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 ~----
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Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments