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Home My WebLink About2631 SAUSALITO AVE; ; CB031014; PermitJi t1i<£ • ,LY City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-09-2003 Plumbing Permit Permit No: CB031014 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2631 SAUSALITO AV CBAD PLUM 1675117000 Lot#: 0 SMITH RESIDENCE COPPER REPIPE Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/09/2003 MDP 04/09/2003 04/09/2003 Applicant: Owner: 2347 04/09/03 0002 01 SMITH THOMAS W&DEBRA L CGP 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 Total Fees: $57.00 Inspector: 0 0 0 1 0 0 0 2631 SAUSALITO AVE CARLSBAD CA 92008 Total Payments To Date: $0.00 FINAL APPROVAL Date: Of--01-0 3 $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 Balance Due: Clearance: $57.00 NOTICE: Please take N roval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexa ns." Y ave 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 I i n f whi h h v r i ! N Tl E imil hi r hi h h f \imi i n r vi I 02 57-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (j;;;r {c\~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date. _______________ _ Address (include Bldg/Suite 11) Business Name (at this address) Legal Description Lot No'0~division Name/Number Unit No. Phase No. Total # of units Assessor's Parcel Existing Use Proposed Use Description of Work SO. FT. I/of Stories II of Bedrooms fl of Bathrooms "'· r!•' , .. . . r. Name Address City State/Zip Telephone II Fax II 4 Name Address 5. CONTRACTOR! coMP.ANY.NA.MEi' '! ·,:J"i'-1'': ,J;.:,~;~: r;:·t~r::"intf;?:};r~~J}~'f[::~W~Jt'.~lf'.~''iJ:tn~rri:;r.;;~,;~Jr:~~t~f~Vi~?''.r~r,l· (Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, p,ior 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 p · '7-!'ny 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 ($500)1. -:;:.,; ~ b2 \o..) Gk -· -tt l., --54- Name Addr City State/Zip Telephone II State License II _f_q___:_:1'--~""'---L_Q __ _ City Business License # __ \_'O_P0.:,__7_00--"'-_ Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKER!f cbMPENSATION""1 ':,r,,:, ·.• ,,," Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. ~ 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 pe1Jni1 is rssued. My worker's compensation insurance carrier and policy number are: Expiration Date __ l.,,;,/_f--'{_oh ___ _ Insurance Company ~ µ® · Policy No. 24'?,~b4-2, -Q\ (THIS SECTION NEED NOT BE COMPLETED 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 Workers' Compensation Laws of California. WARNING: Fnilur c erege Is unlawful, and shell subject en employer to criminal p thousand dollars ( o atlon, damages as provided for In Section 3706 of the SIGNATURE: __ ~.b.QA.""2.LJl,L'!~~:::'.,__.:.._L..!__...J..4'~~~1....,_________ DATE ----'---->---'--- 7. OWNER-BUILDER DECLARATION .·c,.·,c "'"·"" '""'··,,_,,,.,,,,,.,. .,., O 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 docs such work himself or through his own employees, provided thot 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: 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 personolly plan to provide the mojor labor end materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I 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 I phone number I contractors license number I: 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 I address I phone number I 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 name I address I phone number I typo of work):. ________________________________________ _:_ ___________________ _ PROPERTY OWNER SIGNATURE _________________________ DATE __________ _ coMPLETE rH1s sEcT10N i=oR N'or✓-'1ti=s10.E'r.inAl1au,LfltN0'1>eRiViits,..oii11,-W"u~ir.,r.J;·,-.. ,1,:i1f'"·'•1r ~ri , .• ,, ... ·,'':'·,: , .... , · · Is the applicant or future building occupant required to submit e business pion, ocutely hazardous materials registration form or risk management and 111evontion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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 7 0 YES O NO Is the facility to be constructed within 1,000 f eet of the outer boundary of a school site7 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 H IE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8, · CONSTRUCTION LENDING AGENCY ::· "> ., · :'·{[:~u:~1.l,i~illi~,t/~'~)::"1~~j!'n~~\(l:,;,1-:rs! .. '(1{':,r )'):,"' · I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(1) 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 Citt of Carlsbad to enter upon the above men1io11crl p-oporty 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. 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 permil issued lhe uild1ng Official under the provisions of lhls Code shall expire by limllalion and become t" and void 11 lhe bu1ld1ng or work authorized by such permit is not ence within 180 days from the t of uch permil or if the building or work aulhorlzed bys~ ermit~, suspended or at1,111don0rt nl nny time after the work is com ce for a perio of 180 days (Se n t 6 4. nlform Building Code) 7 APPLICANT'S SIGNATURE \ DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB031014 Title: SMITH RESIDENCE Description: COPPER REPIPE For: 04/30/2003 Type: PLUM Sub Type: Job Address: 2631 SAUSALITO AV Suite: Lot 0 Location: APPLICANT ARS Owner: SMITH THOMAS W&DEBRA L Remarks: Total Time: CD Description Act Comment Inspector Assignment: JE --- Phone: 8586775455 EX 107 Inspector: sW Requested By: VERONICA Entered By: CHRISTINE 19 Final Structural 4£_ I\ D lg -5!'" 29 Final Plumbing a£_ __________ _ Associated PCRs/CVs Inspection History Date Description 04/24/2003 24 Rough/Topout 04/23/2003 24 Rough/Topout Act lnsp Comments AP JE NR JE EXISTING COLD WATER BOND OK