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HomeMy WebLinkAbout2675 SUTTER ST; ; CB994490; PermitCity of Carlsbad 12/07/1999 Plumbing Permit Permit No:CB994490 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2675 SUTTER ST CBAD PLUM Status: ISSUED 12/07/1999 RMA 12/07/1999 12/07/1999 Parcel No: 1675120500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GALAVIZ RES-COPPER RE-PIPE Inspect Area: Applicant: PEPPARD PLUMBING 1466-9 PIONEER WY EL CAJON CA 92020 619-442-6558 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 Owner: COOK-GALAVIZ MARIANNE6894 l2/0?/'J9 0001 01 2675 SUTTER ST C-PR11T CARLSBAD CA 92008 Total Payments To Date: $0.00 Balance Due: $52.00 0 0 0 1 0 0 0 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 NOTICE: Please take NOTICE that appr val of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You ha '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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 52-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 rUH Ut-t"ll,t: u:,t: u~~ ~/1. Ct PLAN CHECK NO. C,,,u 1 ? EST. VAL. _________ _ Plan Ck. Deposit ------1-'1-t\l--- 1. PROJECT INFORMATIOt}-t. d<o15 :5, > -£ Address hnclude Bldg/Suite I) Steer t c. 1 1a..J> eA 'l 200 '{ C 1,&. Busineu Name lat this addr ... l Legal Oescr1pt1on lot No. Subdivision Name/Numbar Unit No. Phase No. Total I ot units Existing U.e Proposed Use SQ. FT. lof Stories I of Bedrooms I of Bathrooms 2 3. APPLICANT tContractor Name Address City State/Zip Telephone I 4. PROPERTY OWNER G~\av i <- N•m• ot,w ,5 :S:LJ±teC Address 9(}.Qo )'. Telephone I &. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires I permit to construct, alter, improve, demolish or rep~ir 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 t Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Busineu end Professions Codtl or that he ls e,i:empt therefrom, nd the basis for the alleged exemption. Anv violation of Section 7031.5 by ■ny applicant for a permit subjects the applicant to a ctvil penalty of not more than fiv hundred dollars 19500)1. Name S•ate Ueanse I -''""3'-'1,_'1.:..l,=..,,_t_?.c___ Address Ueenoa Cl■H ___,C_· -.-3~(.._.g,._ __ _ City State/Zip Telephone I Chy BUlinHI Ueenn I / it,D Designer Name Address Chy State/Zip Telephone State License I _________ _ 8. WORKERS' COMPENSATION Worke,s' Compensation Declaration: I hereby affirm under penahy of perjury one of the following dacltrations: O I have and will maintain a certificate of consant to Hlf•ln1ure for work1r1' compensation•• provided by Section 3700 of the Labor Code, for the pertormanca of the work for which this permit is Issued. O I have and will maintain workers' compensation, as required by Section 3700 of the l.ebor Code, for the pertonnance of the work for which this permit Is issued. My worker's co,m,ensation insurance carrier and policy number are: , Insurance Company / Policy No. ) r , _/ \ " ,I Expiration Date _______ _ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (t100I OR LEss, O CERTIFICATE OF EXEMPTION: I certify that in the performance of the wurk fa, which this permh ls it1ued, I lhell not employ any person In any manner ao •• to become subject to the Workers' Compensation Lew■ of Calitomla. WARNING: Failure to ■eCllfe worken' com,-,..atton coHrag• ta unlawful, and lhall ■uhf-ct an emptoye, to crtmlnal.,...,.... and clvll fine■ up to one hundred ~'.~;~~E::~::~~RA~~hc =• •I ■■~r· :>do--u ~-kwn~.~~~T~_:rn.:z:~f71.7~.tt=••~.•· I hereby affirm that I am exempt from the Contractor's License Lew for the following reason: 0 I, as owner of the property or my employees with wages as their 1ote compensation, will do the work and the 1tructure la not Intended or offer•d for ■■le (Sec. 7044, Busineu and ProfH■ions Code: The Contractor's Ucense Law don not apply to an owner of property who builds or Improves thereon, end who does such work hlmsalf or through t\is own employH■, provided thllt auch lmprovemems are not lmendad or offered for nle. H, howevar, th• building or lmprov1ment II sold within one year of completion, the ownar•buHder win have the burden of proving that he dtd not build or lmproY11 for the purpoee of aale). O I, as owner of the property, am axclu1ivaly contracting with licensed contractors to construct the proJlct IS.C. 7044, Buslnna and Profeuiona Codt: The Contractor's License Law don not apply to an owner of property who buildli or improve■ thereon, end contracta for auch project■ with contrectarI1, Mcenaed pursuant to the Contractor's LlcaMe Lew). 0 I am exempt under Section ______ Businnt and Profasalons Code for this reHon: 1 . I personally plan to provide the major labor and materials for construction of the proposed property lmp,oyement, D YES ONO 2. I !have / have natl signed an application for a building permit for the proposed work. 3. I have contracted with the following person ffirm) to provide the proposed construction flnclude neme / eddrNI / phone number / contractors licttn1e numberl: 4. I plan to provide portions of the work, but I hive hired the following person to coordinate, 1uperviae end provfde the major work ltnclude name/ eddrel1 / phone number I contractors license number).:_---------------------------------------------- 6. I will provide some of the work, but I hive contracted lhiredJ the following per9on1 to provtdl the work Indicated ltnclude neme / 1ddrn1 / phone number / type of work): ___________________________________________________ _ Is the applicant or future building occupant required to submit • business pten, acutety hllzerdou■ meteriall regiltratlor! fonn or rfllc management Ind preV'tnlion program under Sections 25505, 25533 o, 25534 of the PrNley•Tanner H11■rdaua Sublt■nce Account Act? □ YES O NO Is the epplicent or future building occopant required to obtain a permit from the ■Ir pollution control dittri_ct or air q&,elltv men1gemam dlstrict7 O YES O NO ts the facility to be constructed within 1,000 feet of the outer boundary of a 1chool 1ita 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. is,. CONSTRUCTION i..£NDINd AQENC\' · •· -·, ..... ., • r---· ... ,... ~..-"·"'.""."·:·~~.,r,_r,,,.,,,,-,.,._,., .,.. . .,.,-,.,,,_, ••-.,. .. , _, ..... R~ • •• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ts lasued fSec. 3097111 Civil Code). LENDER'S NAME ______________ _ >9. APPLICANT CERTIFICATION I ~ertity _that I have read the applicati~n and stat~ that the ab~ve Information Is correct end thlt the fnform1tlon on the plane 11 accurate. 1 agree to complv with all City ordinances and State laws relating to bulldmg construction. I hereby authorize reprastntetivn of the Cht of C1rlabad to anter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAAMWS THE CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY 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. EXPIRATIO~: Every permit is~u.ed by the Building O~ti:I■I under the provisions of this Code shall expire by limitation end become null and void if the buildtng or work authorized by such permit 1s not commenced within 385 days from the d■tl of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after he work is ommenced for I period of 180 days !Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ DATE /(X-?-97· WHITE: File YELLOW; Applicant PINK: Finance City of Carlsbad Inspection Request For: 12/10/1999 Permit# CB994490 Title: GALAVIZ RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2675 SUTTER ST Lot 0 APPLICANT PEPPARD PLUMBING Owner: COOK-GALAVIZ MARIANNE Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 6194426558 Inspector: ---- Requested By: KIM Entered By: CHRISTINE 29 Final Plumbing k;!__ _______ _ Associated PCRs Inspection History Date Description 12/8/1999 24 Rough/Topout Act I nsp Comments AP PY •