HomeMy WebLinkAbout2720 AVALON AVE; ; CB031733; PermitCity of Carlsbad
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit
Building Inspection Request Line (760) 602-2725
Permit No: CB031 733
2720 AVALON AV CBAD
PLUM Status: ISSUED
1675613400 Lot#: 0 Applied: 06/25/2003
Plan Approved: 06/25/2003
Issued: 06/25/2003
Construction Type: NEW Entered By: MDP
Applicant: ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121 858-677-5455
BRIGHT RESIDENCE WATER HEATER REPLACEMENT Inspect Area:
Owner: BRIGHT BRADLEY J&CLAUDIA R
2720 AVALON AVE 8201 06/29/03 0002 01 02
CARLSBAD CA 92008 COP 27.00
Plumbing Issue Fee Fixture or Trap
Building Sewer
Roof Drain
InstalVRepair Water Line
Water Heater and/or Vent
Gas Piping System Vacuum Breaker Other Plumbing Fees
Master Drainage Fee
Sewer Fee Additional Fees
$20.00 $0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00 $0.00
$0.00
$0.00 $0.00
TOTAL PERMIT FEES $27.00
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
referred to as "feeS/exactionS." You have 90 days from the date this permit was issued to protest imposition of these fee?Jexactions. 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 lollow that procedure will bar any subsequent legal action to attack,
review, set aside. void, or annul their imposition.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
'.
Address lincluda BldgISuits XI
Legal Oescription Lot NO,^^ NameINumber Unit No. Phass No. Total I of units
Assessor' r i
Burlnasr Nama lmt this addrsrri
Proposed Use
oe~criptlon Wk of wdrk LL.2zzXi"- sa. FT. #Of sto1i.. I of Bedrooms 1 Of Batllroams
FOR OFFICE USE ONLY
PLAN CHECK NO. 03
EST. VAL.
Plan Ck. Deposit
Validated By
Date
5. CONTRACTOR - CbMPANY NAMei
(sec. 7031.5 Business and Professions Code: Any City or County which requires 8 permit to constrvct. alter, improve, demolish or repair any structure. Drim ID its
~SPII~IICB. dso requires the applicant for such permit to fils a signed statement that ha is licansed pursuant to the provisions of the Contractor's License I nw
lchnpter 9, commending with Section 7000 of Division 3 of the Business and Profsssions Codel or that ha Is exempt tharsfrom, and the basis for the aliegrd
em p i II Any violation of Section 7031.5 by any applic nt for e permit rubiscts the applicant to I civil penalty of no more than live hu
Nan18
red dollars 1$50011
f Srdl7 5w-. d? \w ";i> clsh2
Telephone I Addr City StstelZip
w5 bib2 w k?dbpl%3 ,
State License # 79 I 6.Z-O Lictsa Class c LO ~k city ~uriner?i ~icsnra I IDZWW
Designer Name Address City Statelzip Telephone
state LICBIISB x
Workers' Compen
0 i lhave and will maintain a Certificate of Consent to rslf-insure for workers' compensation LIS provided by Section 3700 of the Labor Code. for the performanr?
of tho work for which this permit is issued. $i i have and wiii maintain workers' compensation, 81 required by Section 3700 of the Labor Code. for the psrformsnca of the work for which lhis permit is
Issued. My worker's compensation insurance carrier and policy number ole:
lnsurmc~ Company
ITHiS SECTION NEED NOT BE COMPLETED IF THE PERMIT is FOR ONE HUNDRED DOLLARS 1$100] OR LESS]
0 CERTIFICATE OF EXEMPTION: I certify that in tho performance of the work for which this permit is irouad. i rhail not employ any perron ill any mariner so as
to bscoms subject 1
WARNING: Faitu , and ohail subject an amployir IO cr s up Io oiie hundred
thousand dollars
SIGNATURE
7. OWNS
i hereby affirm rhat I am mempt from the Contmclor's License Law for the Idlowing reason:
0 I. as owner of the property or my employsa?i with wager a9 thelr lde compensation, will do the work and the structure is not intended or ofiered lor sale
1Sec. 7044. Business and Professions Code: The Contractor's Licanra Law doss not apply to an ownsr of proparty who builds or improver tirereon. and who dnrs
ruch work himself or through his awn ampioyser. provided thmt such imprOvamantr are not intended or offarad lor sa18. if, however. the building or impm'vrmmt is
sold within one ymi of completion. the owner-builder will have the burdsn oi proving that ha did not build or improve lor tho purpors of said
0 i, as owner of the property, am exciusivdy contracting with licensed contractors to ~onstru~t the project ISec. 1044. Burlnsss and Professions Code: Tlio
Contracfor'i License Law dons not apply to an ownsr oi pmpsny who builds or Improves thereon, snd conlracta tor such projects with coiitrilclmlci licciwd
pursuant to the Contractor's Llcanoe Lawl.
