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HomeMy WebLinkAbout2711 AVENIDA DE ANITA; ; CB982969; PermitBUILDING PERMIT Permit No: CB982969 09/03/98 09:53 Project No: A9803873 Page 1 of 1 Development No: Job Address: 2711 AVENIDA DE ANITA Suite : Permit Type: PLUMBING Parcel No: Lot#: Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: COPPER REPIPE,HORIZONTAL MAIN Applied: 09/03/98 : TO ONE BLDG Apr/Issue: 09/03/98 Entered Bv: BT ~ ~ * Appl/Ownr : CAL COAST REPIPE 800-649-7511 1371 TITAL WAY mi 09/03/96 ---_ -_ -- BREA CA 92821 Fee description __________________- Enter "Y" for Plun Each Install/Repaq Other PERMIT x- .- -.._ - I I'"""---- -- DA-f E +----------._____I 1 CLEARANCE I CITY OF CARLSBAD 2075 Las palmas Dr., Carlsbnd, 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. im this address) Legal Description Lot No. Subdrvirion NamslNumber Unit No. has* NO. Total X of units .", , , cty st.t.mp Fax X . . . . , .,i , ., ., , , . , , , . ., %: [ssc. 7031.6 Busin- and ROfessiOM Code: Any Cay or County which requires a permit to construct, ah. improve, damolirh or repair any structure, prior to its huancs, also requires the applicant for such permit to file a signed ststemem that he is IieansLld pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of th BuIIIness and Rofeasiona Cadel or that ha is exempt therefrom. and the basis for the alleged Name Add r a e. s 1 city StmslZip Telephone X State Licema x 6% Lcr P ~censa class CL3 6 city Business License x /lo&/ 7 Designer Name Add In s s City stmllmp Tdephone 0 I have and will maintain a certificme of consant to salf-insure for worken' cornpenration as provided by Section 3700 of the Labor Code. for the performmcs I have and will maintain worbrs' compensation, as required by Saction 3700 of the Labor Code. for the Pefformance of the work for which this permit is Expiration Dme /27/p? CERTIFICATE OF EXEMPTION: I cmify thm in the parfofmence of the work for which this permit is issued, i 3.11 not employ my person in my manner so as Fdlm to .nun WWLI.' -n SOWng. IS Uld.Whd. .nd .h.l UqBR YI OnlPlOVW 10 srlmh.1 pn.lh. and drl flW Up l0 me hvndnd work for which this permit is issued. issued. My workar's compensation i urmce carrier and policy number are: &dicy N0.m /ob 3 793501 lnsunnell Company /v,4 T/z4A/sf!!Afw [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS W1001 OR LESS1 Q to bacoms subject to the Workers' CompsMetion bwa of California. WARNINO: thousand dolbn 1~100.000). h .dd(tlon m the con of comp.nutim, damqu as pmvid.d (M in S.&n 3706 of tha L.bor code. htw and -y's fm. SIQNATURE DATE "2 , ", .. 0 I, as ownsr of the propmy or my unployees with wages as their MI. compnrmion, will do the work and the structure is not inended or oftued for sale [Sec. 7044, Business and Rofsuions Code: The Cmtnctw's Licsnw Law does not appiy to an Owner of propmy Who builds or improves thereon. and who dm such work himself 01 through his own employees, provided thm such impmvemsms am not intanded or offered for sale. If. howevu, the building or improvement is told within one year of cornpimion, tha ownu-builder will haw the burdm of proving that he did not build or improve for the purpose of salal. 0 i, as ownsr of the property, am exdusivdy contrening with licemed EontnctOm to CONtNR tha project ISK. 7044, Business and Rotusions Code: Th Contractor's Licensa Law doas not apply to an owner of property who builds or improves thueon. and Contracts for such projects with COntmRori61 liesnssd pumuant to the Contractor's lice^. Lawl. 0 1. 2. 3. I em exempt under Section I per~onally plan to provide tha major labor and mmeri.1. for ComtNction of tb prvad pmpnrtv improvammt. YES QNO i iheva I have not) slgned an application for a building permit for the proposed work. I have contmctd with the following pemon (firm1 to provide the proposed COMtNCtiMl [include name I addraea I phone number I contractm license numberl: Bwinus and Rofeeaiona Code for this reason: 4. numbu I omtractors licewe wmbui: 5. Of work1: PROPERTY OWNER SIQNATURE DATE I plan to provide portions of the work, but I have hired the following pemm to coordinme. supewise and provide the major work [include name I address I phone I will provide some ot tha work, but I haw contracted ihiredl the following Puams to provide the wwk indicated linclude name I address I phone number I tvw Tlnm€cmat ~~,,.. I 1s the applicant or future b program under Sections 25505. 