HomeMy WebLinkAbout2703 AVENIDA DE ANITA; ; CB983064; PermitBUILDING PERMIT Permit No: CB983064 Project No: A9803984 09/11/98 11:29 Page 1 of 1 Development No:
Job Address: 2703 AVENIDA DE ANITA Suite:
Permit Type: PLUMBING Parcel No: Lot#:
Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED
Description: COPPER REPIPE FOR 12 UNIT BLDG Applied: 09/11/98 Apr/Issue: 09/11/98
I
Entered By: JM
Appl/Ownr : CAL COAST REPIPING 1371 TITAN WAY
BREA CA *** Fees Required
Fees :
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbj
Each Install/Kepair
_________-_----------
800 649-7511
Ext
.oo .oo
27.00
: fee Data
20.00 Y
. - - - - - - - - - -
7.00
FINAL APPROVAL I i
I CLEARANCE I
CITY OF CARLSBAD
2075 Las WLmaS Dr., Carl~bad, CA 92009 (619) 438-1161
PERMIT APPLICATION
FOR OFFICE USE ONBy
PLAN CHECK NO.
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL.
Plan Ck. Deposit
Validated By
Date
I I 1. -mmm .TION , ,.
Addraca (include BldglSuite XI
Legal Dsscription Lot No. Subdivision NamslNumber Unit No. Phase NO. Total X of units
Alde.sor's Parcel # Existing Use Proposed Use
Description of Work SO. FT. #of Stories X of Bedrooms #of Bathrooms
-W&mCN/&' 2s A n//m
Business Name IN this address)
/a V/V/T .4PT
mP2- i /?e/- i /Y ffR/tD~~ Ma /A 1 m / D La&
,comAmmRsm*athr;nthonuOplbml'. ~~ :i ~., ,. ~ ,. . , . , - ,,.i , , , i .- . , , ,. . . , . , . r,-., .
Name / Address City StatelZip Telephone X Fax X
6. ,AODNIRAcTOR.,. .. ., . . , , ., , " ,.,., ," , . ,Ao?4PmN&Me
[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
issu~nce, also requires the applicant for such permit to fils a signed statemsnt that ha is licensed pursuant to the provisions Of the COmlactOr'S License Law
[Chapter 9, commending with Section 7000 of Division 3 Of the Bwiness and Professions Cdel or that he is sxsmpt therefrom. and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a
Name Address City StatdZip
state License x L 36L'L/9 License class C 3 6 cnv Business License a /2066/7
Designer Name Address city StatelZip Telephone
applicant to a civil penalty Of not more than five hundred dollars 1$50011. eA/- PArnfk+ /me /37/ $LAW& PA 92P2/ &kl - 6+9 - 75// Telephone X
\State License I'
of the work for which this parmit io issued.
I have and will maintain a certificate of Consent to self-insure for workers' compensation as provided by Section 3700 Of the Labor Code, for the performance
lnsursncs Company Policy N0&&379350/
0
to become subject to th
CERTIFICATE OF EXEMPTION: i cmify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as
I haraby affirm t
ISec. 7044, Business and Professions Coda: The Comraetor's License Law does not apply to an owner of p10perty who builds or improves thereon. and who doaa
such work himself or through his own empioyees, provided that such improvements are not intended or offarad for sale. If. however, the building or improvement is
sold within one year Of completion. the owner-builder will hava the burden of proving that ha did not build or improve for the purpo~e Of sdd.
0 i, IS owner of the property, am excIusiveIy comracting with licensed COmractOrs to Constwct the project ISsc. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an ownef of property Who builds or improves thereon. nnd contracts for such projects with contractor$) licensed
pursuant to the Contractor's License Law).
1.
2.
3.
4.
number I COmractOrs licsnsa number):
5. of work):
PROPERTY OWNER SIGNATURE DATE
I am sxsmpt under Section
I personally plan to provids the major iabor and materials for Construction of the pfoposed propmy improvamem. YES ON0
I [have I have not) signed an application for a building permit for the proposed work.
I haw contractsd with the following perron lfirml to Pcovide the proposed Construction lincluda name I address I phone number I comractors license number):
I pian to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work linclude name I address I phone
I wiii provide some of the work, but I have contracted (hired) the following persons to provide the work indicstsd linclude name I address I phone number I type
Business and Rofessions Code tor this reason:
:COMWTElnlS,6ECTIO"H)A -ESIDENML'IIUIbDMO PEIIMIISTS:ONLY. ~ ~ ,.
Is the applicant or future building occupant required to submit a business plan. acutdy hazardous materiais registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 Of the Presiey-Tame: Hazardous Substance ACCwnt ACI? 0 YES NO
1s the applicant or future building occupmt required to obtain a permit from the air pollution control district or air quality msnagemsnt diltriCt7
Is the facility to be Constr~cted within 1.000 feet of the Outer boundary of a school site? 0 YES 0 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 REDUiREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
YES 0 NO
, ... C~NSTRWTION.LEND~NG,AGEW# .,. ..,
I hereby affirm that there is a conslruction lending agency for the performance of the work tor which this permit is issued ISec. 3097111 Civil Codal.
