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Home My WebLink About2603 AVENIDA DE ANITA; ; CB984327; PermitBUILDING PERMIT Permit No: CEi984327 12/11/'98 11:57 Project No: A98056110 Job Address: 2603 AVENIDA DE ANITA Suit,e: Permit Type: PLUMBING Development No: Page 1 of 1 Parcel No: Lr.,t#: 0 Construction Type: NEW Valuation : iiccupancy Group: Description: COPPER HEPIPE Reference#: Status: ISSUED Armlied : 12 /11 /(id __ Aur/Issue: 12/11/98 Entered By: JM 800 649-7511 Appl/Ownr : C:AL COAST REPIPE 1371 TITAN WAY BREA CA 92821 **A Fees Required **A Fees : 27.09 Ad jus tmen t s : Total Fees: Fee description A Enter "Y" for Plumb Each Ins tall/Repair -- -... . 00 , (I 0 2o.uo Y 7.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE OT#+s PLAN CHECK NO. EST. VAL. Plan Ck. Deposit iDate Validated By -2 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INMRMATION Business Name Im this address1 f% Subdivision NamslNumber Unit NO. Phase No. Total X of units m3 DFAnn Lot No. Legal Description AssesliOr~s Parcel t EXiSthg usa Proposed Use sa. FT. #of Stories X of Bedrooms X of Bathrooms ~$;ggw/~&p&6F f9dsya JbN i.l :COVTACTPUIBON Of Sfl~,hmSprunll ,. ISec. 7031.5 Bushes* nnd Professions Code: Any City or County which requires a permit to COnRIUct. alter. imProY0, demolish or ropair any structufn. prior to its iss~ance. also raquirai the applicant for such permit to fils a signed statement that he is licensed Pursuant to the provisions of thO Contractor's License Law IChaoter 9. commendino with Section 7000 of Division 3 of the 0usinasr and PrOfOSSioN Codel or that he is exemof therefrom. and the basis for the alieaed . exemption: Any violatiai of Section 7031.5 by my applicant for a permit subjects the applicant to a civil penalty of not'more than five hundred dollars 1$50011. Name Address city StatslZip state ~csnrs t G3LS49 License class <? 36 city Business Licanse a /&6 I/ 7 Designar Name Address City StateIZip Telephone stat. ucoma x 6497G/ Telephone X /PJdC? /37/ 77- CJBU L?/7&, as 9aa e&/ - ma rizcrp ,. WORI(EWI*. ComPpIsmo " :. ~.. , em* Cornpewation 0eel.nti 0 I have and will maintain a ~erlificato of consent to self-inswe for workers' compensation as pravided by Section 3700 of the Labor Code, for the performance 2 I have nnd will maintain Workers' cornpansation. as requirad by Section 3700 of tho Labor Coda. for ths porlorm.11~4 of the wort tor which this permit is issued. My worker's compema ion imuranc. carrier and policy number am: Insurance Company &M& ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1?1001 OR LESS1 lo become subject to the Workers' Compensation Laws of California. thousand dollars M100. @y of perjury one of the fo work for which this permit is issued. & Policy NO. WC ? 063793a 1 Expiration Date CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this psrmit is issued. i shall not employ any pe~son in any manner so as lon ~ovemge le unlawful. mnd lhal subject nn Employer to Cdmlnal pmlliei and civil fins. up to one hundrod 3706 of tha Labor E .. lnt mst and attorney's fees. DATE /pzpd./q/ I hereby affirm that I am axempt from the Contractor's License Lmw for tho following reason: I, as owner of the property or my employssr with wages as their sola compensation. will do the work and the structure is not intended or offered for sale ISsc. 7044. Businssr and Profamions Code: The Contractor's License LIw doer not npplv to nn awnar of PIaPerty who builds or imprnves thereon. and who doer such work himseif or through his own omployesr. provided that such improvements are not intended or offered for sale. If. however. the building or improvement is sold within one y~ar of completion. the Owner-builder will have the burden of proving that he did not build or improve for the purpose of said. I. 8s ownm of the properly. am exdusively contracting with licsnsad contractors to constrUC1 the project We. 7044, Business and Professions Code: The Contractor's Liconsa Law dona not apply to nn owner of property who builds or improves thereon. and cantracts for such projects with contractor(sl licensed pursuant to the Contractor'. Licema Lawl. 0 1 .' 2. 3. l am exempt under Section I eno on ally plan to provide ?ha major libor and materials for construction of the praposed Proparty improvement. 