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Home My WebLink About2758 BERKELEY AVE; ; CB022443; PermitCity of Carlsbad 1635 Faraiay Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-22-2002 Plumbing Permit Permit No: CB022443 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1675631 200 Lot #: 0 Applied: 08/22/2002 Plan Approved: 08/22/2002 Reference #: Issued: 08/22/2002 Project Title: BlANCHlNl RES-COPPER RE-PIPE Inspect Area: 2758 BERKELEY AV CBAD Construction Type: NEW Entered By: RMA Applicant: ARS 0 J&VICTORIA C STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 Hao ~B/z/o~ @22I 02 858-677-5455 57 f 00 Total Fees: $57.00 Total Payments To Date: $0.00 Balanee Due: $57.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalURepair Water Onas Water Heater and/or Vmf Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees A TOTAL PERMIT FEES $"5.ao NOTICE: Please take NOTICE that approval of your project indudes the 'Imposition" of fees, dedicatiions, reselvations, or other exactions hereafter cdlectiiely referred to as "feeslexactions." 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 Section 66020(a), and file the protest and any other required information with the Ci Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.m. Failure to timely follow that procedure will bar any subsequent legal action to attad, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.& 2 2L(c13 EST. VAL. Plan Ck. Deposit Validated By 1 Date x!o 2 /I Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms RSON (fediff Name Address City StateKip Telephone # Fax # 5. CONTRACTOR - COMPANY NAME (Sec 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any strvcture. 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 City Stati/Zip Telephone # Name Addr State License # XI $ZO City Business License # 1030700 Designer Name Address City Statelzip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: of the work for which this permit is issued. 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Rued. My worker's compensation insurance carrier and policy number are: Insurance Company Wtt I nt @m Expiration Date 01/0ll03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS) 0 CERTIFICATE OF to become subject to t WARNING: Failure thousand dollars ($1 SIGNATURE 7. OWNE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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. ION: 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 rs' Compensation Laws of California. ' compensation coverage is unlawful. and shall subject an employar to criminal penalties and civil fines up to one hundred I am exempt under Section I personally plan to provide the major labor end materiels for Construction of the proposed property improvement. 0 YES I (have / 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 I contractors license number): Business and Professions Code for this reason: ON0 4. number I contractors license number): 5. of workl: 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 / type PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NO 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 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtaln a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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. 8. CONSTRUCTION LENDING AGEN I hereby affirm that there is a construct LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT I certify that I have read the application is accurate. I agree to comply with all Clty ordinances and State laws relating to building construction. I 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 CARLSEAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EX ACCRUE AG OSHA: An OSHA permit is req EXPIRATION. Every permit is authorized by such permit is at any time after the work is 0 YES 0 NO Sec. 309711) Civil Codel. ITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. tion of structures over 3 stories in height. all expire by limitation and become null and void if the building or work building or work authorized b p,~p,~isZ~~ded or abandoned %APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/06/2002 , A, Permit# CB022443 Title: BlANCHlNl RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: 2758 BERKELEY AV Suite: Lot 0 Location : APPLICANT ARS Owner: BlANCHlNl GERALD J&VICTORIA C Remarks: Total Time: Inspector Assignment: RF \ Phone: 8586775455 Az- Inspector: Requested By: VERONICA Entered By: CHRISTINE CD Description Act Comments 19 Final Structural 29 Final Plumbing Associated PCRslCVs InsDection History Date Description Act lnsp Comments 09/03/2002 24 Roughmopout AP RF 08/30/2002 24 Roughmopout CA RF PERVERONICA