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HomeMy WebLinkAbout2679 SUTTER ST; ; CB043775; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 '10-05-2004 Plumbing Permit Permit No: CB043775 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2679 SUTTER ST CBAD PLUM 1675120600 Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: ProJect Title. Applicant PURDY RES -COPPER RE-PIPE NORTH COUNTY PLUMBING PO BOX 1758 VISTA CA 92085 760 735-4900 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 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: PURDY WILLIAM G lll&MARGARET L 3795 MONROE ST CARLSBAD CA 92008 ISSUED 10/05/2004 KG 10/05/2004 10/05/2004 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $0.00 Balance Due: Inspector: Date: VAL . ,- -:,i:;--·1,:_ -·-'' ,_, Clearance: $60,00 NOTICE: Please take NO ICE hat 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 You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES 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 fees/ x ctions f which u have reviousl been iven a NOTICE similar hi r a to which th statue f limitation has revi usl otherwis x ir I-UH Ut-t-lt.:t: U:St: UNL Y PERMIT APPLICATION PLAN CHECK No(;L304f 3 //Q CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Validated By_~/l-c..,-1,--,~--~--- Plan Ck. Deposit}~ Date ib~':JA ·01/ Ad~•C"'o/' /lJidg/Suite #) $ __, +fv.-. S f Legal Description Lot No. Subdivision Name/Number Total # of units Assessor's Parcel I Existing Use Proposed Use Name Address City State/Zip Telephone# Fax# City State/Zip Telephon8 # Name Address City State/Zip Telephone I •··~~~-~ (Sec. 7031.6 Business and Profe&&ions 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 f>rofessions Code) or that he is exempt therefrom, and the basis for the alleged e ption1 ,Any vjPlatio of Section 7~1.6 by any applicant for a permit subj~g,_ts the applican a civ'I p n~~Y of not r94>re1than five hundred ~~la.rs !$A00J). O"--r<-lo ~ R..r-l"t~ t.)'1/J L ',-7!) -'-( y 0".:J Name ddres City State/Zip Telephone # State Ucense I (o) ~ J 7 License Class C. •-J C.o City Business License # / 2 ~ q G L (.o Designer Name State License I Address City State/Zip Telephone . ·WPff@lli?fli•~J.t:m-f1R~~;~lW»mt~•$~'tm½~!~':~;;re:;f·t~'.·:;,:?::?:i:~~t;•:;~; :-,t:i~J:I:r:.~-~:.~,;i::&rLs"1--<: .;-;~-~~Jc,;:&~,'2;1~r_{l Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and v,,111 maintain a certificate of consent to sett-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, 171 ~e and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for. the performance of the work for which this p rmit is ~ed. My worker's ~fl!.Pensation insurance carrier and policy number are: 1) ps ·--( G e - Insurance Company t:.}_ ll....J ) S L, y l. S . G Policy No. f: 1 Q 7 -() \ Expiration Date / / '\'.:),) ' !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ eny person in any manner so as to become· subject to the Workers' Compensation Laws of California. WARNING: FeUure to HCW11 work.a' compllnliadon covaraga Is unlawful, 111\d shal subject an employer to criminal penalties and clvll fines up to one hundred thousand dollara 1$100,000), In addition to the cost of compensation, damagu as provkled for in Section 3708 of the Labor code, Interest and attorney's fees. SIGNATURE DATE _________ _ -• ~~i!f~-~!!I I hei'eby 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, Byslness aod Professio.ns Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does auch 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). O 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 contract0r(s) licensed pursuant to the Contractor's License Law). ,0 I am exempt under Section ----~-Buslnesa and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D 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 I address I phone number I 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/ phone number I contractors license number):. ________________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide tha work indicated (include name / address / phone number / type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE li™"llll'mlt1ir~~.ilii~~uilli•Mli'IM!fWiillf)\$ii/:li®l~.,.· cc .. ,-,,,-.-,.·· .-_,,,-,:a-r•-· -\'ll-.,,-'til-,ii-,Wi<-,-.,.:-1~%1,1/i','.iJl:!iJijii!!i 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 26606, 26633 or 26634 of the Presley-Tanner HazardoiJs 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? D YES D NO Is the facility to be C0!1&tructed within 1,000 feet of the outer boundary of a school site7 D 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 THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~ill'ffll;f~~~-«-•wJIJt5'\t~i.ffl~~4BJ.~~j.&i;(J!i~}Jli&~I~if~a:~:.i~~~.:!~~i:,'..:L~i~:ifli:-:_;::;1,;~;,,,~:>-L I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS __________________________ _ ~iilmi1lll~illllllnUII: 1111' lffl'lllil'lliiM¥i~-~iii-W;<'!,~"'1~c,t,,:~i:~,iiii,i;,:,.iiii~il<ili 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 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by th ulldin Official under the provisions of this Code shall expire by limitation and become null an void It the building or work authorized by such permit Is not co ced I · 1 days fro the date of such permit or If the building or work authorized by suc;:h pe Is suspe ed or abandoned at any time after the work Is c mme ed for rlod 180 ys Section 106.4.4 Uniform-Building Code). APPLICANT"$ SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 0/07 /2004 Permit# CB043775 Title: PURDY RES -COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: 2679 SUTTER ST Suite: Lot 0 Inspector Assignment: Phone: 7607354900 Location: Inspector: OWNER PURDY WILLIAM G lll&MARGARET L Owner: PURDY WILLIAM G lll&MARGARET L Remarks: Total Time: CD Description Act Comment ---- Requested By: JEANNIE Entered By: CHRISTINE 24 Roughffopout ~---- --------·· ~- ---------·---------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments