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Home My WebLink About2763 AVALON AVE; ; CB020192; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-02-2002 Plumbing Permit Permit No: CB020192 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1675630500 Lot #: 0 Applied: 0111 612002 Reference #: Plan ADDroved: 0111 612002 2763 AVALON AV CBAD Construction Type: NEW Entered By: JM Project Title: MADDOX - COPPER REPIPE WIDWLL Applicant: PEPPARD PLUMBING 1466-9 PIONEER WY EL CAJON CA 92020 61 9-442-6558 .. Issued: 08/02/2002 Inspect Area: JC 3902 3R.,O?iO? '30{,2 ;];! Owner: MADDOX CLIFTON R&ERIN E 2763 AVALON AVE CARLSBAD CA 92008 IGF 25 3; Total Fees: $85.50 Total Payments To Date: $57.00 Balance Due: $28.50 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalURepair 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 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $58.50 $0.00 $0.00 $0.00 $85.50 orrnation with the City Manager fo ny subsequent legal action to attack P&RMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONL PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By m? I- A,/ Date ,i Proposed Uae J G. J SO. FT. #Of stories x of Bedrooms # of Bathrooms 2. CONTACT PERSON IH dlWmnt hom appllsmntl,. .. ., . *'.. ,, d* Citv Tslephons t Fax I 5. CONTRACTOR. COMPANY NAME bl. iSec. 1031.5 Busines~ and Pioflfssions Code! Any City 01 County Which requires a permit to construct. alter. Improva, demolish or repair any strYctUIa, Prior to its ISBY~~CB, ais0 requires the applicant for such permit IO fh a signed statement that he is licensed pursuant to the provisions of the Contrsct0,r's License Law IChaprer 9. commending With Sectiar?-7000 of Division 3 of the Buliness and Professions codel or that he is exempt therefrom. and the basis for tho alleged State License 0 Designer Name Address City st.te/zip Telephone City Burinars License X State License X Workem' Compensation Declaration: I hereby affirm undat panalty of poriury one of the foll ,,,, ~., .. 8. WORKERS' COMPENSATION .. 0 I have and will maintain a certificate 01 consent to self-insure for workers' compensation as provided by Section 37M) of the Lnbor Cads. for the performance I have and will maintain workers' compensation. as rewired by Section 3700 of the Labor Coda. for the pedomanm of the WDrk for whbh tMs permit la e work for which this permit is issued. ~ awed. My worker's co f- Insurance Company Policy No. b Explrstlon Date ITHIS SECTIDN NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DDLLARS ftlOOl OR LESS1 0 CERTIFICATE OF EXEMPTION: I cenify that in the performanca of the work for which thia permit is iswad, I shall not emPbv Illy person in any mannsl SO IS to become subject to the Workers' compensation Laws of Csllfornia. WARNING: thoviand doll r I 01 pmvlded for In Section 3706 D SIGNATURE DATE I hsraby 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 thBir sole compensation. will do the work and the structure is not intended or offernd for sale ISsc. 7044. Business and Professions Code: The Contractor's Llosnre Law does not apply to an ownel of prOPerty who builds Or improves thereon. and who does such work himself or through his own empioyees. provided that such imploY~men16 are not inmnded or offered for sale. If. however, the building Or improvement is soid within one year of completion. the owner.builder will have the burden of proving that he did not build 01 improve for the pulpoaa of 6111el. I. as owner 01 the property, am exclusi~sly contracting with licensed contiactom to construct the project 1S.c. 7044. Busines8 and PrOfessiOns Coda: The Contiactor's License Law does not apply to an owner of property who builds or improves thereon. and Comracts for such projects with COntmClOllsl lioensed pursuant to the Contrector's License Lawi. 0 1. 2. 