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Home My WebLink About2624 SAUSALITO AVE; ; CB053792; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-31-2005 Plumbing Permit Permit No: CB053792 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2624 SAUSALITO AV CBAD PLUM Parcel No: 0000000000 Lot#: 0 Reference #: Project Title: Applicant: ARS STE 100 PINCUS RESIDENCE COPPER REPIPE 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 Construction Type: NEW 0 0 0 1 0 0 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/31/2005 MOP 10/31/2005 10/31/2005 $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: $57.00 Balance Due: Inspector: FINAL APPROVAL/ Date: /-;i._ 3.,,, c? &> Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the glmpositionff of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.ff You have 90 days from the date this pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Garlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions OOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES IT APPLY to any . , .. ,1.:-1..,-,, -: .. -..,,:a ..• 1.:-n,--·-···1.:-1. •• i.--. ·rot1 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO ...... a""""'~"'--,. ---,,::;_;_1_cr CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. -----------1r--- Plan Ck. Deposit --------+-- Validated By _________ +-_ Date ______________ _ Business Name (at this address) Legal Description Lot No'6Ft<'division Name/Number Unit No. Phase No. Total # of u its Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms Name Address I City S.tate/Zip Telephone # .,_ .. ,_,,. . .. , .... _, ··•·· .. ,.--M•;,=··---~·-;i1=·•,•'il"ii!'l:1!''•"' •'el':" '!Wli;"'"'J'""'"'"'1"'"~•'61:1:lo:l"'"Wlllifl\'l.¥.-m~,Ml1ffl!l.t::!1.'!l!'!lffi'Jlli"'"l!!o.-~l""""""~""'•>r1•-•""•·,.,eo,rw.• ••", ... • · "· • ' · · ·-\0 J~i, l'.• CO.f'TR.ACTuR , ..... _,,,l','li,,,, .. w_ ... ,,,,,,,_,,ilj~,!,~;]'ff.m,~,1;',tf@l;i\1!'\>Jl'}C::~tll\ihd!.~~a;llJ:iii'Y,.~,ugr.h'lt:'!!g;i111jM!iv.\'i>l;"t)!/F •f11$.'i['fil/'~~t¥i''-!'.'·'~'"'" ,, .. ;·;_,, .•. },:, .. ,, ,-, . " . (Sec. 7031.5 Business and Professions Code: Any City or County J hich requires a permit to construct, alter, Improve, demolish or repair any stn,1cture, prior to Its issuance, also requires the applicant for such permit to file a signdd 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 B;usiness and Professions Code) or that he Is exempt therefrom, and the basis for the alleged axe p .. ?:;Any violation of tction 231.5 by any appllc for a permit subjects th\~ant to civil penal~o more than five h~z.~ollar-5'500)). Name Addr State/Zip Telephone # State License# 70.1152-0 License Class Clo C-,-3,k, City Business License# li::>-oo,co Designer Name Address City State/Zip Telephone State License # _________ _ tl12''""'WoJlll(RS!'c6M~EN!l'A'flB • .,t~[J,ff'!J}'!·~(f~:')':;'1' 'ft:',,i.:,,~~1•1f\'f:f,~~{':tP~l'~1t"~~~11~f,};l,,~~t!l~\1~!'!,"1il:t;l1:'l':'i''l'j;i'f mr.~w::. ,,,, ,:.--, ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 compensation in~urance carrier and policy n~mbe~ are: / { Insurance Company CY\Ai2£iH ~ 1-Policy No. 24''.tz~ ~Q\ Expiration Date { / • Ob (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: Fallu o sec re worker■' compensatl c erage 11 urllawtul, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ( 0 I, In addition tt> the co o o atlon'. damages as provided for In Section 3706 of the Labor1'o 11, Interest and attorney's fees. SIGNATURE _ __:~&_'.'