The URL can be used to link to this page

Home My WebLink About2630 SAUSALITO AVE; ; CB033533; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB033533 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2630 SAUSALITO AV CBAD PLUM Status: Parcel No: 1675116700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: NEWSOM RES COPPER REPIPE Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 1 0 0 0 Owner: NEWSOM THOMAS A TRUST 2630 SAUSALITO AVE CARLSBAD CA 92008 ISSUED 12/17/2003 SB 12/17/2003 12/17/2003 $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 lnspecto~ FINAL APPROVAL Date: 4o//W ' 11.95 .1.2/17/03 0002 01. COP· 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 "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 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"n"/r:w~ctinn~ nf whirh 1mu h::ive nreviou~lv 1-.,,,,,,n njvpn a NOTIC:E ~imil;:ir '" 'his nr as to which 'h" "'"tute of limi'"'inn~ hac. nreviouslv othPrwic.A exr ired. 02 PERMIT APPLICATION FOR OFFICE USE ONLY ) rLAN cHEcK No. Cf>s>3 n3 I CITY OF 'CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _ Validated By,~ Date lZ [_ ", ( . 7 Address (include Bldg/Suite #) Business Name (at this eddress) Legal Description Lot No.0 ~divislon Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms 4. . '. PROPEilTY. OW~R ,··· T ~r;n:1;;:;~~i('i;j)J:~fi:C:1f!1l~i1ir1;i~1t,:*r,~:/ifrfi'.(?[';lf.li;)'it'f(\~~\~~i:i'l'iTf;~;ii:'t.'1-':PPI '.(:'';'i;'c"i;' --~ 0 46-4-w;;; I 1 Name Address City S.tete/Zlp Telephone # 5. ,, coNTi'IAcToR ! cbMPANY:NAME'' " :,:i-r•:,.,,.,1J'r,1i''T(;T1:a:':'r:v.~~1,,11•wj1-f1i,1""~'it~IJr1~'.IJt~rii:if!!lrllt1121~.rr1":lf:q1.r·m;:-; •-ic:'''if/i''w, · · (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 exe pi' '2::.._Any violation of Section 7031.5 by any applic nt for a permit subjects the applicant to a civil penalty of no more than five hu~red dollars JS 50011 /J '7 I?, 2 ..;.e \w Gk · 't! l. 7 -54 Name Addr City State/Zip Telephone # State License# 70.1 i3' 2.0 License Class Clo C,-3,k:, City Business License If l'Ooo,c:o Designer Name Address City State/Zip Telephone State License # __________ _ ·G. . .. WdRici;J'is; c'dMPENSAfltir-l"':; r:1-·,:-•~n••r;,i, ';'' Workers' Compensation Declaration; f hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, ro, the pe1fo1mancP. of the work for which this permit is issued. i?,. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the w ork for which this pe1111it is issued. My worker's compensation insurance carrier and policy number ere: _ / { lnsurence Company ~ ~ Policy No. 24'-b~ 0\ Expiration Date I t Ob (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is Issued, I shall not employ any per son in any ma1111er so as to become subject to Workers' Compensation Laws of California. WARNING: Fellur o sec re workers' compensatl c erage ls unlawful, and shell subject en employer to crlmlnal penalties and civil fines up to one hundred thousnnd dollars I \ 0 I, in addition tt, the c/ o atlon, d11mages as provided for In Section 3708 of the Lab,, co , Interest end ettomey·s fees. SIGNATURE: __ :::sl,.&,~..A.£.Ll,L~~=:'.__:_L__!__J..,"4/£.~~_i.___________ DATE ----'CL..-H~---- 7. OWNER-BUILDER DECLARATION ,,; '' I hereby affirm that I am exempt from the Contrector;s License Law for the following reason: 0 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 (Soc. 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 noes 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!. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code; Tho Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contracto,(sl lirc11sen pursuant to the Contractor's License Law). D f em exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major lebor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): 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 name/ address/ phonn number/ contractors license number); _________________________________________________ _ 5 I will provide some of the work, but I have contracted !hired) the following persons to provide the work Indicated (Include neme /address/ phone m11nber / typo or work): ___________________________ ~-------------=--------------------- PROPERTY OWNER SIGNATURE _________________________ DATE __________ _ COMPLETE THIS SECTiON FOR NOf0iES/DEN.fiAl"ei.l1i:otfJo'PERMltsl"oWUf1f~,f,~N~i~)l;~nr.,.i;;•:~r.i•r1'i'r;:•;-r,•;,:•<"'1";,:r"';::· Is tho applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and rrr.vc11tio11 program undor Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acll O YES O NO Is the applicant or ruture building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS HIE APPLICANT HAS MET on IS MEETING TltE nEOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8: · CONSTRUCTION LENDING AGENCY I r .r·::[t!/ij::t:i:-fii~~i~1~~;:f1]~~[~~~fL{~)}:it-i!{f,:iTt;~~~ti~11ti~~:,:0ifi'f{~ft~'.i:~l~~\i,f::i;i;';::-,:i;:; --~ ·: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued !Sec. 309711) Civil Code). 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 agroe to comply witlt all C:i1y ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\-of Carlsbad to ent~r upon the above 111e11tio11r,ci p-oporty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LII\Bll/11FS. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TltlS PEnMIT. OSIIA: 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 the ullding Official under the provisions of lhls Code shall expire by limllallon and become null and void ii lhe builtling 01 work .iulhorized by such permit is not nence within 180 days from the I of uch permit or It the building or work authorized by such p rmit Is suspended or ;,[,,111d""''" nl nny time after the work is comh ce for a perio of 1 BO days (Se n 1 6 4. ~nlform Building Code). /, APPLICANT'S SIGNATURE \ DATE __ /_,_,_ _ __,_ ____ _ City of Carlsbad Bldg Inspection Request For: 01/09/2004 Permit# CB033533 Title: NEWSOM RES COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 2630 SAUSALITO AV Suite: Lot 0 Location: APPLICANT ARS Owner: NEWSOM THOMAS A TRUST Remarks: Total Time: CD Description Act Comment Inspector Assignment: TP --- Phone: Inspector: ~ Requested By: VERONICA Entered By: CHRISTINE 17 29 Interior Lath/Drywall Final Plumbing ~----------------£ _____________ _ Associated PCRs/CVs lns12ection History Date Description Act lnsp Comments 01/02/2004 24 Rough/T opout AP TP 01/02/2004 29 Final Plumbing AP TP 12/31/2003 24 Rough/Topout NA TP