HomeMy WebLinkAbout2537 CORTE CASITAS; ; CB990670; Permit02/18/1999
City of Carlsbad
Plumbing Permit Permit No CB990670
Building Inspection Request Line (760)438-3101
Job Address
Permit Type
Parcel No
Reference #
Project Title
2537 CORTE CASITAS CBAD
PLUM
2152504700 Lot #
Construction Type
INSTALL GAS LINE
0
NEW
Status ISSUED
Applied 02/18/1999
Entered By DT
Plan Approved 02/18/1999
Issued 02/18/1999
Inspect Area
Applicant
LLOYDS PLUMBING
STE 131
306 NW EL NORTE PARKWAY
ESCONDIDOCA 92026
760-735-9090
...Owner- —__
WAITEERICL-tIR
2537 CORTE <? ASITAS
CARLSBAD
27.00
Total Fees $27 00
/
'' i
\ To'tal Payments
-~-?"^-> / ^ _~° / \ >=>, ^/ '-c '---=.
to'bate ^$0 00
••*»?
V:"!/ Balance
\^> \
Due $27 00
Plumbing Issue Fee
Fixture or Trap 1
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
$2000
$000
$000
/$000
/$000
' $000
$700
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Inspector
FINAL APPROVAL
Clearance
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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
CITY OF CARLSBAD
2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161
PERMIT APPLICATION
CITY'OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
.1,.
£537
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor's Parcel f Existing Use Proposed Use
Description of Work SQ FT tof Stones * of Bedrooms t> of Bathrooms
X -TcomWCriCTSOStirtfiH^ V. 4.;\;
Name
Of; ' APPLICANT -
Address City State/Zip Telephone i Fax #
Name
^PROPERTY OWNERVYI a,
Address
S37
City State/Zip Telephone *'
Name Address City State/Zip Telephone *'
"tM&irfi'iLriCii' t *«i""''"*"'"*»!»» «»• '*••*•*/ * *•
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor 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, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, end the basn 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 ($5001)
I I _^ 1x/|~v < [^ I ^ ^ - - -*"1 -»'-• -— - -*- /*)/. _-^_. -•?/ s~' _ / f *~ ,
Name
State License * 6>-S6> ' v
Address
License Class C - 3 k
City State/Zip Telephone #
Crtv Business License * 1 ^*& 21 £> -^ 2_ ~7 ?C~
Designer Name
State License * _^_____^____^_
6. -WORKERS' COMPENSATION :„
Address City State/Zip Telephone
* I"
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q^l 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
Q 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
issued My worker's compensation insurance carrier and policy number are
Insurance Company \/3 A-T6K-/ (Lfif 12:/i<, ?>•?•• s<f^ Policy No/' A- 'TT IOG /tfSS~l Expiration Date O/^Q/y Q ^
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 es
to become subject to the Workers' Compensation Laws of California
WARNING Failure to aecun workers' compensation coverage to unlawful, and shall subject an employer to criminal penaltlea and civil fines up to one hundred
\ cost of compensation, damages as provided for m Section 3706 of the Labor code. Interest and attorney a fees
DATE 3,~ I ? ~ 9 °j
thousand dollar* ($100.000), In addition to tl
S- IfAV
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
l~l 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 protect (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 contractors) licensed
pursuant to the Contractor's License Law)
l~l I am exempt under Section ___^___^^_ Business and Professions Code for this reason
1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Q 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
Is the applicant or future building occupant required to submit a business plan, acutely hazardous matanals registration form or nsk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?- £J -*S6 — Q- NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct 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
s^jcoNSTRucnoN LEroiNG»<^(^E^SSISl^^ *-'^; r - *' " ' ' ' :s" '..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code)
LENDER'S NAME _ ___ LENDER'S ADDRESS
^--,. • -„:: •,-_:r~;;
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 stones in height
EXPIRATION Every permit issued by the Building Official under the provisions of this Code shell 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 the work is commenced for a/vpenod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE /
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Inspection Request
For 3/26/99
Permit# CB990670
Title INSTALL GAS LINE & ELEC LINE
Description
Type PLUM Sub Type
Job Address 2537 CORTE CASITAS
Suite Lot 0
Location
<\PPLICANT LLOYDS PLUMBING
Owner WAITEERICLJR
Remarks
Inspector Assignment NF
Phone 7607359090
Inspector
Total Time Requested By TOM
Entered By CHRISTINE
CD Description
29 Final Plumbing
Act Comments
ftp A-11 Us*sk h.