0 YES ONO I (haw I have not1 signed an application for a building permit for the proPoad work. I have contracted with tha following parson lfirml to provide the proposed constructinn lincluds nama I nddrnrs I phnna number I contractors license numberl: Business and Ptofosii~ns Code for thia raasan: 4. number I contractors liconso numberl: 5. of workl: I plan to provide portions of the work. but I have hired the following person to coordinate. supervisa and provide the mior work (induds name I sddresss I phone I will provide soma of the work, but I have contracted Ihiradl the following persons to ptovids the work indicated linc!ude name I address I phone number I type PROPERTY OWNER SIGNATURE DATE COMPLm THIS SECTION FOR NON-RESIDDVML BUILDIN0 PERMITS ONLY IS the applicant or future building occupant required to submit a business plan, acUt6:v hazardous materiais registration form or risk managemant and prevmtion program under Sections 25505, 25533 or 25534 Of the Prerlsy-Tanner Hazardous Sub$tanCe Account Act7 YES NO 1s the Ipolicant or futura building occupant required to obtain a Wrmit from the air pollution control district or ail quality management district? YES NO Is the facilityto be constructed within 1.000 fen Of tho outer boundary of a school si07 0 YES 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ., 18.. .CONSTRUCTION LENDINQAGENCY . ,, . . . . I hereby affirm that the^ is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097lil Civil Code). LENDERS NAME LENDER'S ADDRESS '9: APPUCANT CERTVlCATkDN ..... , ,: .., . .. . . i certify that I have read tho application and Itate that thB above information is Correct and that the information on the plans is accurate. I agree to comply with a11 City ordinances and Stat8 laws relating to building consti~ction. I hereby authorize lepresentatiVe(i of the Cit( of Carisbad to entar upon the above mentioned property for inspaction purpossr. I ALSO AGREE TO SAVE, INOEMNIM AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA10 CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO- deep and demolition or ConstrUCtion of StrUCtYrea over 3 storins in height. EXPIRATION: Every permit Issued by the Building Official under tho provisions of this Cads shall expire bv limitation and become null and void if the building or work wthorizad by such permit is not commenced within 365 daw from the date of such permit or if the building or work authorized by such permit is rulpecded or abandoned at any tim APPLICANT'S SIGNATU AB ,, DATE /s./ /E8. a p d of 180 d ys ISsctiOn 106.4.4 Uniform Building Codel. WHITE Fila YELLOW: Applicant PINK: Finance . PERMIT# CB984327 DESCRIPTION: COPPER CITY OF CARLSBAD INSPECTION REQUEST FOR 12/21/98 REPIPE INSPECTOR AREA PLANCK# CB984327 OCC GRP ~~ ~~~ TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2603 AVENIDA DE ANITA STE : LOT : APPLICANT: CAL COAST REPIPE PHONE: 800 649-7511 CONTRACTOR: PHONE : A?/ OWNER: REMARKS: C/CAL COAST/800/649-7511 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 24 PL Rough/Topout INSPECT0 &dZz& ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS (714)852-0909 ilertone Insurance Brokers ioht Co~oo~ite Park. Ste.130 w NIIcmmoF n roof/Evidence of Insurance. 10 day notice of cancellation for non-payment of Premium. __r ........... rvine. CA 92606-5105 Lttn: Steven Brody NsVnEu .............................................................................. Cal-Coast Repiping. Inc. 1371 Titan Way Brca. CA 92621 I COMPANIES AFFORDING COVERAGE ............................................................................................................ COUPANY Pacific Insurance c/o American E45 I I .................................................................................................................................................................. 'A : COMPW CNA/Valley Forge Insurance Company .: B Ext: 221 : ............................................................................................................................................. i CMI~ANY RLI Insurance c/o American E&S i CWANV CNA/Transcontinental Insurance Company !D jc i ............................................................................................................................................... .............................................. umm ! BODILV INJURY .............................................................................. ............................ EXPIRAW LWE TIIEREW. THE ISSUING COYPINY WUENDUVOR m MAIL ~I~~~~NOT~CE~WECER~~~~~H~LDERWYCD~~LER; BUT FNLURE m ylll SUCH Nonce SHALL IMPOSE NO OBW~ OR LWIUW OF ANT KINO UPON WE MYPINY. ITS AOENTll OR REPRESENTAWES. t Contractors State License Board P.O. Box 26000 9835 Goethe Rd. Sacramento CA 95826