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Home My WebLink About2331 DANA CT; ; CB042600; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB042600 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2331 DANA CT CBAD PLUM 1675323100 Lot# 0 Construction Type NEW Status ISSUED Applied 07/01/2004 RMA 07/01/2004 07/01/2004 BERGER RES-COPPER RE-PIPE Entered By Plan Approved Issued Inspect Area Applicant ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner BERGER RICHARD S&JENNIFER M 2331 DANA CT CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 1 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $3000 $000 $000 $000 TOTAL PERMIT FEES $5700 Total Fees $5700 Total Payments To Date $000 Balance Due $5700 5632 07/01/04 0002 01 02 yj SIGNATURE PERMIT APPLICATION •» CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION 'M^A />fr FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit ValidatedJBy Date / Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No division Name/Number Unit No Phase No Total # of units Existing Use Proposed USB Description1 on Work 2 CONTACT PERSON (H different from Applicant) SO FT #of Stories ,<: w a «"r,. < tn,, _. -. 'i ^- ' '- ff of Bedrooms ft of Bathrooms Name Address City 3, APPLICANT D Contractor I^Agenf for Contractor ;"{U Owner"""'Q'Ag'enffor Owner State/Zip Telephone ff Tax Name Address City State/Zip Telephone Name \ I * 5 CONTRACTOR COMPANY NAME Address City State/Zip Telephone (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 l.nw IChnpter 9 commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom and the bas'S for the alleged exRHiptian,, Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not mots than five hundred dollars |S500)1to Name State License tt 1^. I P 2*Q Addr License Class Clo City State/Zip Telephone * City Business License # l'D^O'7QO Designer Name Address City State/Zip Telephone State License tt 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 ppifomiancp of the work for which this permit is issued Dj_ 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 pernul is issued My worker s compensation insurance carrier and policy number are ^,^ till Insurance Company fY\A£g4 C^A Policy No ^^frkH-g? ~Oi Expiration Date «/UQbExpiration Date '_/ *_ ly^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) CJ CERTIFICATE OF EXEMPTION I certify that in the performance of ths work for which this permit is issued I shall not employ any person in any manner so as to become subject to ttwtWorkers Compensation Laws of California WARNING Failurfe/o secVire workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (SMOCkllp/)) in addition tt> the cos»oi,co«npein8tion damages as provided for In Section 3706 of the Ljibor/ccyJs. Interest and attorney •; fees SIGNATURE \fl jMjQTi X*<£~ ^l I f^fU^i DATE _ 7 OWNER BUILDER DECLARATION l_ ' I hereby affirm that I am exempt from the Contractor s License Law for the following reason EH 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 offeied for sile ISoc 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 ha 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 Code1 Tim Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contracioils) lirpnspil pursuant to the Contractor s License Law) 0 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~l YES C]NO 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 I adrlross / phono 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 / t\r'f| of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDlNQ'PerfMlflfbNW ' """ " ! " " '' '* ; Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management intl pif. f:ntinn program under Sections 25505 25533 or 25534 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? d YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? [H YES G NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEEIING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCTION LENDING AGENCY •. ' >' SL/I ' ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Codel LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION l " "r'V"" ''" 1" '"' r' 'V ~fT' > r*F "'" " 