HomeMy WebLinkAbout2600 KREMEYER CIR; ; CB060111; Permit01-12-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB060111
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2600 KREMEYER CR CBAD
PLUM
1551701300 Lot* 0
Construction Type NEW
Status
Applied
ISSUED
01/12/2006
VILLAS OF CARLSBAD APTS
GAS LINE REPAIR
Entered By SB
Plan Approved 01/12/2006
Issued 01/12/2006
Inspect Area
Applicant
COASTAL PLUMBING
4882 HILLSIDE DR 92008
760 720-2991
Owner
U D R CARLSBAD APARTMENTS L P
C/0 MICHAEL ROGERS
1745 SHEA CENTER DR #200
HIGHLANDS RANCH CO 80129
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
0
0
0
0
0
1
0
$2000
$000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000
FINAL APRQ^AL
Inspector Date 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 capacity
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 ot which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
\.s
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validate;
Date
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units
Assessor s Parcel # <Existing Use Proposed Use
#of Stories tt of Bedrooms tt of Bathrooms
u*.. -*wai!
Name > 1
&!• ^EBJ«
Name
4-; iSwQPI
"/ ^f ^"jK/ <i ^ JcL
,^~ Address
3ANT:!!ii:;. Ej,: Contractor _.j.rK) Agent forContractorjaO Owner_
Address
City
DiAgent 'or Owner ,.,:;•• •••, :
City
State/Zip
•. ::v • .
State/Zip
~ ** '"
Telephone tt
• l''~-- -
Telephone tt
•••',- •• .:--.;.C-'
,, .... ,
Fax #
"':""VS'' -~J
H:*V-;:V :>
Address City State/Zip Telephone ttName
6 :...;:.(
(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 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 ($5001)
Name
State License tt /Sfe / O j
Address
License Class
City State/Zip Telephone tt
City Business License tt I £Q / "TT V
Designer Name — AddressX^ City State/Zip Telephone
State License #
[6 JrVbRKERSlCOMPENSAT lONf: :. ~ ..:Jb,Jt' ' .,.'" ._ .,„::." ,.*-:'i " i' Jj ,... ^JfeaJl :..,."' "*fc™ ^- .:^fe Jl.. J::]fctl:r .J'1
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 performance
of the work for which this permit is issued
0 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 .^f~~tf~f2^f"1 ^lYCx Policy No
(THIS SECTION NEED
D CERTIFIC,
to become subject to the
WARNING Fi
Vth'A SIGNATURE
^M7s
Expiration Date /
T BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
IPTION 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
brkers Compensation Laws of California
workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
ion to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
DATE
OWNER
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
D 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)
n 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)
f~l 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 l~lNO
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 materials registration form or risk management and prevention
program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? d YES CD NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES l~1 NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES CD 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
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 Code)
LENDER S NAME LENDER S ADDRESS
iff. APPLICANT CERTIFICATION isii; j , - ' T!M:% '.i: ^ • -"*? ""W': ""; "'...-* •• "l.*~ *T "">• v-' ~" ..... "' ....... "- """' "'''' ' ;
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^far^excavations over 5 0" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issuefl 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 isjioicdtomeoced within 180 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 worKjscomma|iced/Tbr^ period of 180 days (Section 106 4 4 Uniform Building Code) *
AAPPLICANT S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 05/04/2006
Permit# CB060111
Title VILLAS OF CARLSBAD APIS
Description GAS LINE REPAIR
Inspector Assignment PY
2600 KREMEYER CR
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT COASTAL PLUMBING
Owner U D R CARLSBAD APARTMENTS L P
Remarks CAN YOU FINAL'
Phone
Inspector
Total Time
CD Description
29 Final Plumbing
Act Comment
Comments/Notices/Holds
Requested By CHRISTINE
Entered By CHRISTINE
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
01/13/2006 23 Gas/Test/Repairs AP PY
Commercial Certificate of Insurance
Agency
Name
&
Address
St 99
FARMERS
DANIEL C INSKEEPII
1295ENCINITASBLVD
ENCINITAS.CA 92024
760-783-0229
Issue Date (MM/DD/YY)08/30/2005
Dist 83 . Agent 356
Insured
. COASTAL PLUMBING, INC
Name . PQ BOX 1758
& • CARLSBAD, CA 92018
Address '
This certificate is issued as a matter of information only and confers no nghis
upon the certificate holder This certificate does not amend extend or alter the
coverage afforded by the policies shown below
Companies Providing Coverage
Company A Truck Insurance ExchangeUtter
Company B Farmers Insurance ExchangeUtter
Company C Mid Century Insurance Comoam
Utter ' J ' •
Company U
Utter
Coverages
This is to certify that the policies of Insurance listed below have been Issued to the insured named above for the policy period 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 b\
paid claims
Co
Ltr
1
B
Type of Insurance
General Liability
Commercial General
Liability
Occurrence Version
Contractual Incidental
Only
Owners & Contractors Prot
Automobile Liability
All Owned Commercial
Autos
Scheduled Autos
Hired Autos
Non Owned Autos
Garage Liability
Umbrella Liability
Workers' Compensation
anr|
Employers' Liability
Policy Number
N2007-55-55
Policy Effective
Date (MM/DD/YY)
09/01/2005
Policy Expiration
Date (MM/DD/YY)
09/01/2006
Policy Limits
General Aggregate
Products Comp/OPS
$
Aggregate $
Personal &Advertising Injury
Each Occurrence
Fire Damage
(Any one fire)
Medical Expense
$
$
$
(Any one person) , 5
Combined Single
Limit
Bodily Injury(Per person)
Bodily Injury
(Per accident)
Property Damage
Garage Aggregate
Limit
Statutory
Each Accident
5
S
$
$
S
$
$ 1,000,000
Disease Each Employee j J | QQQ QQQ
Disease Policy Limit j i 'oQO 000
Description of Operations/Vehicles/Restrictions/Special Items
Certificate Holder
*Name ,
&
Address •
described policies be cancelled before the expiration dak-
cc/mpany will endeavor to mail 30 days written notice 10 the
ied to the k t but failure to^mail such notice shall impose no
djupon the copipany its agents or representatives
56 2492 4 94 Copy Distribution Service Center Copy andl Agent's Copy