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HomeMy WebLinkAbout2649 SUTTER ST; ; CB072411; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-18-2007 Plumbing Permit Permit No: CB072411 Building Inspection Request Line (760) 602-2725 2649 SUTTER ST CBAD PLUM Status: Job Address Permit Type Parcel No 1675112200 Lot#: 0 NEW Applied: Construction Type: Entered By: Reference# Plan Approved: Issued: Project Title: EVANS RES-COPPER REPIPE Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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 Owner: EVANS DAVID C&STEPHANIE PO BOX 2481 CARLSBAD CA 92018 ISSUED 09/18/2007 LSM 09/18/2007 09/18/2007 $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: $60.00 Balance Due: Inspector: Clearance: $0.00 NOTICE Please take NOTICE hat approval of your project includes the ··1mposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as ''fees/exactions." You have 90 days from the date this pennil 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 nght to protest the specified fees/e~actions DOES NOT APPLY to waler and sewer connection fees and capacity 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/exaction of which o have revi usl been iven a NOTICE imilar to this or a which the talu e f limita ion has r vi sl h rwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {!-RJ 07 &-4 I I CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit~~--....... ---- Validated By _ __.>hwvO.;....c""F-L-C-~---- Date __ --'q'--'-+'l \c.:,~'-+1-'=o"-7-'----- Business Name (at this address) Legal Description lot No.s~~division Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Name City State/Zip Telephone# "Eil :·;::mn,1tnActliK:f'/dtll\l~Ai'l~"l'IA1\ll!i?i':f'"": : F):";;""f; lSec. 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, 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 y violation of Section 7031.5 by any apP, · n tor a per ·t bje tM_h~ applica a civil penalty of t mo; han dollars !$500ll~ t) • I w 1 t -- Name State Ucense # 7CJ 1620 Designer Name Address City State/Zip Telephone State License # _________ _ llj,,•:w0hkeAs(i~OMPEflSATldNf.-±::t,•••;•i .· · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 issued. My worker's compensation ·nsurance carrier and policy number are: 3700 of the Labor Code, for the performance of the work for which this permit is PollcyN~7b-315De&3 /0 I Jo Expl,ation Date q/,}11 lo 7 (THIS SECTION NEED NOT BE COMPL TED 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 any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure nsation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1 t compensation, damages as provided for In Section 3706 of the Labor c e, Int est and attorney's fees. ~'.-~,~:~::;R~,S~U~lit~D;E;jR~"a~· ·i;tt~·~tli•i;R~A~i~lo!•;;ti~,~~<~'•~\:,fif,;,,~•'~-' ,~?~·~1'tr~:~,r;,r~.ti~,;+,;~\'~'~;•;;1~;:0:;_:.;:?0.;1~f',0~s~":1':;, ,_"'f;,:;,,,~;,;,~<;,,fl~•1-,.,i•:4~:_1c:'.1c01,ne:,-:;, -::-::;;;--::-::-,, ,~D:A_r:,E: ::;-::-,2';/,~f-f~f-:;- 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, 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 sate). D 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). O 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. 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/ 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 I address I phone number/ 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 ________________________ _ coMPLETE:tHIS-SECT10N-F6Fi NON41ESIDENTIAt.:Bl.ilL0iNB·:pERMif!fONLY5i&?t,rJ;·.-,,t,:': 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 Presley-Tanner Hazardoi.Js 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 constructed within 1,000 feet of the outer boundary of a school site? 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. · COlliSTRUCTIONtENDING:AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). I certify that I have read the application and state that the above information ls 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 ANO 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: Every permit issue by th building Official under the provisions of this Code shall expire by limftation and become null and void if the building or work authorized l)y such permit Is not mence within 180 days from the date of such permit or 11 the building or work authonzed by sh permit Is suspended or abandoned at any tim •1,r the work is co enced for a penod,of 180 s Sec I0n 106 4 4 Uniform Building Code) q J -,1,\1 APPLICAI SIGNATURE -l-/f;,.Jlf-f'._}f..c.\-i-.---/-/-J'-l,L./1-,f-.,-----------DATE _/ /\J _ . Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 10/01/2007 Permit# CB072411 Title: EVANS RES-COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: Suite: 2649 SUTTER ST Lot 0 Inspector Assignment: PY --- Phone: 8586775455 ex 205 Location: Inspector: OWNER EVANS DAVID C&STEPHANIE Owner: EVANS DAVID C&STEPHANIE Remarks: Total Time: CD Description Act Comment ----- Requested By: VERONICA Entered By: KATHY ~--F-in_a-lP-~m-bi_n_g __ .. __ ._~~~~-.------------------- .----··------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 09/24/2007 24 Rough/Topout Act lnsp Comments AP PY