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Home My WebLink About2711 ABEJORRO ST; ; CB042533; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-24-2064 Plumbing Permit Permit No: CB042533 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2153003401 Lot#: 0 Applied: 06/24/2004 Reference #: Plan Approved: 06/24/2004 Issued: 06/24/2004 Project Title: BUECHE RES COPPER REPIPE Inspect Area: 271 1 ABEJORRO ST CBAD Construction Type: NEW Entered By: SB Applicant: ULTIMATE PLUMBING 12746 QUAIL LN 90650 562-462-9228 Owner: BUECHE KURT D 271 1 ABEJORRO ST CARLSBAD CA 92009 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 Additional Fees TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 5152 06/24/04 0002 01 02 CGP InsDector: Date: ,INAL= Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impositioh" of Ges, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exdred. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 16'35 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.&@(-/z~~ EST. VAL. Plan Ck. Deposit Lot No. Subdivision NamdNumber Unit No. Phase No. Total I of units Existing Use Proposed Use Legal Description Assessor's Parcel X Description of Work - SO. FT. #of Stories X of Bedrooms X of Bathrooms Name Address city Statelzip Telephone X (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 issuence, 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 [ChaDter 9, cornmendine with Section 7000 of Division 3 of the Business end 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 U(f,r" *Zc. ? l4Yk 4 ,.? b& -far my7 Name Address' City StatalZip Telephone X State License I 7 9 f 6 7 License class e 36 City Business License X L . Designer Name Address City StatalZip Telephone Workers' compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. 0 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 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 f" Expiration Date 1 ' I * 0 -r Policy NO.^ coar I 66 (THIS SECTION NEED NOT BE COMPLETED IF THE PER&IT IS FOR ONE HUNDRED DOLLARS oioo1 OR LESS) 0 to become subject to the Worke WARNINQ: Failure to soc thouaand dollars l$l00,00 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 os sation Laws of California. mp.nwtion coverage Is uJlwM, ond ahaU suqea UI employof to c to the cost of compensation, d.nug.s u provided for in Section 3706 o do the work and the structure is not intended or offered for sale owner of property who builds or improves thereon, and who does ed or offered for sala. 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 purposa of sale). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Licensa Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorls) 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 pbn to provide the major labor and materials for construction of the proposed property improvement. 0 YES ON0 I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phona number I type Business and Professions Code for this reason: PROPERTY OWNER SIGNATURE DATE @.!Fp 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 26505, 25533 or 26534 of the Presley-Tanner Hazardous 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 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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 authorized by such permit is at any time after the work is APPLICANT'S SIGNATURE DATE Official under the provisions of this Code shall expire by limitation and become null and void if the building or work 180 days from the date of such permit or if the building or work authorized by such permit IS suspended or abandoned d of 180 days (Section 106.4.4 Uniform Building Code). A* Zb?&-( I/ - WHITE File YELLOW: Applicant PINK: Financa ly Permit# City of Carlsbad Bldg Inspection Request J% For: 07/08/2004 CEO42533 Inspector Assignment: Title: BUECHE RES COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 271 1 ABEJORRO ST Suite: Lot 0 Location: APPLICANT ULTIMATE PLUMBING Owner: BUECHE KURT D Remarks: AM PLEASE Phone: 81 85058032 Inspector: A Total Time: Requested By: ULTIMATE PLUMB Entered By: CHRISTINE CD Description Act Comment 24 Rough/Topout Associated PCRsKVs Date InsDection History Description Act lnsp Comments d I i i i i 1 i 1 I 1 i i ! , I i 1 I' ! 1 i ~~~~ ~~ ___~~ POLICIES OF INSURANCE LISTED BEOW 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. J Insurance Services #O, Box 381900 San, Francisco, CA 94128 ULTIMATE PLUMBING 5938 LAUREL CANYON BLVD. N. HOLLYWOOD, CA 91607 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRl'rrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT- FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR H GENL AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY - ANY AUTO ALL OWNED AUTOS '_ SCHEDULED AUTOS - -- - NON-OWNED AUTOS GARAGE LIABILITY h ANY AUTO EXCESWMBRELLA LIABILITY ~~~~loN~ CLAIMS MADE DEDUCTIBLE YORKERS COMPENSATION AND :MPLOYERS' LlABlLtTY >NY PROPRIETORIPARTNERIEXECUTlVE ~FFICEWMEMBER EXCLUDED? yes, descrlbe under 8PEClAL PROVISIONS below ITHER tIPTION OF OPERATIONS I LOCATIONS I VE POLICY EFFECTIVE POLICY NUMBER DATE CMWDDMY). I 005-00014665 01/01/04 1 CLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPEC EACH OCCURRENCE $ DAMAGETORENTED PREMISES Ea occurrencel $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS ~ COMPDP AGG $ I I COMBINED SINGLE LIMIT (Ea accident) 6 $ BODILY INJURY (Per person) I I .- + DlLY INJURY- (Per accident) I- PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT f OTHERTHAN EAAcc $ AGG $ AUTO ONLY: EACH OCCURRENCE $ AGGREGATE $ 5 $ WC STATU- TH- TORY LIMITS El3