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Home My WebLink About2759 TIBURON AVE; ; CB022385; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-16-2002 Plumbing Permit Permit No: CB022385 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2759 TIBURON AV CBAD PLUM 1675622900 Lot #: 0 Construction Type: NEW SILCOX RES COPPER REPIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ANDERSON PLUMBING INC,WALTER SILCOX PHILIP L&MADELINE 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 15403 PARK ESTATES LN HOUSTON TX 77062 ISSUED 08/16/2002 SB 08/16/2002 08/16/2002 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: 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: 0 0 0 1 0 0 0 FINAL t-,PP,~ VAL Date: \ I '--' (; 1 _,, Clearance: $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 $57.00 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 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 service fees in connection with this project. NOR DOES IT APPLY to any iv Ii FOR OFFICE USE ONl.,Y PLAN cHEcK No. Cl-0z 2 ~s~ PERMIT APPLICATION EST. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit& Validated By --~-\;,_:5,,__~~------ Date '8--/ '--oc:.._ 1. PROJECT INFORMATION 2759 Tiburon Ave Address (include Bldg/Suite#) Business Name (at this address) SFD Legal Description lot No. Subdivision Name/Number 167-562-29-00 Assessor's Parcel# Existing Use Cooper Repipe Description of Work SQ. FT. # of Stories 2. CONTACT PERSON (if different from applicant) Name Addres:, City State/Zip 3. APPLICANT D Contractor D Agent for Contractor Alicia Garcia 1150 N. Marshall Ave □ Owner □ El Cajon CA. 92020 Name Address City State/Zip 4. PROPERTY OWNER Unit No. Phase No. Proposed Use # of Bedrooms Telephone# Agent for Owner 619-449-3852 Telephone# Phillip & Madeline Silcox 2759 Tiburon Ave. Carlsbad, CA 92008 281-480-3022 Name Address City State/Zip Telephone# 5. CONTRACTOR -COMPANY NAME Total# of units # of Bathrooms Fax# (Seo::. 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Walter Anderson Plbg. 1150 N. Marshall Ave El Cajon. CA. 92020 619-449-3852 Name Address City State/Zip Telephone# State License# 493163 license Class C-36 City Business License# _1~0~7_4~4~0~0~----- Designer Name Address City State/Zip Telephone# State License# __________________ _ 6. WORKER'S COMPENSATION Workers· Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. ~ 1 have and will maintain workers compensation as required by Section 3700 of the labor Code, for the performance of the work for which this permit Is issued My /w~-rker s compensation insurance carrier and policy number are losmaoce Compaoy _State_C~ro_pJns,_fund.. _______ Pohcy No_ 166063301 ---_ --E,pacataoo Date __ 1 Cl[O_!/Cl2_ ·---- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100} OR LESS) □ 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 sub1ect tu the Workers· Compensation Laws of Calrlomia. 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),z· additio_n to the cost 1_.r,mpensation, damages are provided for in Section 3706 of the Labor Code, interest and attor!1e}j's fee/ SIGNATURE _lj!.f.t_',l/\ __ ~£{{{'_;{£) __________________________________________ DATE __ 1/ LL C _z_ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor"s License Law for the following reason- □ 1. as owner of the property or my employees with wages as their sole compensation, will d 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 sale). □ \, 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). □ I am exempt under Section _________ Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES D NO 2. I (hcwelhave 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/ contractors license number): 4. 1 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 I /ontractors 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 I address/ phone number I type of work): PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES □ 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 8. CONSTRUCTION LENDING 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(1) Civil Code) LENDERS NAME 9. APPLICANT CERTIFICATION I cer11fy 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 City of Carlsbad to enter upon the above mentioned proper1y for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGEMENTS, 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 of 5'0"' deep and demolition or construction of structures over 3 stories in 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 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 Building Code). WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/17/2002 Permit# CB022385 Title: SILCOX RES COPPER REPIPE Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2759 TIBURON AV Lot 0 APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: SILCOX PHILIP L&MADELINE Remarks: AM PLEASE-DRYWALL IS AROUND THE PIPE Inspector Assignment: JM --- Phone: 6194493852 ector:_h_. Total Time: CD Description 17 Interior Lath/Drywall Requested By: BIANCA Entered By: GIOVANNA Act Comme~ : ( .A£... -\-1 V'·v _ Associated PCRs/CVs Inspection History Date Description 09/06/2002 24 Rough/Topout Act lnsp Comments AP JM