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