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Home My WebLink About2673 SAUSALITO AVE; ; CB110507; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-11-2011 Plumbing Permit Permit No: CB110507 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2673 SAUSALITO AV CBAD PLUM 1675121600 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: AVERILL RES-COPPER REPIPE Inspect Area: HOT & COLD, UNDERGRD TO OVERHEAD, 12 FIXTURES Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 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 12 0 0 0 0 0 0 Owner: AVERILL WINIFRED TRUST 01-29-91 2673 SAUSALITO AVE CARLSBAD CA 92010 ISSUED 03/11/2011 LSM 03/11/2011 03/11/2011 $20.00 $84.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $104.00 Total Fees: $104.00 Total Payments To Date: $104.00 Balance Due: Inspector: FINAL APPROVAL Date: 5 · I {p · I( Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, 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 ln 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 1imely 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 f h r vi I n iv n N Tl imil r hi r flimi in h I '·~•-· Building Permit Application Plan Check No. ('i A f I O SO/ ~\ ,!;SI_'f> 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ C ! TY Of 760-602-2717 / 2718 / 2719 CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 3.{ I< I I 1 lswPP JOB ADDRESS 'Scr lA$0. I +-o SUITE#/SPACE#/UNIT# IAPN 2.~7~ I --- CT/PROJECT# rOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atrected Area(s) rt OL-LS-e ~ AO I n-e., l,..._.l.J...('r,(11. LO"~ I 2 ~. l<."t:u..re"'-. ' 01'\krorou,,J.--\-o overf..e.::i.d. EXISTING USE PROPOSED USE IGARAG~F) PATIOS (SF) I DECKS {SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES □ NO □ YES □ NOD CONTACT NAME (lfD/fferentFomAppl/cantJ ) lA.Ct II"\ T-(' \ -e ct°'-APPLICANT NAME ADDRESS 'Sctq-e, w ADDRESS ""y 's 'S· F-f" CITY vis.+~ C6.ATE 0ij'os3 CITY STATE ZIP PHONE I FAX PHONE I FAX 7 Co O 71--Cc -2 0 o 2--7Lu -7 "2.-(p -\'l7 $ EMAIL EMAIL PROPERTY owNER NAME N O J2. m Shotts CONTRACTOR BUS. NAME H Ct Yl noi P\LAmlni noi ADDRESS So, u '3c. Ii t-o ADDRESS 'S . Sc, V1. ~ ,~\ ~ '2.-IP 7 ~ l.p 4 ~ c,TY 06 °'-d-er~ CJ ZIP q CITY V i S-\-t>-STATE ZIP dOO co-. Oi.do8"3' PHONE PHONE Ci 011 'is'"c Cl -3 o O 7--I FAX --iroo ·1 Z& -2.:., c., 2-IFAX 11,0 ,2.1.p -l 2-, 3 EMAIL EMAIL ~ 'S,e fc\J1Ce r5:) \-\-c, n "'°' I\ U.,l'VI '\al Y\. 9 . CO, ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# '7057'90 !CLASS L-3<.p C1T4u'/Jc18-0U (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 !ts Issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chaoter 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}). Workers' Compensation Declaration: I hereby affirm under penalty of petjury one of the following declarations: ~ ~ve and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnar,ce of the work for which this pem1it is issued. ~~e and will maintain workers' com ensatlon, . ~ired Section 37 gt the Labor C de, for the perfonnance of the wo~r_lXh: this ~~Is issued. My workers' compensation i sura ce carrier and number are: Insurance Co. C Ci S .,e I n V n t'1 Policy No. W C ~-:, ::S: J l l~ ::2-l I Expiration Date --'--WU---"'c.l..LJU:,,.- This secUon need not be completed if the permit is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the perfom1ance of the work for which this pem1il 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 worket1' compensation coverage Is unlawful, and shall subject an employer to criminal penaltle& and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam p dad for In Sectl 06 of the Labor code, Interest and attorney's fees ,.85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ 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). □ 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). □ 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 nlprovement □ Yes □ No 2. I (have/ have not) signed an application for a building permit for the proposed wort 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4, I plan to provide portions of the work, but J have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license numbe~: 5, I will provide some of the worir:, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE VJ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registratiM form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans Is accurate. I agree to comply with all City oltllnances and State m'tS relating to building construction. I hereby authorize representative of the City of Cartsbad to enter up::m the above mentioned property br inspection purposes. I AL.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSMD AG\INST AU_ LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG\INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: kl OSHA permit is required 'br excavations over 5'0' deep and demolition or construction of strucrures over 3 stories in height. EXPIRATION: Every pennit issued by the Buik:ling Off'Cial under the provisbns of this ('roe shall expire by limitaOOn and become null and void if the buik:ling orv.ork authorized by sudl permit is nota:immenced Wthin 180 days from the date of such pennit or if the ~ldinf or'M'.lrk authorized by such permit is suspended or abandoned at any time after the 'M'.lrk is commenced for a rbd of 1 days (Sectkm 106.4.4 Uniform Buik:ling O:x1e). -@S°APPLICANT'SSIGNATURE ¢1. '() ~ DATE 2> I l 11 City of Carlsbad Bldg Inspection Request For 03/15/2011 Permit# CB110507 Inspector Assignment: PD --- Title: AVERILL RES-COPPER REPIPE Description: HOT & COLD, UNDERGRD TO OVERHEAD, 12 FIXTURES Type:PLUM Sub Type: Job Address: 2673 SAUSALITO AV Suite: Lot: 0 Location: OWNER AVERILL WINIFRED TRUST 01-29-91 Owner: AVERILL WINIFRED TRUST 01-29-91 Phone: 76071£ Inspector:& ::::.._ __ _ Remarks: WILL CALL TO MAKE ACCESS ARRANGESMENT Total Time: Requested By: NA Entered By: CHRISTINE Act Comments CD Description 29 Final Plumbing -f----- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description 03/14/2011 89 Final Combo Act lnsp Comments CO PD NO ACCESS