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
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' 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
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