25533 or 25534 of the ResIey-Tanner Haza:dour Substance Account Act7 0 YES 0 NO Is the applicant or future building occupent required to obtain a pnmit from the air pollution COntrDl district or aiI quality maMgsmsm district? Is tha facility to be EOMtrYnad within 1,ooO fast of the outu boundary of a school site? IF ANY OF THE ANSWERS ARE YES. A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETlNQ THE plan, acutely hazardour msteriais raglitretion form or risk management and prevention 0 YES 0 NO YES 0 NO REWIREMENTS OF THE OFFICE OF EMERQENCY SERVICES AND THE AIR muunoN CONTROL OISTRICT. ' .; >. . rmance of the work for which this permit is issued ISsc. 3097lil Civil Codel. LENDERS NAME LENDERS ADDRESS , . ., , , , . . ,. I cmify the1 I have read the epplicmion and stme thm the abwe informmion is conecl and that the informmion an the plans is accurme. I agrw to comply with all Cio, ordinance8 end State law. miming to building construction. I hueby authorize representatives of the Cit). of Carlabad to enter upon the .bow mentionad property for inspection purposes. I ALSO AQREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE ClTy OF CARLSBAD AQAINST ALL LIABILITIES, JUOQMENTS. COSTS AN0 EXENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SA10 CITY IN CONSEaUENCE OF THE QRANTlNQ OF THIS PERMIT. OSHA An OSHA permit 18 required for exfwmions over 5'0" deep and demolition or ComtNction of structures over 3 stories in height. EXPIRATION: Every permit issued by th Building Otticiol undu the pmvlsions of this Code shell expim by limitmion and become null end void if the building or work authorized bv such permit is not commenced within 365 daw from the dmll of such parmil or if the building or work authorized by such parmit is suspended or abandoned at any time sftsr the w& is commanced.for .parlodfl80 daw IWion 106.4.4 Uniform Building Codel. // I APPLICANT'S SIGNATURE - DATE 9/6/9& WHITE: Fib YELLOW Applicant PINK: Finance . CITY OF CARLSBAD ~~~ ~ INSPECTION REQUEST PERMIT# CB982969 FOR 09/08/98 DESCRIPTION: COPPER REPIPE,HORIZONTAL MAIN INSPECTOR AREA PLANCK# CB982969 ,, - - - - - - - - TO ONE BLDG OCC GRP TYPE: PLUM CONSTR. TYPE NEW APPLICANT: CAL COAST REPIPE PHONE: 800-649-7511 JOB ADDRESS: 2711 AVENIDA DE ANITA STE : LOT : CONTRACTOR: PHONE : OWNER : PHONE : REMARKS: C/800/649-7511 AM PLEASE INSPECTOR fib SPECIAL INSTRUCT: WOULD LIKE A COPPER REPIPE INSPECTION IN THE AM AND A DRYWAL IN THE PM IF POSSIBLE. COMPANY IS FROM BREA AREA TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 26 PL Plumbing Repairs/Sprinkler &I - -- - -- - -- DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS ilestone Insurance Brokers Eight Corporate Park, Ste.130 Irvine, CA 92606-5105 .............................. .................... COWANY Pacific Insurance c/o Anerican E&S .' A j COUPANY CNA/Valley Forge Insurance Company ~ CCMPU~ RLI Insurance c/o American E&S i -PAW CNA/Transcontinental Insurance Company iD Am: Steven Brody Ext: 221 ~ .......................................................................................................................................... :.. ...................................................................................................................................... Cal-Coast Repiping. Inc. 1371 Titan Way ............................................................................................................................................. Brea, CA 92621 ic ................................................................................................................................... ..................... ........................................................... ................................ .................................... OUL0027572 10 day notice of cancellation for non-payment of premium. Contractors State License Board DATE lHuIMF. P.O. Box 26000 Sacsamento CA 95826 9835 Goethe Rd. llvT FAILURE TO WL SWH NOTlCE WALL IMPOSE NO OBUGATWN OR MUn