HomeMy WebLinkAbout2684 SUTTER ST; ; CB002364; PermitCity of Carlsbad
06/26/2000 Plumbing Permit Permit No:CB002364
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2684 SUTTER ST CBAD
PLUM
1675120900 Lot#: O
Construction Type: NEW
COPPER REPIPE -W/DRYWALL
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ANDERSON PLUMBING INC.WALTER COWLES KIRK H&SARA A
1150N MARSHALL
ISSUED
06/26/2000
JM
06/26/2000
06/26/2000
EL CAJON, CA 92020
2684 SUTTER ST
CARLSBAD CA 92008 12'.:rr 06/26/oo 0001. 01 i)2 619-449-3852
Total Fees: $52.00
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
TOTAL PERMIT FEES
Inspector: ~
Total Payments To Date:
0
0
0
1
0
0
0
$0.00
FINAL APPROVAL
Date: t~ -Z. "1-4:l;;;?
Balance Due:
Clearance:
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$25.00
$0.00
$0.00
$52.00
C"~PRhT 52 .. 00
$52.00
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 9D 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 66D20(a), and file the protest and any other required information with the City Manager for
processing: in accordance with CartstJad 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 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 you have oreviouslv been qiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
FOR OFACE USE ONLY / ~
PLAN CHECK No.{/) VJ!}
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Depo
Validated By...._'""""---'::;__--.p,.-1-:,,tr-'i'-++.--r-i--
Date _________ ~"""'....oc:4.Ji..<a."---
Address (include Bldg/Suite #I Business Name (at this address!
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use Proposed Use
SQ. FT. #of Stories I of Bedrooms I of Bathrooms
2. ·. ··.CONTACT.PERSON ,(It different from appltantL .•
Name State/Zip Telephone# Fax#
Name Address ' City State/Zip Telephone#
;s; · . .-CONTRACTOR'" COMPANY· NAM EL '
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demollsh 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 Contrector"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
exemptio . Any viol tion of Secti n 7031.5 by any ,,eplical'J fOJ,_J permJt su)jects the applicant to a civil penalty of not more than five hundred dollars ($500)1.
_ 'fl" ~ d /'J-a ~ //ftJ IV, /Y/1/ l'f?llt/lU . g/ t1 'v/? ~ · · --~:t'
Designer Name Address City State/Zip Telephone
State License # _________ _
a. · WORKERS' .COMPENSAfioN
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~is~er it is
issued. My worker's c~~yen1ation ~urance carrier and policy numbe! ar,e: . • '2,-. • :a o'/ 'd
Insurance Company 11/,l/R/ldt}~ &::tl/d/11"1£ ~M'r;.ie5 Policy No. /ll!?/}/(/9,f'9~ &tJ Expiration Date /i t1/(
ITHIS SECTION NEED NOT BE coihtETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 iful. and shall subject an employer to crimlnal penaltie1 end civil fines up to one hundred
thousand dollars ($100,000), in addition to the cost of compensati , 1 .. _,.t9 as provided for In Sectl1111 3706 of tha labor .co , ln_t est and ■ttomey's fees.
SIGNATURE {i · G,e.;p__.... DATE u>' ~ 00
,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 OI' 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 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 I signed an application for a building permit for the proposed work.
3. I have contracted with the following P.erson (firm) to provide the proposed construction (include nami, I 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 I phone
number I 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/ type of work!: __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
,coMPI.ETE:THIS SECTION, FOR No1MIESiDENtlALaU1t.jji"'Q '1ERMITB;ONI.Y tt,'::i'::TT':'' •··.f
1s the applicant or future building occupant required to submit a business plan, ae1.1tely 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? 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 CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
st••:.c0NSTRUCTIONLE~DiNG}U;ENCY·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permrt is issued ISec. 3097(i) Civil Code!.
LENDER'S NAME--------------~
9/\ APPLiCANT.CERTIFlCATION·•>.,···
I certify that I have read the applfcation 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 TD 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: Eveiy perm~ issued by lhe building Official under the provisions of this Code shall expire by limitation and become null and void if lhe building or work
authorized by such permit is not commenced within 1 BO days ~~J ?~ date ol such permit or if the building or work authorized by such permit is suspended or abandoned
at any lime after the work is commenced for a period ol 180 jjff".YJ!l!i.~Jn 106.4.4 Ur,ilorm Building Code). ,/ / • /.
APPLICANT'S SIGNATURE c ··-... ;J!...,-DATE /';;! ~t:J
WHITE: '9 YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/26/2000
Permit# CB002364
Title: COPPER REPIPE -W/DRYWALL
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2684 SUTTER ST
Lot 0
APPLICANT ANDERSON PLUMBING INC,WAL TER
Owner: COWLES KIRK H&SARA A
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: SR ---
Phone: 7604342578
Inspector: /). {)__
Requested By: SARAH COWLES
Entered By: CHRISTINE
29 Final Plumbing ,Ji£ ______ _
Associated PCRs
Inspection History
Date Description
7/25/2000 24 Rough!T opout
Act lnsp Comments
AP SR