The URL can be used to link to this page

Home My WebLink About2672 SUTTER ST; ; CB020105; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-10-2002 Plumbing Permit Permit No:CB020105 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2672 SUTTER ST CBAD PLUM 1675121100 Lot#: O Construction Type: NEW KOPENEC RES-COPPER RE-PIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/10/2002 AMA 01/10/2002 01/10/2002 PEPPARD PLUMBING KOPENEC ROBERT R&KRISTEEN C i 466-9 PIONEER WY EL CAJON CA 92020 619-442-6558 Total Fees: $57.00 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 Additional Fees TOT AL PERMIT FEES Inspector: tA,/o ~ 2672 SUTTER ST CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 1 0 0 0 FINAL APPROVAL 8537 01/10/02 0002 01 02 Balance Due: $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 CGP 57.00 $57.00 Date: O:c .. Clearance: NOTICE: Please take NOTICE that approval of your proiect 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 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. ~\~~ . \ PERMIT APPLICATION FOR OFFICE USE ~y PLAN CHECK No.JJ_O/f2 5 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By_..,__ ___ ~"'"""---- Date __ ._,.-+-+_.,.~__.'-_____ _ 1. Business Name lat this address! Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from eppllcand Fax# 4. PROPERTY OK'L N\c-r ,s. Name City State/Zip 6. CONTRACTOR· COMPANY NAME 1sec. 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. 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, commendin with Section 7000 of Division-a of the Business and Professions Code] or that he is exempt therefrom, and the besis for the alleged '-J-lf.-.2- Name State/Zip Telei}.q I nn I I ;2 plf-:J Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION 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 i 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 this p11rmit is ued. My worker's compen tion insuran e c ier and policy number are: Insurance Company __ _S;:s;l!(J..Ll:..l..Ll!!::::'.~iil!~~,Q:!;.'1,.,:J.J.____ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compeneatlon wful. end shall subject an employer to crlmlnal penllltlea and clvll flnea up to one hundred thousand dollars l$ 100,00 .,,_...,. . ...,._ ost of compansatlon, damage vlded for in Section 3706 of the Labor code, Interest and attorney's fen. SIGNATURE ___ 11..:~:!.~~~:;;;;;;;;;~=:::::::::::=======--------DATE -------;.~i:;-,;;-i:;;i;:,,,,,..,,.,~~~ 7. OWNER-BUILDER DECLARATION ., I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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, pro\/ided 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). D I, as owner of the property, am exclusi\/ely contracting with licensed contractors to construct the project (Sec. 7044, BusineSB and Professlons 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 pursuan1 to the Contractor's License Law). D I am exempt under Section ______ Business end Professions Code for this reason; 1 . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have I have not I 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 / eddress / phone· number / contractors license number): 4. I plan to provide portions of tho work. but I have hired the following person to coordinate, supervise end provide ·the major work !include name/ address / phone number I contractors license numberl: · 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/ WPB of work): · PROPERTY OWNER SIGNATURE ______________________ _ DATE ____ ....,.. ____ ...:_ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINOPERMITSONLY 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 25505, 25533 or 25534 of the f>rr.;ley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or 11it.-Qu■lity_ m!l~gernerit district? ·□·.YES D NO Is the facility to be constructed within 1,000 fs"1 of the outer boundary of a school site1 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. . . B. CONSTRUCTION LENDING AGENCY ;:. ,. I hereby affirm that there is a construction lending agency for the performance of the work for wh:ch this permit is issued (Sec. 3091(1) Civil Codel, LENDER'S NAME _____________ _ 9. APPLICANT CERTIFICATION I certify that I have reed the application and state that the ebove information is correct and that the information on the plans is accurate. 1 agree· to comply with all City ordinances and State laws relating to building construction. I hereby authorize representati\/es of the Citt of Carlsbad to enter upon the abovo mentioned property to, 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 tor excavations over s·o• deep and demolition or construction of structures over 3 stories ln height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code Shall expire by limitation and become null and void if the building or worl< authorized by such permit is not commenced within 180 da rom e h ermil or ii the building or work authorized by such permit is suspended or abandoned at any time after lhe work is commenced t per' f 180 day · Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: Q 1/22/2002 Permit# CB020105 Title: KOPENEC RES-COPPER RE-PIPE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2672 SUTTER ST Lot APPLICANT PEPPARD PLUMBING 0 Owner: KOPENEC ROBERT R&KRISTEEN C Remarks: Total Time: CD Description 29 Final Plumbing Associated PCRs Inspection History Dale Description Ac! lnsp Comments Inspector Assignment: JC --- Phone: 6194426558 Inspector: • Requested By: PEPPARD PLUMBING Entered B : CHRISTINE 01/16/2002 24 Rough/Topout AP JC NO CARD ON SITE