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Home My WebLink About2709 AVENIDA DE ANITA; ; CB981039; PermitJ34J*. C Permit No: CB981039 Project No: A9801370 BUILDING PERMIT 04/13/98 14:17 Page 1 of 1 Development No: Job Address: 2709 AVENIDA DE ANITA Suite : Permit Type: PLUMBING 5947 04/13/98 ooO1 01 02 Parcel No: Lot#: C-PRMT 27 -00 Valuation: 0 Construction Type: NEW Occupancy Group : Reference#: Description: COPPER REPlPE 11 UNITS Status: ISSUED Applied : 04/13 /98 Apr/Issue: 04/13/98 Entered By: JM Appl/Ownr : CAL COAST PLUMBING 800 649-7511 1371 TITAN WAY BREA CA 92821 Fees Required *** Collected & Credits *** ______________-_____----- ____-___-___------- Fees: 27. Oh Adjustments: Total Fees: Fee description Enter "Y" for Plumb Each Install/Repair .oo . 00 27.00 Ext fee Data 2o.uo Y ______-_____---- 7.00 CITY OF CARLSBAD 2075 L~s palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ON PLAN CHECK NO. EST. VAL. - Plan Ck. Deposit Validated By , Date T/ [ 07) &/qM//iM Business Name la1 this address) Legal Description Lot No. Subdivision NsmslNumbsr Unit NO. phase No. Total X of units Assessor's Parcel X ProPosod Use Deszmption of Work f0 PP "I LT) 1- I Pcic #Of stones X of Bedrooms X Of Sathroomr ,. 2. CONTACTPERSDN Of atrvuntrom,appasmntl. ' ,,." ' :': ... Name Address City statenip Telephone I FIX X 3. AF'PLICANT ~Comrantor @gent for Contnctor -0 Owmr ''-;~.~imtforburmr Name Address City StateIZip Telephone X , , . .,., , . ,. . , . . .,: ... .. . ,.. 5. CONTRACTOR. COMPANY NAME ., ISec. 7031.5 B~simss and Professions Code: Any City or County Which requires 1 permit to COnstrUCt, alter. improve, demolish 01 repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statem0nt that he is licensed pursuant to the Provisions of the ContraCtOr's License Law [Chapter 9. commanding 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 703.1 .F by any applicant for a Permit subjects the applicant to a civil penalty of not more than five hundred dollars 1150011. Namx Address City StateRip State License I ?L LW License ciapr e 3L City Business License X Dssignsr Name Address City StatalZip Telephone PAL- &ma/ . cnp.4Je /37/ 77 md&% &.QEX c/49*/ &n-6@9 - 7Ci/ Telephone X 2p . State License X 8. WORKERS COMPENSATION ,. ." - ...,, . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one Of the following declarations: ., , . , , .,. . . . , . , . . , , ,, , , , , , , ,., 0 of the work for which this permit io issued. ss ed. My worker's compensation insurance Cartier and policy number are: Insurance Company ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 101001 OR LESS1 0 to become subject to the Workers' Compensation Laws of California. WARNING: Fail i have and will maintain a certificate Of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, for the performance 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 e,t /A Policy No.&c/q3f/&25< Expiration Date y/a7/p8 ,K 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 msnnar so IS er to criminal pan.ltie* and vi1 fines up to one hundmd de. lnt ation. damages a* pmvhied for In Section 3706 of the Labw t and anwneys 1-s. , &. ., DATE he Contiactor's License Law for the following reason: I. as owner of the property or my employees with wages as their sole compensation. will do the work and the Strunwe is not intended or Offered for sale (Ssc. 7044. Business and Professions Code: The ContmCtOr'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 1.18. If, however, the building or impmvsmsm is sold within one ymr of completion, the owner-builder will haw the burden Of proving that he did not build or implave for the purpose Of salel. 0 i. LIS owner of the property, am excluIivsly contracting with licensed Contiactors to Construct the project IS0c. 704% Business and Rofessionr Code: The Contractor's License Law does not apply to an owner of ProPertv Who builds or improves thereon. and CantraCts for such projects With comrsctorlsl licensed pursuant to the Contractor's License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction Of the proposed property improvement. 0 YES ON0 I lhava I have not1 signed an application for B building permit for the proposed work. I have contracted with the following person lfirml to provide the proposed construction linclude name I0ddr8SS I phons number I contiactois license numball: I plan to provide portions of the work. but I have hired the fallowing person to coordinate, subarvise and provide the majot work linclude name I address I phons I will provide some of the work. but I have contracted lhiradl the following persons to provide the work indicated linclude name I address I phone number I type BUsiness and ROfeSsiOm Code for this reason: DATE ,. .. ., ,, , ,.G ..A ',, .. , .,.,, , ,,. ~ ,..:./ .. PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON-REsIDuyTIIIl, BUILMN0:PERMITS ONkY .:: ,, 1s 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 Prsslev-Tanner Hazardour Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet at the outer boundary Of a school site? 0 YES NO IF ANY OF THE ANSWERS ARE YES. A FIN4L CERTIFICATE OF OCCUPANCY MAV NOT BE ISSUED UNLESS THE APPLIChNT HAS MET OR IS MEETING THE REOVIHEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,. 