LENDER'S NAME LENDER'S ADDRESS
., , ., .. .,. . . ,. . , , . ,. . ,., . ,,.
I Certify that I have read the application and state that the above information io correct and that the information on the plans io accurate. i agree to comply with aIi
City ordinances and State laws relating to building EOnstRIRiOn. I hereby authorize reprerematives of the Cn( of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CiN OF CARLSBAD AGAINST ALL LIABILITIES,
JUDOMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEDUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required for BXCavatiOnS over 5'0" deep and demolition or EOnStrUction of Structures over 3 stories in height.
EXPIRATION: Every Permit issued by tha Building Official under the Piovisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such Palmit is nor commenced within 385 daw from the date of such Permit or it the building or work amhoiized by such permit is suspended or abandoned at any time eftel the work is commenced for a period of 180 days ISsction 106.4.4 Uniform Building Code).
AP?L\CANT'S SIGNATURE DATE
WHITE Fils YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST PERMIT# CB983064 FOR 09/15/98 INSPECTOR AREA DESCRIPTION: COPPER REPIPE FOR 12 UNIT BLDG PLANCK# CB983064
OCC CRP - - - -- .- TYPE: PLUM CONSTR. TYPE NEW
APPLICANT: CAL COAST REPIPING PHONE: 800 649-7511
JOB ADDRESS: 2703 AVENIDA DE ANITA STE: JS- /7 LOT:
CONTRACTOR:
OWNER :
REMARKS: C/ COPPER REPIPE
SPECIAL INSTRUCT:
PHONE:
PHONE :
INSPECTOR ,&Ly
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
26 PL Plumbing Repairspprinkler hf .l&A{e .&dw 06
%-- E& UnL IWAA c- e YhfS 4 /,7 -
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
lilertonc Insurance Brokers
Lipht Corporate Park, Ste.130
Irvine. CA 92606-5105 ................... .................................... ......... I COMPANY Pacific Insurance c/o American EBS
REO : ~0p.q~~ CNA/Valley Forge Insurance Company
Ed: 221 :A ~ .................................................................. .................................................................................. .... a*: & Steven Brody ..:
Cal-Coast Repiping, Inc. IB
1371 Titan Way
Brea, CA 92621
...................................................................................
~ COMPAW RLI Insurance c/o American E&S
.: c
......................................................................................................
~ CMPANY CNA/Transcontinental Insurance Company '!
ID
THIS IS TO CERTlM THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED WED ABOVE FOR THE POLICY PERIOD
INDICATED NOTlMMSTANDlNG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WICH MIS . . ~ ~ ~~ ~~ ~~ ~~ CERnFl&%k MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEDBY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THETERMS.
EXCLUSIONSAND CONDlTlONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LIMIT3 ; wucI EFFECWE POUN UmmnoN ~ NPE OF INSURANCE PWCY NUMBER i DAT€(MM~) DAT€(MMIODFM ! co LTR '
i GENERAAGGREGATE S 2,0~0,~~~
i PRODUCTS-COUPMPAGG f ~,o~~,qoo ........ ....................................................................................... GENERALLIABILIN
' X . COMMERUL GENERAL LVIBlLlN i ........ ..... ................................
ZI0007212 i 04/27/1996 CUMlSUADE X DCCUR .:
OWEWS 6 CONT~UCTO~S PROT i ...
............................................................ :
........ AvT0KIB)LE ULBILIW
X ' MY AUTO ..... ALL ME0 AUTOS
lBUA1029089573 i 04/27/1998 ....... ; HIREDAUTOS
... NON-OWNED AUTOS
iPERSOW6MVlNJURY S 1,000,~~o 09/27/1999 i ....................................................................................... EACH OCCURRENCE I 1 nnn nnn :. ...................................... i FIRE WE lhy m nn)
i MED EXP (Any mprxnl
5
I ......................................................................................
j COMBINED SINGLE LlMr S
: l,000.000 ....................................
S ? noow ~NJURY i (Pa prm) #)4/27/1999 i ....................................
i IP, maa) t j BODILY INJURY
...........................
........................................................... s
f
: : ! PROPERN DiuMGE
i AUTO ONLY - EA ACCIDENT
i OMERTHANAUTOONL? ........ : .............................................. GARAGE WLIW
ANY AUTO ... ......................
............................................................ ................................................................................. AGGREGATE S :
UCES UIBIUTT
........
EMPLOYERS' L!ABILIN
.... iWC1063793501 ..................... : . INCL i '' THE PROPRIETOW
: EL DISEASE-EAEMPLOYEE S 1,000 , 00 PbRTNERYE(ECUTNE :...
OTHER
OFFICERSARE: : ~ EXCLi
~
roof/Evidence of Insuralice.
10 day notice of cancellation for non-payment of premium.
Contractors State License Board noN DIE THEREOF. THE ISSUING COYPANT WLLENDEAVOR To MAIL P.O. Box 26000 _uL DIYS WRlTTEN NOnCE TO THE CERTlflCAlZ HOLDER NAMED TO THE LEFT-
9835 Goethe Rd. BUT FAILURE TO MAIL SUCH NOllCE SHALL IMPOd NO OBUGAnON OR LIABILIN
Sacramento CA 95826