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Home My WebLink About2625 SAUSALITO AVE; ; CB051375; Permitj ~~ rul City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-18-2005 Plumbing Permit Permit No: CB051375 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2625 SAUSALITO AV CBAD PLUM 1675116900 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: SCHIAPPA RES-GAS LINE REPAIR Applicant: RAPID PLUMBING PO BOX 17664 92817 (800)9972743 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 0 0 0 0 0 0 1 Owner: SCHIAPPA PAULINE A 2625 SAUSALITO AVE CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 04/18/2005 LSM 04/18/2005 04/18/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 6228 04/18/05 0002 01 CGP lnspe 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 'foes/exactions." You 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 xinf hvrvi nivnNTI hir h inh hrwi 02 27-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number • SO. FT. #of Stories N FOR OFFICE USE ONLY PLAN CHECK NO. 0(\ 0-S-J 3--:,-:;- EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By -~ Date 4-J I '6'} OS • I Unit No. Phase No. Total I of units Proposed Use I of Bedrooms I of Bathrooms 11«lflll"8Rmui~!U..Mllifflmti~lir.Ml'rft1'!if,iJtt~.t~;f;._,;•;;,.,if-:, ;:,s.·:~:,.,;:} 1·~1. i-· .~,:a:,1;ll\JNi2t-O"~,tiF11n1f.r~,;~~~~~~~-ril1~~1tl!'~Jt1~:~,,~~;;i-1~~~ (Sec. 7031.5 Business and ProfeHlona Code: Any City or County which requires • permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, alao requires the applicant for such permit to flle a signed statement that he la licensed pursuant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 .of the Buslne11 ■nd Profe11iona Code) or that he Is exempt therefrom, end the b■aia for the alleged exe Designer Name Address City State/Zip Tel_ephone Stet■ License # _________ _ rt1•wDllifl.l!tJi'~'tJllrti~':f:i~,;1_~,iiJ;i:r,;,.i,'~~;JtRii!1Wh:/i\tV~,~-~iA'f'.:'-"i;M.B)J.1'.<1;.ti;'iji'J'ift;,11:~1t~#.t:ii:i~,;lfij~~i•,?f.:.it·;J:it1;ii:t~.'i'.·t)t:;i~:,1·::.i::.::-i'i::t►..'&:~1;,.,:•ra.~::;.l.";~,t::i Workers' Compensation 0ecl■r■tlon: I hereby affirm under penalty of perjury one of the following declarations: ·· 0 I have end wlll maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of ~e work for which thla permit la Issued. £l I have and will maintain workers' c;ompensatlon, as required by Section 3700 of the Labor Code, for the performance of the work for which this perml~ Is l■1ued. My worker'• C2,!J)pens■tlon.I urine carrier and policy number ere: IL/ Insurance Company _:,., . ,e policy No.Q 5c:;t:jQ -; {l5: '1 Expiration Date / !}-/ ,--0 ~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la laaued, I shall not employ any person In any manner so as to become subject to the Workers' Compenaatlon Lawa of Californli, WARNIN0: Fallure.to-..cure worltera' compensation coverege la unlawful, end ahal subject en employer to crim.181 peneltlea and clvll fines up to one hundrad thouaand doftara 1•10 0), In addlt coat of compensation, damages es provided for In Sactlon 3708 of the Labor code, Interest a11d attorney's fees. SIGNATURE . DATE . :4:--/ x" --0 s-- ffl~flQ)ii . . . .. _ . mffl!I -~iii~B'lt~.i~r.ali§,~if~i~it:;ff;f~~ri*-~~~;~]r.::~1ii~?~~~T.~:tlfili;Jf.l'&~k:iff~~Til'.rf!.~1!~J:i:l{ft:Pi;~}1~-I he;eby afflr that I am exempt from the Contractor'• Llcen11 Lew for the following reason: 0 I, H owner of the property or my employees with wages ea their sole compensstlon, wlll do the work and the structure Is not Intended or offered for sale (Sac, 7044, Business and Profesalona Coda: 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 Int anded or offered for aale. If, however, the building or Improvement is sold within one year of completion, the owner-builder wlll hav~ the burden of proving that he did not build or Improve for the purpose of salel. 