HomeMy WebLinkAbout2720 AVALON AVE; ; CB031613; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
05-1 1 -io03 Plumbing Permit Permit No: CB031613
Job Address: Permit Type: PLUM Status: ISSUED Parcel No: I675613400 Lot#: 0 Applied: 06/11/2003
Reference #: Plan Approved: OW1 WOO3 Issued: 06/11/2003 Project Title: BRIGHT RES-COPPER RE-PIPE Inspect Area:
2720 AVALON AV CBAD
Construction Type: NEW Entered By: RMA
Applicant: ARS STE 100 6162 NANCY RIDGE DR
SAN DlEGO CA 92121
658-677-5455
Owner: BRIGHT BRADLEY J&CLAUDIA R
2720 AVALON AVE CARLSBAD CA 92008
Plumbing Issue Fee Fixture or Trap Buildina Sewer
Roof DFain
InstalllReDair Water Line
Water Heater and/or Vent Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
0
0
$20.00 $0.00 $0.00
$0.00 87.00
50.00
$0.00 $0.00 $30.00
$0.00 $0.00 $0.00
TOTAL PERMIT FEES $57.00
Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00
Inspector: .3h Date: 7, Clearance:
NOTICE: Please take NOTICE that approval of your project includes the ’Imposition” of fees, dedications, resewations or other exactions hereafter wllecliiely
referred to as ’feesiexactions.” You have 90 days from the date this permit was issued to protest impasition of these feeslexactions. If you protest them, you must
follow the protest procedures set forvl in Government Code Sectmn 66020(a), aod file he protest and any olher required infmation wiIh the C#y 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.
--
PERMIT APPLICATION
ClfY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Legal Description Lot NamslNumbsr Unit No. Phasa No. Total I of units -. . .
Existing Use Proporad Use
oescriptim of Work I SO. FT. #of stori.. I of Bedrooms X of Bathrooms
" . . . .
5. CONTRACTOR : COWAW NAMEP~
(Sec. 7031.5 Business and Proferrions Code: Any City or County which requires I) permit to construct. alter. Improve. demolish or repair any structure, prior to its
iksumce, also isquires the applicant for such permit to file a signed statement that he is licansad pursuant to the provisions of the Contractor's License Law
[Chapter 9. commending with S8ction 7000 of Dlvision 3 of the Business and Profsssions Codal or that he is exempt tharafrom. and the baris lor the alleged
five hu red dollars lS50011. - $67 7 54-45
Name Addrd City Statelzip Telephone L
State License x 7q I License ~iarr C Lo C3b City Business License I IDh7c0
Designer Name Address City Statelzip Telephone
state License X
6. ' WORKrRS' CbMPENSATlU#'" '
Worked Compensation Declaration: I
of tho work for which this permit is issued.
/ked. My worksr'r compensation insurance Earlier and p~llcy nymbar are:
Insurance Company poiicy No. 243(ibt3 -0I Expiration Date
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1
WARNING: Failur re workers' compensatl
thousand dollars I
I have and will maintain a Certificate of consent to rslf-insure far workers' Compsmation 8s provided by Section 3700 of the Labor Code, for the performance
i have and will maintain workers' compensation. 8s required by Section 3700 of the Lsbor Code, for tho performance of the work for which thio permit is
CERTIFICATE OF EXEMPTION: I certify that in tha performance of tho work for which this permit is issued. I shall not employ any person iii any manner IO 8s
e 11 unlaw1uI. and ah811 subject an unployer to
Ion. d>magsr a1 provided far In Sactlm 3708 dltlon m the co
on rac 01 I censtl
I. as owner of the property or my employees with wages as their sole compnnsation. will do the work and the structure Is not iritendsd or offered for aaie
ISec. 7044, Business and Professions Code: Tho Contractor's Licansa Law doer not apply to an owner of proparty Who builds or improves thereon. and who docs
such work himself or through hi. own employees. provided that such improvsmantr Ire not intended 01 offarad for sale. If. however, the building or improvement is
sold within one year of completion. th8 owner-builder will ha"@ the burden of proving that he did not build or improve lor thll purpose of sale1
0 I. 8s owner of the pmpsrtv. am sxclvsivsly contracting with licensed contractors to construct the project (See. 7044. Business and Professions Code: Ths
Contractor's License Law doer not apply to an owner of property who builds or improves thereon. and contracts for such projects with contractorlrl licensed
pursuant to the Contractds License Law).
