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Home My WebLink About2739 AVALON AVE; ; CB023074; PermitI , City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 10-1 0-2002 Plumbing Permit Permit No: CB023074 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 16756301 00 Lot#: 0 Applied: 10/10/2002 Reference #: Plan Approved: 10/10/2002 Issued: 10/10/2002 Project Title: POKKIM RES/ COPPER REPIPE Inspect Area: 2739 AVALON AV CBAD Construction Type: NEW Entered By: CB Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner: POKKlM WILLIAM J R&SAVY Cgy2 10,10/02 wo2 ol CARLSEAD CA 92008 o2 2739 AVALON AVE CGF' 57.05 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 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 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 You are hereby FURTHER NOTIFIED that your right to protest the specified feedexadions DOES NOT APPLY to water and Sewer connedion fees and capacity FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit Address lincluds BldglSuita Xi Legal Desciiption Subdivision NamalNumber Unit No. Phase No. Total X of units Assessor's a E Existing Use Proposad Use -,Q+-qJ SO. FT. #of Stories X of Bedrooms Description of Work A; ddfiTnc~ p~csa~ :W.~ti~i~~~~~~s"~~~~ Name Address city StatelZip Telephone X Fax X Business Nsma ist this sddrarsl I' I' 'I X of Bsthroomr !' Name Addrsrs CltV SfstelZip Telephone X 6. CONTRACTOR. COMPANYNAME ISec. 7031.5 Business and Professions Code: Any City 0 or repair any struCtUr8. prior to its issuance, atso requires the applicant for such permit to fils a signed stitament that he is licensed pursuant to tho provisions of tho Contractor's License Law ichapter 9. commsnding with Section 7000 of Division 3 of the Business and Profssrionr Codd or that he is exempt thersfrom, and the basis far thn alleged Any violation of Section J031.5 by any applicant tor B permit subjects the ap licant 10 a ivil penalty of not m r than five huodr Add& City StatblZip dollars 1$50011. db77 -9% Telephone X t& I% ssb. Cf&m-l 616.2 W rWaEM Name state License X 31 $20 class 0.20 0% city Business ~icrrnss x /0430700 Designsr Name Add I e L s City StatelZip Telephone Stste License I 0 of the work for which this permit is issued. Fwd. My worker's compensation insurance carrim and policy number 818: I have and will maintain a csrtificate of consent to self-insure far workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain workers' compensation. as rsquirsd by Section 3700 of the Labor Code, for the psrformance of the work for which this permit is Comoany Wrt lc5/4- I nc Policy No. 9ask-3 -m Expiration Date o~/~1103 (THIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ldl001 OR LESS) 0 CERTIFICATE to become wbjwt t WARNING: thousand do SiGNATURE D 7. OWNER-B I hereby affirm that i am exempt from ths Contmcto,'~ License Law for lhe following masou: 0 i. 85 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 5.18 ISec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of ptoperty who builds or improves thereon. and Who does such work himself or through his own employees, provided that such improvamantr are not intended or offered lor sale. If. howaver, the building or improvement is sold within one year of completion. the owner-builder will have the burden of Proving that he did not build or improve for the purpose of satel. 0 I, as owner of the property, am exdvsively contracting with licensed Contractors to EO~P~UC~ the project ISsc. 7044, Businsss and Professions Code: The Contractor's License Law does not apply to an owner of pmparty who builds or improves thereon. and Contracts for such projects with contractorlil licensed pursuant to the Contractor's License Lcwl. 0 1. 2. 3. 