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