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Home My WebLink About2636 SAUSALITO AVE; ; CB031676; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 · 06-18-2003 Plumbing Permit Permit No: CB031676 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: ARS STE 100 Building Inspection Request Line (760) 602-2725 2636 SAUSALITO AV CBAD PLUM 1675116600 Lot#: 0 Construction Type: NEW MCMILLAN RES-COPPER RE-PIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MCMILLAN WILLIAM R&TRACY J ISSUED 06/18/2003 RMA 06/18/2003 06/18/2003 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 2636 SAUSALITO AVE CARLSBAD CA 92008 7712 06/18/03 ffi~l 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 Total Payments To Date: $0.00 $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 Balance Due: Clearance: $57.00 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. 02 57-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. C/)fl_3 /6 7t . CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ---~------ Validated B~ Date ~ / JJ Business Name (at this address) Legal Description Lot No'6r-=f<division Name/Number Unit No. Phase No. Total # of units Assessor's Pare Proposed Use SO. FT. #of Stories II of Bedrooms # of Bathrooms Telephone II Fax II 4~~0PERTY OWNER ·,;:~~;:;'.•,, ·'.":1"+w1~t~::;~:ts1:~~t11>J:,:'I;m;;r1;; :tit?!:\11:::·,,~,:,·r;,1.·~·*/ti1Dv i ~ _-, ?..,'3:r, Name Address City S.tate/Zip Telephone II s. coNTRAcTo'R ~ coMPAlliv NAME'· :·q:·,"r'a:. \'·.'rc1r1:~~'1,tir1:W::"il\T~n1:;t~;-1.~1,i1,;t·::;,tl\.J1fi!;;'_,,,t,rr"':"1;1 · ·,, "'f"'":1• (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 lo 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, end the basis lor the alleged exe p .. SAny violation of t ct; 2031.5 by any applic nt fore permit subje*th\~cant to 8 civil penal~o more tha~ five '~iz~ollar-5~11- Name Addr City State/Zip Telephone # State License II 7C,, J 'p' 2-0 License Class CLO C¢k:, City Business License II \'{)PQ1Q) Designer Name Address City State/Zip Telephone Stale License II __________ _ 6. WORKERS1'CbMPENSATION' "'•-'isl•··''·""' 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. gi. 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: Expiration Date __ l...c/_A_{_Ob ___ _ Insurance Company cY'Ae£+\ µ@,f\ Policy No. 24''.b~ -Q\ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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: Failur thousand dollars I c erage Is unlawful, and shall subject an employer to criminal penalt es and civil fines up to one hundred atlon, damages as provided for In Section 3706 of the La or c e, t t and attorney'• fees. SIGNATURE: __ ~,k~LC..""2.Ll.L~~::::....::...L...!...-'--4~~~.l..---------- 7. OWNER-BUILDER DECLARATION . •. !. ~ ''1 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 properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tho Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contracto,{s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business end 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 nurnbe1): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major w ork (include name/ address i l)hono 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 / I vne of work): ___________________________ ~ ____________ ....:_ ___________________ _ DATE __________ _ PROPERTY OWNER SIGNATURE ________________________ _ COMPLETE THIS SECTION FOR llidi\/-RESIDEIV,ffAl'BUl[DfNG'PERMits1ciNi.,Y:,ry,1,(\'!f11':~~-,::i;t1rr11••',a' '1''r"'1 •,r•· • ., :1'·;;.i''' Is tho applicant or luture building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and r1evon1ion program under Sections 26505, 25533 or 25534 ot 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 olr quolity mono9ement district1 0 YES O NO Is the racilily 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 H IE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 6, · 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. 30970) 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 men1io11cd p-oporty for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIFS. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF HIIS PEnMIT. OSI-IA: An OSI-IA 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 ulld1ng Otticial under the provisions of this Code shall BKplre by llmllallon and becije null and void ,f ll1e builtling 01 work authorized by such permit is nol ence within 180 days from lhe of uch permit or If lhe building or work aulhorlze1b~ c~h per ii is suspended or al:>~11dc111cd nl any lime after the work is com ce for a perio of 180 days (Se n 1 6 4. ~niform Building Code) t;> 1 7l)...., APPLICANT'S SIGNATURE -~d:::~L...~~:::L...l.,~~~::___J.~-'-Q,..,d...Cs~:__L_____ DA TE V.:,.., WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/09/2003 Permit# CB031676 Title: MCMILLAN RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: 2636 SAUSALITO AV Suite: Lot 0 Location: APPLICANT ARS Owner: MCMILLAN WILLIAM R& TRACY J Remarks: Inspector Assignment: JE .:,=._ __ Phone: 8586n5455 ex 205 Inspector: ~ lJ'v " Total Time: CD Description Requested By: VERONICA Entered By: CHRISTINE Act Comment , / .fi.. WPJb~ 29 Final Plumbing Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 07/03/2003 24 Rough/Topout AP JE 1106-J5 COLD WATER BOND