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)704 01/31/05! 0002 01
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City Of Carlsbad
1 1635 Fraday Ay aibad,c,2008
01-31-2005 Plumbing Permit Permit No: CB050285
Building Inspection Request Line (760) 602-2725
Job Address: 2510 NAVARRA DR CBAD St: 511
Permit Type: PLUM 4 Status: ISSUED
ParceI No: .' 216170511 - Lot #: 0. ., Applied: 01/31/2005
Construction Type: -.NEW' . Entered By: SB
Reference #: .. Plan Approved: 01/31/2005
Issued: 01/31/2005..
Project Title: SWEENEY RES. BATHROOM REMODEL . Inspect Area* .
(Applicant: Owner: _
ñ J NDREW SWEENEY SHEERMAN JOHN&PAMELA E
C/O KEITH REGAN
\ #511 3748 MISSION AVE
' 2510 NAVARRA 92009 - OCEANSIDE CA 92054
Plumbing Issue Fee /
Fixture or Trap
Building Sewer
Roof Drain / .
-- ----.
0
Install/Repair Water Line ft 1 ' U lu
Water Heater and/or.Ventr-ij / Gas Piping System! Vacuum Breaker
Other Plumbing Fees . .
Master Drainage Fee
Sewer Fee . . .
Additional Fees I
\. \
TOTAL PERMIT FEES
- INCORPORATED
Total Fees: $108.00 crotal Payments To Dat&352 $000 BaIãnceDue:/ $108.00
c fj Fl NALPfJO)A..'
Date: Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Impsition" 9(fees, dedications, reservations, or other exactions hereafter collectively
referred to as lees/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
.d .
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY r
PLAN CHECK NOP7OVbS
EST. VAL.
Plan Ck. Deposit
Validated By_________________________
r I PROJECT INFORMATION
KI
, ,quA,Qj2.A 1c 56 CQL5AO q2o0g
2< Address (include Bldg/Suite #) Business Name (at this address) - -
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessors P rcel I , Existing Use Proposed Use
7 +coo irnOA
escription of Work - - SQ. FT. #of Stories . I of Bedrooms I of Bathrooms
2': CONTACT PERSON (If dlffeêWt foippllant) . ... .. rt.1 I - :' .;, ;. - :, ...................
Name - Address ' City State/Zip Telephone I Fax I
3'APPLICANT .D Cohtractor .,. 0 AÜent'forCànrctr.. Downer D Agt.forOwir :.
AName . Address City State/Zip Telephone I
- ,, '- r
pi, aSO C..05TUe 611) Q12&?1 cl2(aOr-)
- Name Address City . State/Zip Telephone I
5 CONTRACTOR COMPANY NAME r
-no jqa~
(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
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 Division 3 of the 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 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
no
r6] WbRKERSCOMPENSAT(ON, ' -'- ,j- 4•.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one 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 performance
of the work for which this permit is issued. -
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company - , Policy No. _- Expiration Date__________________
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) .•
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 to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal, penalties and Clvil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE . ' DATE • r7~ERDEcRATioN. ! ::
ereby affirm that I am exempt from the Contractor's License Law 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, 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
uch work himself or through his own employees, provided that 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 that he did not build or improve for the purpose of sale).
J I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
I am exempt under Section Business and Professions Code for this reason:
•
. -
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
I (have F have not) signed an application for a building permit for the proposed work. . .
I have contracted with the following person (firm)to provide the proposed construction (include name / address,! phone number / contractors license number):
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 F phone
number F contractors license number):
I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type
of work): --. - - -
PROPERTY OWNER SIGNATURE 1-1114 44 16S DATE I
:..... ............ rCOMPLETET.H!SSECTlONFOR.NON.. ., A BUILD..PERMITS 0
Is the applicant or future building occupant equired 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-Tanner Hazardous Substance Account Act? .. 0 YES 0 NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES. 0 NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. .
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(i) Civil Code).
-
LENDER'S NAME . LENDER'S ADDRESS . .
191&APPLICANT CERTIFICAT1öNk, rL t .- 31 .t_ts• - rj
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 Cit' 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 if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commence nod of 180 days (Section 106.4.4 Uniform Building Code).
)(APPLICANTS SIGNATURE
..
- DATE _t'('
WHITE: File
•
YELLOW: Applicant PINK: Finance.• • -
- •.
PKI
City of Carlsbad Bldg Inspection Request
L For 04/26/2005
Permit# CB050285 inspector Assignment: PS
Title: SWEENEY RES BATHROOM REMODEL
Description:
Type: PLUM Sub Type:
' Phone: 7147262952
Job Address: 2510 NAVARRA DR
Suite: 511 Lot 0
Location Inspector
APPLICANT ANDREW SWEENEY
Owner:
Remarks:
Total Time: Requested By: DAVID
Entered By: CHRISTINE
CD Description ct Comment
29 Final Plumbing
Associated PCRs/CVs
Inspection History -
Date Description Act lnsp Comments
04/22/2005 29 Final Plumbing CA PS BY DAVID
04/12/2005 24 Rough/Topout AP PS
03/30/2005 24 Rough/Topout CO PS NO ONE HOME -