4. number I contractors licenee numbsri: 5. of workl: PTION I certify that in the performance of th8 work for which this permit is issued. I shall not employ any person in any manner so 8s er Io Crlmln8l psnaltles and cl~ll llnes up to one hundred 3708 of the Labor code, Interert and attorney'$ leer. I am exempt under Section I p~rsonally plan to provide the major labor and materids for Construction of tha proposed property improvement. YES UNO I (have I have noti signed an application for a building permit lor the proposed work. I have contracted with the following permn (firmi to provide the proposed construction linclude name I address I phone number I contractors license numberl: I plan to provide portions of the work, bvt I have hired tha following person to coordinate. supervise and provide ths major work linclude name I addrsss I phone i will provide some of the work. but I havs contracted lhlredl the foilowing ~ersons to provida tha work indicated (include name I address I phone number I type Business and Profsrslons Code for this reason: DATE .. PROPERTY OWNER SlGhATURE COMPLETE THIS SECTION FOR NON.RESlDENIIAL BUlLDlNd PkdMliS'dtJLV 1s the applicant or future building occupant required 10 submit 8 business plan, acutely hazardous materisla registration form or risk management and prevmtion program under Sections 25505. 25533 or 25534 of tho Predey-Tanner HLllwdoVS SubPtanee Amount Act? 0 YES c) NO 1s the applicant or future building occupant required to obtdn a permit from the ail pollution control district or alr quality msnsgemsnt district7 is the facility to be constructed within 1,000 fael of the 0~1e.r boundary of I! school site? IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUE0 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENC? I hereby sflirm that there is a COnSfrUCtim lending agency for the pBrlormanC0 of the work for which this permit 1s issued ISec. 3097lil Civil Codei. 0 YES 0 NO 0 YES NO LENDER'S NAME LENDERS ADDRESS .. .. . .. . ..... 9. APPLICANT CERTIFICATION: . ' I certify that I have read the application and stam that the above information is correct and that the information on the plans is accurate. I sgres to comply with a11 Cify ordinances and Stats laws relating 10 building constr~ction. I hereby authorize representatives of the Cit). of Carlsbad to enter upon the above mentioned property tor inspection pu INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is EXPIRATION: Evev permit authorized by such permit is at any lime alter the work Is and damofition or construction of 5trUCtUrm ova, 3 stories in hsight. Code shall expire by limitation and become null and void it the building or work It or if the buildlng or Work BUlhorized by SU &ydu gsy@or abandoned arm Building Code). )(APPLICANTS SIGNATURE DATE WHITE: Fils YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 11/26/2002 Permit# CEO23074 Inspector Assignment: JM Title: POKKIM RES/ COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 27.. AVALON AV Suite: Lot 0 Location: APPLICANT ARS Owner: POKKIM WILLIAM J R&SAW C Remarks: AM PLEASE Total Time: CD Description 29 Final Plumbing Phone: 8586775455 EX 205 Inspector: 3~ Requested By: VERONICA Entered By: KAREN Act Comments Associated PCRslCVs InsDection History Date Description Act lnsp Comments 11/14/2002 24 Rough/Topout AP JM OK TO DRYWALL I ' MARSH USA INC. - A CEMEULLIA8ILITI GLO 2938645-00 - X CWUERCUL GENEML LWLIIV CcCuR OWNERS h CONTRIcxlRS PROT - 7 a4YS MADE CERTl FICATE OF I N S U RANCE N~~~~~ - C"l00753438~0 THIS CERTIFICATE IS ISSUED AS A MATTER OF IYFORYATION ONLY AND CONFERS POLICY. THIS CERTIFICATE DOES NOT AYEND, UTEHO OR ALTER THE COVERAGE NO RiGnrs UPON THE CERTIFICATE HOLDER OTHER TnAn THOSE PROVIDED IN THE AFFORDED BY rnE POLICIES DESCRIBED HEREIN. COMPANIES AFFOROING COVERAGE CWMY GENERMAGGREGAlE s 5.000.000 PRODUCTS. cowmp AGG S 1.000.000 PERSOW LAOW WURY s 1.000.000 EACH OCCURRENCE s 1 .ooo.ooo oiioimz 01/01/03 ~ 1 A ZURICH AMERICAN INSURANCE COMPANY INSURED ARS American Residential Services uyIp*NY of California, Inc. dba 860 Ridge Lake Blvd Memphis,' TN 38120 8 ILLINOIS NATlONAL INSUWNCE COMPANY CMIPMY C COUPANY COHBHEO Sh AUTOMOBILE UA8ILIlY BAP29386484 . BODILY IWURI BAP 293884740 (VA) 01/01/02 oimi/m ULWNWURaS TAP 2938648-00 (TX) oimi/oz oimi/113 wKowNWAuTos OIIUGE LWlUIV MAUm AUTO OKY - EA ACCYIENT I 3 OTHER WAN AUTO ONY: I I I I I JESSRIPTION OF O?ERAnOWULOCA~ONSNEHICLEUSQECUL ITEMS (LIYITS MAT 0.5 SUUECTTO OEDUSTIBLES OR RETENTIOMSI I MMr(e/sa) - VAUD AS OF 12/14/01