HomeMy WebLinkAbout2781 BERKELEY AVE; ; CB012975; PermitCity of Carlsbad
8 I 1635 Faraday Av Carlsbad, CA 92008
Building Inspection Request Line (760) 602-2725
09-1 4-2001 Plumbing Permit Permit No:CBO12975
Job Address:
Permit Type: PLUM Status: ISSUED
Parcel No: 1675633600 Lot #: 0 Applied: 09/14/2001
Reference #: Plan Approved: 09/14/2001
Issued: 09/14/2001
Project Title: CAMPBELL RESIDENCE Inspect Area:
2781 BERKELEY AV CBAD
Construction Type: NEW Entered By: MDP
COPPER REPIPE
Applicant:
PEPPARD PLUMBING Owner: CAMPBELL TRUST 04-21 -98
1466-9 PIONEER WY 2781 BERKELEY AVE EL CAJON CA 92020
61 9-442-6558
Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
InstaWRepair 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
I FINAL APPROVAL I
Inspector: wLOu Date: 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 "feedexactions." 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 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
feedexactions of which vou have previouslv been qiven a NOTICE similar to this, or as to which the statute of limitations has previouslv otherwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. 0 \any-
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Business Name (at this address)
Subdivision NamelNumber Phase No. Total I of units Unit No.
Address (inc2
Legal Description
Assessor's Parcel # - Existing Use Proposed Use
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
Designer Name & Address city Statelzip Telephone
State License t -
8. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 o the work for which this permit is issued.
is ued. My worker's compen tion insuran e c ier an policy number are:
Insurance Company
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS)
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 as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
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
&MY&. Policy No. zoos -1 Expiration Date u=- 4
n 3706 of the Labor code, interest and attorney's fees.
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-budder 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 I contractors license number):
5.
of work):
PROPERTY OWNER SIGNATURE DATE
I am exempt under Section
I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO
I (have I 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):
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 I 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 I type
Business and Professions Code for this reason:
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?
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
0 YES 0 NO
0 YES
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 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 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
authorized by such permit is not
at any time aft#%- the work is co
APPLICANT'S 5NATURE DATE
of this Code shall expire by limitation and become null and void if the building or work
h permit or if the building or work authorized by such permit is suspended or abandoned 4 Uniform Building Code).
WHITE: File YELLOW: Applicant PINK: Finance
1/06 3-5-
/I 07 A-S
City of Carlsbad Bldg Inspection Request
For: 09/2 11200 1
Permit## CB012975
Title: CAMPBELL RESIDENCE
Description: COPPER REPIPE
Type: PLUM Sub Type:
Job Address: 2781 BERKELEY AV
Suite: Lot 0
Location:
APPLICANT PEPPARD PLUMBING
Owner: CAMPBELL TRUST 04-21 -98
Remarks:
Inspector Assignment: RCB
Phone: 7604426558
InsDector: AL /3
Total Time: Requested By: TRACEY
CD Description Act Comments
Entered By: CHRISTINE
19 Final Structural cuc
29 Final Plumbing A? FldqL +- do (/d5/9547. c&A D on/ sire
39 Final Electrical wc
49 Final Mechanical !CL
Associated PCRs
lnsDection!y
Date Description Act lnsp Comments
09/19/2001 24 Roughmopout AP RC OK TO DRYWALL - NO INSP CARD ON SITE