HomeMy WebLinkAbout2743 TIBURON AVE; ; CB021013; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB021013
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2743 TIBURON AV CBAD
PLUM Status:
Parcel No: 1675623300 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
AAS
STE 100
ALESSI -COPPER REPIPIE W/DWAL
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677 -5455
Plan Approved:
Issued:
Inspect Area:
Owner:
ALESSI SAMUEL J&ANNA-MARl6·0c
2743 TIBURON AVE
CARLSBAD CA 92008
ISSUED
04/03/2002
JM
04/03/2002
04/03/2002
Total Fees: $87.00 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
TOTAL PERMIT FEES
Inspector: /wqe. /IJ,,,,[_
0
0
0
1
0
0
0
FINAL OVAL
Date: · v Clearance:
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$60.00
$0.00
$0.00
$0.00
$87.00
$87.00
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
I h
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NoC-/31)b/l)/J
CITY OF'CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposi;/#,1--r.,,,_1.,._-----~~
Validated By _____ -;"Z,"-:,'7"-=,
Dat•------------'CH'-'.Jf-_..,'--i_,,--
1. PROJECT INFORMATION 214::".:2 :::G bv1.(on AH
Address (include Bldg/Suite It) Business Name (at this address)
Legal Description lot N~ubdivision Name/Number
Existing Use
Unit No. Phase No. Total# of units
Proposed Use
SO. FT. #of Stories # of Bedrooms # of Bathrooms
2. CONTACT PERSON'lif dlffererit'fiori,·appllcaht)
Address State/Zip Telephone# Fax It
0 Contractor tA,·Agent for Coniraotor
-L-----ft, b2 z_
Name Address State/Zip Telephon #
~
Address City
CA/t1.nl16 b)126 -9Zi.f/
State/Zip Telephone#
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, commend'1ng with Secf1on 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis tor the alleged
eFY'Y'ti,~ff<~12a~x1rcant f,or a ~;rnit subjects theb!ant to a civil penal ~f not more t~~ve hundred dollars q zor2-1
Name , . Address • City S 'c>;lo} le, 11
State license # 7'1 i f).2.0 License Class BJ C, 'Bt:2,1 l-U) City Business license#--'--''-'~'-''-'-'-..__, 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:
D 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.
( CJ,--i have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perf.ormance of the work for which this permit is
~. My worker's co~pensation insurance carrier and nn/icy number are: -, . / /
Insurance Company: kV)~ LL~ . \nc; .. -----Policy No.~l'i-3~ -00 Expiration Date _ _l_ _!. D?>
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1 OOJ OR LESS!
□ to become subject
WARNING: Failure t
thousand dollars ($1
PTION: 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
t e W rkers' Compensation Laws of California.
workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties end civil fines up to one hundred
it' n to the cost of c~mpensatlon, damages as provided for in Section 3706 of jl, ,!.fl}o code, interest and attorney's fees.
DATE_/,__,~'/'-'"\~,__,..,)... ___ _
7.
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole 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 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).
D 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, end contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted w'1th the following person (firm) to provide the proposed construction /include name I address / phone number / contractors license number):
4. I plan to provide portions of the work, but J 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 SIGNAH.JRE ________________________ _ DATE __________ _
COMPLETE THIS SECTION FDR NON-RESIDENTIAL BOl(OING PERNiltS·ONL 'f
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or r'lsk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 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? 0 YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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(i) Civil Codel.
LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _
9, APPLICANT CERTIFICATION
I certify that I have read the appl'ication 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 Citt" of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 re
EXPIRATION: Every permit is
autliorized by such permit is not
a! any tirne after the work is co
ir d f r excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
e bullding Offi I nder the provisions of this Code shall expire by limitation and become null and void if the building or work
da s o date of such permit or if lhe building or work authoriz~1. such permit is suspended or abandoned
180 a cli n 106.4.4 Uniform Building Code). 'II', /6~
APPLICANT'S SIGNATURE -==-'-=-".:,,C-'._-'<'._=::lc,,L__:_...:._______________ DATE /""/
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 05/08/2002
Permit# CB021013
Title: ALESSI • COPPER REPIPIE W/DWAL
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2743 TIBURON AV
Lot
APPLICANT ARS
0
Owner: ALESSI SAMUEL J&ANNA-MARIE
Remarks:
Total Time:
CD Description
29 Final Plumbing
Associated PCRs
Inspection History
Date Description
05/06/2002 24 Roughfropout
Act Comments
/JP F1N#L-
Act lnsp Comments
AP PS
Inspector Assignment: PK ---
Phone: 8586775455 X205
Inspector: /? cJ3
Requested By: VERONICA
Entered By: ROBIN
05/03/2002 24 Roughfropout NR PK CALLED VERDNICA AND SHE WILL RESET FOR MON AND CALL
FORAN APPT