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 agroe to comply with ill City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the ahnvn inerilioiiril p opmly for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AIL IIABII.ITFFS 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 Evt>iy permit issued bjMhebuilding Official under the provisions of this Code shall expire by limitation and become null and void if Ihe building 01 work iiilhorizecl by such permit is not ctornfnenceoj within 180 days from the dale of/such permit or if Ihe building or work authorized by such perrmt is suspended or T| iny lime after the work is commcricecMprla period of 180 days (SeOlDn\1.06|4 4-tjniform Building Code) , I \l r\ l\ / /O / APPLICANT S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 07/23/2004 Permit* CB042600 Title BERGER RES-COPPER RE-PIPE Description Type PLUM Sub Type Job Address 2331 DANA CT Suite Lot 0 Location APPLICANT ARS Owner BERGER RICHARD S&JENNIFER M Remarks Inspector Assignment PY Phone 8586775455 EX 205 Inspector Total Time CD Description 29 Final Plumbing Act Comment Requested By VERONICA Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 07/16/2004 24 Rough/Topout AP PY MARSH PRODUCE1? * ServiceMaster Certificate Team MARSH USM inc 500 W Monroe St Chicago 'L 60661 Attn Fax 877 732 7799 8112 INSURED (#81 1 2)ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INQ dba ARSOF SAN DIEGO 860 RIDGE LAKE BLVD MEMPHIS TN 38120 CERTIFICATE OF INSURANCE cHVS^iToi THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY THIS CERTYICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGc AFFORDEOBYTHE POLIC1E S DESCRIBED HEREIN COMPANIES AFFORDING COVERAGE A ZURICH AMERICAN INSURANCE COM°ANY B ILLINOIS NATIONAL INSURANCE COMPANY COVi^/V-J" C D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below Tn S lo TO CERT"" THAT =O 'GES CF INSURANCE DESCRIBED n=RE.\ -AVE BEr\ SSuED TO THE NSURSr) NAVED -ERE \ =OR THE =Q Cv ==R OD NQ-.CAT=D NOTWITHSTANDING AM" REQUIREMENT T=RM OR CONDiT ON O= ANV CONTRACT OR OTh'CR DOCUMENT WIT>- RFSPECT TO W-lCn THF CrRT'F CAT? VAY 5? ISJLED OR MA" = RTA'N T~i= NSUSANCr AFFORDED B" THE =Oi_:GES DESCR RFO -.ERE"' S SUBJECT TO t' TH= TERMS CONDITIONS A\O =XC.~SONS OF SLlOi SOu CES AGGREGATE . vllTSS-O^1 MAYHAV= SEEN REDUCED BY PAID aA'MS f"° , TYPE OF INSURANCE 1 POLICY NUMBER £ 1 GENERAL LIABILITY GLO 2938645-01 "X ' COMMERCIAL GENERAL lABLlTv r— i — i HT1 !| i Cl-AIMSMAOE | * | OCCUR , [_ 1 OWNFR S & CCT.TR ACTOR S PROTr ii -~i A AUTOHoan-E LIABILITY BAP 2938646-01 (AOS) X ^Y M.JTO BAP 2938647-01 (VA) | ALL OWNED AUTOS TAP 2938648-01 (TX) I SCHEdU^ED AUTOS HIRED AUTOS I NON OWNED AUTOS I I GARAGE LIABILITY J ANY AljTO I I i i B : EX CESS LIABILITY .BE 309-79-07 i X uMERELLA=OSM ' i OTHER THAN UM9RELLA FORM ' A :: WORKERS COMPENSATION AND \AC2938643-01fAOS) EMPLOYERS LIABILITY 1 1 i O=c CESS ASF EXCl OTHER n*T- nAuinn/w HATC nmuinnrwi LIMITS '01,01/03 101/01/06 101/01/03 i 01/01/06 01/01/03 1 01/01/06 01/01/03 01/01/06 1 i 04/01,01 04/01/04 01/01/03 jOI/01/06 I GENERAL AGGREGATH $ 5 000 000 PRODUCTS COVP/0? AGG $ 1 Q0° °°° CERSONA. &ADVINJURY $ 1000000 EACH OCCURRENCE |$ 1000000 rIRE DAMAGE (Aiyonefre) S 1000000 MEDEXP(Anymepers<n) $ 5000 COMBINED 3NGLE LIMIT $ 1 000000 BOOK. v IN JURY 5 (Per person) BODILY INJURY | (Per accident, * PROPERTY DAVIACE $ AUTO ONLY E A ACCIDENT $ OTHER THAN AUTO ONLV EACH ACCDENT $ AGGREGATE $ EACH OCCURRENCE | $ 5 000 000 AGGREGATE | $ 5 000 000 !$ v WC STATu j i OTh I* i TORY UMTS I I =R I EL EACH ACODENT I $ 1 000 000 = 1 0 SFASF JO ICY MIT , $ 1 000 000 E 3SEM£-f=«C-=OT=lO"== $ 1000000 DESCRIPTION OF OPERATIONS'LOCATIONSIVEHICLES;SPECIAL ITEMS CERTIFICATE HOLDER CITY OF SAN DIEGO 1222 FIRST AVENUE SAN DIEGO CA 92101 CANCELLATION SHOO D »NYO- TH= O C~S:>-SC=!= 3 H 2 T Y O- A NY < hO I ^ON TH^ N.l^ c i A SSU=-= O^THSCTST OT- HARSHUSANC BY Christy N Phoebus &* HM1(3.'02) F==i N »- C»NC= D " OT= TH= -X »T ON j»T= THrl Q- -MS-«VO=i TO l» 3fl -"YS SrtTT=N NOT C: Tn TH= *' U=l= TO W 3KX NOT Cc &H* M^QSF NO O5 Ci*T ON O "OONGrOw ^*G TS G-NTSOi-< '•* SFNT T *>=S CA TH= VALID AS OF 10/26/02