6, ,.. *ORKERS
1/1 [ob Expiration Date poiicy NO. 243w -0I
orkers' Compensation Laws of California.
go$ 8s prodded for In Section 3708 o attorney's leer.
0
1.
2.
3.
4.
I am exempt under Section
i personally plan to provide the major labor and matariais for ConstrUCtlOn of the proposed property Improvsmant. 0 YES ON0
i ihave I have noti signed an application lot 8 building permlt for the proposed work.
I have contracted with the lollowing person (fitmi to pravlda the proponad construction linctvda name I address I phons bumbsr I ~ontr~~t~rs IicensB numbeii:
i ~Ian to vovide oortions of the work. but I have hired the foilowinn ~~son to coordinate. suoervlse and orovids thn maim woik linclude name I address I liiioiio
Business and Profsralons Coda for this reason:
.~ .. numbe; I contractors lknse number):
5. I will provide some of the work. but I have contrncted Ihlradl the fol~owlng persona to provlds the work indlcatad lincluds hame I address I hone ncimhrr I ly~e
of worki: .
PROPERTY OWNER SIGNATURE DATE
COMPL~E THIS SECTION FOR NONXk&bEN77XL' ., ,.
Is the applicant or futuro building occupmt required to submit II burinsss plan. acutely hazardous m8terials registration form or risk management and pieventinn
program undor Sections 25505. 25533 01 25534 of tho Prsslsy-Tanner Hazardous Subrtancs Account Act1 YES 0 NO
is the applicant or lutuie building occupant required to obtain a parmlt llom the all pollution control district or all qulllity managamant district7
Is the fekiiity to be constructed within 1,000 leet of the outer boundary of a school sllal
YES 0 NO
YES NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING TIE
REOUiREMENTS OF TtlE DFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTiON LENDiNG AGENCY '.. ' ' '
I hereby aflirm that there is a construction lending agency for the performance of the work for which this permit is issued ISsc. 3037111 Civil Codel
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT CERTIFICATION
I certify that I havs reed the application and State thst the above informallon is correct and that the Information'on the plans is bccurate. I agree to comply with 011
City 3rdiiiances and Slate law5 relating lo building ~onstr~clion. I hereby authorize representmtives of tha CitV of Carlsbad lo antar upon tiis .bow rrwiilioricd
P'OporlV for inEPeCtiOrl purp05eI. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CfrY OF CARLSBAD AGAINST ALL LfARIlflIFS.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTV IN CONSEOVENCE OF THE GRANTiNG OF TtllS PERMIT
OSIIA: An OSHA permit is required for excavations over 5'0- deep and demolition or construction of structures over 3 stories in hdghl.
EXPIRATiON: Every nermil iss
aiilhorized by such permit is no1
a1 my lime afier llie work is co
APPLICANT'S SIGNATURE DATE
Itallon and become null and void if llle building 01 work
within 180 da 5 irom the mil or If the buliding or work
~~
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Insp-ection ., List
Permit#: CB031733 Type: PLUM BRIGHT RESIDENCE
WATERHEATERREPLACEMENT
Date Inspection Item Inspector Act Comments
07/08/2003 25 Water HeaterNents JM FI
Tuesday, July 08,2003 Page 1 of 1
UNSCHEDULED BUILDING INSPECTION
DATE 76, INSPECTOR
PERMIT # -33 PLANCHECK#
JOB ADDRESS
DESCRIPTION
CODE DES CRTPTION ACT COMMENTS
I
"' C ERT I FlC ATE 0 F INSURANCE ''
~~~~~~~~~~
THE CERTFICATE U ISSUED AS AIHATTER OF INFORMATION MLY MD CONFERS
NO RlOHTS UPON THE CERTIFICATE HOLDER OTHER THhY THOSE PROVIDED W THE
POLIN. THIS GERTEICATE DOES NOT MEND. EXTEND OR blTER THE COVERAGE
-MAkSH
s(:rfice asw cemdcate Team MARSH USA '0s. 500 W Monroe SI. Chicago, IL W61 Ab Fax 877-732-7799
~FFOROED a ME POLIUESDESCFIESO HEREIN.
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RODUCER
COMPANIES AFFORDING COVERAGE
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8112 A ZURICH AMERICAN INSURANCE COMPANY
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(#8112)~~s AMERICAN RESIDENTAL SERMCES OF CALIFORNIA INC dba ARS OF SAN OlEGO 860 RIDGE LAKE BLVD MEMPHIS, TN 38120
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