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Home My WebLink About2738 AVALON AVE; ; CB032730; PermitCity of Carlsbad You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capaaty changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any ~ 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 10-01 -2003 Plumbing Permit Permit No: CB032730 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1675620100 Lot#: 0 Applied: 10/01/2003 Reference #: Plan Approved: 10/01/2003 Issued: 10/01/2003 Project Title: CROCKETT RESIDENCE Inspect Area: 2738 AVALON AV CBAD Construction Type: NEW Entered By: MDP COPPER REPIPE Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner: CROCKETT JAMES&LYNETTE 5483 10/01/03 0002 01 02 57.00 CGF- 2738 AVALON AVE CARLSBAD CA 92008 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 TOTAL PERMIT FEES $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 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 6% - 27w CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit Address (include EldglSuite #I Business Name (at this address) Total X of units Phase No. Legal Description Lot No.Gesion NamelNumber Unit No. ~~ ~ Existing Use Proposed Use Descriptlon of vdod Sa. FT. #of Storles I of Bedrooms rm I1 I of Bathrooms 5. CONTRACTOR - COMPANY NAME ISec 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 e signed statement that he is licensed pursuant to the provlsions of the Contractor's License Law IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom. and the basis for the alleged Name Addred City Stetelzip Telephone I State License # 7q I License class C 29 C3b City Business License # lQ3O7aD Designer Name Address City Statelzip Telephone State License # 6. WORkERS' CbMPENSATIOw Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. I have and will maintain a certificate of consent to self-insure for workers' compensetlon as provided by Section 3700 of the Labor Code, for the perforniancp I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pprinit is &ed. My worker's compensation insurance carrier and policy number are: insurance Company Policy No. 24'3w -0I Expiration Date [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of tha work for which this permit is issued, i shall not employ any person iii any maiiner so as WARNING: Fall 1, and shall rubJect an smploye d clvil flnes up to one hundred thousand dollars ages LI~ provlded for In Sectlon 3 attorney's fees I hereby affirm that I am exempt from the Contractor's License Law for the following rsason: 0 1, 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 lor sale ISec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves tliereon. 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 irnprovemrnt 1s sold within one year of completion, the owner-builder will have the burden of provlng that he did not build or Improve for the purpose of sale1 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the proiect (Sec. 7044, Business and Professtons Code Tlle Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractnr(s1 llrerwrl pursuant to the Contractor's License Law). 0 1. 2. 3. 1 am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES I (have I have not) signed en application for e building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number I contractors license nunibpr) Business and Protesslons Code for this reason: UNO 4 number I contractors license numberl: 5 of work): PROPERTY OWNER SIGNATURE DATE I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the maior work (include name I address / Phone 1 will provide some of the work, but I heve contracted (hlred) the following persons to provide the work lndlcated (include name I address I phone iiiimher I type - COMPLETE THIS SECTION FOR NON-R~~IOEN or risk managwrient and prPvention 1s the applicant or future building occupant re program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? YES 0 NO Is the applicant or future building occupant required to obtain a permlt from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? bmit I business plan, acu 0 YES 0 NO 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 TtlE REOUIREMENTS OF THE OFFICE OF e, CONSTRUCTION LENDING AG I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(iI Civil Code) LENDER'S NAME 1 certify that I have read the application and state that the above informstion is correct and that the information on the plans is accurete 1 agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the Cltp of Carlsbad to entor upori the abovc rrierltioiird p'oporty for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LlABlLlTlFS JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTiNG OF TIIIS PERMIT OSIIA: An OSHA permit is required for excevations over 5'0' deeD and demolition or construction of structures over 3 stories in heioht EXPIRATION. Every permit i authorized by siich permit is n nl any tirne alter the work is c APPLICANT'S SIGNATURE DATE ilalion and become null and void if Ihe building 01 work the building or work . - - .- City of Carlsbad Bldg Inspection Request For: 03/08/2004 Permit# CB032730 Title: CROCKETT RESIDENCE Description: COPPER REPIPE Type: PLUM Sub Type: Job Address: 2738 AVALON AV Suite: Lot 0 Location: APPLICANT ARS Owner: CROCKETT JAMES&LYNETTE Remarks: Inspector Assignment: JM Phone: 6193799375 Inspector: Jm Total Time: Requested By: JIM CD Description Entered By: ROBIN & Comment 29 Final Plumbing Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 10/1712003 29 Final Plumbing 1011 4/2003 24 Roughfropout 1OlOW2003 24 Roughfropout CO JM NEEDCWB AP JM NR JM MARSH I I I I I GHMSM- OCCUR I jOli0lio3 r /01 '06 i COMMESOK GENERK IlbBlLlM~ I I I '9/oLo*~6-' INERAL LIABILITY b i _] WETS C CU4TRACTCR'SPRDT - oiioiim ! 01 101103 mNy WTO BAP 293864741 (VA) 01 IO1 103 01101108 KL WED AUTOS TAP 293864801 (TX} 01 101 IO3 01/01106 S2iEOUCEI)ALJTOS I EAP 293864641 (AOS) ITOMOELE LMBIUTY HIRED AUTOS NOIN-(3WNED WTOS I 1 R SernaMaster Cemfirate Tram MARSH IJSP Inc 5OOW Monroe St . Chicago !L 60661 ~ttn iax a77-732-n~ 5,000,000 PROdUCTS - COLIPMP AW $ i,000,000 1,000.0w MM OCmRRENCE I 1 ,000,000 1,000,000 M~~(~nymeossor~ S 5,000 CCMBlNED SNAE LIMIT $ 1,0(30,000 80OlL"INYRI 5 pa OSsor) S 0- amdmt) PROPERTY OMIAGE $ GENERAL ffiG3EGATE 1 $ 9RSJNK h KJVlFlJURY 1 ilRE DAMAGE (hy metre) I $ BOhLY INYRY 8112 NO RIGHTS UPOM THE CERTlFlUTE HOLDER OTHER THW lHOSE PROVIDED PI rAE POLI~ THe CERTIFICATE OOES HOT AMEND, EXTENO OR ALTER THE COVERAGE MFORDEO aY THE 2OLlUESOESCRIBEOHEREIN. L -_ - c OM P AN IE s AFF ORD I N G COVE RAG E . ccji, 3 A\'< A ZURICH AMERICAN INSURANCE COMPANY --____.__________ ! ca././.;;ph* '3 (x81121ARS AMERICAN RESlDENTlAL SERVlCES 0 ILLINOIS NATIONAL INSURANCE COMPANY OF CALIFORNIA INC dba ARS OF SAN 6EGO 860 RIDGE LAKE BLVD MEMPHIS, TN 381 20 TYPE OF INSURANCE I I POLICY NUMBER LIMITS 4 ! I ! ! ! Em CCCJRREN6 IS 5,OM3,000 ! AGGREGATE 5.00a.OM BE 3097907 10401 101 i 04/01104 (CESS um1ulY i UMeRELA FCRM ! I