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Home My WebLink About2862 ANDOVER AVE; ; CB110053; Permit01-10-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110053 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2862 ANDOVER AV CBAD PLUM 1674801846 Lot#: 0 Construction Type: NEW SHIELDS:REPLACE 40 GAL WTR. HT Status: ISSUED Applied: 01/10/2011 Entered By: JMA Plan Approved: 01/10/2011 Issued: 01/10/2011 Inspect Area: Applicant: J&J PLUMBING HEATING AND AIR STE 166 2604 EL CAMINO REAL CARLSBAD CA 92008 6196068677 Owner: SHIELDS THOMAS J FAMILY TRUST 11-10-09 2862 ANDOVER AVE CARLSBAD CA 92010 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due;$0.00 Inspector: FINAL APP Date: VAL Clearance: NOTICE: Please take NOTI'CE thatapproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to a,s "fees/exactions." Yo| have 90 days from the date this permit was issued to protest imposition of these fees/exactions. 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 fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. Building Permit Appln W^.F' 1635 Faraday Ave., Carlsbad, CA V CITY OF 760-602-2717/2718/27 /""ADI ^RAn Fax:760-602-8558 VMA\r\LOD/"vLS www.carlsbadca.gov JOB ADDRESS . A t gtr CT/PROJECTi tOrV PHASE # # OF UNITS 1 # BEDROOMS t. Plan Check No. £H& ( ( OCXT~3CQtion 92008 Est. Value iy Plan Ck. Deposit Date j „ (£. |j SWPP SUITE#/SPACE#/UNIT# APN ((BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCO. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) j , ijOCl \£J( VT^CL'T^-/^" c y^\cyi r~) o 4? C>L>CJT ~ ^4^5 Q £n_ LiOf«*-jJ J EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME — T^T ^A~\ ' \ <T ADDRESS CITY STATE ZIP PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # ^ NO D YES D NO D YES D NO D APPLICANT NAME ADDRESS CITY ' STATE ZIP PHONE FAX EMAIL CONTRACTOR BUS. NAME » 1 t . -~ , - ADDRESS jfi J J tpoM" E> 15\ (Lapninc. 'fyrcd -H3* K/5.6? n STAIE "^ * ZIP /)Ltf~ |^t)^.^2^ C — uO " crOOo"^ PlTONE FAX EMAIL STATE LIC.# (-.. , /_^ CLASS CITY BUS. LIC.# i f (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of peijury one of the following declarations: CJ 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 perm it Is issued. _^!have and will maintain workers' compensation, as requireiby Section 37JO of the Labor Code, for the performance of the work for whlchthis permit is issued. My workers' compensationjnsurance carrier and policy /number are: Insurance Co. "TrY3 \\Ck. V 4 T^if^ (~ O( Policy No. ^> ~7 LtJJ5-1 -W \l ")^to^f Expiration Date ^ ' 3-^1 'II This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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 thousand dollars (&100.000), in addition to the cost of compensatiorvdamages as provided for jrfStectwn 3706 of the Labor code, interest and attorney's fees. / " / %) ' // / hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). d 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): pROPERTY OWNER SIGNATURE DAGENT DATE •f 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? OYes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes O No Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? D Yes D No EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have readUie application and stats that the above information is correctand that the information on the plans is accurate.1 agree to comply with allCity ordinances and State laws relafingtD building constniction. I hereby authorize representative 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 he^ht EXPIRATION: Every permit issued by the Buifcling 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 180 days from the date of such permit or if the building or work authorize£ty such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). JS$ APPLICANT'S SIGNAT City of Carlsbad Bldg Inspection Request For: 01/18/2011 * U t Permit# CB110053 Inspector Assignment: T Title: SHIELDS:REPLACE 40 GAL WTR. HT V Description: V Type: PLUM Sub Type: Phone: 6196068677 Job Address: 2862 ANDOVER AV Suite: Lot: 0 Location: Inspector: OWNER SHIELDS THOMAS J FAMILY TRUST 11-10-09 Owner: SHIELDS THOMAS J FAMILY TRUST 11-10-09 Remarks: CALLW/ETA Total Time: Requested By: JOHN Entered By: JANEAN CD Description Act Comments 25 Water Heater/Vents - .// 29 Final Plumbing Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments