HomeMy WebLinkAbout2749 BERKELEY AVE; ; CB011282; PermitCity of Carlsbad
. 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
d8/Iz(@6sc3
04/1)4/2oO 1 Plumbing Permit Permit No:CBOI 1282
Job Address:
Permit Type: PLUM Status: ISSUED Parcel No: 1675631 500 Lot #: 0 Applied: 04/04/2001
Reference #: Plan Approved: 04/04/2001 Issued: 04/04/2001
Project Title: SMITH - REPALCE WTR HTR Inspect Area:
Applicant:
ARS
STE 100
6121 NANCY RIDGE DR
SAN DIEGO CA 92121
2749 BERKELEY AV CBAD
Construction Type: NEW Entered By: JM
COPPER REPIPE W/DRYWALL
89 04/04/01 0002 01 02
CGP 64 * 00
61 9-677-5445
Plumbing Issue Fecr
Fixture or Trap 0
Building Sewer 0
Roof Drain 0
InstalNRepair Water Lim 1
Water Heater andla Vmt 1
Gas Piping System 0
Vacuum Breaker 0 Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
FINAL APPROVAL
Inspector: Date: 3LLU Clearance:
NOTICE: Please take NOTICE that approval of your prom includes the ‘Imposition’ of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ‘fdexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth In Government Code Sedion 66020(a), and file the protest and any other required information with the City Manager for
processing in accOrdanc8 with Cadsbad Municipal Code Section 3.32.030. Failure to lmely fdbw 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 rlght to protest the specifkd feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with Hi pmjed NOR DOES IT APPLY to any
feedexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously othewke expired.
PERMIT APPLICATION
C(TY (9F CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO(/ 7dIXP
EST. VAL.
Legal Description Lot No. Unit No. Phase No. Total I of units
Assessor's Parcel I
Description of Wok '
Existing Use Proposed Use re SO. FT. #of Stories t of Bedrooms t of Bathrooms
dw&m
'5
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, 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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a emit subjects the applicant to a civil penalty of not more then five hundred dollars I35001).
Name Address
State License t 7110 2% License Class City Business License t IO?07oO
Designer Name Address City StatelZip Telephone
State License #
b6& ba, wm, 5.3.Ma2 1 ~TImAiDI -r"m d#sQ@: bibz k-kqe,
%%-b77- StatelZip Telephone t "$b 2&/&rn City
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 the work for which this permit is issued.
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
Fued. My worker's compensation insurance carrier end policy number are:
Insurance Company AOh) Policy NO. 7oE324 7 3 Expiration Date 61- or A 0 2-
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I 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
s up to one hundred
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).
0 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
1.
2.
3.
I em exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have I have not) signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number):
Business and Professlons Code for this reason:
4.
number I contractors license number):
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 major work (include name / address I phone
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
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO
is me applicant ur rurure ouiiuiriy ur;r.upaiii raquirau iu uuiuiii a pariiiii iiuiii 1118 811 poiiuiioii curiiiui uistrirn or air quaiiry rnanagernenr uisiricrr u i CJ u IYU
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
CONSTRWCTIONLENE)IN
vi1 Codel. by affirm that there is a c
LENDER'S NAME LENDER'S 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 comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit) 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 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the g Offial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such Dermit is not cornmen& 180 davs from thad8(e of such Dennit or if the buildino or work authorized bv such Demit is susoended or abandoned
at any time after the work is commenc
APPLICANT'S SIGNATURE DATE
f
WHITE: File YELLOW Applicant PINK: Finance
2 *
UNSCHEDULED BUILDING INSPECTION
DATE L L7-0\
PERMIT # ,JI~!&>-
INSPECTOR
* PLAN CHECK #
JOB ADDRESS 2tzrluQ
DESCRIPTION
CODE DESCRIPTION ACT COMMENTS
c