0
1.
2.
3.
I am exempt under Section
I personally plan to provide the major labor and materials for constwction of the proposed propmy improvement. 0 YES ON0
I (have I have not) signed an application for a building pernit for the pmpossd work.
I have contracted with the fallowing person lfirml to provide the proposed construction lincluds name I addrerr I phons numbsr I contractors license number):
Business and Professions Code for this mason:
4.
number I contractom license number):
5.
of warki:
I plan to provide portions of th8 work. but I have hired the following person to coordinate, ~upervlse and provide tha malor work linclude name I address I Phone
I will provide some of the work. but I have contracted (hired) the following persons to provlds the work indicated linduds mrn~ I address I phone !limber I tyne
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON~~~~/DFNrr~L,f~UIL~lN~~P~~~i~~~ ..
Is the applicant or futurm building occupant required to submit e business plan, acutely hazardous material9 registration form or risk management and pievmtion
program under Sections 25505. 25533 or 25534 of the Predey-Tanner Hazardobr Substance Account Act? 0 YES 0 NO
Is the applicant or future building occupant required to obtain a parmlt from th8 ail poilution control district or air quniity managemant district?
Is tho facility to bs mnstwcted within 1,000 feet of the outer boundary of a school sits? YES 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT.
8, CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a Construction lending agency for the parformanca of the work for which this permit is issued ISec. 309711) Civil Codd
0 YES 0 NO
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION' ' '' . i",7
I certify that i have read the application and state that the abova information is coiiect and that the informatioion thm plans is accurate. I agree to comply with dl
City ordinances and Slate laws relating to building Construction. I hereby authorize repre~mtatlveo of the Cit). of Carisbad to enter upon the above rnerltioiicd
p'oparly far inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIA~iLIlIES.
JUDGMENTS. COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT
OSHA: An OSHA permit is required for excavations war 5'0" deep and damolltion or construction of structures over 3 stories in height.
EXPIRATION: Every permil iss
nulhorized by such permit is no
at any lime afler the work is co
APPLICANT'S SIGNATURE DATE
Code shall expire by iimlfalion and become null and void if the building or work
WHITE: Fils YELLOW Applicant PINK: Finance
Inspection List
Permit#: CEO31613 Type: PLUM BRIGHT RES-COPPER RE-PIPE
Date Inspectlon Item Inspector Act Comments
07/08/2003 29 Final Plumbing RI
07/08/2003 29 Final Plumbing JM FI
06/25/2003 24 Roughflopout RI
06/25/2003 24 Roughflopout JE AP
Tuesday, July 08,2003 Page 1 of 1
DATE ?/8h3
PERMIT # ,-3
INSPECTOR Jm
PLANCHECK# r,
DESCRIPTION - dj
CODE
25
DESCRIPTION ACT COMMENTS
S,s~rioeMasler Cerhflale Team . MARSH LISA VL . 500 W Monroe SI Chicago. IL a61 Ab' Fax. 877-732-7799
A ZURICH AMERICAN INSURANCE COMPANY
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(Ml72)ARS AMERICAN RESlDENllAL SERVICES B ILLINOIS NATIONAL INSURANCE COMPANY OF CALIFORNIA INC. dba ARS OF SAN DIEGO 860 RIDGE LAKE BLVD MEMPHIS, TN 38120
MEROK GENERU LlKIlLlly
ER'S 6 COhd*crWs PEOT
BAP 293864747 (VA)
TAP 293864801 (TX) NL WED WTOS
931EOULEDAUTOS
klRED WTOS
NMOAWEO WTCS