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Home My WebLink About2642 SAUSALITO AVE; ; CB011620; PermitfJIU1p/ ~ ~ 1 City of Carlsbad aY,635 Faraday Av Carlsbad, CA 92008 05/02/2001 Plumbing Permit Permit No:CB011620 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2642 SAUSALITO AV CBAD PLUM Status: ISSUED 05/02/2001 CB 05/02/2001 05/02/2001 Parcel No: 1675116500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FILAMENA RES/ COPPER REPIPE Inspect Area: Applicant: PEPPARD PLUMBING 1466-9 PIONEER WY EL CAJON CA 92020 619-442-6558 Total Fees: $57.00 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 Additional Fees TOTAL PERMIT FEES Inspector: __ L/2-__ J!, __ Owner: CHRISTOPHER JOHN&FILAMENA 8241 05/02/0~0 1 0" 2642 SAUSALITO AVE p 5 CARLSBAD CA 92008 Total Payments To Date: 0 0 0 1 0 0 0 $0.00 FINAL APPROVAL 8244 05/02/01 0002 01 02 Balance Due: $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 CGP 57-00 $57.00 Date: >,... ';I-,}. • O/' 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 infonnation with the City Manager for processing in accordance with Cansbad Municipal Code Section 3.32.030. Failure to timely fol~w 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 r~ht 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 nreviouslY been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. FOR OFFICE USE ONLY • PERli/llT APPLICATION PLAN CHECK No .C-tpll CRJ O CITY OF CARLSBAD BUILDING Dl;PARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit-~------- Validated By. __ C__:,.J3>::::,__ _____ _ Date 5: -2 ,a I 1. PRQJECT INFORM,ATION a.b4 cJ, ;5,g , 2 s;,,,, 1 :to Rue Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use D~orr;~(\ l v {Y\b SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PE~lf different from·ep11llc11nt) _ Name Address City State/Zip Telephone# Fax# 'A ent f Name 4. :J,;,,,. o,e. 46 •· 9BC:0'% 7bh 2@~ Name S,tate/Zip Telephone # ,5, CO.NIRACTOR -CQMPANY NAME (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 ption. Any viol · n of Section 7031.5 by any applicant for a ermit subject\ th~ applicant to a civil en~ty of not,!'1091 than five hundred dollars)J,5001). • ,;;," -¥-C::.,J...W',&J.Ll.~Llll!~~~~~:2-...I.---X.~,~~~W~«~c-=-'L-~~.r:-==--==L/~-t~71::u;::~-.-!::c.r4:l...lO~C:::::.0 City State/Zip Telephone # State License # __ -1.,....,u.....L..=:::::-.:,,,_;__ License Class ----='---="'----City Business License # / Qo(f 7l{ 9 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 t he performance 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 work for which this permit is ~-My worker's c~sation insurance carrier and policy number are: , !:' Insurance Company '}af'/\c--.!J-A': & Policy No;N (2(f108Jx~c) ( Expiration Date / -/ ~ 1) 2_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O 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 coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 100,000), in addition to the cost of c · rovided for in Section 3706 of the Labor code, interest and attorney's fees. DATE r-2 ~0 I SIGNATURE 7.,. OWNER DECLARATION > 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 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 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 / phone 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 name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ ,COMPLl:TE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS QNI: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regi~tration form or risk management and prevention program under Sections 25505, 25533 or 25534 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 the 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. ,a. CQNSTRUCTION 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 NAME ______________ _ j9. APPLICANT CERTIFICATION 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 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 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 permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is c~ed for a period of 1eys-(S~ Code). APPLICANT'S SIGNATURy'°'~ '.) DATE s -2 -c)/ WHITE: File YELLOW: Applicant PINK: Finance //~~ ,,,-:;-5 City of Carlsbad Bldg Inspection Request For: 05/21/2001 Permit# CB011620 Title: FILAMENA RES/ COPPER REPIPE Description: Type:PLUM Sub Type: Job Address: 2642 SAUSALITO AV Suite: Lot 0 Location: APPLICANT PEPPARD PLUMBING Owner: CHRISTOPHER JOHN&FILAMENA Remarks: Total Time: CD Description Act Comments Inspector Assignment: SR --- Phone: 6194426558 Inspector: Requested By: MELISSA Entered By: ROBIN 29 Final Plumbing ,a_e_ ______ _ Associated PCRs Inspection History Date Description 05/17/2001 24 Rough/Topout Act lnsp Comments AP SR OK TO ROCK