..J.&..~-!~~~::'.._.:_JL!__.J-4"~~:::_J1,.__________ DATE ___ L,.U=-i.....,.<-t---- , ~7 ~ .1/.:~0WtJI:ft!_~illtO~f( t?~cl!ARA.ri'OF:J':~:': ~~· :~~1.)A/~i;l!~~l~f~\~i!R!~~-';. 4•fi!::ilf:~'t~~fiffl~U~~~l[!~~J~~t=~t:ftif:~ir.t~i{~fiiW~H~~H~Lt\1~1l~!i~(itr.11:~~Jii:fi:~~t~ir Jr;;{1~~~~t,::1: ) hereby affirm that I am exempt from the Contractor's License Law for the following reasor.,: D 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 thet 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 w ill 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 1who 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 per'son (firm) to provide the proposed construction (include name / address / phone number / contractors license numberl: 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 numberl: ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) th~ foliowing persons to provide the work Indicated (Include name / address / phone number / type of work): _____________________________________ __;c__ _________________ _ PROPERTY OWNER SIGNATURE------------,-------------DATE _________ _ 'COMPlfil!'t~iS{SEl!':'i'ii::lrH=of;."r'/i"dm,j'i!?/limtt.:,meUi~'BlFJfm!elf'Wf~~,~f.,j,'@;r,~~-~,~~tt~i-..~sJ~~~?'\'!'1c!Z;~l~r:;"f!;!•\''i;:_(f•'•-.,-_, 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 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. ,ii 1 '>'' cQNstilu crio N·teNoiNi3i'Att~cj;:r,111:·:~r;1.~iwti?~l~:,,t,.::;{t..'ffli\Wt~ffl1tTllff.~~~r~;i~~11•r~~~tti1i-r~i"'~:, 1/,:;t,::,:;1\ •,Fifi: ,.i_,, · . , . -. .. I ~~reby affirm t~at there is a c 0 o~~tructi~n 'jeJd;~~ -~g~ncy f~~•;~ ~~rf;~;~ce ~f ~~e 1 :o,; f~r ~h;c~,~~is 0 ~ermi;;s i~:ue 0 d ;Sec.· ~097(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _ '9!'• ',, A~PliC.i\Nf1: CER'tii=Ic~t10N'Tif./'i,1-:":1ft)t'jif,~ t~1"1'r:,.1!1~;~~~~\J.;}:1$ib1t~R~IUffl~f-1?-i'fJ'~::1r~]rq111rt1lf~~\/'.i•\''}t'.',i'. ''· .. : 'I ' I certify that I have reed the application and state that the above information is correct and that the Information· on the plans is accurate. I agree to comply w ith 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 lhe uilding 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 ence within 180 days from lhe of uch permit or If the building or work authorized by such permit Is suspended or abandoned at any lime after the work is com ce or a perl of 180 days (Se n 1 6 4. niform Building Code). ,~ /,:i__ 1 I ~ APPLICANT'S SIGNATURE -~:b,:~-4£.l.o!::JLJ.,£,!,,~C::~--1'4--JL.,[1,,..,~~=_j,------DATE /V WHITE: File YELLOW: Applicant PINK: Finance ~~,a~ . . m. City of Carlsbad Bldg Inspection Request . . Permit# CB053792 Title: PINCUS RESIDENCE Description: COPPER REPIPE For 01/20/2006 Inspector Assignment: RB --- Type: PLUM Sub Type: Job Address: Suite: Location: 2624 SAUSALITO AV Lot APPLICANT ARS Owner: PINCUS TRUST 06-06-98 Remarks: Total Time: CD Description 29 Final Plumbing 0 Act Comment !f 'l Phone: 8586775455 X205 Inspector: ----- Requested By: VERONICA Entered By: JANEAN ------------------- ----------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# I ns!1ection Histo[Y Date Description Act lnsp Comments 12/16/2005 29 Final Plumbing NR PY NO ONE HOME 12/09/2005 24 RoughfTopout AP RB PLUS COLD WATER BOND 12/09/2005 29 Final Plumbing NR RB RECALL FOR IN GARAGE ------·--·--··" . ·-···------· .. .. ---------------------