8. CONSTRUCTION LENDiNG AQENCY , ,, . ..,. I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is issued ISec. 3097lil Civil Codsl. LENDER'S NAME LENDERS ADDRESS 9. APPUCAN? CERTIFICATION .,, , I certify that I hwe read the application and state that the above information is correct and s is amunte. I agree to comply with 811 City ordinances and State laws relating to building construction. I hereby authorize represmtatiYe5 of the CitV of Carlrbad to enter upon the above mentioned pr~perty for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAW CITY IN CONSEQUENCE OF WE GRANTING Of THIS PERMIT. OSHA An OSHA permit is requited for excavations over 5'0- deep and demolition or construction Of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Ofticid under the provisions of this Code shall expire by limitation and became null and void if the building or work authorized by such or abandoned at any time after APPLICANT'S SIGNATUR ,. ,' WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB981039 FOR 04/21/98 INSPECTOR AREA DESCRIPTION: COPPER REPIPE 11 UNITS PLANCKX CB981039 TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2709 AVENIDA DE ANITA STE : LOT : APPLICANT: CAL COAST PLUMBING PHONE: 800 649-7511 OCC GRP CONTRACTOR: OWNER: REEIARKS: C/JIM/800/649-7511 SPECIAL INSTRUCT: PHONE : PHONE : INSPECT0 TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS @ m4-L 26 PL Plumbing Repairs/Sprinkler DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS Hileatone Insurande Agency 8 Corporate Paxk, 1130 :, ,.roLIG'es,.!EL!?!., . . , . , .. , , . ..... ,.. ......... Imine, CA 92714-5105 COMPANIES AFFORDING COVERAGE (714) 852-0909 Fax(714) 852-1131 ................. , .,. : DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED mv THE ........... ................................................................................... tnunm Cal-Coast Repiping, he. 1371 Titan Way Brea, CA 92621 ' cwr)ly Lmol A CNA/Tranacontinental he. Co .......................................................... zw E. CNA/Valley Forge Ins. Co. y&*uv c CNA/Traneportation Ins. Co. LmRI .......................................................... .......... ............................................... ......... .... CWNT D ................. ., , CCIlruFl E Lmn ... WI ~COYEI~~CIII. houcrum~mn ' POUT Wy.U : OAR W,QDm) I MnlMMbnrl ~ ... .................................. ............................................................................... ............ rm o$ mVMNCL )I ni i ; GCNaAL ULIIIYPI ! .... ,..,. i X i COHMERCW OENEW LIASLIW i 7J-7 ...... ......... p4/27/97 04/27/98 , ,,X. i OWERS L ccuNIIuc7M3 mm. : ! , EICh ODCUPS€NCE ............. ............................................... i ~ ........................................................................................ ILl w.hm ....... BlJAl02WSS7S i0 4 /2 7 /9 7 : ':wcEo(N0unao ........ ., .. i. FIR .................................................. DIJJAOE (My M. %*) s 50,oo ................................................ KO E~=~m~*W.nl;! ,,,,, ,,,, ,5,,00 is 1,000,00 I COMBINE0 WlE ................... ... .. i LlMn :. (pu p-1 :$ 04 / 27/ 9 0'MIOILY IMURY .................. ....... il PDDflV Imanw ! (W mcsldlnO ; x , MIRED WUTW ~ .. x,,: NO~WED wm : .'i i PnOPRm OMACE I ; ~ ,OUUGEiirnum ....... j uof WCIJRnENCL ;&CUI Lumm ............................................ ! ..................................................... ;, ..................... ; ! ....................... ... .. .......................... ............................................................... !' ........................................... ..... .................................................... .... ~ UUBREW FCRI L., ............... j OlHm lHW U)nW Fa*l I .; AND ~ WC1~79sSol ................................. ................................................. ................................................................ DUE*Y.MHEMROT,,,,,,il 1, 000, 00 ylhorar' lvum ..~ ...................... .: - ................................... .......................................................................... ............................................ ='iWMYLDCAWUIYyO(lWL Evidence of Insurance. f$ SHOULD ANY OF THE ABOVE DESCRIBE0 POLlClFs BE CANCELLED BEFORE THE ?<? UPlRATlON OAT€ 'WEREOF. ?UE ISSUING COMPANY WIU ENDEAVOR;O 'ontracto*s State Board I-0. Box 26000 :Q ,;$:. MAIL -2 DAYS WRITTEN NOTICE TO THE CERTIFICATE noLoER NAMED io THE 835 Coethe Rd- . - .. - - -- Sacramento CA 95826 LEFT. BUT FAILURE TO MAIL SUCH NOTICE $*ALL IMPDsE NO OQLIGATION OR UABIUN OF ANI KIND UPON THE COMPANY, ITS ACiEN76 OR REPRESENTATIVES. .,. . .~ ii. .. ...