HomeMy WebLinkAbout2751 AVALON AVE; ; CB020103; Permit09-06-2002
Job Address:
Permit Type: Parcel No:
Reference #:
Project Title:
City of Carlsbad
1635 Faraday Av Carlobad, CA 92008
Building Inspection Request Line (760) 602-2725
Plumbing Permit Permit No: CB020103
2751 AVALON AV CBAD
PLUM Status: ISSUED 1675630300 Lot #: 0 Applied: 01/10/2002
Plan Approved: 01/10/2002 Issued: 08/03/2002
Construction Type: NEW Entered By: RMA
Applicant:
PEPPARD PLUMBING
1466-9 PIONEER WY EL CNON CA 92020
61 9-442-6558
CHEN RES-COPPER RE-PIPE
Owner: CHEN JAMES C M&CHIN LING
2751 AVALON AVE
CARLSBAD CA 92008
Total Fees: $65.50 Total Payments To Date: $57.00 Balance Due: $28.50
Plumbing Issue Fee
Fixture or Trap
Building Sewer Roof Drain
InstaWRepair Water Line
Water Heater andor 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
$56.50
$0.00
$0.00
$0.00
$85.50
You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading OT other similar application processing or Service fees in wnnection wih this PlOject. NOR DOES IT APPLY to any
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
I FOR OFFICE USE ONLY
EST. VAL.
Plan Ck. Deposit
Date
I 4 :*: .)I .,,, VI,*
Business Name lit this iddressl
4 I Lot No. Subdivision NamelNumbsr Unit NO. Phase No. Told X of unit.
Existing Use PTopoaed Use
sa. FT. #of Stories X of Badrooms X of Bathrooms
?,T:c'i @& .. . . . , ., . ,: .. .~ 2. CONTACT PERSON (it andant from .ppMGti. ' , ' ;,. ., *,'
,Address City St.t.IZ1P Telephone X Fax I Name
0. WORKERS' COMPENSATION
0 I have and will maintain I Certificattl of consent to self-insure for workers' compmration 81 provided by Section 37M) Of tho Labor Code. for the PerformOnCe
I have and wi
i rued. My worker' Y I wrance Company
(THIS SECTiON NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IttOOl OR LESS1
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 0s
to bscoms subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workem' cornpensadon coverwje is unlawM, and shall subj.ct an employar 10 srimln.1 pnaltles and civil fines up to ma hundnd
thousmd do
SIGNATURE OAT
7. 0WNER.BUILDER DECLARATION
i hereby affirm that I am exempt from the COntrDclol's License Law for the foliowing reason:
I. as ownsr of the propmy or my employee^ with wager as their sole compensation. will do the work and the stwcture is not intended or offered for MI*
iSec. 7044. Busmess and Professions Code: The Contractor's License Law desa not apply to an owner of prweny who builds or improvee thenon, and who dws
such wort himself or through hi6 own ~mpioyees. provided that such impmvsmantr are not intended or offered for $de. if, however, the building Or improvamant IS
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve fw the PYIPOSLI of seiel.
I. as owner of the property, am exclvsiveiy contracting with licensed COntiaclOrs to con?IIruct the project ISoC. 7044, Surinsro and PTOfessions Code: The
Contractor's License L~W does not apply to an owner of property who builds or improve$ thereon. and contmct?l for such plojacts with ~0ntractor9L licensed
pursuant to the Contractor's License Law).
Q
1.
2.
3.
4.
number I COntrsCtOrs license numbed:
5.
n 3700 of the Labor Code. for the performance of the work for which this Parnit is
Poiicy No. amg Expiration Date
3706 of lhe Lah code. imeren md anomy's feu.
.,
I am exempt under Section
i personally plan to provide the major labor and matsri*is for EonstrUCtion of the prDpOled property improvement. 0 YES ON0
I (have I have not) signed an appiication for a building permit for the ProPOHd work.
