DECLARATION I hereby Bfffrm that I am exempt from Contractor's Ucense Law for th6 folk:N,;ng RHISOII: C] I, as owner of the property or my employees with wages as their sole compensation, will do the wor1c. and lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to• owner of property who buMds or improves th81'eon, and who does such work himself or through his own emJ*)yees, provided that such improvements are not intended or offered for sale. ff, however, the bu~ding or improvement Is sold within one 'f8fJl of completion, the owner-builder 'MIi have the burden d proving that he did not bulld or improve for the purpon of &ale). C] I, as Cl'M'ler of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end Professions Code: The Contractor's licenle Law does not apply to an owner d property who buMds or improves th81'8on, and contracts for such projects with conlraclor(s) licensed pursuant to the Contractor's License Law). C] I am axampt under Section Business and Professions Code for this reason: 1. I pereonally plan to provide the major labor and materials lor construclion of the proposed property Improvement. C] Yes Ll No 2. I (have I have not) signed an application for a building permit for the proposed WOOC.. 3. I have contracted with the folowlng person (firm) to provide the proposed construction (include nane address I phone I oontrac:tors' llcense number): 4. I plan to provide portions of the WOO.:, but I have hired the following person b c:oordinate, supervise and provide the major work (include name I addreu f phone/ conlrecin' llc:enM number): 5. I wiH provide some d the work, but I have contracted (hired) the following persons to pn:wicle the wor1c. indicated (include name I address I phone I type of 'MIik): A5 PROP£RTY OWNER SIGNATURE CIAGENT DATE COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY Is lhe a~ orfJ,Jture blilding 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 lhe Prnlt¢tann• Hazardous Substance Acc:ount Ad.? a Yes a No Is the applicant or future building occupant required to obtain a penntt from the air pollution control district or air quall ly management district? a Yes a No Is the facility to be constructed within 1,000 feet of the outer boundmy of a school sile? a Yes a No F ANY Of THE ANSWERS ARE YES, A FINAL CERTtFtcATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of EMERGENCY SBMCES AND THE AIR POLLUTION CONTROL DISTRICT. I certllythat I ha¥e l'88d the appllr.atlon and state that the abl:M, lnfonnatiOft Is com,ct and that the infomlation on the plans Is accurate. I ag,&eto comply with all Oly ordinances and Stata laws Nlatlngto bulldlngconstrudkln. I helaby aullolizo r,pesenlaliYe of h, Cilyof Ca-1Jenler_ lhe _ """""1ed propertyllr nspeclon pu,poses. I />LSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARM.ESS T1iE CITY OF CARLSBAD AGAINST All L~ILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAIOCITY IN CONSEQUENCE OFTiiE GRANTING OF THJS PERMIT. OSHA: '"1 OSHA permit o 19qtm llr excavali<ro""1f5~' deepand delooliionaoooslrudlon of slnJc:a.ols Mr3 sb1es n ~ EXPIRATION: EV8f\' permit isaJed by h, BoidiJg Oftbal lr<ler h, pro,isions of lhis Code shaJI e,pie by oniation and berome nul and YOid ! h, buidi'g a \\01< aulhoriz8d by sud\ 180daystomh,daleofsud\pemilalh,buidi'ga · by · is.._,cledaabaroonedatanytirroafterh,\\01<is"""""1C8dllra · of180days Af APPLICANT'S SIGNATURE DATE <g ·snot"""""1C8dwillwl 106A.4 Uibm llltilll Code). City of Carlsbad Bldg Inspection Request For: 12/29/2010 Permit# CB101501 Inspector Assignment: PY --- Title: SHAMANSKY RES-REROUT THE Description: SEWER LINE IN THE KIT/LAUNDRY TO MAIN IN FRONT YARD Type:PLUM Sub Type: Job Address: Suite: 1866 FOREST AV Lot: Phone: 0000000000 0 Location: Inspector: OWNER GILBERT PETER J TRUST 06-28-03 Owner: LLOPIS NOEL&SHAMANSKY AMY Remarks: can this be final? Total Time: CD Description Act Comments 29 Final Plumbing 0 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 08/16/2010 21 Underground/Under Floor 08/16/2010 22 Sewer/Water Service Act lnsp Comments AP PY AP PY ----- Requested By: CHRISTINE Entered By: CHRISTINE