The URL can be used to link to this page

Home My WebLink About2634 HALF DOME PL; ; CB030238; Permiti ... City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-23-2003 Plumbing Permit Permit No: CB030238 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2634 HALF DOME PL CBAD PLUM 1675111700 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: ARS STE 100 IDEN RES COPPER RE-PIPE 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Owner: IDEN PAUL&MIKA Y M 2634 HALF DOME PL CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 01/23/2003 SB 01/23/2003 01/23/2003 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 C'.GF· Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK No.C.}o~oZ.sB CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit~-~-------- Validated By_s~~~B ______ _ Address (include Bldg/Suite II) I Legal Description ~ssessor's ParcCb. ~No. Date ( -Z.3 -c>) Business Name (Bl this address) Subdivision Name/Number Unit No. Phase No. Total II of units Proposed Use Description of Work ip(2e-fZ- ~tingUse SO. FT. llof Stories II of Bedrooms # of Bathrooms l . "ll • , 5, CONTRACTOR -COMPANY, NAME' (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 exe p ·on. Any violation of Section 7031.5 by any applicant for a permit subjects the ap licant to a '<!::'II penalty of not mp') than five hundr dollars 1$5001). 2 ~ , I 'f?--I>. q,;){ h 7 -9,I,½ Name Addr City State/Zip Telephone II State License # _]q_.___._,.J_,8.«...=zo=----License Class (j 2D C, ?k;:, City Business License II JD:3D7oo Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATIOtf~ .. ,~-, ~ .~~· ij4: ' ' • . t 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 tor workers' compensation as provided by Section 3700 of the Labor Code, tor 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 tor which this permit is issued. My worker's compensation insurance carrier and policy number are: ~ / / ~ Insurance Company (Y)A.eGH-l<-5,4--I (]C.. Policy No. 24i3ff~ -Expiration Date o, _o, 0 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100( OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. WARNING: Fallur ti coverage Is unlawful, and shall subject an employer to crlmlnal pa altles and lvll fines up to one hundred thousand dollars($ s f pensation, damages as provided for In Section 3706 of the Lr ~f;'vlt r attorney's tees. SIGNATURE __ ~~""--==------""'==-----'--+-'-----"=--=--------------DATE ---'--'L__;_ bV __ .__"""""~ 7. OWNER-BUILDER DECLARATION r, . '' ' ,·., :· • 11'1:" " I heieby affirm that I am exempt from the Contractor's License Law for the following reasoo: 0 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 such 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 w ithin one year of completion, the owner-builder will have the burden of proving that he did not build or Improve tor the purpose of sale). 0 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 tor such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor end materials tor construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit tor the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 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 / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / address / phone number / tyne of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RES/DENriAC eutLDINO,PERMtfs'd'rJl!-Y' i"1 ~1, "':'fi'r,....,,.,i:., ,... '' '-~"1• .. ,,-"'' • · ··,.· · ·' ' 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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the elr pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed 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 REQUIREM ENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY ,,, ,J;,1:,r:.:1,: :!;f •!:ff' ._.,., ·•, •· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097Ii) Civil Code). LENDER'S NAME ______________ _ 9 . APPLICANT CERTIFICATION', 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 Cltt 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 tor excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit iss e by l building Official under the provisions of this Code shall expire by limitation and becom ull an void if the building or work authorized by such permit is not mmence within 180 d fr m the dale of such permit or If the building or work authorized by i c r{9Pfnded or abandoned al any lime after the work is co enc d s ction 106.4.4 Uniform Building Code). Ll.7 ~APPLICANT'S SIGNATURE ~,,.,::.....:::__=:,,,:z;..-"<.:=. _ __:____,"""''----"------------DATE ---~-~-------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/13/2003 Permit# CB030238 Title: \DEN RES COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: 2634 HALF DOME PL Suite: Lot 0 Location: APPLICANT ARS Owner: \DEN PAUL&MIKA Y M Remarks: NOON TIME INSPECTION OR LATER Total Time: CD Description Act Comment 24 Rough/Topout 11)(!,., ~ c) M~AIGI,~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 8586n5455 EX 205 Inspector: Jvv\ Requested By: VERONICA Entered By: CHRISTINE 02/10/2003 24 Rough/Topout AP JM OK TO DRYWALL