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HomeMy WebLinkAbout2780 AVALON AVE; ; CB044087; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB044087 Inspection Request Line (760) 602-2725 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 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 City Manager for processing in accordance with Carlsbad 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. You are hereby FURTHER NOTIFIED that your right to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or serrice fees in connection with this project. NOR DOES IT APPLY to any ~ Job Address: 2780 AVALON AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 1675620800 Lot#: 0 Applied: 11/05/2004 Reference #: Plan Approved: 11/05/2004 Issued: 11/05/2004 Project Title: NICKERSON RES COPPER RE PIPE Inspect Area: Construction Type: NEW Entered By: SB Applicant: CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner: NICKERSON DANIEL C&DENISE J 2780 AVALON AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair 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 $33.00 $0.00 $0.00 $0.00 $60.00 ~ ~ ~ ~~ ~~ ~~ - Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: $60.00 FINAL APPROVAL InsDector: 8!hk&w Date: /la144y Clearance: PERMIT APPLICATION FOR OFFICE USE PLAN CHECK NO. CITY OF CARLSBAD BUILDING DEPAR 1635 faraday Ave., Carlsbad, CA 92008 TMENT ____ CQR EST. VAL. Plan Ck. Deposit Validated By <v LYg&rd E.? Business Name lat Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units Assssor's Parcel X Existing Use Proposed Use - DescGpiion of Work SO. FT. #of Stories # of Bedrooms a of Bathrooms Name Address City State/Zip Telephone X Fax X issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code1 or that he is exempt therefrom, and the basis for the alleged Address City State/Zip Teldone X License Class C-3 6 City Business License # f 2 /p 7- A'.( Name State License X Designer Name Address City State/Zip Telephone 0 of the work for which this permit is issued. 0 I have and will maintain a certificate of conseid to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perhrmance I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whlch this permit is wf6 issued. My worker's c Insurance Company ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS i$iooi OR LESS) 0 to become wbiect to the Workers' Compensation Laws of California. WARNING: F 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 is tmhwful. wrd sh9 subject an employer to Cdmhal penaltie$ and civil fines up to one hundred .dditbn to the cost of 0 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is riot intandad 01 offarad tor sal6 (Sec. 7044, Businesr 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 ara 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 ISec. 7044, Business and Professions Code: The Contrsctor'c 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. I sm exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 1 (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person Ifirml to provide the proposed construction (include name / address / phone number / contractors license number): Business and Professions Code for this reason: 4. number I contractors license number): 5. 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 I address I phone number i type of work): 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 25605, 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'hstructed within 1,000 feet of the outer boundary of a school site? a 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. I certify that I have read the application and state thilt 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGHEE 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit is$ authorized by such permit is not at any time after the work is comm APPLICANT'S SIGNATURE DATE I/- 3- the provisions of this Code shall expire by limitation and become null and void it the building or work the date of such permit or if the building or work authorized by such permit IS suspended or abandoned (Section 106.4.4 Uniform Buildlng Code). City of Carlsbad Bldg Inspection Request For: 1 1/10/2004 Permit# CB044087 inspector Assignment: Title: NICKERSON RES COPPER RE PIPE Description: Type: PLUM Sub Type: Job Address: 2780 AVALON AV Suite: Lot 0 Location: OWNER NICKERSON DANIEL C&DENISE J Owner: NICKERSON DANIEL C&DENISE J Remarks: Total Time: Phone: 6193475184 InsDector: Rd Requested By: NA Entered By: CHRISTINE CD Description Act Com m ent 14 Frame/SteeUBolting/Welding ___ l9c 24 Roughnopout _Be UIC 34 Rough Electric 44 Rough/Ducts/Dampers dc/lr, acl *WUL Associated PCRs/CVs inspection Historv Date Description Act lnsp Comments