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Home My WebLink About2775 AVALON AVE; ; CB040300; PermitL 0 1 -28-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB040300 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: I675630700 Lot#: 0 Applied: 01/28/2004 Reference #: Plan Approved: 01/28/2004 Issued: 01/28/2004 Project Title: SMITH RES-COPPER RE-PIPE Inspect Area: 2775 AVALON AV CBAD Construction Type: NEW Entered By: RMA Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: SMITH BARBARA R 2775 AVALON AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstallIRepair 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 $30.00 $0.00 $0.00 $0.00 $57.00 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 Inspector: -2b- Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 City Manager for processing in amrdance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CI~Y O~CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I 'W I Address (include Bldg/Suite #) Business Name (at this address) FOR OFFICE USE ONLY PLAN CHECK NO. 30 L/(?L?oo EST. VAL. Plan Ck. Deposit Validated B Date Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # Name Address City State/Zip Telephone # (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, 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 Code1 or that he is exempt therefrom, and the basis for the alleged Name Address City Statelzip Telephone # State License # g//M License Class E36 City Business License # /d/P&&R/ Designer Name Address city Statelzip Telephone State License # 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. a( 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 issued. My worker's compensatio insurance carrier pnd policy number are: Insurance Companycj%TE &~~~~~/~~~j~~. A&. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 to become subject to the Workers' Compensation Laws of California. Policy No. 169 7Sg3 Expiration Date L77/fl//d@84 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 3706 of the Labor code and attorney's fees. 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. 4. number / contractors license number): 5. of work): I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 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 / address / phone number / contractors license number): 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 / phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE 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 obtain 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 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 City 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 building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within;l80 days from the date of such permit or if the buildins or work authorized by such permit is susDended or abandoned at any time after the work is commence APPLICANT'S SIGNATURE DATE fl//d</& days (Section 106.4.4 Uniform Building Code). - - WHITE: File YELLOW: Applicant PINK: Finance ty of Car Permit# CB040300 Title: SMITH RES-COPPER RE-PIPE Description: sbad Bldg Inspection Request For: 02/10/2004 Type: PLUM Sub Type: Job Address: 2775 AVALON AV Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: SMITH BARBARA R Remarks: Inspector Assignment: JM Phone: 61 98386543 Inspector: m Total Time: CD Description Requested By: VINCE ? Entered By: CHRISTINE & Comment 29 Final Plumbing Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 02/04/2004 24 RoughlTopout AP JM CWBOK