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Home My WebLink About2746 INVERNESS DR; ; CB040261; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-26-2004 Plumbing Permit Permit No: CB040261 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2746 INVERNESS DR CBAD PLUM Status: Parcel No: 2081111500 Lot#: 0 Applied: Reference #: Project Title: Applicant: PYNES RESIDENCE COPPER REPIPE CAL-COAST REPIPPING 1371 TITAN WY BREA CA 92821 800-649-7571 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair 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 Construction Type: NEW Entered By: 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: PYNES STEVEN J&SUSAN G 2746 INVERNESS DR CARLSBAD CA 92008 ISSUED 01/26/2004 MOP 01/26/2004 01/26/2004 $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: '.'J.I\ TE_?(Jfe!t._cLEARANCE __ _ SIGNATURE __ 7~---- $57.00 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK NO.O:\ ~ 2.G l CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST.VAL. _________ _ Plan Ck. Deposit--------- Validated By __________ _ Date, ____________ _ Address (include Bldg/Suite #) ;J, 7 4 I.R J;t,1 Ue,/2, N e..ss Business Name (at this address) QR· Subdivision Name/Number Unit No. Phase No. Total # of units Legal Description Lot No. ...s·,,,,,4,,4 1:/.lif'>,L-t /Jive L1..1,.JV; Assessor's Parcel # 4 Existing Use Proposed Use Name r Address City State/Zip Telephone # Fax# ~~~~--lffl't~tleilf~~~~~ffif-U'J~~~;ZjJ~jl5jfi~ilrilitl/iZJifit~f~t#\~Z]%1¥kk~::~~/~1libii%iff!:!gf:0U!1~?;£tL'.: Jo/4~, 6(2.ooK.S L3?{ t1t;,,1,1 w1•l r3&ec. CA. 4).,8'2,t @o--<-'-191-cu Name Address ' City State/Zip Telephone# S.tate/Zip (Sec. 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 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 ~=ption. Any violation of Section 7031.6 by any applicant for a permit subjects the applic,-g}\to a civil penalty of not more than five hundred dollars ($600]), aL-C:aAs·t /2.,iJ,e111(,_ l;J<, 1311 titAN wAr 151<.eA 4. q.y2,1 toc-t;,'fct7s11 Name / _3 / : Li 9 Add,ess C.. _ 3 1 ' City State/Zip e~epho"< # State License # LO lP (ti f License Class u, City Business License # "\CJ d Designer Name Address City State/Zip Telephone State License # ---------- im~aBJ~NHf,1'imq~pjli71~!ftfilf~J:if*ll'J?~ij1~~t!t~;Y~~fu~!~wil~fffl~JJii¥if&Niliiflkl1~~ifjjl!l!l&0f?J5]%;Wi!~i\~Si@!lfi{0.{Lifr1~;:RD :tlr:;;u;::r:;(B;t:(;J<ii.:- Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tt:,--work for which this permit is issued. Ctr" 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 issued. My worker's compensation insurance carrier and policy number are: lnsu,ance Company S:P. t-e Co tn [) Policy No. 0 )l I 5 0 _s-'-I Expi,ation Date 4-I -0 t/ ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$100] OR LESS) 0 CERTIFICATE OF EXEMPTION: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aation coverage 11 unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNA TUR DATE I -;;, ~ --0 'I Law for the 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}. D 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide the major labor end materials for construction of the proposed property improvement. D YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. J have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number); 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):------------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ------------------=---------c:------c -~~tn1Gilil~J)~~Kdll11JAY~5?'.~tlllillt:lft~tf.l1fiJ~Af:JIQ~t;;J&~J:1%/JX?~filfiliil?~~Sfi::1;;p1:;mi'.it:lr;r+S¥t;Jt::~:lf,i0fit~i,';;.~f!i1',' \f; 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES D 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {Sec. 3097til Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. 1 hereby authorize representatives of the Citt 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, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures 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 not com ced within 365 days fr the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time aft ork is o menc O days (Section 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB040261 Title: PYNES RESIDENCE Description: COPPER REPIPE For: 02/05/2004 Type: PLUM Sub Type: Job Address: 2746 INVERNESS DR Suite: Lot 0 Location: APPLICANT CAL-COAST REPIPPING Owner: PYNES STEVEN J&SUSAN G Remarks: ffii!&:1~ ~~OH li'loiA.Blt Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7607298114 Inspector: ]k Requested By: SUSAN Entered By: ROBIN RocV\h~~iout l.,.)u_ __________________ _ ~------tli~-=~-~~~-f-£.--------'C~G~~2~B'---"'o~k~~~~~~- 24 Associated PCRs/CVs Inspection History Date Description 01/27/2004 24 Rough/Topout 01/27/2004 29 Final Plumbing Act lnsp Comments AP JM NEED CWB WC JM