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Home My WebLink About2641 OCEAN ST; ; CB992225; Permit06/14/1999 City of Carlsbad Plumbing Permit Permit No:CB992225 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2641 OCEAN ST CBAD PLUM 2031400900 Lot#: Construction Type: COOK RESIDENCE GAS LEAK REPAIR 0 NEW Applicant: BENTLEY BUILDERS/PIPES PLUBING 258 JUNIPER STSTE8B CARLSBAD CA 92008 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/14/1999 MDP 06/14/1999 06/14/1999 EPARATE PROPERTY TR SCOTTSDALEAZ 85271 Total Fees:$27.00 $0.00 02 C-PRMT 27-00 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 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 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 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 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 wnich you have previously been given a NOTICE similar to this, or as to which the statute of limitations_has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMA1 -2_&* FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date ."Address (include Bldg/Suite #)Busitoss Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SO,. FT.#of Stories 2. CONTACT PERSON (if different from applicant) # of Bedrooms # of Bathrooms Name Address City 31 APPLICANT Jtpcontractpr "Q Agent fop Contractor Q Owner Q Agent for Owner State/Zip Telephone Fax# Name 4. . PROPERTY OWNER Address City State/Zip Telephone ft /I U/Name X" S. CONTRACTOR - COMPANY NAME Address State/Zip T/V- Telephone ' (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 [$500]). Cf\ Name State License # Address License Class ft-UflA/3/fl/& City State/Zip City Business License # ... f Telephone # q*4<=r?, Designer Name >• Address City State/Zip Telephone State License # '~' 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: LTr I nave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: , Insurance Company QlA^^A^0^ *U$Ti I A/7* ^/^olicy No. 0 / "\ R Q Q f & ^6^ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f"1 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pe/iartias and civil fines up to one hundred thousand dollars {$ia03JQO}, in addition to the cost of comfuSpaSrtj damages as provided for In Section 3706 of toe Labor code/iInterest and attorney's fees. SIGNATURE fi*\/^^2~*r^fcj fi^Cl^t^^?^—, K/DATE fc? / /*7/9y 7. OWNER-BUILDER DECLARATION7 ^^ A . . / T~- ~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason; Q 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). Q 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). Q 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. O YES 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 COMPLETE THIS SECTION FOR NQN-RESIDEN71At BUILDING PERMITS ONLY 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 Q 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. a, .CONSTRUCTION LENDING AGENCY ^ , ; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 (S) Civil Code). LENDER'S NAME LENDER'S ADDRESS *. APPLICANT CERTIFICATION 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 365 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 iflfforTTisTpimmenced for a period of ISO-days (Section 106.4.4 Uniform Building Code).a-—- // / ""* r\ S&-*~~?XL* A LPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE INSPECTO PERMIT #PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS Mar--O9-99 : OOP Mar-k Rubin 619 739 1913 P.O1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDCVYY) MAR9M PRUOUCFR MARK RUBIN INSURANCE / ALL COMMERCIAL INSURANCE SERVICES5790 TOP GUN STREET «3 8ANOIEGO CA 92121 Agency Lie*. 0*2203? INSURED PIPES PLUMBING 4914 AVILA AVENUE CARLSBAD CA 92008 THIS CERTIFICATE 15 ISSUED AS A MAITCH OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOf* NOT AMEND. EXTEND OR ALTER THE COVERAGEAFFORDED BY THE POLICIES BtLOW. COMPANIES AFFORDING COVERAGE COMPANY A: CLARENDON NATIONAL INSURANCE C~O" COMPANY B COMPANY C: COMPANY D: COMPANY E: COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE *QK THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTTRCATIE MAY BE ISSUED OH MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOmONS Of SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. N*RITU A Ttn Of INSURANCE GE» tXN 1 BWL LMM.ITV COMMERCIAL Gf-N^RAI 1 IABNJTV CLAIMS MAUt |"~"j QCfiUH L AGGH&GATF 1 ftHT APPLIES PCfi POUCY | |% | IOC AUTOMOBILE LIABILITY — UAH 6XC AW AUTO AII O***HMJTOS SCHfcOULfcUAUroS HIRED ALfTOS NON-OWNED AUTOS AG6 LIABILITY ANY AUTO EfCLIABOJTV OCCUM 1 | CtAtMSMADC DEDUCTIBLE KtTkNIlON l WORKERS COMPENSATION AMD EMPLOVEIW LIABILITY OTHtK: POLKV NUHBCA 01KR001MM foucvEFfscnviumiMMnorvT) FEB1W *OUC1E1MMTH)MOATCIMMAWWt FEB 1 00 UMTS Kcil OCCUfWENCE HHh OAMAGF (Any ono P*O) MEC. EXP IAHV 0«9 Wson) PEHSONAL « ADV INJURY GCNCRAL AOGRCGATE PROOtJCTS COMPrOPAQO COUtUN€0 SINGI F 1 IMlTfEaaccKMnil aOOJLVWJURY (Per person) BODILY IMJUKY ((•WKCktonO ^ROPeftTv OAMAOF AUIO ONLY - tA ACCmtNf OTMtKtMAN EAACCAUTO ONLY: — ~ EACMOCCUWCNCE AGGRCGATE [ WC STATUL f I OTH. I.TOWrOWTS I l« Ci CACIl ACCHKNT e t . DISEASE EA euPiovcc t.L OISFASF-POI "CY i »*T 5 S._ S " 1 S S S » S $ s *_ s s s s s S 1,000,000 S 1,000.000 _ 1,600.000 DESCRIPTION OF OPERATTONSrt.OCAT(ONS/VEHICLES/SPECfAL ITEMS PROOF Of INSURANCE. FAX: 7W-9W-4MZ CERTIFICATE HOLDER AoomoNAL msuiteix INSUUCT LETTER:CANCELLATION CITY OF OCEANSIDE 300 N. COAST HWY OCEAN8IDE. CA: 92054 Attention: SHOUU) ANY OF THF ABOVE DESCWOCO POUCtS BE CANCCLLED BEFORE THE EXPtHAItON DATE TuPRPOF. TMC IgStlMG COMPANY WILL CMOGAVQR TO MAIL10 DAYS WRHrfcN NOllCt 10 THf CfRTftC*Jf HOI MR NAMED TO THE LEFT.BUT FAILURE TO MAIL SuChl NOtlCfe SHALL "MK>SP NO OR.IGATIQN OR t lAfW ITYOF ANY KIND WON THE COMPANY, IIS AGfcNtS OK HfeWttiStNlAtlVtS. *l»THO«17Fn RFPOfSFHTATIVe ^""7 "",">&f***j£ jf *.,<£*- ACORO 2^S (7197)Certmcate* 5507