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Home My WebLink About2733 BERKELEY AVE; ; CB140817; Permit04-10-2014 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No:CB140817 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2733 BERKELEY AV CBAD PME 1675614200 FORD RES- WHOLE HOUSE REPIPE Lot#: Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/10/2014 LSM 04/10/2014 04/10/2014 Applicant: PIPES PLUMBING Owner: FORD TERENCE R&KAREN E 1145 LAW ST 92069 434-3067 2733 BERKELEY AVE CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees $158.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 Inspector: FINAL APPROVAL Date: ^/^^Y Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exacfions." You have 90 days from the date this permit was issued fo protest imposition of these fees/exactions. If you protest them, you must foiiow the protest procedures set forth in Govemment Code Section 66020(a}, and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY fo any fees/exaction? pf fihidn yog hgv^ previously ti^n given a NOTICE similar to this, or as to which the statute of limitations h^ pr^vlqiigly othenvise expired. THtjin>LtlOWlliG APPROVAI^ RECauaaP PRIOR TO PERMrr ISSUANCE: •PLAKWIMG QENGINEERING •BUILDING QPIRe •HEALTH gHAZMAT/APCD ^ CtTY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8658 email: buiiding@car1sbadca.gov www.carlsbaclca.gov Plan Check No. Ci£>/M'0*^'7 Est. Value Plan Ck. Deposit Date SWPPP JOBADDRESS i , surrE«/si>ACE#/UNiT« IAPN ' ' - CT/PROJEa # LOT# cmstn •# OF UNFTS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OIX. GROUP DESCRIPTION OF W(»tK: Inelmit Squan Fnt 0/M^etwl An^$) EXISTINQ USE PROPOSED USE GARAGE (SF! PATIOS (SF) DECKS (SF) RREPLACE YESQ* NO] i AIR CONDmONiNG YESQNOQ FIRE SPRINKLERS YESn N0| I APPLICANTNAME (Primary Contact) APniCANTNAME fSvcontfary Contact) ADDRESS 3^ V^^^ K7b ADDRESS CITY CITY STATE ZIP PHONE EMAIL EMAIL PROPERTY OWNER NAME ADDRESS CONTRACTOR BUS. NAME STATE 7 zip' ADDRESS CITY STATE ZIP CITY PHONE FAX PHONE EMAIL EMAIL ARC^VDESIGNER NAME&WpRESS CLASS crpr BUS. Lia# /1 °\ 'i^V-J3 (Sec. 7031.5 Business and Professions Coder Any City or Coun^ which requires a permit to construct, alter. Improve, demolish or repair any sUucture, prior to Its Issuance, also requires the applicant for such permit to flle a signed statement that he is licensed pursuant to tfie provisions of the Contractor's License Law (Oiapter 9, commending with Section 7000 of Division 3 ofthe Business and Protessions Code) or tnat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicani for a permit subjects the applicant to a civil penally of not more than five hundred dollars {¥S00}]. WORKEnS COMPENSATION Worfcen' ComptnsatiaiT Dtdvation: I hereby affim under pen^ of perjury one of ffie Monring dedaraHons: Lj I hmmd mM maintain a certifleatB of connnt to »alf-Jnsura for workers' compensation as pnsvided by Sectbn 3700 of the L^ Code, for the performance of the work for which this pennfl Is issuad. andpoKcy L^fhava and wBI malnta^ woriitre' comMnsstlcii, as required by Seclion 3700 of the Labor Code, fa the perfomience of the work for which thispermit is issued, li^ wort«rs' compensation bsurance carrier "^number are: Insurance Co ^ f^Sj-y^ VJ2t.,y<- PQHCVNO. \pU< PTg^^^ ) O Expration Date A2=/^l/li Qsection need not be comply If lhe pennit is for rfiv hurdred dollars ($100) or less. Cwtlficsle of Exemption: I certify that in lhe peiff imance of the woric for which this pemiit is issued, 1 shall not employ any person in any manner so as to become subject to ttie Worters' Compensation Laws of CaEfomia, WARNING: Failure to secura woriwn' compensation niverage Is unlawful, ind shall subject an employer to criminal peniKIn and chrll finat up to one iiundrsd thounnd doHars (&100^), in addiflon to tha coit of compantalion, damigat at provided for in Section 3706 of Uia Labor code, Intereat and attomey's fees, -Cf CONTRACTOR SIGNATURE ^^-^^^ D**^"^ 4/ OWNER-BUILOER DECLARATION • Iher^affirmttmllememr^fnmConbxkirsUceflsel^forthe^a^ I 1 I, as owner ot the property or my employees with wages as their sole compensalion, wNI do Oie worli the