0 I, H owner of the property, am exclusively contracting with licenHd contractors to construct the project '(Sec. 7044, Business and Professions Code: The Contractor's Ucer:11e Law does not ·apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Lawl. · 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and ~aterlels for construction of the propoHd property lmproveme_nt. 0 YES . ONO 2. I (have / have notl algned an application for I building permit for the proposed work. 3. I have contracted _with the following person lflrml to provide the proposed construction (Include name / address / phone number / contractors license number1:· 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include n~me / address / phone number/ contractors license numberl:, ______________________________________________ _ 5. I wlll provide some of the work, but I have contract ad (hired) the foll owing parsons to provide the work Indicated (include name / address / phone number / type of workl:. __________ --i----------------------------------------------- PROPERTY OWNER SiGNATURE _____________________ _ DATE _________ ~ rtijip,);iiiti!l-i'ifflliit~ti!:liJl/,g,i.t'qU.iif.J-/.f'i!~ltit:N.'ffj"iJ.)._eU.iiit11f!i_oil'i€t1MliT1$!Jd8ijY'):;f.i;!,;-'-\1~::jt~~.{~~-;:~'.::;~;;;:r.:/'.+'..lt:;J"P:,l:i.'!:l,\}°i•·:i:;1,:Jt'~1:J.tr;;{~;,;i\i-\{i.; r!/5'.~~t::i?ti;·,, ":l)t,:'.>~ti-' ,it Is the applicant or future building occupant required to submit • 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 Act1 0 VES O NO Is the applicant or future bulldlng occupant requl;ed to obtain a permit from the air pollution control district or air quality manage~ent district? ·[) YES O NO Is the facility to be constructed within' 1,000 feet of the outer boundary of a school site? 0 YES O 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. ra.umi]J.ifS~!;;'fijfJiiJWif'ifl~~ifi~~i'l¼ffIB,:Jif~;;i;;';!/'r~"~'.!{~)J'1\~;:t0;1/\t·;;.:t;,\,"l:i:t¾::~i"'.. ?!/~:; ·'.tJi ;:!t~:~i.•~.:i --::·:~I1\ .. :.t:;~,;W/.{i/,:)· .frt . -1.1f-: ~; -~ -~':· I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec, 3097(i) Clvfl Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ____________________ ~--- . i .HJW!a~blifi(C.ERmiltlfl:<i!\tlii~~iAt;:ii,';'.fil,,'i,,.1Jtt~?~K\~~~<,:~;·z:-..tJf;ll:;i:.:,1i~i-i;~;:,:J·J.:e~1b;w!:0;tir.:i: . .Ji,.::!.'-i'\:,;1~1::t':tf~:rJ'(1i'iiji~J))iif,'.;f,7,"'~!.,tt:i\:},i:~~i'~\;j1:;·\i(a;,1,J~t:1!ft;;;i I certify that I have read the applicatlon and state that the above Information Is correct and that the Information on the plans Is accurate. I agrae to comply with all City ordlnanc111 and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE A0AINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit la required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by the bulidlng Offlclal under the provisions of lhls Code shall expire by limltatlon 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 bulldlng or work authorized by such permit Is suspended or abandoned at any time afler lhe work Is commenc for a period of Oda s (Section 106.4.4 Uniform Building Code). ~ 3 7 ? /O < APPLICANT'S SIGNATURE .,4~::Z::::;1,-=::.::;_.t;~~I!!:::::::!======-------:..__-DATE r'Uj_~ .!.L -....:.....,7c......:;......,~'---='--~----- .YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/20/2005 Permit# CB051375 Title: SCHIAPPA RES-GAS LINE REPAIR Description: Type: PLUM Sub Type: Job Address: 2625 SAUSALITO AV Suite: Lot Location: OWNER SCHIAPPA PAULINE A Owner: SCHIAPPA PAULINE A Remarks: Total Time: 0 CD Description 23 Gas/Test/Repairs ,3-ZComment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: 1?-> Phone: 8009972743 Inspector: <'?5 Requested By: ALAN Entered By: CHRISTINE