Inspection History
Date
3/24/99
3/24/99
3/19/99
3/19/99
3/19/99
3/19/99
3/1/99
2/26/99
2/26/99
2/19/99
2/19/99
Description
29 Final Plumbing
39 Final Electrical
23 Gas/Test/Repairs
24 Rough/Topout
31 Underground/Conduit-Wiring
34 Rough Electric
24 Rough/Topout
23 Gas/Test/Repairs
23 Gas/Test/Repairs
21 Underground/Under Floor
23 Gas/Test/Repairs
Act
NR
AP
AP
we
AP
CO
CO
CO
CO
CO
CO
Insp
RB
RB
RB
RB
RB
RB
RB
NF
NF
NF
NF
Comments
FOR BBQ
& PIPING OK
BOXES NOT GRNDED
SAME COORECTION NEEDED-EXPOSE UNDRG FOR INSP
SEE NOTICE ATTACHED
SEE NOTICE
NOTICECITY OF CARLSBAD^- " ~ ^^ ™ ™ ^^ ™~ (760) 438-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
*? , / „ ^ -9
DATE -^ 7 -^ ^ TIME
p. c' J 7 Cs-x- /^ CT»- <; x t & 'LOCATION
PERMIT NO
C" -/O ^ '
^)
<• f
C ^-i&r p '*. ^^^ ^-cr ->o~7e. C"<? /" •/
/- - '
?tgV">-<g> C>^>
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? ' I YES
FOR FURTHER INFORMATION, CONTACT
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
NOTICECITY OF CARLSBAD " ™ ^^ ~ ™ ^^ •""• (760)438-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
DATE £ "~ <f- 0 ~~ * I TIME
LOCATION ^ 5 3 I
PERMIT NO -067 &
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? ! YES
'INFORMATION, CONTACT
PHONE
CODE ENFORCEMENT OFFICER
NOTICECITY OF CARLSBAD • " ^ ^^ • • ^^ ^™ (760) 438-3550
BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE
DATE <* ~ I I - II TIME.
LOCATION <^ 5 ^ 1
PERMIT NO 0
\ 0
7 i
C ^ ^ \aA~g-t^^M )
(g
3.
FOR INSPECTION CALL (760) 438-3101 RE-INSPECTION FEE DUE? I YES
FQR-/URTKER INFORMATION, CONTACT
>./ . I/ t PHONE
BUILDING INSPECTOR CODE ENFORCEMENT OFFICEF^
ACQBD. CERTIFICATE OF LIABILITY INSURANCE"^DATE (MM/DD/YY)
01/05/99
PRODUCER
Wateridg'e Insurance Services
10525 Vista Sorrento Pkwy #300
San Diego CA 92121
Tony Yahyai
THIS CERTIFICATE 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 BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
A INSCORP - Ins Corp of NYpnoneNo 619-452-2200 FaxNo 619-452-6004
INSURED
DOXA, Inc.
DBA: Lloyds Plumbing Heating &
Air
306-N West El Norte Pkwy, #131
Escondido CA 92026
COMPANY
8 Zenith Ins. Co.
COMPANYc
COMPANY
D
COVERAGES
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR
A
A
A
B
TYPE OF INSURANCE
GENERAL LIABILITY
X
X
X
AU1
X
X
X
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE j X | OCCUR
OWNER S & CONTRACTOR S PROT
1,000 PD DED
PER OCCURRENCE
OMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
X 1 UMBRELLA FORM
1 OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
THE
PAR
OFF
PROPRIETOR/ ,NCL
CERS ARE X EXCL
POLICY NUMBER
CAIC10018551
CAIC10018551
CAIC40001287
Z045666301
OTHER
POLICY EFFECTIVE
DATE (MM/DD/YY)
02/01/98
02/01/98
02/01/98
01/01/99
POLICY EXPIRATION
DATE (MM/DD/YY)
02/01/99
02/01/99
02/01/99
01/01/00
LIMITS
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one Tire)
MED EXP (Any one person)
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
X WC STATU ! OTH
TORY LIMITS 1 ER
EL EACH ACCIDENT
EL DISEASE POLICY LIMIT
$2,000,000
12,000,000
S 1,000,000
$1,000,000
S 100,000
$5,000
$1,000,000
$
$
S
$
S
S
$1,000,000
$ 1,000,000
$
$1,000,000
$ 1,000,000
EL DISEASE - EA EMPLOYEE i$l,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM
CERTIFICATE HOLDER
LLOYDS1
Lloyds Plumbing
ACORD 25-S (1/95)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THC
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANrTTS~AGE"Nts"TJR-REJ86SENTATIVE3
AUTHORIZED REPRESENTATIVE
Tony Yahyai