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Home My WebLink About2649 SAUSALITO AVE; ; CB022988; Permit,K ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-03-2002 Plumbing Permit Permit No: CB022988 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2649 SAUSALITO AV CBAD PLUM 1675117300 Lot#: 0 Construction Type: NEW BOLWELL RES-REPLACE WATER HEAT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: BOLWELL STEVEN M&SUE L ISSUED 10/03/2002 RMA 10/03/2002 10/03/2002 ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 2649 SAUSALITO AVE CARLSBAD CA 92008 7905 10/03/02 0002 01 CGP Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 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 Payments To Date: 0 0 0 0 1 0 0 $0.00 lnspector£G2 FINAL APP~~L Date: 4'/1/t7 ~2- Balance Due: Clearance: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 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 lT APPLY to any ' f hi i I n ivn N Tl ilr hi flimiation h rvi I htw' 02 27-00 FOR OFFICE USE ONLY PERMIT A PPLICATION PLAN CHECK NO. C;Jf22-r;flf? CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit --------,.--1t---- Validated By t I Ji ;F Date ( bl {t/ j!~ Address (Include Bldg/Suite #) Business Name (at this address) Legal Description lot s~ubdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of ~kr-1 ~ w ~ i CONTAC; ~ON (If different from apj>llcent/ #of Stories # of Bedrooms # of Bathrooms Name City State/Zip Telephone# Fax# ~~~~~!.!.J,,,J.!!t.L....~~~~64--.l:::d,.l,2~~~~--<:::>~-O~~GAu·_::::, tel.L~.;l...i,._.i~fL.L..l.~_c:~ N Address City State/Zip Telephon 4 ·5~,PeRTYO~~\w~J,l 6Hol{q Saus°'-U4o N&CM!sW f4'. 9~~ Name Address City State/Zip Telephone # 6. CONTRACTOR · COMPANY 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 . . . 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: 0 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 permit is issued. My worker's com nsation ins ance carrier and polic number are: .n2 Oft ~~ . . I I I ! Insurance Company -:\--'---'1,..L""'-"CL..W!...!...->-:_......,._..___,"-''--''------Polley N~ ~fil(E:1~ ro Exp1rat1on Date Q LO . LO 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) f f 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: Failure t thousand dollars ( $1 overage 11 unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ompensatlon, damages as provided for In Section 3706 of the lab r coda, I terest and attorney's fees. SIGNATURE ___ ~~C~~~~...::::.__:~~~~~...L.~}-----------DATE 0 7. I hereby affirm that I am empt 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 w ith contractor(s) licensed pursuant to the Contractor's license l aw). 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 I hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterials registration 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. 8. CONSTRUCTION LENDING AGENCY ·;,(:, ,. ,·1 : ' 1 ,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Code). LENDER'S NAME ______________ _ 9. 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 provisio of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is nol commenced within 180 days from lhe d o su h permit or if the building or work authorized by sue permit is sus ended or abandoned at any time after the work is commenc d fo period of O days (Sec on 6 .. 4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 10/09/2002 Permit# CB022988 Title: BOLWELL RES-REPLACE WATER HEAT Description: Type:PLUM Sub Type: Job Address: 2649 SAUSALITO AV Suite: Lot 0 Location: APPLICANT ARS Owner: BOLWELL STEVEN M&SUE L Remarks: 10/9/2002-PM PLEASE Total Time: Act Comments Inspector Assignment: RF --- Phone: 7607203931 Inspector: ff ' Requested By: SUE BOLWELL Entered By: CHRISTINE CD Description 25 Water HeaterNents _M__ _______ _ Associated PCRs/CVs Inspection History Date Description 10/04/2002 24 Rough/T opout 10/04/2002 29 Final Plumbing Act lnsp Comments NR RF NO ONE HOME AT 10:10AM NR RF