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HomeMy WebLinkAbout2624 CAZADERO DR; ; CB011471; Permit/ 04/19/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No'CBOl 1471 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2624 CAZADERO DR CBAD PLUM 2152903300 ' Lot# Construction Type ROHRER RESIDENCE WATER HEATER REPLACEMENT 0 NEW Applicant TORREY PINES PLUMBING STE101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619677-5445 Status ISSUED Applied 04/19/2001 MDP 04/19/2001 04/19/2001 Entered By Plan Approved Issued Inspect Area Owner '~- , ROHRER JURG&CARON 2624 CAZADERO DR CARLS BAD.CA 92009 /""7045 04/19/01 0002 01 02 •-, \ COP 27-00 Total Fees $2700 Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee Fixture or Trap Building Sewer .' ' ', Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker \ Other Plumbing Fees Master Drainage Fee , Sewer Fee Additional Fees x -$20 00 '$0 00 > ,$0 001 $000 $700 $000 $000 $000 $000 ^ $000 $000 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL 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 wilt 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 capactiy 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 of which you have previously been given a NOTIgE similar to this, or as to which the statute of limitations has previously_othenvise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 !1 PROJECt INFORMATIO FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel If k^pUU. W^fcr rr^f1 Description of Work 2 CONTACf PERSON (if different from apphcBnt) «': Existing Use SO FT #of Stories Proposed Use * of Bedrooms •ifc -. •, ; # of Bathrooms Name * Address City 3__J APPLICANT" Q.Contractor , Qj, AgenYf or Contractor" "[J]^OwnerH '!Q>AgenfforJ>wnar IA > -*" OttJt/rh IT k?ib2. NJartLagid^ DT *inO <SO State/Zip Telephone ff Fax ft . £>£€>/^7 7-53 66 Name 4 .-JIBPERTY OWNER, Address City State/Zip Telephon Address City State/Zip Telephone ftName 5 ,. CONTRACTOR - COMPANY NAME , '> ' "' £ '*" /'< <s* !^K*r^'%' " "< .. ^T^F/*., ,"' ",«""> « ' ; (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 violatmn of^fi^tion 7031 f ^y anv applicant fat a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1J500]) Name Address State License # ^I^-O C> 1J _ License Class T^? . p ^k?/ City ^_J Stfete/Zip City Business License ft \ Telephone ft Designer Name Address City State/Zip Telephone State License tt G "WORKERS' COMPENSATION5' ^ ' '\ ' " "«" * '| T "~ " P „'X "CV1"" ,'. *-. l- • *'"' " " "' ~ * Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 ;f the work for which this permit is issued 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 My worker's compensation insurance carrierand policy number are Insurance Company L-*J W^^JjOKY^rl^ Y, Tl "fT^S Policy No IC.J(^)'^jC^C'\ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) D 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 criminal penalties and civil fines up to one hundred pn,_damages as provided for in Section 3706 of the Labor code interest and attorney's fees DATE\y»-'"'»'•t.^ T *\' ^^^"^VT \U '——\y "" 7 OWNER- loi{02- thousand dol 1UILDEB DBCLARATIOf I hereby affirm that I a\n_/ti&fnpt from tKe Contractor's License Law for the following reason [H 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) D f, 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) Q 1 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 Q YES [UNO 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) DATEPROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ^ '' , >V" '+" " < "' '•','-" ' ' * " ' 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES O 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 8. CONSTRUCTION LENDING AGENCY,8, '« - „..'