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Home My WebLink About2719 TIBURON AVE; ; CB020393; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-07-2002 Plumbing Permit Permit No:CB020393 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2719 TIBURON AV CBAD PLUM 1675124700 Lot#: 0 Construction Type: NEW PIGUILLEM RES-COPPER RE-PIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PIGUILLEM JAIME&LINDA ISSUED 02/07/2002 RMA 02/07/2002 02/07/2002 ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 2719 TIBURON AVE CARLSBAD CA 92008 0468 02/07/02 0002 ,)l_ CGF· Total Fees: $57.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Draln 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 Total Payments To Date: 0 0 0 1 0 0 0 $0.00 FINAL APPROVAL ~__,,~_---------L ~ Inspector:,.; ~~ Date: 7 /2:_r,: 6 2.. Balance Due: 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 capactiy changes, nor planning, zoning, gradlng or other similar app!lcation processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been □iven a NOTICE similar to this or as to which the statute of I imitations has o reviouslv otherwise exoired. 02 P.ERMIT APPLICATION FOR OFFICE USE ONb_Y ] . PLAN CHECK NO. :lo1{l t3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _____ ____,, __ _ Validated By __ ~----+F-t,,,<-¥--- Date ___ ~6,,---/--~+-_.._.:;.L-....,_ __ _ Address (include Bldg/Suite #) Business Name tat this address) Legal Description Lot No. division Name/Number Unit No. Phase No. Tota I # of units Existing Use SO. FT. #of Sto,ies # of Bedrooms II of Bathrooms ~ ;7CONTACT PER!)9N (If dltferi.lnt from·appllc«ntl u· f UT // t21-1 , / / ',,.._; .D/9- City State/Zip Telephone II Fax II z f2££2.l L-.77~5465 Teleph~ Address City State/Zip Telephone II 5. CONTRACTOR -COMPANY NAME (Sec. 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 :Ev::Ytr,WDf ~~)Q,1~;,.17YJ'1l1canf f,or a v;(flit subjects theb~nt to a civil penal ?f not more t(,,~~,te hundred dallats q z°t~ Name . . . Address . City S a/Zip ~, k,17 State License If~ t 122.0, License Class B J [., ?:k?/ (., 2-0 City Business License If I o3,C)7 a) 64-SS 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 wmkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, ; IZ}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 permit is ~d. My worker·~ compensat!on insurnnce_carrie! anrl nnlicy number are: . -J I ~ Insurance Company_ Mf\,2:zt\: l,L<:::::::;f\ \()C, .. ~----Policy No._L113WB : W Expiration Date __ l _ _i_ DO:> (THIS SECTION NEED NOT BE COMPLETED JF 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 t Workers' Compensation Laws of California. atlon coverage Js unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars t ens11tion, dilmage• as provided for in Section 3706 of thi, L~~-jr!:erest and attorney's fees. SIGNATURE ----1i--:..:"----"-'~'--.:_::c __ .'-"'=---=-'----~------------~--DATE £_1 '::::;::t Ur 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 properly or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered !or 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), 0 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(sl licensed pwsuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personally ptan to provide the major labor arid materials for construction of the proposed property improvement. 0 YES D NO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction !include name/ address / phone number I contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinati:t, supervise ·and provide the major work (include name I address/ phone number I contractors license number): ________________________________________________ _ 5. I will prnvide soma of the work, but I have contracted !hired} the following persons to provide the work indicated (include name I address/ phone number/ type of work): ___________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ COMPLETE THIS SECTION FOR NON;RESIOENTiitt BIJl'LDING PERMits'oNtV,<. Is the applicant or future building occupant required to submit a business plan, acutely haiardous materials registration form or risk management and prevention program under Sections 25505, 25533 o, 25534 of the Presley-Tanner Hazardous Substanca Account Act7 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 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 LEND.ING AGENCY I hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ 9. APPLICANT CERTIFICATION; I certify that I have read the application and state that the above information is correct end 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 prope,tv for 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 require xcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit i u d by the ullding OHicial under t pr visions of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permil Is no wilhin 180 days from e da Is c er 'tor If the building or work aulhorlied by{u;(ir::;;11 is suspended or abandoned at Any lime after lhe work is co period of180 days Sec 1 Building Code) J ts o;;,- APPLICANT'S SIGNATURE -~~-.!~--=....--=:___-=... __ .=_.______________ DATE WHITE: File YELLOW: Applicant PINK: Finance ,. City of Carlsbad Bldg Inspection Request For: 07/23/2002 Permit# CB020393 Title: PIGUILLEM RES-COPPER RE-PIPE Description: REPLACE EXISTING WATER HEATER Type:PLUM Sub Type: Job Address: Suite: Location: 2719 TIBURON AV Lot APPLICANT ARS Owner: PIGUILLEM JAIME&LINDA Remarks: 434-9504 Total Time: 0 CD Description Act Comments Inspector Assignment: RF --- Phone: 7604349007 Inspector: ~ F Requested By: HOMEOWNER Entered By: CHRISTINE 25 Water HeaterNents Jjf_ _______ _ Associated PCRs/CVs lnsgection Histo[Y Date Description 07/19/2002 29 Final Plumbing 03/08/2002 29 Final Plumbing 02/22/2002 24 Rough/Topout 02/15/2002 24 RoughfTopout 02/15/2002 24 Rough/Topout //o 6~ ~r;- /1 CJ 'g--11 £' Act co co AP NR NR lnsp Comments RF RC HOLES IN FIREWALL IN GARAGE RC OK TO DRYWALL CW BOND -OK RC WORKERS STILL WORKING RC