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HomeMy WebLinkAbout2841 ANDOVER AVE; ; CB040164; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 4 FINAL APP‘R~VAL ‘ 01-14-2004 Plumbing Permit Permit No: CB040164 Building Inspection Request Line (760) 602-2725 ~ Job Address: Permit Type: PLUM Status: ISSUED Parcel No: I674801 852 Lot# 0 Applied: 01/14/2004 Reference #: Plan Amroved: 01/14/2004 2841 ANDOVER AV CBAD Construction Type: NEW Entered By: MDP Inspector: Jk Date: 7/qDL( Clearance: I NOTICE Please take NOTICE that ammval of vour Dmied includes the ‘Imwsition” of fees. dedications. reservations. or other exactions hereafter wllectivelv Project Title: OCONNELL RESIDENCE COPPER REPIPE i Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 .. Issued: 01/14/2004 Inspect Area: Owner: OCONNELL JAMES J&JOAN M 2841 ANDOVER AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater andlor 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 . .. relenm io as ‘lees,exanons‘ YOJ nave 93 days from me aaietn s perm1 w’as ssm io pioiesl mposton of these feesexamons I yo. pmlesl lhem yo. m.st lo IOU tne protest procw.res sei fonn n Gorernrnenl Code Secuon 66020 a, an0 I e the ploiesi and any other req. rw mlormai on unn tne C pl Manager lor pmcess ng ,n amroam u th Caaoao M.n c pal Code Sea on 3 32 030 Fa Ire 10 me y fo oh mal procw-re w I oar an! s.oseq.en1 ega acton io anacr. re.w sei asde u0.d or ann., mer mw ton PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO& -1 6 -. EST. VAL. Plan Ck. Deposit Validated By CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal 0wcriptk.n Lot No. Subdivision NameINumbar Unit No. haae No. Total i of units Assessofa Parcel I Existing U6e Prormsed Use DLUEriDtiO" Of wwk - -- so. FT. #of Stories t of Bedrooms (soc. 7031.6 ~winsu and ~ofusiolu Code: ~ny city or county which requiros I permit to wnatruct, alter, improve. dsmoiiih or mpiir any structure, prior to its issuance, also mqulrea the applicant for such permit to file a signed statement that he is licensed purswnt to the provisi~ns of the Contractor's Ucmn Law Khspter S, commending with Ssetion 7000 of Division 3 of the Business and Professions Code1 of that he is exempt therefrom. and the basis for the alisgsd Name Talephone t state ucmu t 705 740 License ciass Designer Name Address city St.tll1Zip Telephona State Ucmme 8 ,Wgksrs' Compsnsstlon Oad~rstlon: I hemby affirm under penalty of peiiury on. of tne lollowing deciaratlons: I have and will maintain II oertifioate of omsent to self-inaura for workers' Compmsrdion as provided by Section 3700 of the Labor Code. for the performance i have end will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is of the work for which this permit is issued. Insurenn Cornpan ITHIS SECTION NEED NOT BE CERTIFICATE OF EXEMPTION: I cartify that in the performance of the work for which this permit is iwusd, I shall not employ any person in my manner so as WARNINO: FMun to WM Vorlun' mmp*u.tion mvag. Is unIsw(ul. .nd .h.l .ub/.Ct M emplww to Cdmln* p.n.ltiu .nd clYU Rnms up U, OM hwdd subject to the Workera' Cornpansation Laws Of Cslifornis. I h.i.by affirm that I am eXemPt from the Contractor's Ucms. Law for the following reason: 0 I. as owner of the property or my employees with wages as their sole compensation, will do the won and the structure is not intended or offered for sale ISec. 7044. Busineu and Professions Code: Tha Contractor's License Law dow not apply to an Owner of properlv who builds or improvsa thereon, and who dou such work himssif 01 through his own employees. provided that such improvements are not intended or offered for anla. If. however, the building or improvement i. 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 said. I, as owner of the property. am e~dusi~eiy contracting with iicenaed contractors to cOMtr~ct the Project IS-. 