I hawe contracted with the failowing person (firm1 to provide the proposed construction (include name I address I phona number I comractors iicense numberl:
I pian to provide portions Of the work. but I have hired the following person to coordinate, supervise and provide the major work llneluda name I address I phone
I will provide some of the work, but I have contrsnad (hiredl the following person. to provide the work indicated Ondud. nama~l ddnu I phon4 numbu I me
Business and Professions Code for this rmaon:
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR N0N~ESlD~~AL'~~l~D~NQPE~ITS:ONLY
Is the applicant or future building Occupint required to submit a business Pian, acuteiy hazardous materials registration form of risk n?napament md prevention
program under Sections 25505. 25533 or 25534 Of the PrssiavTannsr Hazardous Subatmcs Account Act?
Is the appiicmt or future building Occupmt rsqulrad to obtain 8 prmh from the air PoilVtion COntrOl district or ai)quallt$, mm(gamant district? 0 YES 0 NO
Is the facility to be COnitrUCted within 1,000 fee1 of the Outer boundary of a school site?
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING Tt E
REQUIREMENTS OF THE OFFICE OF EMERGENCY SER
~. . +& 7.
0 YES 0 NO
0 YES 0 NO
ION CONTROL DISTRICT.
5 ,: ., a. CONSTRUCTION ~ENDING.AERCY
LENDER'S NAME LENDER'S ADDRESS -
9. APPLICANT CERTiFICAnON, ,.
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 agrsa to comply with ali
City ordinances and State laws relating 10 building Construction. I hereby authoriza representativeS of the Cit? of Csrlsbad to enter upon the above mentioned
property for ,"spection purpose^. I ALSO AGREE TO SAVE, INOEMNiFV AN0 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 THE PERMIT.
OSHA: An OSHA permit is required for emavetions over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permil issued by the building Official under the proViQionS 01 this Code Shall expire by limitation and become null and void if Ih4 building or woi
authorized by such permit 1s k authorized by such permit is suspended or abandone
at any time anei the Work is
APPLICANT'S SIGNATURE DATE
I hereby affirm that there is a construction landing agency for the performance of the work for which this permit il is . ..
WHITE: File YELLOW: Appiicmt PINK: Finance
City of Carlsbad Bldg Inspection Request
For 09/04/2002
Permit# CB020103
Title: CHEN RES-COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Job Address: 2751 AVALON AV
Suite: Lot 0
Location:
APPLICANT PEPPARD PLUMBING
Owner: CHEN JAMES C M&CHIN LING
Remarks: BEFORE IOAM OR AFTER 12PM
Inspector Assignment: PY
Phone: 7607932973
Inspector: PL
Total Time: Requested By: NA
Entered By: GIOVANNA
t Comments D CD Description
29 Final Plumbing
Associated PCRslCVs
InsDection History
Date Description Act lnsp Comments
07/25/2002 29 Final Plumbing CO PY NEED COLD WATER BOND
02/01/2002 24 Roughflopout AP JC NOCARDONSITE
01/04/2002 11:26 FAX 8192910776 FAFWRS
.. -
,ACbRD, CERTIFICATE OF LIABILITY INSURANCE
a002
--I 12/19/01 LBILITY INSURANCE ' -
.- *,
'--I 12/19/01
~~
,A CbRD, CE RTI F ICA7
pwueR99 51 39G ROD SIMMERMAN AGENCY
2655 CAMINO DEL RIO N.,
SAN DIEGO, CA 42108
pwueR99 51 39G ROD SIMMERMAN AGENCY
2655 CAMINO DEL RIO N., STE. 120
SAN DIEGO, CA 42108
'E OF
WlSCERllFICATE IS ISSUED AS A MAITEROF INFORMATICIN ONLY AND CONFERS NO RIGH1E) UPDN THE CERTIFICXTE HOLDER. TIUS EERTIRCATE DOE6 NOT AMEN4 EXTEND OR
1NSbRERSAFK)RDING CUMRAGE
ALTER THE COVERAGE AFFORDED BY THE FoLiaEs BELOW. STE.
IWmD' . PEPPARD PLUMBING, INC. 1466 PIONEER WAY, 89
EL,CAJON, CA 920'20
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INSJREW TRUCK INSURANCE EXCAANCF
9 . .. 1NSJRE.Q R
INSURRG ".
INSJISRLY I. .
120
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