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Home My WebLink About2705 AVENIDA DE ANITA; ; CB991809; Permit. City of Carlsbad 05/10/1999 Plumbing Permit Permit No:CB991809 Building Inspection Request Line (760) 438-3101 2-g Job Address: Permit Type: PLUM Status: ISSUED Parcel No: Lot #: 0 Applied: 05/10/1999 Reference #: Plan Approved: 05/10/1999 Issued: 05/10/1999 Project Title: COPPER RE-PIPE-1 1 UNIT BLDG Inspect Area: mVENIDA DE ANITA CBAD Construction Type: NEW Entered By: RMA TOTAL PERMIT FEES $52.00 FINAL APPRO AL Date: Clearance: NOTICE: Please take NOTICE that approval of your proect includes me ’Imposiflon” of fees, dedications, reselvations, or other exactions hereafter collectively referred to as ”feeslexactbns.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactons. If you protest hem, you must follow the pmtest pmcedures set forvl in Government Code Section 66020(a), and file the protest and any other required information with me City Manager for processing in accordance with Cadsbad Munidpal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void. or annul their imposition. You are hereby FURTHER NOTIFIED that your Wht to protest me specifL3d feeslexactbns DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in conneCtion dth this pmkct NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which me statute of limitations has previouslv othemise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLiCATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-11 61 .. n?nC FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Date 1. PR&(NK~TION // Burinerr Name (at this BddieIsI A I/b/l//DA DP Auld Lot No. Subdivision NamslNumber Unit No. Phase No. Total #.of units APz4Ta-%fb?/r Legal Oa~cripfian b Assessso,'* Parcsl x Existing Use Proposed Use Dei$ption of Work SQ F'r #Of stor4ss t of Bedrooms t of Bathrooms Z Name Address CltY Stslelzkp Telephone t Fax I 3. APiJLhrANT Montnctor 0 Agent for Cornranor 0 Owner &Agent for Owner Name PAP?&> /?k@,n# 6Dm 8 9s- CONTACT PERSON lif diflm Imm .ppllcadl 2- RCWHJAI G /AK 4*/ 77 8M d#9 - ZT// CkL am Address Tslephone t ,, 6. ' CONTRACTOR - COMPANY NAME.'. . ' ' ISec. 7031.5 Business and Professions Code: Any City or County which requires a permit to Construct. alter. improve. demolish or repair any $ttuCtwe. 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 IChapter 9. commending with Section 7000 Of Division 3 of the Businell and Professions Codel or that he is exempt therefrom, and the bwis for the alleged exemption. Any Violation of Ss 'on 7031.5 by my applicant f Name Address state License t d3d6~ License Class c3A City Business License t /a &/7 Designer Nama Address City StatelZip Telephone State License X 6. WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the foilowing declarations: of the work for which this permit is issued. issued. My worker's compensation insurance carrier and policy numbsr are: ~nsurance company A% fZW0.4- ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lS1OOl OR LESS1 to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE .?2,/$9 civil penalty of not more than five hundred dol r5 l150011. stateizip Telephod t )P/.u6= /a/ PA W.2) &f64&- 7.511 -.&?,-/?4 City I have and will maintain a csniticate of Consent to self-insure fat worked compensation 89 Provided by Section 3700 of the Labor Code. for the performance I have and will maintain workers' compensation. as required by Section 3700 of the Labor Code, for the performance 01 the wort for Which this permit is Policy No.&& 9'18/dS20/ Expiration Oale ?&/a0 CERTIFICATE OF EXEMPTION: i certify that in the performance of the Work for which thiJ ~0rmit io issued, i .hail not employ any perron in any mannor so as CI sn amPloysr 10 criminal penalties and civil tines up to one hundred or In Section 3706 of the Labo ode. merest and attomay's fees. will do thn work and the structure is not intended or offered for sals ISec. 7044, Business and Professions Code: The Contractor's License L6w doer not apply to an owner of propeny who builds or improws thereon. and Who doer such work himself or through his own amployser. provided that such improvamentr am not intended or offered for sale. If. however. the building or improwment 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 salel. I, 8s owner of the pioperty. am ewiusively contracting With licensed contractors to ConStrUCt the project (See. 7044. Bwinsrs and Piofassions CodB: The Contractor's License Law does not llpply to an owner of property Who builds or improvBs thsreon. and Contracts for such projects with contractorlr) licensed Pursuant to the COntraCtOr*s License Law). 