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Home My WebLink About1805 CANYON PL; ; CB984187; PermitBUILDING PERMIT 12/01/98 12:38 Page 1 of 1 Job Address: 1805 CANYON PL Suite: Permit Type: MISCELLANEOUS Parcel No: 205-080-86-00 Lot#: Permit No: CB984187 Project No: A9805429 Development No: Valuation: 0 Occupancy Group: Referenced Description: NEW WATER, FAU, ELECT., CUT IN : DOOR, Appl/Ownr : BRINKS PLUMBING 7969 ENGINEER RD SAN DIEGO CA 92111 *** Fees Required **A Construction Type: NEW Status: ISSUED Applied: 12/01/98 Apr/Issue: 12/01/98 Entered By: BT 282-1771 Collected & Credits Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS T 96, * "A * 12/01/98 0001 01 0 002 C-PRHT.oo 96.00 9 6 . 0 0 it Ext fee Data 96.00 PERMIT FE 9 6 . 0 0 CLEAR, 1 APPROVAL DATEJii CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 PROJECT-INFORMATION FOR OFFICE USE ONLYX PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By. Date Address (include Bld Business Name (at this address) igal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units ssessor's Parcel tt Existing Use jij*, A t£7 — Proposed Use Description of Work 2. CONTACT PERSON Of different from applicant) SO. FT.#of Stories # of Bedrooms # of Bathrooms Name f^,t // £$/%-/St /^ Address City State/Zip Telephone* Fax tt S. ' APPLICANT gy&anttaator Q' Agent for Contractor Q Owner D Agent for Owner Name T~))A^J£r Address City State/Zip Telephone tt OWNER Name * Address City State/Zip Telephone # 8. CONTRACTOR-COMPANYNAME ""— (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 ftle 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 subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name State License tt Address License Class City State/Zip Telephone # City Business License # /ft.0£a Designer Name Address City State/Zip Telephone State License # C WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. My worker's compensation insurance carrier and policy number are: fSf&~ C*l /£j£* OG & /(£& i~ Insurance Company^g^Kff*^^^B^iry> C IW aObf\ Policy No^fJAtf^rf^SSv ^> Expiration Date ^"'O" 7 y (THIS SECTION NEEoTlOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll*s ($\partJOO)Vi •dditiofTto'hie cost.of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE {A_^ /^faf.- /gyLl*/lf^ DATE f^." ( ' ^&* SiilliilpilliitifeaABftnoil- - - ~~- - ~ .. . • • I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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). Q 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(s) licensed pursuant to the Contractor's License Law). Q 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. (~l YES QNO 2, I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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 DATE COMltfTEtHtS SECTION FOB NON-RESIDENTIAL 8UILDINQ PERMITS ONtY , Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? G YES Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q 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 ,.*,.