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Home My WebLink About2687 OCEAN ST; ; CB984252; PermitB U I L D I N G P E R M I 12/09/98 10 18 Page 1 of 1 Job Address 2687 OCEAN ST Suite Permit Type- PLUMBING Parcel No" 203-140-33-00 Lot# Valuation 0 Occupancy Group' Reference* Description REPAIR GAS LEAK AT METER PER SDG&E Permit No CBJ84252 Proiect No A9805514 Development No. 4211 12/09/98 0001 01 02 C-PRHT 27.00 Construction Type NEW Status ISSUED App 11 e d 1 2 / 0 9/98 Apr/Issue- 12/09/98 Entered Bv BT Appl/Ownr *** BOYD ROGERS PLUMBING 2525 FORTUNE WAY VISTA CA 92083 Fees Required *** .--"" 727-7040 & Credits Fees Adjustments Total Fees Fee description 27 . 00 . 00 27 00 Ext fee Data Enter "Y" for Plumbir -Gas Piping System / •" 2 0 0 0 Y 7 00 JL FINAl/APPROVAL a CLEARANCE 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 INFORMATION FOR OFFICE USE ON PLAN CHECK NO gtep' EST VAL Plan Ck Deposit Validated By. Date Address (include Bldg/Suite #) 2687 Ocean Legal Description Assessor's Parcel # Repair gas Description of Work St. leak Carl Lot .sbad, No Existing SQ CA Business Subdivision Name/Number Use FT #of Stones Name (at this address) Unit No Proposed Phase No Use # of Bedrooms Total tt of units tt of Bathrooms 2 CONTACT PERSON (if different from applicant) Name Address City 3 M APPLICANT Q Contractor Q Agent for Contractor Q Owner Q Agent for Owner' Boyd Rogers Plumbing Co. 2525 Fortune Way, State/Zip Telephone #Fax # Vista. CA 92083 727-7040 Name 4 -s PROPERTY OWNER David Richards Address City State/Zip Telephone # 2687 Ocean St. Carlsbad. CA 92008 434-9177 Name Address City State/Zip Telephone tt 0 CONTRACTOR - COMPANY NAME ''•• - i; -I (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 Codel 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 I $500]) Bovd Rogers Plumbing 2525 Fortune Way. Vista, CA 92083 727-7040 Name State License #442247 Address License Class C36 City State/Zip Telephone # City Business License tf 443400 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 Q 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 of the work for which this permit is issued £3_ 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 CA . Indemnity Ins . Policy No N 304651 2B Expiration Date 1-01-99 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compajisatjbn-lowa of California WARNING Failure to secure workers ycqVnpensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($tQO 000) in additiori »b^^ej»st of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE \j JM'Z^^9 J^fi^^. DATE 7 OWNER-BUHNER DEo£A/RATIQN^_^_^X/ " I hereby affirm that I am exempt frorntnTContractor s License Law for the following reason 0 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 CD YES QNO 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 NON-RESIDENTIAL 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? D YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' [_] 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER S ADDRESS 9. 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 .,_ days from the date of such permit or if the building or work authorized by such permit is suspended of 180 days (Section 106 4 4 Uniform Building Code) DATE 12-9-98 \S ..•„„,.,- F||e YELLOW Applicant PINK Finance work authorized by such permit is not commenced wi or abandoned at any time after the work is commend APPLICANT'S SIGNATURE CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB984252 FOR 12/11/98 DESCRIPTION: REPAIR GAS LEAK AT METER PER SDG&E TYPE: PLUM JOB ADDRESS: 2687 OCEAN ST APPLICANT: BOYD ROGERS PLUMBING CONTRACTOR: OWNER: STE: PHONE: 727-7040 PHONE: PHONE: REMARKS: C/TRACY/727-7040 SPECIAL INSTRUCT: INSPECTO TOTAL TIME: —RELATED PERMITS—PERMIT! V0000197 TYPE V CD 23 LVL DESCRIPTION PL Gas/Test/Repairs STATUS EXPIRED ACT COMMENTS INSPECTOR AREA PLANCK# CB984252 OCC GRP CONSTR. TYPE NEW LOT: DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CERTIFICATE OF INSURANCE PRODUCER AgencyEl tfairAno Insurance 1363*=3fest Vista Way Vista, CA 92085 (760) 726-3232 Fax 726-3967 INSURED BOYD ROGERS PLUMBING COMPANY 2525 FORTUNE WAY VISTA, CA 92083 ISSUE DATE (MM/DD/TY) 12/24/1997 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE A CALIFORNIA INDEMNITY INS CO COMPANY r> LETTER D COMPANY f> LETTER *"* COMPANY n LETTER u COMPANY p LETTER C COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TH TYPE OF INSURANCE GENERAL LIABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNERS & CONTRACTORS PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY EXCESS LIABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER S COMPENSATION AND EMPLOYERS LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE (MM/DOWY) POLICY EXPIRATION DATE (MM/DD/YY)LIMITS GENERAL AGGREGATE S PRODUCTS COMP.OP AGG J PERSONAL & ADV INJURY t EACH OCCURRENCE t FIRE DAMAGE (Any one lire) t MED EXPENSE (Any one poison) S 5COMBINED SINGLE LIMIT N3046512B 01/01/98 BODILY INJURY (Per person) BODILY INJURY (Pel accidenl) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE V STATUTORY LIMITS 01/01/99 "CH ACCIDENT DISEASE POLICY LIMIT DISEASE EACH EMPLOYEE 1,000,000 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: ALL OPERATIONS OF THE NAMED INSURED PERFORMED FOR THE CERTIFICATE HOLDER. *30 DAY CANCELLATION NOTICE. EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CITY OF CARLSBAD BUILDING DEPARTMENT 1200 ELM AVENUE CARLSBAD CA 92008 ACORD 25-S (7780) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Tl-E LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE QACORO CORPORATION 1990