7044, Business snd Fmfusiont Code: The Contractor's License Law does not apply to an owner of propew who build. M improves theraon, and contracts for such project* with contr.nor(s) licmsd pursuant to the Contractor's ucme L~WJ. 0 t. 2. 3. I am exempt under SeE1Ion I penonally pian to pmvida the major labor and materials tor EoNtrYction of the Pr0PMu.d Propem/ ImprOVmMt. 0 YES ON0 I 1h.w I have not1 signed an application for a building permit for the propwed work. I have contracted with tho foliowino parson (firm) to provide tha pmposed construction (include name I addross I phone number I contncton licente numberl: Budmu and Rofuslons Code for this reason: 4. number I contnctors iioenee number): 5. of work): I pian to provide portions Of thm work, but I have hlrsd the following person to coordinate. Supsrvirs and provide the major work iinciuds name I address I phone I will provide some of the work. but I have contracted Ihiradi the following persons to provide the work indioated lindude name I addmss I phons number I type Is the appliomt or future building Occupant required to submit a business pian, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26633 or 26634 of the Presisy-Tanner Hazardous Substance Account Act? 0 YES 0 NO is the appilcant or future building occupmt required to obtain.* permit from the air poilution control district or air quality management district? II the facilfw to im ConetNcted within 1 ,000 fen of the outer boundary of a school site? 0 YES NO V ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE A!+LiCANT HAS MET OR IS MEETINQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR WLLUTION CONTROL DISTRICT. 0 YES 0 NO I hareby affirm that them is a wnstruction lending agency for the performance of the work for which this permit is issued 1Sec. 3097iij Civil Codel. I sutify that I have reed the applicllon and state that the above information is conact and that the Information on the piam is accurate. I agne to comply with all City ordinencas and State laws relating to building COnStNCtiOn. I hereby authorize rePresentatiVBs of the Citv Of Carisbad to enter upon the above rnentionmd propmy for inspection purposes. I ALSO AQREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CiTY OF CARLSBAO AQAINST Au LIABILITIES, JUDQMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA10 CITY IN CONSEOUENCE OF THE QRANTING OF THIS PERMIT. OSW An OSHA permit is required for excavation8 over 6'0' deep and demolition or COMtNction of strUCtUres over 3 stories in height. EXPIRATION Every penif issued by the building Ofliclai under the pmvisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permll is not wmmenced wi in 180 days from the date of auch pemlt or if the building or work authorized by such permti is suspended or abandoned at any Un dter the work is-wmmficed for a &qd ow9 days (Section 106.4.4 Uniform Building Code). A rn -I AWLICA 'S SIGNATUR " IU! DATE 4- /> -uy : Fiie YELLOW Applicant PINK: Finence City of Carlsbad Bldg Inspection Request For: 02/02/2004 Permit# CB040164 Title: OCONNELL RESIDENCE DescriDtion: COPPER REPIPE Type: PLUM Sub Type: Job Address: 2841 ANDOVER AV Suite: Lot 0 Location: APPLICANT HANNA PLUMBING Owner: OCONNELL JAMES J&JOAN M Remarks: Inspector Assignment: JM Phone: 7607309125 Inspector: J'M, Total Time: Requested By: JAMES Entered By: CHRISTINE CD Description Act Comment 29 Final Plumbing Associated PCRdCVs InsDection History Date Description Act lnsp Comments 01/15/2004 24 RougivTopout AP JM 01/15/2004 29 Final Plumbing CO JM SETSCREWS JASAK AGENCY PAGE 62 61/13/2864 12: 57 6196318668 JW.13.m 1:55PM SCIF(3U)266-5857 NO.BB1 P.1 P XmmJLDER WY 8TATE P.O. ~0x420807, SAN WCISCO. CA %w.%aeo5 Fu N D CE#nFICATE OF WORKERS' COMPENSA IlON INSURANCE @~~yp~gg - - ' I' ., I. - i I ,.