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Home My WebLink About2761 TIBURON AVE; ; CB002768; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07/28/2000 Plumbing Permit Permit No:CB002768 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2761 TIBURON AV CBAD PLUM 1675622800 Lot#: 0 Construction Type: NEW PHILLIPS RES-COPPER RE-PIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/28/2000 RMA 07/28/2000 07/28/2000 ANDERSON PLUMBING INC,WAL TER PHILLIPS FAMILY TRUST (DE~EDENT'S TRUST) 03-01-9 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 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 Inspector: 2761 TIBURON AVE CARLSBAD CA 92008 Total Payments To Date: 0 0 0 1 0 0 0 $0.00 FINAL APPROVAL Date C\) \ !Do Balance Due: 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 $52.00 NOTICE: Please take NOTICE that 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 informatlon 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 you have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No.{),crl),11,g' EST. VAL. _______ _ Plan Ck. Deposit ______ _ Validated By _______ _ Date ___________ _ Address (include Bldg/Suite#) Sinale Familv Residence Business Name {at this address) Legal Description Assessor's Parcel # Coooer reoioe Descliption of Work Lot No Subdivision Name/Number Existing Use SQ. FT. # of Stories Umt No Pnase No Total # ol units Proposed Use # of Bedrooms # of Bathrooms 2flll:IIIIINll~il<!1;!111111!9!!I!!i!Dlil'.lfflll~!!il-illlll:ir-)Il!Hlllllllll,\;,1,illlllliil:.1 1I1.-11111,11:IIIIIIIIIIIA... ·1,1m.11111m1:nr11111!1111Hlll:!li· I ;. 11I/ililiiliilii i-!lillli'i. Alicia aarcia 1150 N. Marshall Ave El Caion Ct 449-3852 Name llll~lll □ilrlillllllllll!i'I .· Name Address City State/Zip Telephone# ■HH :~m~■lll:lldllll:IH•,: .,1Jillllllli11,., JIIIIIIIH!I"-., ii ;1,1lillidili: i, :.~11!11111 :llillmiiJv: .·::lll!lli!H/,·· :,1fi!:lili>:1i> 'f:!l!!!iil,i~. -<!l!:li!l;iJ::f,, · · -::iiCf;,:,,,, . Robert Phillies 2761 Tiburon Ave Carlsbad CA 92008 720-0768 Name Address City State/Zip Telephone# ~~·~ J:1m~lflllllllliill, l~IIIIHIII! :.-. ;IIUllllll:IM,: '.'lllllllfti::, :1:llllli,'. ' 'l{l1lll!lli!i 1. ·•:'111'1!1,:i111 :•., i'!lllflli:ii1i·1 , . , 11!1111:~:r;. · {Sec 7031.5 Business and Professions Code. Any City or County which requires a permit to construct, alter, improve. d•molith or r•p■ir any 1trua:ur■. prior to ita issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of th■ CoMractor'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 lor the alleged exemption. Any violation of Section 7031.5 by any applicant for a pem,It subJeciS the applicant to a civil penalty of not more than five hundred dollars ($5001) WALTER ANDERSON PLUMBING 1150 N. Marshall Ave. El Caion CA 92020 6194493852 Name Address City State/Zip Telephone# City Business License # '"/ Q 7 £.J l{ 0 6 State License# 04e9,301a63~-----License Class C16 C36 C2Q HIC ST t =t Designer Name Address City State/Zip Telephone State Licence #cc~==cc----- 6. WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affimi under penalty of perjury one of the following declarations· D I have and will maintain a certificate of consent to self-insure lor workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work for which this permit is issued i21 I have and will maintain workers' compensation, as required by Section 3700 or the Labor Code, lor the performance of the work for which this permit is 1ssu8{j My worker's compensation insurance carrier and policy number are· Insurance Company Wateridae Insurance Services Policy No. WSD1678922-00 Expiration Date 10/01/2000 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {$100,000), In addition to the cost of compensation, damages as provided for ,n Section 3706 of the Labor code, interest and attorney's fees SIG~TURE ~-OATE_7~/_2_4~/0~□------- 7. OWNER-BUILDERDECLARATION 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 wrth 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. II, however, the building or improvement Is sold w,thm 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 exclusively contracting with licensed contractors to construe\ 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 threreon, and contracts for such projects with contractor(s) licensed ~suant to the Contractor's License Law) LJ I am exempt under Section ______ Business and Professions Code for this reason 1. I personalty plan to provide the major labor and materials lor construction of the proposed property improvement. D YES O NO 2. I (have I have not) signed an applicant for a building permit for the proposed work. I have contracted with the following person (firm) lo provide the proposed construction (include name I address I phone number I contractors license number) <Name> <Address> <Work Phone> <State License> 4. I plan to provide portions of thA wt>rk h11t I h"v" hir..rl thA mllr>winn """"Dn to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number) <Name> <Address> <Work Phone> <State License> 5. I will provide some of the work, but I have contracted (hired) the following person to provide the work indicated 0nclude name I address I phone number I type of work). <Name> <Address> <Work Phone> <Work Tvoe::. PROPERTY OWNER SIGNATURE______________________ °'IT------,----- !Q-Mlli!fl!lll!:l;Hfll'!l!!,~jffll!IP!l!~,tfi/l!JIJ~'llll!l,11111111✓!!'!1H1liiijJCJ:liiilrtilJI:'"", iil!lillllll(!I l-!'llil/1:,.:: '• ,;jr//lllif'!' 1 1 ,1:1;/;I'' · ,.,,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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ac\? 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? □YES □No ls the facility to be constructed w1th1n 1,000 feel of the outer boundary of school site? DYES 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 _a. ____ 11111■9Jllllllllllllfa'.11~lllill~:1;~;1:11111bi:1ti•l::l:lli~lil'-'tl/l111m~s:::1 I hereby affirm that there is a construction lending agency for the performance of the work for w\1Ich this permit is issued (Sec. 3087(i) Civil Code) LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ •--•-IIIIIElllliifi;ll-.c:illllll-l'.-U'i\ll-.111-1i1:\i~lllll!i~;:iiiilllllllt.1·,.t.lli I certify that I have read the application and state that the above Information is correct and lhat the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construct,on. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for 1'nspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAlD 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 issued by the building Official under the pro~lsions of this Code shall expire by l1mitatIon and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Bu,lding Code) APPLICANT'S SIGNATURE _..W.,_~-----------------------MTE 7/24/00 City of Carlsbad Bldg Inspection Request For: 8/31/2000 Permit# CB002768 Title: PHILLIPS RES-COPPER RE-PIPE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2761 TIBURON AV Lot 0 APPLICANT ANDERSON PLUMBING INC,WAL TER Inspector Assignment: SR --- Phone: 6194493852 Inspector: ~ ' Owner: PHILLIPS FAMILY TRUST (DECEDENT'S TRUST) 03-01-9 Remarks: AM PLEASE Total Time: CD Description 29 Final Plumbing Associated PCRs Inspection History Date Description 8/23/2000 24 Rough/Topout Act Comments _f:Q_f&d Act lnsp Comments Requested By: AUNTUAN RUTKNER Entered By: CHRISTINE CO SR NEED TO PUT IN THE COLD WATER BONDING