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HomeMy WebLinkAbout2726 AVALON AVE; ; CB031954; PermitCitv of Carlsbad 07-1 6-2003 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: ARS STE 100 - I 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB031954 2726 AVALON AV CBAD PLUM Status: ISSUED 1675613500 Lot#: 0 Applied: 07/16/2003 Plan Approved: 07/16/2003 Issued: 07/16/2003 Construction Type: NEW Entered By: RMA WALLS RES-COPPER RE-PIPE Inspect Area: 6162 NANCY RIDGE DR SAN DlEGO CA 92121 850-677-5455 Owner: WALLS WILLIAM B II&PAMELA J 2726 AVALON AVE CARLSBAD CA 92008 LIVING TRUST 01-01-0 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 $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 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 9733 07/16/03 0002 01 02 CGP review, set aside, void, or annul their imposition, You are hereb FURTHER NOTIFIED that your right to protest the specified feedexactions WES NOT APPLY to water and Sewer mnndon fees and capacity FOR OFFICE USE ONLY PLAN CHECK NO.- 1957 PERMIT APPLlC,ATlON CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Addles9 linclude BldgISuits Xi Legal Description Lot No,A&division NamalNumbar Unit No. Phase No. Burinass Name la1 this addrasrl Total I af units dl r\ Arsersor'r Parcel I Existing Us8 Propmad Use 1A-P Oascription of Work I1 Sa. FT. aot st0ri.1 X of Bedrooms I Of Batllraamr . .. . ... 5. CONTRACTOR I COMPANY NAMe' (SBC. 7031.5 Burineas and Profsrrionr Cods: Any City or County which requires e permit to Constrwt, aiter, Improve. demolish or repair any StIuCture. prior to if* issuanc~, also requires the applicant for such permit to file a signad statement that ha is licansed pwsuant to the provisions of the Contractor's Licenrs Law ichapler 9. commending with Section 7000 of Division 3 of the Business and Professions Codsl or that ha is axempt thsrefrom, and the basis for the aIiPgCd exe p i n Any violation of Section 7031.5 by any ~ppiic Name State License I 7cI I 6Z-0 Class c Lo cab City Business Llcanra # lD*7Q3 Designer Name Address city StatslZip Tslsphons Stet8 License I 6. "Y\lORl#RS Workers' Compen 0 I have and wiil maintain a cartificats of conrant to self-insure for workers' compmsation as provided by Section 3700 of the Labor Code. for the perfo8n!allcP of the work for which this permit is issued. @ i have and will maintain workers' compensation, as required by Section 3700 of tha Labor Code. for the performance of the work for which this pwtnil Is Iswed. My worker's compensation insurance carrier and policy number ern: Insuranc~ Company Policy NO. 243W -01 Expiration Date [THIS SECTION NEE0 NOT 8E COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSi 0 WARNING: Failu lawlul, and shall aubjaet an amploysr to c tlvmsmd dollars t for m permit rubjectr the applicant to clvli penalty of no mora than five hu red dollars 1850011 5%77 -5l-t-7- rsiephone a \w 4 cb i42r Addr City StStSlZiP w5 bib2 W &;;36p-&3@ [/I lo6 CERTIFICATE OF EXEMPTION I c~rtlly that in the performance of the work for which this permit is Issued, i shall not employ my perron ill any mallllel IO BI s up to one hundred .ttOl"C"'l fee, d;msgar aa provldad for In Section 3708 o i hereby aflirm that i am exempt lrom the Contractor's Liesnsa Law for the following mason: 0 i. as owner of the property or my employees with wages as thalr sole compen?iation. will do the work end the SlrUClUI(I is not intended or alfered far sale iSac. 7044. Business and Piofesrions Code: Tho Contractor's Licsnia Law dosr not apply to an owner of property who builds or improver thereon. arid who docs wch work himself or through his own employees. provided that such improvamants am not Intended or offered for sde. if, howwar, the building or impiovemri,t is sold within ma year of completion. ths owner-builder will have the burden of proving that ha did not build or improve for the purpose of 8~101 0 I, as owner of the propeit~. am exdusI~eiy contracting with licensed contractors to construct the project ISec. 7044, Burinsrr and Proferrionr Code: Tlie C~ntractor's License Law doas not apply to an owner of property who builds or improves thereon. and contracts for such projects with conlracIm(ri lirewrd pursuant to tho Contractor's Lieanis Law). 