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Home My WebLink About1493 PINE AVE; MULTI-PERMIT FILE; CB033116; PermitCjd^ 11-17-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB033116 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1493 PINEAVCBAD PLUM Lot #: 0 Construction Type; NEW BONGIORNI RES-REPLACE GAS LINE TO HOUSE & REPLACE WATER HEATER Applicant: PEGGY BONGIORNI Status: Applied: Entered By; Plan Approved; Issued: Inspect Area: Owner: PEGGY BONGIORNI ISSUED 11/17/2003 KMT 11/17/2003 11/17/2003 1493 PINE ST 760-729-6958 1493 PINE ST 760-729-6958 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 1 $7.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $34.00 Total Fees:$34.00 Total Payments To Date:$0.00 Balance Due:$34.00 8810 11/17/03 0002 01 02 34-00 \ !NSP> CLEARANCE, PPROVAL ft'/'Odate. PERMIT APPLICATIOIM CITY OF CAf^LSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad. CA 92008 I PROJECT INFORMATION f "viu /.'w ; FOR OFFICE USE OMLY PLAN CHECK NO EST. VAL. ONLY .QM^Lp Plan Ck. Deposit Validated By_Date / / / 7 ^ Address (include BIdg/Suite It)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.^ase No.T otal # of units Assessor's Parcel #Existing Use Proposed Use j/ Qucrtption of Work SQ. FT. ror siories # or Deoroorris ^ »or i <SA6 u Tb j cocti-i-T' - ,2., CONtACT PERSON (if diffeient frornaiMeantrJi . i. v'T'i v - v : #of Stories H of Bedrooms 0 of Bathrooms Name Address 3. /y^PLICANT ri Contractor, O Agent for Contractor City ^Owner .Q Agent for Ownw ' State/Zip Telephone # Fax It Name 4. ,PRlCPFfftyt>WrlER Address City State/Zip Telephone # City State/Zip Telephone #Name Address ;S;-V"XONTBACTOR::-COMPANYNAMB-"'-r^'''^-'''^'''<"''!''' - i-.-.r:---- rij.j:.;- (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License It Address City State/Zip Telephone e. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (»100] 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 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 in Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE^ DATE 7; OWNER-BUILDER DECLARATION1 hereby affirm that i am exempt from the Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sola 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 doessuch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement issold 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). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Comractor'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). 0 I am exempt under Section Business and Professions Code for this reason: 1. Ijuugonally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES 2. (1 (havOT/ have not) signed an application for a building permit for the proposed work. 3. iJlTve contracted with the following person (firm) to provide the proposed construction (include name i address / phone number / contractors license number):Vo ^vV.g^v-) : 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 / address / 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 SECTION FOR /Yd/V-Af^^TSdT^LDINQ PERMITS ONLY; J' i n ^ i i Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preventionprogram under Sections 26505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? Q YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 , ' . ' ' , 1 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). LENDER'S NAME LENDER'S ADDRESS ;9., .APPLICANTCERTlFiCATION-, r; I certify 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 or ine Cit^ of Carlsbad to enter upon the above mentioned property 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued ^-(he^COndln^^pTrrcla! under the provisions of this Code shall expire by limitation and become null and void if the building or workauthorized by such permit is not cofrimenced withinJ60 ^ys from ^e date of such permit or if the building or worit authorized by such permit is suspended or abandonedat any time after the work is comi^encedJo^^lD^i^^^SO days (Section 106.4.4 Uniform Building Code). ■—. DATE / 7 - . DATE APPLICANT'S SIGNATURE C /MITE: Fits YELLOW: Applicant PINK: Finance 1 City of Carlsbad BIdg Inspection Request For: 11/26/2003 Permit# CB033116 Title: BONGIORNI RES-REPLACE GAS LINE Description: TO HOUSE & REPLACE WATER HEATER Inspector Assignment: PD Type: PLUM Sub Type: Job Address: 1493 PINEAV Suite: Lot ( Location: APPLICANT PEGGY BONGIORNI Owner: Remarks: EARLY AS POSSIBLE Phone: 7607296958 Inspectj^f: Total Time: CD Description 23 Gasnrest/Repairs 25 Water HeaterA/ents Act Comment L Requested By: PEGGY Entered By: CHRISTINE Tftr Associated PCRs/CVs Inspection History Date Description Act Insp Comments 11/24/2003 23 Gas/Test/Repairs CO PD 11/24/2003 25 Water Heater/Vents CO PD 11/21/2003 23 Gas/test/Repairs CA BY PEGGY USE BALL POINT PEN ONLY & PRESS HARD Q ' that I am llcanaad under provisions of Chapter 9 (commencing with Section 70(X)) of Division 3 of the Business ar>d Professions Code, and my license is In full force and effect. lie. No Class I hereby allirm tnai I am exampi from the Contrac tor's Ltcensa Law lor the loilowing reason (Sec. 7031.S Business and Protessions Code: Any city or county which re quires a oermit to constnicl. alter, improve, demolish, or repair ariy structure, prior to Its issuance also r^uires the ^ pJIcani tor such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 commenclno with Section 7000 olDivision 3 ol the Business and Prolssibns Code) or that is ei- anpt iheretrom and the basis for the alleged exemption. Anyviolation