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Home My WebLink About2742 BERKELEY AVE; ; CB013322; Permit/fl ._ changes, nor planning, zoning, grading or other similar application processing or service fees in connedion with this project NOR DOES IT APPLY to any ~ WYY? -. 0-1 9-200 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No:CBO 3322 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 167561 3800 Lot #: 0 Applied: 10/19/2001 Reference #: Plan Approved: 10/19/2001 Issued: 10/19/2001 2742 BERKELEY AV CBAD Construction Type: NEW Entered By: JM Project Title: BANDEMER - COPPER REPIPE Inspect %& lO/l?/01 0002 01 02 CGP 57.00 Applicant: TORREY PINES PLUMBING STE 101 6121 NANCY RIDGE DR SAN DlEGO CA 92121 61 9 677-5445 Qwnet: BANbEMEFI BRUCE h&KELLY L 2742 BERK€LEY AVE CARLSBAD CA 92008 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 tins Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES $57.00 Inspector: Date: Clearance: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPAR 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY EST. VAL. Address (include BldgISuite #) Legal Descnption Ld No Subdivision NamdNumber Unit No Phase No Total # of units Assessoh Parpel # Existing Use Proposed Use Descnption of Work SQ FT # of Stones # of Bedrooms Business Name (at this address) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total> <Assessor No> <Existing Use> <Proposed Use> copper repiw <SQ FT> <Stories> <Bedrooms> <Bathroom> # of Bathmoms I LU uuuur(uc nvc Name Address city statelzip Telephone # bruce bandemer 2742 berkeley avenue carlsbad ca 92008 7604344572 Name Address citv StatdZlP Telephone # 6 i."' f.! (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct. ah, improve. demolish or repair any structure, prior to ttS issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom. and the basis for the alleged exemptfon. Any violation of Section 7031.5 by any applicant for a permit subjecls the applicant to a civil penalty of not more than five hundred dollars [SSOOl). Name Address City Statelzip Telephone# state License # 742039 License Class B C16 (220 C36 HIC Designer Name Address City Statelzip Telephone State Licence # 6. WORKERS' COMPENSATION Workers' Compensation Declaratiin: I hereby affirm under penalty of perjury one of the following declarations: of the work for which this permit is issued. issued. My worker's compensation insurance carrier and policy number are: Insurance Company American Residential Policy NO. WC7083869 Expiration Date 01/01/2002 THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS RlOO] OR LESS) ARS of California Inc. 61 62 Nancy Ridge Dr. #I 00 San Diego CA 92121 8586775455204 <Name> <Address> <c%> ' ST <Zip> O0 <Phone> C' Business License I 10307 I have and will maintain a certificak of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for Re Performance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall nd employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll:-- SIGNATURE WE 10/17/2001 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, 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 for sale (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, 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 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 sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves threreon, and contracts for such projects with contractor(s) licensed pursuant to the Conlractoi's License Law). 0 1. 2. 3. I h contraded with the following person (firm) to v' e the roposed construction (include name I hone number I contractors license number): 4. 7). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. interest and attorney's fees. '*.*I -- 7. OWNER-BUILDER DECLARATION I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have I have not) signed an applicant for a building permit for the proposed work. Business and Prdessbns Code for this reason: 0 YES NO <Vame> <A?IdPressJ -df$Wt!one> <State License> I plan to provide portions of the rk, but I have hired the following person rdinate, supervise and provide the ma'or work indude name I ad ress I phone number / contractors license number):<WQame> <fP%ess> <hark Phones <state License> :i ,L~l'flame> <k$dress> <Work Phone> vide some of the work, but I have contracted ( ir the following person to provide the work indicated (indude name I address PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 ofthe Presley-Tanner Hazardous Substance AccountAct? Is the applicant or future building occupant required to obtain a permit 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 school site? IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICAAM HAS MET OR IS MEETlNG THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICESAND THE AIR POLLUTION CONTROL DISTRICT. YES 0 NO 0 YES 0 NO YES c] NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30870) Civil Code). LENDERS NAME LENDERS ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to mmply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTSAND EXPENSES WHICH MAY IN ANY WAYACCRUE AGAINST SAID CITYIN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of slNctUres over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is nd commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Sedion 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 10/17/2001 City of Carlsbad Bldg For: 1 1 /27/200 1 Permit## CBOl3322 Title: BANDEMER - COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 2742 BERKELEY AV Suite: Lot 0 Locat ion : APPLICANT TORREY PINES PLUMBING Owner: BANDEMER BRUCE H&KELLY L Remarks: Total Time: Inspection Request Inspector Assignment: PY Phone: 8586775455 EX 205 inspector: Requested By: VERONICA Entered By: ROBIN CD Description Act Comments 29 Final Plumbing Associated Pm lnseection History Date DesCriptiOn Act lnsp Comments 11114M001 24 RoughKOpout AP PY BONDOK