1. 2. 3. 4. numbsr I contractors license number): 5 of worki: I am exempt under Section I pereonally plan to provide the major labor and matariala for construction of the proposed prop@rty Improvement. YES ON0 I ihavs I have noti signed an appiication for a building permit for tho proposed work. I have contracted with the following poison lfirml to provide the proporad construction llncluds name I address I phons numbar I COnlrBctors license numhcrl' 1 pian to provide portions of the work. but I have hired the foliowing parson to coordinsts. supervism and provldn the major work linclude name I addrpsr I nlmR I will provide soma of the work. but I have contracted Ihiradl th@ following params to provide the work indicated linciuds neme I address I phone tncrmher I IY~ Business and Profsrrlonr Code for this mmm: . .. .~ Is the applicant or future building occupant required to submit B buiinass plsn. acutely hazardous materids registration form or risk management and prdYclllioll program under Sections 25505. 25533 or 25534 01 the Prssisy-Tannar Hazardoh Substams Account Act7 YES 0 NO 1s the applicant or future building occupant required to obtain 8 petmlt from the air pollUtion control district or ail quality msnagemsnt disliict? 0 YES NO 1s the facility to be constructad within 1,000 feet of the outer boundary of n school site7 YES 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 TllE IlEOUlREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL OISTRICT. 8, CONSTRUCTiON LENDING AGENfV I hereby affirm that there is a construction lending sgancy LENDER'S NAME LENDERS ADDRESS 9. APPLICANT srmlt is isruad (Ssc. 3097111 Civil Codel. City 3rdinancsr and Stale laws ralating to building construction. I harsby authorize rspraiantativsr of the City of Carlsbad to enlei upor! the abovc mcrilioiml ~~'oporly lor inspection purpose^. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL IIARILIIIFS. JUDGMENTS. COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF TlllS PERMIT OSUA: An OSHA permit is required EXPIRATION: Every permit iss iliiihorimd by such permil is no1 a1 my lime after the work is co APPLICANT'S SIGNATURE OATE vations over 5'0" deep and demolition or construction of 511uctur~15 over 3 $lories in height. within 180 da s lrom the llellnn and becnme null and void if lile buildillg or work mil or Ii ihe building or work ~- ~~~~ City of Carlsbad Bldg Inspection Request For: 07/31/2003 Permit# CEO31954 Inspector Assignment: JE Title: WALLS RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Phone: 8586775455 EX 205 Job Address: 2726 AVALON AV Suite: Lot 0 Location: Inspector: Jim APPLICANT ARS Owner: WALLS WILLIAM B INPAMELA J LIVING TRUST 01-01-0 Remarks: Total Time: Requested By: VERONICA Entered By: ROBIN hComment CD Description 29 Final Plumbing Associated PCRsICVs InsDection History Date DescriDtion Act lnsp Comments 07/25/2003 24 RougNTopout AP JE 11 OM41 1107-A4 COLD WATER BOND OK 8112 A ZURICH AMERICAN INSURANCE COMPANY ~ ______ , ?_,ill I -.._. . . (Ml12)ARS AMERICAN RESlOENllAL SERLICES B ILLINOIS NATIONAL INSURANCE COMPANY OF CALIFORNIA INC. dba ARS OF SAN OlEGO 860RlOGE LAKE BLVD. MEMPHIS, TN 38120 j- COil2MLI j- c(Mpm~ ___- c !D I I ! 5.0( I! ' WTOYOBLELWIUN BAP 295864641 (AOS) 01/01/03 01lOllog CDIBlNEO SNCM LIMIT f 1 .ow.oc I* b WY WTO BAP 2-74 (VA) 0110irn~ 01 101 108 XL WED UITOS Id SCIEOULMAUTOS I I I I