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Home My WebLink About2750 AVALON AVE; ; CB021909; PermitCity of Carlsbad 1635 Faraday Av Carlrbad, CA 92008 06-26-2002 Plumbing Permit Permit No: CB021909 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1675620300 Lot#: 0 Applied: 06/26/2002 Reference #: Plan Approved: 06/26/2002 Issued: 06/26/2002 2750 AVALON AV CBAD Construction Type: NEW Entered By: MDP Project Title: JONSSON RESIDENCE COPPER REPIPE ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Inspect Area: Owner: JONSSON HENNING J O&AGATHA M 2750 AVALON AVE CARLSBAD CA 92008 0155 06/26/02 0002 01 02 CGF" 57.35 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 1 $7.00 Water Heater andor Vent 0 $0.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 Other Plumbing Fees $30.00 TOTAL PERMIT FEES $57.00 relerlw IO as IeesexaPons' Yo. nave 90 oays from lne dale Ins perm t nas ssm IO prolest impor lion 01 lnes8 leesekacl ons If yo. prolesl lnem yo. m-si lo low lne prolest prmures set lorth n Gwernmenl Code Section 66020(aj and I e me prolesl an0 any olnei requned nlormal on n lh lne C ry Manager lor processing n amroanm w lh CarlSDao M m c pa Code Sen on 3 32 030 Fa ILre lo I me y Io ow mal procedure II I oar any s.oseqLenl ,ega anion IO auaclt rev 811, SI asoe bod of annLl me I mpos Don FOR OFFICE USE ONLY PLAN CHECK NO. 62.- \ yq Plan Ck. Deposit PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address linclude BldglSuite It Legal Description ubdivision NamslNumber Unit No. Phase No. Total t of units Business Name Iat this addrssrt I Existing Use Proposed Us8 Description of W&f SO. FT. #of Stories X of Bedrooms I of Bathroom3 IT, . . 2: CONTACT PERSON iifdnr&ient-i Name Address City Statelzip Telephone I Fax # ,', 5. CONTRACTOR -COMPANY NAME .. isec. 7031.5 Business and Professions Code: Any City or County which requires a parmit to constrmt. alter. improve. demolish or repair any structure. prior to its issuance, ais0 reguims the applicant for such permit to file a signed Statement that he is licensed pursuant to the provisions of the Contractor's Licenrs Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codal or that he is exempt therefrom. and the basis far the alleged Name Add& City Stathp Tslepiione X state Lieenre Xl $20 License Clas om c36 City Business License t J D,30700 Designer Name Address City Statelzip Telephone State License # 6. WORKERS Workers' compensation Oeclaration: i hereby affirm under penalty of perjury one of the fallawing declarations: of the work for which this permit is issued. Issued. My worker's compensation insurancB Carriar and policy number are: Insurance Company Wtt lcsA I Policy No. 4M&3 dm Expiration Oats OtlfilIO3 ITHIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1 I .. I, , ,.. .. 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 I have and will maintain workers' compensation. 8s required by Section 3700 of the Labor Code. for the performance of the work for which this permit is of the work far which this permit is issued. I shall not employ any person in my manner so 8s lawful, and shall subject an employer lo damages as provided for In Sectton 3708 WARNING: Failure SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole Compensation, will do the work and th8 structure 15 not intended or offered for sale 1ssc. 7044. Businerr 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 offersd for L~B. If. however, the building or improvemen1 iP sold within ona year of completion. the owner-builder will have the burden of proving that he did not build or imp,ove for the purpose of 58181. 0 I, as owner of the property, am excIusivdy contracting with licensed COntractorE to ConstrUCt the project iSec. 1044, Busin851 and Professions Code: The Contmctor's License Law does not apply to an owner of property who builds or improves thereon, and eaotractr for such projscts with contractoris1 licensed wrsuant to the Contractor's License Lawt. .. 0 1. 2. 3. 4 I am exempt under Section I personally plan to provide the msjor labor and materials for construction of the proposed propnrty improvement. 0 YES ON0 I (have I have not1 signed an application for a building permit for the proposed work. i have contracted with the following person ifirmt to provide the proposed constrmtion linclude name I addrars I phone number I contractors license numbert: Burine~r and Professions Code for this realon: I pian to DrOVidB portions of tha work. but I have hired the following person to coordinate. SUPB~Y~SB and provide the major work linclude name I address I phone I will provide Some of the work, but I have contracted [hired) the following psrs~nr to provide the work indicated lincluds name I address I phone number I type number I contractors license numbert: 5. of workl: PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESlDENfiAL BUlLDIMa PkRfdlTkbNLY Is the applicant or future building occupant required to submit B business plan, acutely hazardous matsrials registration form or risk management and Prevenlion program under S~cfions 25505. 25533 01 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO 1s 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 8 school sile1 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 AN0 THE AIR POLLUTION CONTROL DISTRICT. , .- ...& . .. YES 0 NO (j 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency forth LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I certify th8t I have read the application and stat8 that the above information is correct and that the informstion on the pian3 is BcCUrBtB. i agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citp of Carlsbad to enter upon the above mentioned oroperty for inspectian pwpos~s. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND OSHA: An OSHA permit is EXPIRATION' Evefy permit aiilhoiized by such permit is at any lime after the work is the work far which this permit is issued ISec. 3097til Civil Cadet. I ". : -. .- AAPPLICANT.S SIGNATURE DATE WHITE: Fils YELLOW Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 0711 212002 Permit# CB021909 Title: JONSSON RESIDENCE Description: COPPER REPIPE Type: PLUM Sub Type: Job Address: 2750 AVALON AV Suite: Lot 0 Location: APPLICANT ARS Owner: JONSSON HENNING J OMGATHA M Remarks: Total Time: CD Description 19 Final Structural Inspector Assignment: SR Phone: 8586775455EX205 Inspector: s. Requested By: VERONICA Entered By: CHRISTINE Act Comments Fd Associated PCRslCVs InsDection History Date Description Act lnsp Comments 07/10/2002 29 Final Plumbing NR SR 07/09/2002 24 Roughrropout AP SR BONDING AND SIZING OK Pb iOUCER Marsh USA Inc 5OO'N Monroe Chicago IL 60661 AM LOW DAVIS 312 6276379 THIO CERTIFICATE IS IMSUED AS A MATTER OF IMFORYITIOH ONLY AH0 CONFERS NO RIGHTS UPOW THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN IUE POLICY. THIS CERTIFICATE OOES HOT AUEHO. EXTEND OR ALTER THE COVERACE AFFORDED BYTHE POLlClEl OEOCRlBED WEREIH COMPANIES AFFORDING COVERAGE CoUPulY