HomeMy WebLinkAbout2905 SOMBROSA ST; ; CB032413; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB032413
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2905 SOMBROSA ST CBAD
PLUM Status:
Parcel No: 2551452000 Lot#: 0 Applied:
ISSUED
09/02/2003
CB
09/02/2003
09/02/2003
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: O'SHEA RES-COPPER PIPE Inspect Area:
Applicant:
ANDERSON PLUMBING INC.WALTER
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
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
0
0
0
1
0
0
0
Owner:
OSHEA TIMOTHY K&PEGGY J
2905 SOMBROSA ST
CARLSBAD CA 92009
$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 Payments To Date: $0.00 Balance Due: $57.00
3140 09/02/03 0002 01 02
CGP 57-00
FINAL APPROVAL
INSP. ~ DATE lL{~(u l
CLEARANCE
FOR OFFICE USE ONLY
PLAN CHECK No.C/306) 41..>
PERMIT APPLICATION EST. VAL. __________ _
Plan Ck. Deposit _________ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
2905 Sombrosa St
Validated J}ll;, CJ:;;:;,
Date '--'1 ~ d_ -U-2,
Address (include Bldg/Suite#) Business Name {at this address)
SFD
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No.
255-145-20-00
Assessor's Parcel # Existing Use Proposed Use
COPPER REPIPE
Description of Work SQ.FT. #of Stories # of Bedrooms
Name Address City State/Zip Telephone#
Colette Daines 1150 N. MarshaU Ave gj Caion cl, 92020 619]49-3852
Name Address City State/Zip Telephone#
Tim O'Shea same as #1 Carlsbad CA 92008 760-753-2472
Name Address City State/Zip Telephone#
Total# of units
# of Bathrooms
Fax#
(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,
a!so 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 Plbg. 1150 N. Marshall Ave El Cajon, CA, 92020 619-449-3852
Name Address City State/Zip Telephone #
State License# 493163 License Class C-36 City Business License# _1~0=7~4~4~0~0~-----
Designer Name Address City State/Zip Telephone#
State License# _______ _
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
□ 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 worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for whicli tliis permit is issued. My
worker's compensation insurance carrier and policy number are: 1 0/01 /03
Insurance Company ~Sta1e_C_Q!TIQ Ins. Fund. ___ Policy No. 166063302 Expiration Date___c-=-:_:__cc..=_::_ ___ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
□ CERTIFICATE OF EXEMPTION: I certify that in !lie 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 tlie 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
doltars($100,000), in addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees.
SIGNATURE DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will d 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 witliin one year of
completion, the owner-builder will liave the burden of proving that he did not build or improve for tlie purpose of sale).
□ 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).
□ I am exempt under Section ________ Business and Professions Code for this reason:
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES □ NO
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/ plione number/ contractors license number):
4. I plan to provide portions of the work, but I have liired the following person to coordinate, supervise and provide the major work (include name I address / phone number I
lontractors license number): --------------------------------------------
5. I will provide some oftlie work, butt have contracted (hired) the following persons to provide !lie work indicated (include name I address/ phone number/ type of work):
PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _
WHITE: Fite YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 10/06/2003
Permit# CB032413
Title: O'SHEA RES-COPPER PIPE
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2905 SOMBROSA ST
Lot 0
APPLICANT ANDERSON PLUMBING INC,WALTER
Owner: OSHEA TIMOTHY K&PEGGY J
Remarks:
Total Time:
Act Comment
Inspector Assignment: JM ---
Phone: 7607532472
Inspector: ~
Requested By: N/A
Entered By: ROBIN
CD Description
29 Final Plumbing ~-------------
Associated PCRs/CVs
lns12ection Histo[Y
Date Description Act lnsp Comments
10/03/2003 29 Final Plumbing CA RB RESET FOR MONDAY
09/26/2003 29 Final Plumbing co JM NOONE HOME
09/09/2003 24 Rough/Topout AP JM CWBOK