« » I 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 W~~~rT LENDER'S ADDRESS 9 AmiCANT CERTIFICATION 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 of the CitV 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0* deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th*e^vo»le1s"c3mme|»e«H;pr a period of 180 days (Section 106.4.4 Uniform Building Code). /12 - /" 7 f\A rf^r/A^Xr ^ WHITE: File YELLOW: Applicant PINK: Finance APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB984187 FOR 12/04/98 DESCRIPTION: NEW WATER, FAU, ELECT., CUT IN DOOR, TYPE: MISC JOB ADDRESS: 1805 CANYON PL APPLICANT: CONTRACTOR: OWNER: BRINKS PLUMBING PHONE: PHONE: PHONE: STE: 282-1771 INSPECTOR AREA PLANCK* CB984187 OCC GRP CONSTR. TYPE NEW LOT: REMARKS: C/BILL/619/894-5851 INSPECTOR SPECIAL INSTRUCT: THE CONTRACTOR WILL CALL INSPECR IN MEETING TIME. TO SET UP A CONTRACTOR HAS THE K^Y TO THE HOUSE TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 14 24 34 44 PL Water Heater/Vents ST Frame/Steel/Bolting/Welding PL Rough/Topout EL Rough Electric ME Rough/Ducts/Dampers DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS ity of CARLSBAD 1UILD1NG DEPT. 06/0: .-'is^fr.19-538-3'312 PAUGAPD BPKP FAOE 61 I ACORDr, ^teiipijus i j^ fiL M^WS iii B? "" !>' •>! ci Cc 1 1 PRODUCER -619) 780-1603 LIC# 0568995 CRAIG DAUGARD INSURANCE BROKER 13203 PAGEANT AVE. INJURED ' "' ~~~ " ' BRINK'S PLUMBING & WATER RESTORATION, INC. 79G9 ENGINEER ROAD, SUITE #216 SAN DIEGO, CA 92111 irtT:ll^MRllj^ <•: THIS CEFITIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE : HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ; ALTER THE COVERAGE AFFORDED BY THE POLICIES 8ELOW. 1 COMPANIES AFFORDING COVERAGE COMPANY A COMPANY v ! B 1 COMPANY C COMPANY J ° CLARENDON NATIONAL INSURANCE CO. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER C CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR'BEI EXCLUSIONS AriD CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCFO BY PAID CLA | ££ ' TYPE OF INSURANCE "j V ' LIABILITY [_ .vIEPOAL QENERAL LIABILITY ; ^ 1 CLAN3 MADE | j OCCUR f OWNER'S 8. CONTRACTOR'S PROTi * ! AUTOMOBILE LIABILITY HANY AUTO AL. OWNED i«UTOS i SCHEDULE? AUTOS ' MIRED AUTQS NON-OWNf 0 AUTOS ,H 1 ! , aARAQE LIABILITY 1 ANY AUTO ! 1i , EXCESS LIABILITY I ' UMBRELLA FORM I | OTHER THAN UM3RELLA FORM WORKERS COMPENSATION AND . EMPLOYERS' UAWUTV i ' ' VNEHS/EXECUTW6 (-— i 'NC' i ; U-FC6RSARC;: \ A '• EXCl O7HEH I Oe^CHIPTION OF QPEF_*TTpN5'lOCAir»Ol*3;V! | POLICY NUMBER i ! 1 i i | 01KR0001562 ( . . ... . .. ! THICI ES'SPFCIAt ITPMS SlUlilllliiippsli D NAMED ABOVE FOP) TH JOCUMENT WITH RESPEC 3 HEREIN IS SUBJECT TC MS. fc POLICY PERIOD;r TO WM:CH THIS > ALL TF ; TERMS, POLICY EFFECTIVE POLICY EXPIRATION 1 DATE (MM/OO/YY) j t»Att (MM/DD,YY) U*ITS i ! 34/08/98 04/08/99 <ifcNERALACtaR£a;,rt Is 1 PRODUCTS - COMf/Cn AGG 1 S ' PERKONAL * ADV INJURY s EACM OCCURRENCE $ FIRE DAMAGE (Any ?nefire) MED EXP (Any on* psnsnn) COMBINED SINGLE LIMIT BODILY INJURY(Per p««on) BODILY INJURY(Per accident) '*j_*i ;$ $ -B. $ "ROPF.RTY DAMAGE * AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE X | TOTY LwUVfl ! !°l3n EL EACH ACCIDENT EL DISEASE • POUCY LIMIT e. DSgASe - EA EMPLOYEE J ! r$ * $$ t $1000000 »1000000 slOOOOOO /* A>7Y & ALT. rALTFORNIA OPERATIONS ANY & ALL OPERATIONS; 10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM CITY OF SAN DIEGO 1222 1ST AVENUE 3RD FLOOR BUILDING PERMIT DEPT, SAN DIEGO, CA 92101 SHOULD ANY OF THt ABOVE OEBCRIBCO POLICIES BE CANCELLED BEFORE TKE EXPIRATION DATE THEREOF, THE IS3UIK3 COMPANY WILL FNDCAVoft TO MAIL 30 DAYS WRITTPN NOTIGC TO IhE CEiyiCATE MCHOER NAMED TO THB LEFT, BUT FAILURE TO/*IL4IL SUCH HO'fCf «HAW IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINI/ I/POM THE tfOfltANV// ITS AoeNTS OR REPRESENTATIVES. AUTHORIZED RE