sbiictors Is not Intended or offered for sale (Sec. 7044, Business and Piofessions Code: The Contractor's License Law does not apfriy to an owner of prDper^ Mtx) buHds or impioves Ihereon, and who does su^LJAOtlTfilmself or thiough Ns own empioysss, provided lhat such fmprovsmenls are not intended or offered far sale. If, however, the building or in^vsment Is $old within one year of conation, the owneMjuUdfifwII have the burden of proving that he did not build or Inqxovs for the purpose of sale). i, as owner of the property, am wdushrely contracting with licensed contractors tocjUMtrtfctW project (Sec. 7044, Business and ProfessionsCodo: Tlie Contractor's License Law does not apply to an ownw of property who buikis or improves Ihereon, and c«itracts for such projects w%£erlfiBctor(s) licensed pursuant to ttie Contractor's LK»Q |~~) lam exempt under Section Busfciess and ProfeffijoRSlSde for tfus reason: 1.1 personally plan to provide the major labor and majpriaMirconrnKflm D^^s I~~)NO 2.1 (have / have not) signed an anHkation for>bl!lldlng permit for Ihe proposed work. 3.1 have contracted wHh the foUowingoertSn (firm) to provide Ihe proposed conslniCtten'Tinclude name address / phone / contractors' license number): 1.1 plan to povide portions of tti^^M, but I have hired ttie foltowing person to coordinate, supervise and provkte the major work (include name / address / phone / contrai^rs' license number): 5.1 will provMe some,! k, but I have contiacled (hired) ttie following persons to provWe ttie wortt Indicated frndude name / address / phone / type of work): yCS'pROPERTY CWNER SIGNATURE •AMKT DATE PILE'TE THIS SECTION FOR NON-RESIDENTIAL BUILDINO PERMITS ONLY . af^iHcant or future buikiing occupant required to submit a busness plan, acutely hazardous materials registration form or risk management and prevention program under Secttons 25505,2S533 or 25534 of tiw 4sley-Tanner Hazardous Substance Account Act? , Yes No ,s the applteant or future buikHi^ occupant required to olXain a permit from the air pollutton control disttkl or air quality management district? Yes No Is ttie facmty to be constmcted wittiin 1,000 teet of ttie outer boundary of a school site? Yes No IF ANY "niE ANSWERS ARE YES, A RNAL CERTIRCATE Of= OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUAEMENTS OF THE OFFICE OF eiffiRGBKY SERVICES AND THE AIR PCHJ.UT10N CONTROL DISTRICT. CONSTRUCTiON LENDING AGENCY I hereby aflirm that there is a construction lending Lender's Name the perfbrmanca of the work this permit B^usettSecTsog? (i) Civil Code). Lend^s Address APPLICANT CERTIFICATION I certity Ihatl haw read tlwappllcBSon and state that the above Irrfb^ I hereby aulhoffcK FBpfBsentattvB of ttie Oty of Carisbad b oiler upon ttie abM AGWNST ALL UABILmES. JUDGMBfTS, COSTS EXPENSES WHCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUBICE OF THE GRANTING OF THIS PERMIT. OSHA ^ 0^ peiml is rsquinBd for excavations over 5^ deep and denmCI^ EXPIRATION: Every pamit issued by Ihe BuiUrig Offciai urider tie pn3^^ 180 days fitmi the date Of such pefinil or ff Ihe buUitig or lAork authorized^ Building Code). JBSAPPUCWTS SGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY If a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinQ(g)cai1sbadca.QQV or Mall the completed form to City of Cartsbad, Building Divtsion 1635 Faraday Av«iue, Carlsbad, Carifbmia 92008. C0#: (Office UM Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDINQ ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE FAX EMAIL OCCUPANrs BUS. uc. No. DELIVERY OPTIONS FHCK UP: CONTACT O-lstad above) OCCUPANT (Listed above) CONTRACTOR (On Pg. i) IMAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL/FAX TO OTHER: ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSmUCTION ASSOCIATED CB# NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSmUCTION vCTAPPUCANrS SIONATURE DATE Inspection List Permit#: CB140817 Date Inspection Item 04/14/2014 24 Rough/Topout 04/14/2014 24 Rough/Topout 04/14/2014 29 Final Plumbing Type: PME Inspector PB PB Act Rl AP AP FORD RES- WHOLE HOUSE REPIPE Comments FORD RES, AM Tuesday, April 15, 2014 Page 1 of 1