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HomeMy WebLinkAbout2568 ABEDUL ST; ; CB041119; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Plumbing Permit Permit No: CB041119 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2152702000 Lot #: 0 Applied: 04/02/2004 Reference #: Plan Approved: 04/02/2004 Issued: 04/02/2004 Project Title: MESSER RES- COOPER REPIPE Inspect Area: 2568 ABEDUL ST CBAD Construction Type: NEW Entered By: KMT Applicant: Owner: PIPES PLUMBING CARLBERG CONRAD G 1 145 LAW ST 92069 434-3067 2568 ABEDUL ST CARLSBAD CA 92009 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 Inspector: 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 "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1 635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. @ o?[ I 7 EST. VAL. Date Assessor's Parcel # Existing Use Proposed Use Description of Work sa. FT. #of Stories # of Bedrooms # of Bathrooms (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, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 [$50011. w 5- -5 & Statelzip 7369 76U-Y3d-3667 -.us //$KLa Address City License Class C- 36 City Business License # Designer Name Address City Statelzip Telephone State License # 0 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. PI 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 ~ompany7e~SCI Z;ZS~.~ACC CD Policy NO. Z oy42 8 3301 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I81001 OR LESS) 0 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 nlminal penalties and civil fines up to one hundred 3/ov 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). 0 1, 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). 0 1. 2. 3. 4. 1 am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number / contractors license number): 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 Business and Professions Code for this reason: number I 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 I address I phone number I type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE7"lS SECTION FOR NONdESIDWTIATBUIlDIND PERMITS ON 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? 0 YES 0 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. 0 YES 0 NO 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 City 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 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is comme ce for a period of 180 days (Section 106.4.4 Unlform Building Code). SIGNATURE p& & B--4=&& DATE q- z2 07 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/29/2004 Permit# CB041119 Inspector Assignment: JM Title: MESSER RES- COOPER REPIPE Description: Type: PLUM Sub Type: Job Address: 2568 ABEDUL ST Suite: Lot 0 Location: APPLICANT PIPES PLUMBING Owner: MESSER TONI Phone: InsDector: J-bq Total Time: Requested By: NA CD Description Entered By: CHRISTINE Act Comment 29 Final Plumbing fz Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/05/2004 24 RoughTTopout AP JM 04/05/2004 29 Final Plumbing WC JM .I City of Carlsbad Bldg Inspection Request For: 04/05/2004 Permit# CB041119 Inspector Assignment: && Title: MESSER RES- COOPER REPIPE Description: Type: PLUM Sub Type: Job Address: 2568 ABEDUL ST Suite: Lot 0 Location: APPLICANT PIPES PLUMBING Owner: MESSER TONI Remarks: *PLEASE Total Time: Phone: 7604344067 Inspector: Requested By: PIPES PLUMBING Entered By: KAREN CD Description Act Comment 29 Final Plumbing w A/3 Associated PCRs/CVs lnsuection History Date Description Act lnsp Comments 1 ,*-- I I DATE (MMIDDN’V) CERTIFICATE OF LIABILITY INSURANCE t FEE2004 TYPE OF INSURANCE 1, i . . . .- Agency Lic#: 0086601 ~ i A:., ;i<rL; INSURER A: LINCOLN GENERAL INSUEmOI-I-IX------ - --~ INSURER C: j ?I45 LAW STREET I INSURER E: I I I _______-.-;-. -. . PiPES PLUMBING, INC. INSURER B: ZENITH INSURANCE COMAPNY SAN MARCOS CA 92069 -_ -+ .. . - . INSURER D: -. .. COVERAGES ’ I I- iKX.1CIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANOING F:CQuiREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE0 OR THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 1 -*I { t,,~ 4. “ERTAlN I r ,L itS AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POUCY EFFECTIVE POLICY EXPIRATION UMlTS DATE CMWVOm, DATE (MMIDOMYI POUCY NUMBER JUL 1 03 ’ GE?IERAL LIABILITY 1 2537016071-0 f x COMMERCIAL GENERAL LIABILITY , ._ CLAIMS MADE (x/ OCCUR -* - .I - -- . -___ Gth L AGGREGATE LIMIT APPLIES PER I_ $ 1,000,00( JUL 1 04 EACH OCCURRENCE -&- ___ - __ __ 50,00( DAMAGE TO RENTED --(Ea$-_ - - 5,00( - 1,000,00( PRODUCTS-COMPIOP AGG. /$ 2.000.00( MED. UP (Any One Person) PERSONAL & ADV INJURY GENERAL AGGREGATE i:- --~ 2,000,00( . ~ AUTOMOBILE LlABlLlTY 7 ! ANY AUTO I ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS 1 NONOWNED AUTOS - __ - I GARAGE LIABILITY I COMBINED SINGLE LIMIT $ (Ea amdent) BODILY INJURY (Per penon) 5 .__ __--_ - 5 BODILY INJURY (Per amdent) - ._ -__- - . PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT I I 1 OTHER THAN EA ACC I$ I AbTU ONLY I-,. IC I Ah I AUTO ? J Attention: SHEA 760-720-9562 KEVIN LEVINE I DAVID PA2 OCCUR CLAIMSMADE __--. 1 IS, \l i/’ .h* -?&I i/bJ I I I 1 IjE SCRIPTION OF OPERATlONS/LOCATlONNEHlCLES/EXCLUSlONS ADDED ENDORSEMENT! SPECIAL PROVISIONS i CCRTIFJCATE HOLDER NAMED As ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY AS PER AlTACHED ENDORSEMENT. 1 RE. PROJECT: CARLSBAD POLICE DEPT i IO-DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM. CITY OF CARLSBAD 4c)5 OAK STREET CARLSBAD, CA. 92008-3009 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT I FAILURE TO Do SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE I INSURER, IT.3 AGENTS OR REPRESENTATIVES. I AUTHORIZED REPRESENTATM 1