*.' V" „" * '-'\ P- *'''"',"-. ',..(,.' 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 9 -APPLICANT CERTIFICATION' ' ' u- ^ -> ^ ^ * T ' ~ "* ', "'* '' * 'Tt '" " I' s "" '* "*<***' , " ' 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 authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE 17/QI YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/25/2001 Permit# CB011471 Title ROHRER RESIDENCE Description WATER HEATER REPLACEMENT Inspector Assignment GG 2624 CAZADERO DR Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT TORREY PINES PLUMBING Owner ROHRER JURG&CARON Remarks Phone 8586775455 EX 204 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By NA Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 05/08/2001 25 Water Heater/Vents NR GG NO ONE HOME Lipflcoob & Pitta In«.p LLC 2670 Union Av»nue Extended Suite 200 Memphis, TN 38112 NB NNMVvn n TMi KJUbtt MLOW. OOWANV ^national Union Fire Ina. Co. of PA NSUflED American Residential Services,LLC 860 Ridge Lake Blvd. Memphis, TN 38120 COMPANY ^American Home Assurance COMPANY cniinois National Insurance Co COMPANY D 13 TO CERTIFY THAT THE PQUCC3 OF N8URANCE UVTE) 8B.O* HAVE BEEN B6UED TO THE N9URED NAMED ABOVE FOR THE POUCY PE»CO INDICATED NOTWTTHSTANDHQ ANY REOJLJBE*ENT, TERM OR CCHDfTlON OF ANY CONTRACT OR OTHER DOCUMENT WTTH FESPECT TO WHICH THtS CERTIFICATE MAY BE ISSUED OR MAY PERTAM. THE INSURANCE AFFORDED fff THE POUCES DE9CR6ED HB^N tS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICES. LMT3 SHOWN UAYHAVE BEEN REDUCED BYPAJD CLAMS CO LTR TYPE OF INSURANCE POLICY MUy BED POLICY EFFECTIVE OATE(MU/DO/VY) POLICY EXPIRATION DATE(yU/OD/VY)UNITS GEN ERA I. LIABILITY COMMEflCIAL SgNEHAL UABfLlTf CLAIMS MADE [ X | OCCUR OWN EH S IL CONTRACTOR S PHOT! GL9330938 04/01/00 01/01/02 SEN EHAL AGGREGATE PHOOUCTS-COMP/OPAQG »I, 000,000 PERSONAL i ADV INJURY EACHOCCURRENCE Per Proiect FIRE OAMAGE(Any on* hr») X Per. Location UEDEXP(Any on tl.QQQ.QOQ si,OOP,OOP »lf OQQ.OQQ *1;.QQO,QQO •S/.OOQ AUTOMOBILE LIABILITY , ANYAUTO ' ALL OWNED AUTOS SCHEDULED AUTOS IHIRED AUTOS NON-OWN ED AUTOS CA8260619.0S ££8260621 TX 04/01/00 04/01/00' 01/01/02 01/01/02 COMBINED SINGLE LI MIT *i;g'oo';ooo BODILY INJURY BOOILYINJUHY (Pwaccadtnt) PROPERTY DAMAGE QAflAQE LIABILITY ANYAUTO [ AUTO ONLY-EA ACCIDENT IOTH EH THAN AUTO ONLY- EACH ACCIDENT _AQ3REQATE_ EXCESS LIABILITY „ UMBHEULAFOWM OTHER THAN UMBRELLA FORM BE30979071 04/01/00 01/01/02 EACH OCCURRENCE »2 7000,000 AGGREGATE v »2 ,-000,000 WORKERS COMPENSATION AND EMPLOYERS LIABILITY TMEPROPfllETOR/ PARTNERS/EXECUTIVE' OPFlCEflSAflE: WC7083868 OS WC7083869'CA( 04/01/00 04/or/oo 01/01/02 01/01/02 STATUTOHYLIMITS EACH ACCIDENT. INCL DISEASE FOUCYLIMIT 11,000,000 DISEASE EACH EMPLOYEE DESCRIPTION OF OPWAnowS/LOCAT1ONSAreHfCLE5/SrtCrALITei« I MOULD ANY Of TMEAKWIOE3CRIBEO POLICIES BECANCELLED BEFOHETHE EXPIRATION DATETHEBBOF.TMEI83UIMQ COUPANYWILL ENOEAVOH TO UAILTo Whom It May Concern •UTfAILUBITO UAIL tUCH HO TICESMALL IMPOSE NO OBLIGATION OH LIABILITY Of AMY KIND UPOM THE COMPANY. IT» AQEMTI OH BEPBEBEMTATlva BDfTATTVt