of Section 7031.S by an appilcani icra pormlt sub jects the appilcani to a eWll penalty o) not more than live hun dred dtflars ($900). □ I, asowner ol the property, or my employees with wagesas their Ms compensation, will do the work, and the structure is not intended or ottered for sale (Sec. 7044, Businessand Professions Code: The Contractor's License Law doesnot apply to an owner ol properly who bulWs or improvesthereon and who does such work himsetl or through his ownemployees, provided that such improvements are not intended or oHered for sale. If. however, the building or improve-mem is siAt within one year ol completion, the owner-builderwill have Ihe burden of proving that he did not build or Improve for the purpose of sale) □ I. as owner of the property, am exclusively contractingwl0i llcen^ contractors to construct the projeci (Sec. 7044, Business and Professions Code: The Contractor's LicenseLaw does not apply to an owner ot property who builds or Improves thereon, and who contracts lor each projects with a^traclor(s) license pursuant to the Contractor's License □ As 8 homeowner lam Improving my home, and Ihe following conditions exist:1. The work is being pertormed prior to sale.2. I have lived In my home for twelve monthsprior to completion cri this wortr.3. i have not claimed Hits exemption during Ihelest three years. □ lamexemptunderSec. lor this reason ..B&P.C Q I herebyalfirm that I haveacerlificateol c 10 self-insure, or a certificate of W<Compensation Insurance, or a certified copy(Sec 3B00. Labor Code) y / POLICY NO ^^^fopy IS liled with the city O Certified copy >s fiereby lumisried CERTIFICATt OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE (This section need not be completed if trie permitIS lor one hundred dollars |$100) or less) □ I certify thai m the performance of ihe worir forwhich this permit is issued. I shall not employ anyperson m any manner so as lo become subject to the Woritets Compensation Laws of Caiilorma NOTICE TO APPLICANT If, alter making Ihis Certiiicaie of Exemption, you should become subieci to the WoiKers' Compensation provisions of the LaixxCode, you musf lonhwilli comply with suchprovisions or this permit shall be deemed revoked Q I fverebv affirm that ihere is a consiruciionlending agency fO' the performance of the work forwhich this permit is issued iSec 3097. Civii Codel Lender S Name Lender s Address . CARLSBAD ^&DING DEPARTMENT 1200 Elm. Carlsbad, California 92008-1989 (714) 438-5525 APPLICANT TOy£LLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.SSk.•raiAPPnCATlON & PERMIT fLf^3 Pi'f^e. n'AV. ST. RO. VIS«'S ^ OWNER'S PHONE r. ^ /ne A) r 7Z9- iNEH'S MAILING ADDRESS S/f77)e^ LOT BLOCK SUBDl VISION ASSeSSOI=t PARCEL NO. TO TO . hM±bij OJy%n^ DATE OF APPLICATION . ^SINESS LICENSE tt SCONTRACTjaR 1 7/ j I CONTRACTORS PHONE «ufJ£/)//f7Z ^wdad'-;SNTRACTDp'S ^OSESS DESIGNER'S ADDRESS LICENSE NO. 23 DESIGNER'S PHONE VALUATION ZONE PLAN I.D. # STANDARD PLAN # PERMIT NUMBER BLOG USE CODE BUILDING SO. EOOTAOE OCC GP VM nQ REDEVELOPMENT AREA TYPE OCC LOADCENSUS TRAC1 GP LAND USE RES UNITS GRADING PERMIT ISSUED Y □ N □ FIRE SPRPARKING SPACE Not Valid Unless Machine CertifiedvH nQ vO nD SUMMARY/ACCOUNT NUMBERMECHANICAL PERMIT - ISSUEPLUMBING PERMIT - ISSUE BUILDING PERMIT 01-00-00-8220NSTALl FURN. DUCTS UP TO lOO.ODO BTUEACH FIXTURETRAP OVER 100.000 BTU SIGN PERMIT 01-00-00-8221EACHBUILDINGSEWER BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806EACH WATER HEATER AND/OR VENT /O.QOBOILER/COMPRESSOR 3 15 HP TOTAL PLUMBINGEACH GAS SYSTEM 1 TO 4 OUTLETS 01-00-00-8222 METAL FIREPLACEEACH GAS SYSTEM 5 OR MORE EACH INSTAL.. ALTER. REPAIR WATER PIPE ELECTRICAL 01-00-00-8223 VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 MECH EXHAUST - HOOO(OUCTSEACH VACUUM BREAKER MOBILEHOME 01-00-00-8225 RELOCATION OF EA FURNACE/HEATERWATER SQFTNER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE)SOLAR Q1-Qn-Qfl-ftP?R TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 TQTALPLUMBING FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-e923SOLAR - ISSUEELECTRICAL PERMIT • ISSUE BRIDGE FEE COLLECTORSNEW CONST EA AMP/SWT/BKR SCHOOL FEE - DISTRICT STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLOG EA AMP/SWT/BKR HOCK STORAGE Encinilas 80-92-22-0519 PUMP San Dieguilo 80-92-23-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL total solar TOTAL FEES PAYABLE 1 HAVE CAREFULLY EXAMINED THE COMPLETED •APPLICATION AND PERMIT ' AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT ISISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration Every permit issued by lf>e Building Official under Ihe provisions of thisCode shall expire by iimitstion and become null and void If the building or workaulhonaed by such permit is not commenced wilhm 180 days from the date ol suchpermit, or if the building or work authorized by such permit is suspiended or abandoned at any time aner the work is commenced for a period ot 180 davs APPLICAI^T'S SIGNATUR OWNER n CONTRACTOR D BY PHONE □ * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' 0 " DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BY INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. 1. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING heat — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL BUILDING SPECIAL CONDITIONS ANCY ISSUEDCERT OF DC FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REG IF CHECKED INSPECTORS APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS " -- •' . A