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HomeMy WebLinkAbout2637 SAUSALITO AVE; ; CB011839; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 v/&111 05/22/2001 Plumbing Permit Permit No:CB011839 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2637 SAUSALITO AV CBAD PLUM 1675117800 Lot#: 0 Construction Type: NEW GERNANDT RES/ COPPER REP I PE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ANDERSON PLUMBING INC.WALTER GERNANDT MARK N&KAE F 1150N MARSHALL EL CAJON, CA 92020 2637 SAUSALITO AVE CARLSBAD CA 92008 ISSUED 05/22/2001 CB 05/22/2001 05/22/2001 619-449-3852 0121 05/22/01 0002 01 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: µ- Total Payments To Date: 0 0 0 1 0 0 0 $0.00 FINAL APPROVAL Date: .dJt1/J I I Balance Due: $57 .00 $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 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. lf 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 prooessing in accordanoe with Cansbad 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 r~ht to protest the specffied fees/exactions DOES NOT APPLY to water and sewer oonnection 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 nreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has oreviouslv otherwise exoired. J2 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO::::.,fu l/fi3q CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., C a rlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit ______ _ Validated By --=C..==--=~=------ Date .S::, ;;t:)-01 1. PROJECTINFORMATION 2 637 SAUSALITO A V E C arls bad C A 9 2008 <Name> Address (include Bldg/Suite #) <Legal Desc r> Legal Description <A sses sor No> Assessor's Parcel # coppe r repipe Description of Work Business Name (at this address) <L ot> <Subdiv ision Name/No> <Unit> <Phase> Lot No. Subdivision Name/Number <Exis ting U se> Existing Use <SQ FT> SQ. FT. <Stories > # of Stories Unit No. Phase No. <Proposed Use> Proposed Use <B e droo m s> # of Bedrooms <Total> Total # of units <Bathroom> # of Bathrooms 2. CONTACT PERSON (If different from ap'.;.pl;;.;lc;;;a;,;;nt;:,.) ____ ----~-------,..,.,..---------------------...1 <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address 3. APPLICANT NetClerk Inc C Contractor liZ) Agent for Contractor C Owner 20 Dabaque Ave Name Address 4. PROPERTY OWNER M a rk & Kay Gernandt 2 637 s ausalito Name Address 5. CONTRACTOR -COMPANY NAME City State/Zip Telephone# Fax # Cl _A_g_e-nt-f-or-Ow~-ne-r Sooth San Fr; C 8 883301777 City ____ st_a_te_t_z_iP __ _ Telephone# carlsbad ca 92008 760-434-6470 City State/Zip Telephone# ---------(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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). WALTER ANDERSON PLUMBIN 1150 N . Marshall Ave. El Cajon CA 92020 6194493852 Name Address City State/Zip Telephone # State License # _4.;...9:o..3=....:.1-=-6-=-3 ____ _ <Name> License Class C16 C36 C20 HIC <Address> City Business License # 107 4400 <City> ST <Zio> <Phone> Designer Name Address City State/Zip Telephone State Licence# _________ _ 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. liZI 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 insurance carrier and policy number are: Insurance Company Advanced Insurance S Policy No. 20A2WC900007300 Expiration Date 10/01/2001 (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 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 doll-~~~,). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ______________________ DATE....;0c..:5:..:../...;..17'-'/-=2:..::0..=0...:.1 ____ _ 7. OWNER-BUILDER 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 threreon, 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. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES ONO I (have I have not) signed an applicant for a building permit for the proposed work. I h~IJ contracted with the following person {firm) to ~rqv~e the proposed construction (include name ( ~Qdr~su phone number / contractors license number): <Name> <Aaaress=> <WorK !-'hone> <State License> 4. I plan to provide portions of the "'lQrk, but I have hired the following person IP co.ordinate, supervise and provide the m,ajqr work {include name / address I P.h,one number / contractors license number):<Name> <Aaaress> <work Phone> <State License> 5. I will PfQvide some of the work, but I have contracted (~irlldl the following person to provide the work indicated (include name I address I P.ti.o.ne ru.mber / type of work): <Name> <Aaaress> <Work Pho n e> <WorK I ype> PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR N:;O:;:;N;:-R;:E;:S:;;;ID;:_::E;-N=T:--;:IA::;:;l;:;::B;:U:;:;IL:;;D:;:;IN:;:;G:-:;:PE::R:::M:;.l:;:_:TS;:;;:O:;:;N;:;LY-:---====:;::::=:_,_::.:.:,::.;:;;;======;;;;;=---- Is the applicant or future building occupant required to suomit a business plan. acutely hazardous materials registration rorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? 0 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. 11. CONSTRUCTION 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. 3087(i) Civil Code). LENDER'S NAME:::==::-;::=--:::::::::::::::---;;;;= LENDER'S ADDRESS .:::::::=----:::::::::;;;;::;;;::::---=::::::::=--=::.::.::.::.,::,.::,.;;;_;;;;;==:;;---: 9. APPLICANTCERTIFICATION ----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 City 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE _0:...;5"-/-'-1_7/'--'-2--'0:...;0;_1'-------- City of Carlsbad Bldg Inspection Request For: 06/13/2001 Permit# CB011839 Tille: GERNANDT RES/ COPPER REPIPE Description: Type:PLUM Sub Type: Joo Address: 2637 SAUSALITO AV Suite: Lot 0 Location: AP PUCA.NT ANDERSON PLUMBING INC,WAL TER Owner: GERNANDT MARK N&KAE F Remarks: Total Time: CD 19 Description Final Structural 29 Final Plumbing 39 Final Electrical ct Comments _.__.__P Na Inspector Assignment: AR --- Phone: Inspector: --;ffe-- Requested By: BARBIE Entered By: CHRISTINE 49 Final Mechanical vv/e. _________ _ Associated PCRs Inspection History Date Description 06/01/2001 24 Rough/Topout Act lnsp Comments AP AR