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HomeMy WebLinkAbout2605 AVENIDA DE ANITA; ; CB984326; Permit8 BUILDING PERMIT 12/11/98 11:55 Page 1 of 1 L I Job Address: 2605 AVENIDA DE ANITA Suite : Permit Type: PLUMBING Parcel No: Lot#: Permit No: CB98432b Project No: A9805599 iopment No: Vaiuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status : ISSUED Description: REPIPE COPPER Applied: 12/11/98 Apr/Issue: 12/11/98 Entered By: JM Appl/Ownr : CAL COAST REPIPE 800 649-7571 1371 TITAN WAY *** Adjus ‘I‘o t a Fee Enter Each CITY OF CARLSBAD 2W5 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMI? APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY IPLAN CHECK NO.?f??3Z EST. VAL. Validated By -. Date Bwinsu Name 1st this address1 2LAC /3~iSthS%'d~hd/fl /% 9&98 Legal Description Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units Addrws linclude BldglSuitn X) A6SeM011S hrCd # Existing Use Proposed Use Dsrcrimion of Work SO. FT. #of Stories I of Bedrooms X of Bathrooms Name I Address StatelZip TeisDhons X /* ...,... -. ISsc. 7031.6 Businws and Profassions Code: Any City or Countv which mquirw a permit to conatruct. alter. improve. demolish or repair any strumre, prior to IP issuance, also requires the applicant for sueh permit to file a signed atatemam that he Is licensed Pursuant to the proviaions of the Contractor's License Law [Chapter 9, commanding with Section 7000 of Division 3 of tha Bvrinllu and Rofesslons COW or that he ia exsmpt therefrom, and the basis for the alleged axe ption Any violation of Name State UCOtt69 X 63dL 4 f LICLIIIS~ CIESS c3A city ~usineu License ~/266/7 Designer Nnms Addre- city StnteRip Telephone State License X ction 7031.6 by my applicant for II permit subjam the aPpIiUnt to e civil psnaky of not mora than five hundrd ollm 1$50011. / da0-&-7../ city - Statenip Telephone X ER/Bdi /dC x77/ n ntA)&& oflea. PA kzR;z Address 8AL- &-/? .'. , ,, . y affirm under peneitv of wriw on. of the following deciara1iOM: 0 I hava and will maimsin e cenificete of consent to s.lf-insur8 for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and will maintain Worked COmpeMitiOn. as required by Sactlon 3700 Of the Labor Code. for the performanca of the work for which this permit is issued. My worker's wmpens ion insurance carrier nnd policy numbar era: Cn//3Ymmfldm miicy NO.Y C I 06 3 793a) Expiration Data yh?/9 9 Irs~rance Company (THIS SECTION NEED NOT EE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1 0 CERTIFICATE OF EXEMPTION: I omify that in the pertammm of the wark for which thia permit is ikauad, I ahnll not employ my perion in my manner so as to become subject to the Workan' Compenaation Law of Cniifomia. WARNINQ Fkllun sypmaukvndnd lhovund doh 111 eMm.yk fm. wwk for which this permit la iuued. 8 0 I, as owner of the pmpny or my employees with wages as their 1010 compen6ation. will do lha work and the structum is not intended or oftwed for 6aIe (Sac. 7044, Business and Rof.rsions Code: The Contractor's LicaMe Law h mat apply to an owner of propnnv who builds or improws theram. and who dm such work himself or through his own mployees, provided that such improvemams era not intandad or offered for sale. If. however. the building or improvement is sold within one year of complation. thB ownar-build., will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the propany. am eXcIWiVeIy contracting with licensed COntractoR to COnstNct the project ISsc. 7044. Businass and Professions Code: The Contractor's License Law does not apply to en ownw of PraPenv who build. or improvea thereon. and camlnct8 far such projects with wntractwlsl lioensed pursuant to tha Contractor's License Law). 0 1. 2. 3. 4. I am exempt under Section I p~nonally plan to provide the major labor and materials for conatrunion of tho proposed propem, improvement. 0 YES ON0 I (haw I have not1 signed an application for a buildha pormit for ths prowed wwk. I have contractd With the following penon lfirml to provide the proposed construction linclude name I mddms I phom numbaf I contractors license number): I plan to provide ponionr of the work, but I have hired the following panon to CWfdlMte. supervise end provide tho major work lincluda name I address I phone Business and ROfWfiOIU Code for this reason: numbar I contractor. lioense numbsrl: 5. of work): PROPERTV OWNER SIGNATURE DATE I will provide tom8 of the work, but I have contractad (hired) the foilowing WmON to provide the work indicated lilxlude name I address I phom number I type ~~lTpIII .. 1s the applicant or future building occupant required to aubmit a bvrineu Plan. acutdy hazardour materials registration form or risk management and prevention program under Sections 25505, 26533 or 25534 of the Prsslsy-Tanner hew do^ Substance Accwnt .A.ct? 0 YES 0 NO 1s the applicant or future building OCCUP~~ raquirad to amain a Permit from the air Fallution control district or air quality management district? 