0 1 .' 2. 3. I am exempt under Section I personslly pian to provide the major labor and materials for construction ot the proposed propeny improvement. 0 YES ON0 I (have I have not) signed an application for a building permit tor the proposed work. I have contracted with the tollawing person (firm) to provide the proporad construction (include name I address I phone number I contractors license number): Burinerr and Professions Coda tor this mason: 4. number I contractors license number): 5. I pian to provide ponionr of the work. but I haw hired th0 following person to coordinate, supervise and provide the major work (include name I address I phons i will provide soma of the work, but i have contracted (hired) the following persons to provide the work indicated iincluds name I address i phone number I type PROPERTY OWNER SIGNATURE DATE COMPLETE THE SECTION FOR MOM4ESIO6VML BUiLDlNQ 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 01 25534 of the Pierisy-Tanner Hazardous Substance Account Act? YES NO Is Ihe applicant or future building occupant required to obtain a permit from the ail poilution control diatrict or air quality management district? 0 YES NO Is ths facility to be constructed within 1 .ooO feet of the outer boundan) of a ~ehool site7 YES 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 AN0 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 ISec. 309701 Civil Codel. LENDER'S NAME LENDER'S ADDRESS 9. APPLICM CERIiFlCATlON ' . I cenify that I have read tho application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with aii City ordinances and StAe iaws relating to building EonstrUCtion. I harsby authorize repreSentatiYeS Of the CitV of Carisbad to enter upon the above msnfionsd property tor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AN0 KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA10 CITY IN CONSERUENCE OF THE GRANTING OF THIS PERMIT, OSHA An OSHA permit is required tor excavations over SO" deep and damoiition 01 Construction of ItrUCtUres over 3 stories in height. EXPIRATION: Every psrmil issued by the Buildlng Official under the provisions of this Code Shall expire by limitation and become null and void if the building or work authorized by such date Of such permit or if the building or Work authorized by Such permit is suspended or abandonad at any time ye (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 5'/b 957 WHITE: File YELLOW: Applicant PINK: Finance A 3 \\ City of Carlsbad Inspection Request For 5/13/99 Permit# CB991809 Inspector Assignment: Title: COPPER RE-PIPE-I1 UNIT BLDG Description: Type: PLUM Sub Type: Job Address: --PmAVENIDA DE ANITA Suite: 270s Lot 0 Location: 4PPLICANT : CAL-COAST REPIPPING Owner: MILDRED MCKERNEY Remarks: COPPER REPIPE Total Time: CD Description 24 Roughmopout Phone: Inspector: A3/J Requested By: NA Entered By: CHRISTINE Inspection History Date Description Act lnsp Comments ............................................................. ........ cwp,,,y Srfacm ~nsurance Company Ext 237 ' A cal-coast uepfpi no. .In<. i0 mn: Linda B'071. ........................................... ........................................................... ...................... lnsmm ~MF~V Frtmant Cmmpcnsatimn Inaurrnce Conemy 1371 Titan Way Ere., CA 91621 ~ ................... .................... i COMPLMl ic .... ........ UMllS i j ?OLICI6fFCCnVE 'PGUCYEXPIRLMN: POLKXNUUW : CATE(YWDDIIyI ; DkTEIvwDOlWl L~~, coj wpc(YlnsuR*K€ it3ENERYnrSGATE L >.(j~o,~o ~ PS~OIUL&AWUUUKY S : ......................... ................................ 1 04;2,/1999 0~',,/2Q(10 ; .............................................. %r.QO?.PO EACHOECIRRENCE ,. .......................... .. .'.O?.O.OO I nn COnWNEO BWOLE LlUn 1 $ t... ...................... .: ..... ..1:QY?,-?~ ! (PerWrn) . '8 :ocoIIvmr 04,*7,2001) : ........................... ........ .s .8" OR" WJURY PI -4 ....................................... i PM*EfIrlOW*GL $ ........................ YN9911025201 L I !