3. Fallura to sacwe worker.' compmsatkm coverape IS unlawlul. and shall subj.et an emplwn 10 crtmlnd PMaIes and dvll flnr Up to OM hundred " , 7. OWNER-BUILDER DECIARATION .. I am exempt under Section I personally plan to Provide the maim labor and materials lor conslrwrion 07 the propored PIOPO~:~ ihnpuusmeni. u YES ON0 I Ihwe I have not1 signed an application for a building permit for the proPosad work. 1 ham contracted with the following person (firm) to provide the ~rowsed construction linclude mmd I .ddr.r. I phon8 number I cmtnetm lima wmber): Business and ProIelaions Code 101 this reason: 4. number i contractors licms8 number): 5. I plan to provide portions of the work. but I have hired thn following person to coordinate. ~upervise and provide the malor work (include name I address I phone I will Provide soma of the work. but I have Contracted lhiradl the following o~lrsons to Provide the work indicated Oncluds name I address I ohma number I tWe Of workl: PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NDN.RESlDENTlAL BUlLDlNQ ERMITS ONLY : ,:4 ~ ~,-;; ),y;:,-).+:, ' ' ,,, ., 10 ~, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regist,8tlon farm or risk management and praventlon program under Sections 25505. 25533 or 25534 of the PresIsvTannsr Hazardous Substance Account Act? 0 YES 0 NO 1s the applicant or future building OCCUpBnt requited to obtain a permit from the air pDllUtion Control diitrim or aiiqudltym?n?pemmt diitrlct? 0 YES 0 NO 1s the facility to be COnStrUcted within 1.000 feel of tha Outer boundary ot 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 APWICANT HAS MET OR IS MEETINQ THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDINQ AGENCY .. %, ,' I hereby affirm that there is a COnStrUCtion lending agency for the Performance of the work far Which this permit is issued ISec. 30971ll Civil Codal. LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTlFlCATlDN 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 agraa to combly with all City ordinances and State laws relating to building conmuction. I hereby authorize repiesentatives of the tit). Of Carlnbad to ants, upon the above mentioned property for inspeclion ~u~~oses. 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 CDNSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for BXCaVations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Ihe building Official under the provisions 01 this Code shall expire by iimilat~on and become null and void if the building or work or abandonad aUthOrlZed by such permlt is not Com at any time alter the work IS Corn L%Tdays (- APPLICANT'S SIGNATURE DATE .. . .. .., .. .. nced within 180 days from the date 01 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For. 05/20/2003 Permit# CB020192 Inspector Assignment: JC Title: MADDOX - COPPER REPIPE W/DWLL Description: Type: PLUM Sub Type: Job Address: 2763 AVALON AV Suite: Lot 0 Location: APPLICANT PEPPARD PLUMBING Owner: MADDOX CLIFTON R&ERIN E Remarks: LAST APPT OF THE DAY PLEASE Phone: 7608451214 Total Time: Requested By: CLIFF Entered By: ROBIN CD Description 29 Final Plumbing __ Associated PCRs/CVs InsDection Histoty Date Description Act lnsp Comments 01/22/2002 29 Final Plumbing NR JC 01/17/2002 24 RougWTopOut AP JC City of Carlsbad Bldg Inspection Request For 01/%/2002 Permit# CBO20192 a? Inspector Assignment Title: MADDOX -COPPER REPIPE WlDWLL Description: Type: PLUM Sub Type: Job Address: 2763 AVALON AV Suite: Lot 0 Location: APPLICANT PEPPARD PLUMBING Owner: MADDOX CLIFTON RBERIN E Remarks: Total Time: Phone: 6194426558 Inspector: A/ F Requested By: TRACEY Entered By: CHRISTINE CD Description Act Comments 29 Final Plumbing €Q- /.@2 cnl Associated PCRs InsDection History Date Description Act lnsp Comments 01/17/2002 24 Roughrropout AP JC -. CITY ,I OF CARLSBAD NOTICE (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? 0 YES PHONE CONTACT @ BUILDIN~INSPECTOR CODE ENFORCEMENT OFFICER ,... \\' Poky Number: ' ~ mo KQE~~~ERTIFICATE OF LIABILITY INSURANCE 12/19/01 THIS CERTlFlCATE IS LSSUED AS A MATER OF INFORMATDN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR PRXIU(ER99 51 Q9G ROD SIMMERMAN AGENCY 2655 CAMINO DEL RIO N., STE. 120 , ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL~~W. I SAN DIEGO, CA 92108 I JNSURERSAFHlRDWG COVERAGE I IKUSO PEPPARD PLUMBING, INC. 1466 PIONEER WAY, #9 EL CAJON, CA 92020 INSJRERA TRUCK INSURANCE EXCHANGE INSJRER 8 INSJRRC INSJRERD: I ANY RCCXIIREMENT, TERM OR CoNunoN OF ANY OONTRACT QI OTER DCCWNT wml R~SFECT TO MICH niis QFUECATE BE ISSUED OR SUKJECITOAUTHE RIMS. EXCUJSIOKS AND OONDm0N-S OT SUO( 01492 85 01 01492 85 0.1 I CORD 254 f7197l