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Home My WebLink About2711 AVENIDA DE ANITA; ; CB990907; PermitJ $393 03/09/1999 Job Address: Permit Type: Parcel No: Reference #: Project Title: City of Carlsbad Plumbing Permit Permit No:CB990907 Building Inspection Request Line (760) 438-31 01 271 1 AVENIDA DE ANITA CBAD PLUM Status: ISSUED Lot #: 0 Applied: 03/09/1999 Construction Type: NEW Entered By: JM Plan ApproJiddlY -9lboi oi 02 Issued: 0310911 9WmT 57.00 COPPER REPIPE-WIDRYWALL Inspect Area: Applicant: CAL COAST REPIPING 3671 HlHlLL WAY EL CAJON CA 92020 800-649-751 1 Total Fees: $57.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalllRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Due: $57.00 LOO LOO LOO TOTAL PERMIT FEES $57.00 FINAL APPROVAL Inspector: SR Date: 199 Clearance: NOTICE: Pease lake NOTICE mat approya 01 your prqect includes me'lrnp3Lh' 01 lees. dealcalons reservalons. or olner exactions hereafter mlkmvely referred 10 as 'fefsexaclons ' You have 90 oays Imm me date m s prmn was ssuw lo pmlest mposidon 01 these leaslexanoons n you wtest mem YOJ m.sl 10 ow me protest prom.res set form in Government Code Secton 660m(a). and f e tne protest aM any mer required .nlumatian wm me C tq Manager lor processing in -darn wall Carlsbaa MJniCpal Coca Secton 3.32 030 Failure to urnell lo bw mat pmced.re will car any subsequem legal a~on 1D anack, rev ew. sei as.de voa. u annu lreir mp ton. Yo. arehereby FLRTHERNOTlFlEDUlatyournJhtmpmtestmespecifieaIeaJlexac(onsDOESNOTA~~Ylawaterandsewe1mnnedion~andcapa~ changes. nu planning, zon'np, graaing or other simlar applicatan pmceosing w ~ca lees in mnw.on vhh me m@Ct NOR DOES T APPLY *r any feeslexac~ons d whch 10. have p ously bean given a NOTICE sim ai lo lhis, w as to wn:ch slat& of mlarions has previo~~hl OlreIwisB exP rea. CITY OF CARLSBAD 2075 I.as Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 -PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONL PLAN CHECK NO. *7 EST. VAL. Validated By Date I " 3 7// 1. PRWECTINY Address lincluds BldglSuite I1 Business Nama (at this address) VKm/D# Bt7 Aivt713 Phaso No. Total I of units Legal Dsscription Lot No. Unit No. Existing Use Proposed Use sa. FT. @of Stories X of Bedrooms X of Bathrooms .. z. CONTACT PERSON of mnw tmtn .ppl~m~ti Name Address City St at el Zip Telephone X Fax X ,. J. CANT .. :D conmator .IIyngont for comractor .a ownor . Agent for Owner CAL Ll9A QY X>k+eur'a Name Address City StatslZip Teleohons X ,," . 6. CONTRACTOR - COMPANY NAME (Set. 7031.5 Business and Rofsrsions Code: Any City or County which rawires a permit to Construct, alter, improve. demolish or repair any sifrwtwe. prior to its issuance, also requires the applicant for such permit to fila a signad statement that he is licensed Pursuant 10 the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 01 the Business and Prolarrianr Codel or that he is exempt tharafrom. and the ba*is for the sliegad exemption. Any violation of S Name Address "City Statelzip Telephone X State License I Lq L c vr License Ciarr C36 City Business License a Darignsr Nama Address City ststaizip Tdephme State License # 6. WORUERS' COMPENSATION ..~' .. . ., Workem' Compensation Decbmion: I 0 I have and will maintain a certificate of Consent to self-inswe for workers' compsnration as provided by Section 3700 Of the Labor Code, far the peilormance of the work far which this Permit is issued. I have and will maintain worke& compensation. as required by Senion 3700 of tho Labor Code, for the performsnca of the work far Which this permit is ked. My worker's cornpanlation iIuurmce caniar and policy number are: ~nsurmce Company P/R policy ~0.&?/06~793 a/ Expiration Date #h7/99 ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1(11001 OR LESS1 0 CERTIFICATE OF EXEMPTION: i certify that in the performance of the work for which this permit is iswed, I shall not employ any parson in my manner SO as to become subjsn to the Workers' Compensation Laws of California. WARNINO: Fdlu "..tion MI., thousand dolus I ion 7031.5 by any applicant lor a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1150011. PA/. &&WJ&i~/llo s?L 6w 757 / 7J J77XdW~&u.l?Qe% -9&/ Ah - .. . ,- ndsr penalty of perjury one of th. following declarations: emst and a1tome~'s leer. / I 17 i, as owner of the propony or my amployear with WegFs as thair 6010 compsnsation, will do the work and the niumuia is nm imandsd or oltsrsd for sale Ism. 7044, Buainasr and Professions Code: The Contractor's License L6w does not apply to an Owner of prOPertv who builds or improves thereon. and who does such work himself or through his own employees. provided that such improvamsnts are not intended or offered for sale. If. however, the building or improvement is sold within one year 01 EOmpiRion, the owner-builder will have the burden 01 proving that he did not build or improve for the purp01~1 of sale). I, as ownor of the property. am exdusivaly contracting With licensed ContiaCtOIs to COnstlUCt the project ISsc. 7044. 0urinsrs and Piofearions Code: The Contractor's License L*w does not apply to an owner of Propertv Who builds or improves thereon, and contracts lor such projects with contractorlsl licensed PUIOU~~~ to the Contractor's License Law). 1 .' 2. 3. 4. number I Contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR 1s the applicant or future building OCEUP~~ required to submit I business plan, acutdv hazardous materials registration form or risk management and prevention program under Sections 25505. 