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HomeMy WebLinkAbout2657 SAUSALITO AVE; ; CB022370; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-15-2002 Plumbing Permit Permit No: CB022370 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2657 SAUSALITO AV CBAD PLUM Status: Parcel No: 1675117500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: AADLAND RES-COPPER RE-PIPE Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plan Approved: Issued: Inspect Area: Owner: AADLAND PETER S&ELAINE A 2657 SAUSALITO AVE CARLSBAD CA 92008 ISSUED 08/15/2002 RMA 08/15/2002 08/15/2002 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: 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 Inspector: 0 0 0 1 0 0 0 FINAL APPROVAL Date: f:.-.-3-Pc.-Clearance: $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 $57.00 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 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 x hi h i ii r h' i n h I j_ .PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Ave FOR OFFICE USE O~ Y · PLAN .CHECK NO. a(/ 1...1.J 7 l) EST. VAL. _________ _ Plan Ck. Deposit ------t½"ill--,-- qzoo<f 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 City State/Zip Telephone# Fax# 3 Name Address City State/Zip Telephone# 7'20-""12.0 -,f:,. 13 City State/Zip Telephone# City Business License # _______ _ Address City State/Zip Telephone I hereby affirm under penalty of perjury one of the following declarations: 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. rii!' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for w hich this permit is rs~ed. My worker's ompensa ·on insura e carrier and policy number are: I' Insurance Company -• ~ Fi Policy No. ('P'J78l3 -01.. Expiration Date 07-01 -o,3 (THIS SECTION NEED NOT BE COM ETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) 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 person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: F11llur11 to sacure workers' compensation coverage 11 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollers ($100,000) add tlon to the cost of compensation, damages 111 provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE o<! -IS -02. 7 WNER-BUl(i;mi]>E -J.!.!I~...,_ _____ ....., _____ _ I hereby affirm that I am exempt from the Contractor'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 (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 improvergents 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 ot'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: 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). · 0 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. 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 I phone number/ contractors license number):. ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): • DATE __________ _ 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 26605, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act ? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is tha 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. 8. CONSTRUCTIOl'i_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. 3097(i) 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 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 f or 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 permil is not commenced within 180 days from the date of such permit 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 180 days (Section 106.4.4 Uniform Building Code). DATE ----==~:...=..--....1..I_I'_-_()__::'2__=----- WHITE: File YELLOW: Applicant PINK: Finance , • r• I , ,ai,;.it;jD] ~ • City of Carlsbad Bldg Inspection Request For: 08/30/2002 Permit# CB022370 Title: AADLAND RES-COPPER RE-PIPE Description: Type:PLUM Sub Type: Job Address: 2657 SAUSALITO AV Suite: Lot 0 Location: APPLICANT CALIFORNIA DELTA MECHANICAL Owner: AADLAND PETER S&ELAINE A Remarks: Total Time: CD Description Act Comments Inspector Assignment: RB --- Phone: 8668980008 Inspector: ---- Requested By: NA Entered By: CHRISTINE 24 Rough/Topout 19-/0 __ ~----,-,---------~---2='1-----------{~ ;1"".s c.trV ev--w4',.., ~';,,,e t?,t Associated PCRs/CVs Inspection History Date Description 08/29/2002 24 Rough/Topout Act lnsp Comments NR PS -\-