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Home My WebLink About2653 SAUSALITO AVE; ; CB003830; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10/16/2000 Plumbing Permit Permit No:CB003830 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2653 SAUSALITO AV CBAD PLUM 1675117400 Lot#: 0 Construction Type: NEW MONTGOMERY RES COPPER REPIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/16/2000 CB 10/16/2000 10/16/2000 ANDERSON PLUMBING INC,WAL TER MONTGOMERY FAMILY TRUST 06-17-98 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Total Fees: $52.00 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 TOTAL PERMIT FEES Inspector: 2653 SAUSALITO AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 1 0 0 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $25.00 $0.00 $0.00 $52.00 FINAL APPROVAL Date: J -17 -~/ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, or other exactions hereafter collectively referred to as "fees/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 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 fees/exactions of which vou have nrevioustv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otheiwise exnired. FOR OFFICE USE ONLY PERMIT APPLICATION r' PLAN CHECK NO. -=L--~~~u CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit _______ _ Validated B)', {:!fP 1. PROJECTINFORMATION 2653 Sauslito Ave Address (include Bldg/Suite #) S ingle family dwelling Date le {L(f)(CrO Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ. FT. # of Stories # of Bedrooms # of Bathrooms Name 3. CONTACT PERSON If different from a Jlllcant Address APPLICANT D Contractor Agent for Contractor D City ent for Owner BBQ QphpQU8 Ave ST State/Zip Telephone# ST State/Zip Telephone# ,,,.N_am_e===~==-==,,,.,...----,,--A-d~d-re_s_s_Soutll San£.ranc1scq, C.,_A...,.9_4_~ __ oY _________ _ 14. PROPERTY OWNER ----------~0:.o· ~".:,,.,· e!2._..7 ______________ _ Jeff & Susan montgomerv 2653 Sausalito carlsbad Name Address City CA 92008 760-720-2343 State/Zip Telephone# Fax # (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 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 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 a civil penalty of not more than five hundred dollars [$500]). WALTER ANDERSON PLUMBING 1150 N . Marshall Ave. El Cajon CA 92020 6194493852 Name Address City State/Zip Telephone# State License # ..,4""9""3_,_1.,,_6,...3 _____ _ License Class C16 C36 C2O HIC City Business License # 107 4400 ST Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 permit is issued. i2J 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Advanced Insurance S Policy No. 2OA2WC9OOOO73OO Expiration Date 10/01/2001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D 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 coverag~is thousand dollars ($100,000), in addition to the cost of compensati ul, and shall subject an employer to criminal penalties and civil fines up to one hundred as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE j, DATE 10/09/2000 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the 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 threreon, and contracts for such projects with contractor(s) licensed ~suant to the Contractor's License Law). U I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES O NO 2. I (have I have not) signed an applicant for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number/ contractors license number): <Name> <Address> <Work Phone> <State License> 4. I plan to provide portions of thP. work hut I h;ivP. hirP.rl thP. fnllnwinn nP.r~on to coordinate, supervise and provide the major work (include name I address / phone number I contractors license number) <Name> <Address> <Work Phone> <State License> 5. I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated (include name / address / phone number / type of work): <Name> <Address> <W ork Phone> <Work Type> PROPERTY OWNER SIGNATURE DATE OMPLETE THIS SECTION FOR NON-RESIDENTIAL: BUIL:DING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous rna!erials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LEND ' LENDER'S ADDRESS 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 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, JUDGEMENTS, 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 issued by the building 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 ermit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4. if rm Building Code). DATE _1.,_,Oc:.c/O,,_.,9e!.:/2:::.,O'-"'O'-"O _____ _ City of Carlsbad Bldg Inspection Request For: 01/16/2001 Permit# CB003830 Title: MONTGOMERY RES COPPER REPIPE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2653 SAUSALITO AV Lot 0 APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: MONTGOMERY FAMILY TRUST 06-17-98 Remarks: Total Time: CD Description Act Comments Inspector Assignment: JL --- Phone: Inspector: {),(J.. Requested By: SUSAN Entered By: CHRISTINE 29 Final Plumbing lf:1!._ ____________ _ Associated PCRs Inspection History Date Description 1112812000 29 Final Plumbing 1111612000 24 Rough/Topout Act lnsp Comments NR JL CO JL SEE ATTACHED NOTICE