25533 or 25534 01 th8 Prarlsv-Tanner Hmzardous Substance Account Act7 YES NO is the applicant or future building occupant required to obtain a permit from the air pollUtion control district or air quality management district7 0 YES 0 NO Is the leciiity to be constructed within 1.000 feet of tho outer boundety of a school site? I am exempt undsr Section I personslly plan to provide the maior Ihbor and materids for Construction of the proposed property improvement. 0 YES ON0 I (have I hsve not1 signed an application far a building permit for tha proposed work. I hsvo contracted with the following person lfirml to provide the proposed construction linclude name I address I phone number I contractors license number): I plan to provide portions of the work, but I have hired the foliowing person to coordinate. SUPeNiSe and provide the major Work (indude name I address I phone I will provide some 01 the work. but i have contracted lhiradl the rollowing perrons to provide the work indicated linc'ude name I address I pnons number I type Business nnd Professions Coda lo, this reason: YES 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NO1 BE ISSUED UNLESS THE APPLICANT HAS MET OR is MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUliDN CONTROL DISTRICT. 8. . CONSTRUCTION LENDINQAGENCY i hereby affirm that there is a ConStrUction LENDERS NAME LENDER'S ADDRESS 8. APPLICANT I certify that I have read the application and State that the above information is eonact and that the information on the plans is accunIte. I agree to comply with all City ordinances and State laws relating to building EOnstrUCtiOn. I hereby authorize IePresent8tiYeS of the City of Carlibad to enter upon the sbwe mentioned property 101 inspenion purposes. I ALSO AGREE TO SAVE. INDEMNIFY AN0 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 Construotion of StruCtUreO over 3 stories in height. EXPIRATION Every permit issued by the Building Officiltl under the pmyisions Of this code shall expirs by limitntion and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if tha building or work authorized by such permit is suspended or abandoned at any tim APPLICANT'S SIGNATURE DATE 3/?/99 the work lor Which this permit is issued ISec. 3097lil Civil Codel. (Saction 106.4.4 Uniform Building Codel. WHITE Fils YELLOW Applicant PINK: Finance ~ ~~~ ~~~ City of Carlsbad Inspection Request For: 8/26/99 Permil# CB990907 Inspector Assignment: PY Title: COPPER REPIPE-WIDRYWALL Description: Type: PLUM Sub Type: fl3 Phone: 0000000000 Location: Inspector: & \\ OL Job Address: Suite: 2711 AVENIDA DE ANITA Lot 0 - APPLICANT CAL COAST REPIPING Owner: VILLA REAL APTS Remarks: SEE MILDRED AT THE OFFICE Total Time: Requested By: MILDRED CD Description Entered By: CHRISTINE &cr:bmc Idw kVDz, 17 Interior LathIDrywall re W,W 11 +L*h6s*-. Inspection History Date Description Act lnsp Comments 3/11/99 24 Roughfropout AP PY 2721 FAX ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (7 14) 8 5 2 - 0909 Iilestone Insurance Brokers Zlght CorDorate Park. Stc.130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ~. ~~~~~~~ I j -p- Pacific Insurance c/o American E&S :A i COMP- CNA/Valley Forge Insurance Company Cal-Coast Repiping. Inc. iB 1371 Trtan Yay i COUPANY RLI Insurance c/o American E&S ic i CMIPANY CWA/Transcontinental Insurance Company iD [wine, CA 92606-5105. COMPANIES AFFORDING COVERAGE ........................................................................................... 4th: Steven Brody 221 j .................................................................................................................... .:.. ................................................................................................................. ..................................................................................................................................... Brea.. CA 92621 ......................................... nrr ff INaunANCE POUMNUYBER UYlTIl co .m . ............................................................. -CWPc+*OG s 1.000,O :s 1.000,o ................................................ .......................... i COMBINED SINGLE LMlT I : .................................................. !..OQP.,.P 'I ........ : BWLY mmw i lprpnal i BODILY mmw ~ (pr-) ALL owwu) AUTOS SCHEWLED AUTOS HIRED AUTOS NOKOHllED AUTOS B .... iBUA1029089573 j 04/27/1998 04/27/1999 : .............................................................. ........ t ....... ............................................................ : ............................................. i PROPERTY -E .$ ........ ANYAUTO ... ............................................................ : ............................... ElCHACClDENl S ................................................................................. ? EACH OCCURRENCE a 1 000 0 ....... ................................................................. ?..........I ... =CESS WUTI C ..... UMBRELU FORM iOUL0027572 ~ 04/27/1998 04/27/1999 .*OGREGATE 1,000.0 .................................................................... ,t OTHER T" UMBRELLA FORM i i EL EACHACCIOENT ........ iWC1063793501 PARWRSEXECUTNE i... . : ............................................................... OFFICERS ARE: ~ ' UCLi j :!uCL; THEPROPRIETOW i ELDISUSE-UEMPLOTEE I 1 nnn 0 omw ~PnoNffocuullcuMocA TnmwUIcLEMT ECL4LlTull roof/Evidence of Insurance. 10 day notice of cancellation for non-payment of premium. SUWW ANI OF THE AM DESCRIBED POUClvI BE CANCELLED BEFORE THE EXPlRIlKm DATE THEREOF. THE ISWINO COYPANY WlLL ENDEAVOR 70 YUL Contractors State License Board P.O. Box 26000 ~MVSWTnn NOllCETOTHECERllFICATE HOU)ERNAMEDTOlHELEWs 9835 Goethe Rd. Sacramento CA 95826 *