0 YES 0 NO 1s the facility to ba constructed within 1.m rest of the outer boundaly of a school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES. A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE REOUIREMENTS OF THE OFFICE OF MERQENCY SERVICES AND THE AIR muunoN CONTROL DISTRICT. ,. ,, ,, ... Sec. 3097iil Civil Codal. LENDERS NAME LENDERS ADDRESS ,. .- B . I cenih, that i have nsd tha application and state that the above infwmation is wmct and that the information on NM plans is aocurate. I agree to wmply with all Cky ordinances and Stata laws relating to building conatrunion. I hemby authorize representativas of the CitV of Catlsbed to enter upon tha abova mentioned propeny for inlpection puB)osw. I ALSO AQREE TO SAVE, INDEMNIFV AND KEEP HARMLESS THE ClTy OF CARLSBAD AQAINST ALL LIABILITIES. JUDQMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEOUENCE OF THE QRANTINQ OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0' deep and demolition or construction of 6tructYres war 3 stories in height. EXPIRATION Every permit issued by the Building Official under the pr~visl~ns of this Code shall expire by limitation and bswmll null end void if the building or work authorized by such permit is mt commenced within 386 daw from the dnta of such permit or if the building or work authorized by such permit is suspended of abandoned at any time APPLICANT'S SIGNATURE DATE /s / ection 106.4.4 Uniform Building Codel. I WHITE: File YELLOW Applioant PINK: Finance ilertonc Insurance Brokers ight Corporate Park, Ste.130 rwine, CA 92606-5105 ttn: Steven Brody Ext: 221 ................................................................................................................................ UIURED Cal-Coast Repiping, Inc. 1371 Titan Way Brea. CA 92621 ............................................................................................................... i Pacific Insurance c/o American E&S COMPANY CNA/Valley Forge Insurance Company CMI~ANY RLI Insurance c/o American E&S A B C ................................................................................................................................. ........................................................................................................................................... ............................................................................................. .......................................... .....,.. I coyp- CNA/Transcontinental Insurance Company D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 1 INDICATED, NOTIMTHSTANDING ANY REOUIREMENT. TERM OR CONDmON OF ANY CONTFIAC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIE EXCLUSIONS AND CONDnlONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCE ....... X UMUERCULCIENERMLUBlLWf j g**, .,, >&,' .'"i m- j'X'''j mcwl i ...... ........ , .>%& > iI0007212 .. WEKS 8 CONTWCTOR'S PROT j ...... .< .. i 04/27/1998 ............................................................ .. : :. ....... i ; 'SCHEWLEDMITOS HIRED AUTOS , ': .... ..; iBUA1029089573 ......... ...... ' jNO"IEDAUT08 ,, ....... < ..................................................... : .. ......... WQE UAEIUTI ..... .: : ANYMITO ....... ' .................................................... : .. ......... ucm wun j 04/27/1998 . .... : ....... .LMBREuAFORu ~OUL0027572 ......... iWC1063793501 j 04/27/1998 ~ i WCLJ : INCL j r THE FUOPRIETW PuITNERsIuIEc4m ; ....... : .. OFFICERS ME :OTHER kCRl q I ,oof/Evidence of Insurance. 10 day notice of cancellation For non-payment of premium. 3R OTHER DOCUMENTWM RESPECTTOWICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 3Y PAID CLAIMS. I umm ................................................................ .......... .......... ; PRWUCTS-CM1PiWAoG: S 1 000 000 .............................................................. 1.. ....... I .......... iPER8MULhADVINJLW 'S 1,000,000 04/27/1gg9 ............................................. ... .................................... : EACH OCCURRENCE 1 nnn nnn : ................................................ ......... .+..".-.."..'.-.I.-. ~FlREMu*GE(CvnOn78m) 'I ~HEDW(LnyonpM1) IS ....................................................................................... I i COMBINED SINQLE LUlR : .................................................................... x .......... : S 1 000 000 ;s : BWLY IHIURY i (Prpnal : (FWrdd.nt1 04/27/1999 .................................................................................... .s i BMUY PlJURY s I PROPERTY OAUAoE i OTHERWMITOON I Contractors State License Board P.O. Box 26000 9835 Goethe Rd. Sacramento CA 95826 9 1 PERMIT# CB984326 DESCRIPTION: REPIPE COPPER TYPE: PLUM JOB ADDRESS: 2605 AVENIDA APPLICANT: CAL COAST REPIPE CONTRACTOR : OWNER : CITY OF CARLSBAD INSPECTION REQUEST FOR 12/17/98 INSPECTOR AREA PLANCK# CB984326 OCC GRP CONSTR. TYPE NEW DE ANITA STE : LOT : PHONE: 800 649-7571 PHONE : PHONE : A REMARKS: C/JIM/800/649-7511 SPECIAL INSTRUCT: COPPER RE-PIPE INSPECTOR- dH U I TOTAL TIME: - CD LVL DESCRIPTION 26 PL Plumbing Repairspprinkler ***** INSPECTION HISTORY ***** ACT INSP COMMENTS DATE DESCRIPTION