HomeMy WebLinkAbout2713 AVENIDA DE ANITA; ; CB991350; PermitCity of Carlsbad
04/07/1999
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Plumbing Permit Permit No:CB991350 \
Building Inspection Request Line (760) 438-31 01
2713 AVENIDA DE ANITA CBAD PLUM Status: ISSUED Lot #: 0 Applied: 04/07/1999
Plan Approved: 04/07/1999
Issued: 04/07/1999
Construction Type: NEW Entered By: JM
COPPER REPIPE Inspect Area:
~~7Wo7#aOolar 02
CAL COAST REPIPING
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
1371 TITAN WAY
BREA CA 92821 800-649-7571
InstalllRepair Water Line
Water Heater and/or Vent Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
1.00
1.00 '.OO
1.00
TOTAL PERMIT FEES $57.00
._ __ C-PM 57.00
-
$57.00
FINAL APPROVAL
Inspector: Date: %!2U33 Clearance:
NOTICE: Please take NOTlCEthatapptoval of your pmwincludes the'lmpmition" of fees, dedications, reservations, orotherexactions hereafter mllectivdy
refemd to as 7eedexaclians: You have 90 days horn the date thi pwml was issued to pmtest impasilon of these feeslexactans. If yw protest them. you mat folbw the pmtest pmcedures set loth in Government Code Saclion 66020(a), and file the protest and any other required infmation with the City Manager for
pmsing in accordam with Carlsbad Munidpl code Section 3.32.030. Failure to timelyfoibwthat pmcedure will bar any subsequant legal adion to attack, rev+%. set aside, voa. M annul their impmition.
Yware herebyFURTHERNOTlFlED~tyour~httopmtast~~Mfess(exacfiomDOESNOTAPPLYtowa$randsevermnnectiMlteesandcapacfiy changes, nor planning. zoning grading or other similar applin proaDsirq or sewice fees in mnection with this projed NOR DES IT APPLY to any feeslex&m of which vw have p(ByiwsIy been given a NOTICE similar to this, M as to which he statute of limi7atiom has ~revbusIv &mise expired.
CITY OF CARLSBAD
Un5 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
c
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 La$ Palrnas Dr.. Carlsbad CA 92009
(760) 438-1161
. ._- I 'I 1 L
/.7 A PA& 523.49 9200 f .h/fl vL-rr//on /EA /z Business Name Iat this addrerrl
1. PROJECT INFORMATION
Address lindvda BldgISuite $1
Legal besniption Lot No. Subdivision NamelNumber Unit No. Phase No. Total X a1 units
AP?
FOR OFFICE USE ONL
PLAN CHECK NO. A2352
EST. VAL.
Validated By
Date
Assessor's Parcel X ~
Description 01 Work SO. FT. #of Stories X of Bedrooms # 01 Bathrooms
Proposed Use
Name Address City StatelZip Telephone X ,. , ..
Name Address City StatelZip Telephone X
CONTRICTOR': COMPANY.WE
(Ssc. 7031.5 &Isinass and Rofwslmr Code: Am Civ m Coumy which requires a pefmit to ConstrYa. a1teI. improve. demolish 01 repair any slructur(l. prior to its
issuance, also rsquirss the applicant for such permit to fila a signed $tatemem that he is licensed pursuant to the provisions 01 the Contractor's License Law
IChaotar 9. commsndina with Section 7000 of Division 3 of the Business and Prnfsssions Codsl or that he is exemDt therslrom. and the basis for the aIIeOed
..
. ~. ~ ~- ~ ~~
/ e applicant to a civil penalty 01 01 mms than live hvndr d dollars 1$50011. EX?& &WL2/ 8&1649- 2~7 u&W
Name Address tv ' Statelzip Tdaphons X
stat* LiCL)"Sll # 6366 # 9 License class ~36 c( city Business License x /Dd6 /7
Designer Name Address City Statelzip Telephone
State License 8
6. WORKERS'COYPENSATION I
Workers' C0mp.nsati.n Declaration: I hemby affirm under pmalty of psrlwy one of the following declaratwns:
0 I haw and will mmintain a certilicate 01 co~uent to 8alf-insura for workers' compensation as provided by Section 3700 01 the Labor Code. lor the psrlmmance
I hava and will maintain workers' compensation. as required by Section 3700 01 the Labor Coda. lor the partormancs of the work for which ibis permit is
work for which this permit is issued.
,. tssbd. My worker's compemeti inrurmca carrier and policy number are:
~nsurance Compsny p?H ma a3/u77A/a7vr/3c Policy No. a
ITHIS SECTION NEED NOT BdCOMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
to become subject to the Workers' compensation Laws of Calitornia.
thousend dollars I
CERTIFICATE OF EXEMPTION: I cenily that in the psrtmmancs of the wmk lor which this Permit is issued. I shall not employ any person in any manner so IS
on COI~~O. Is ~nhwltd. and shall subject an employer 10 crlmlnal p.n.ltles and dvll finas up Io one hundred
3706 of the Labor ode. tamst and a1tom.y'. lee..
DATE ,,?&/$ 9
he Contractor's Licanse Law lor the following reason:
0 I, as owner of the property or my emplovser with wagas as their sole compsnsation. will do the work and the structure is not intended or offered for sale
ISec. 7044, Businear and Professions Code: The Contractor's License L6w doer not aPPlv to an owner of Property who builds or improves thwam, and who dwr
such work himsell or through his own ampIovees, providad that such improvamams are not intended 01 offsrsd tor sale. If, however. the building c: improvement is sold within one year of completion, the ownr-buildsr will hew the burden el proving that ha did not build or improve lor the purpose of del.
0 I, as owner 01 tha proparty. am mCIUdweIv contracting with licensed contractora to COnslrUE: the Project 1Ssc. 7044, Business end Prolsrrions Code: The
Contractor's Lieansa Law does not apply to an OWMI 01 propeny Who builds w imPTwes themon. and Contracts for such projects with contrsctmlal licmssd pursuant to thn Contractor's License Law).
1 .'
2.
3.
4.
I am exempt under Section
I psnansUy plan to provide ths mnjn lsbm and mc,ttMials fw CmtIUCtim of the proposed plopertv improvement. 0 YES ON0
I (have I have not1 signed an application for a building permit 101 the propos(ld work.
I haw contractad With the lollowing person (firm) to provide the propoaad COnsfrUCtiOn linclude "am0 I address I Phons numbar I COntraCtms license number):
I plan to ptovids portions of the work. but I hava hired thn following person 10 coordinate, supervise and provide the maim work Iinclude name I address I Dhona
Business and Prolessions Coda for this reason:
number I contractors license numbed:
5.
01 work):
I will provide some of the work, but I hava contracted Ihiredl the IolioWing persons KO providr the work indicated Ciclw:e name I eddisnr I phone numbs: I type
PROPERTY OWNER SIGNATURE DATE
COMpLm THIS SECTION FOR NOhWEWDENTML BUILDINQ PERMITS ONLY
IS the applicant or future building occupant required 10 submit I businass pian. .~ulslv hazardous mmerials registration fmm or risk management and prevention
Program under Sections 25505, 25533 m 25534 01 the PrsrlevTsnner Hazardous Substance AECDU~~ Act? YES 0 NO
1s the applicant or Iuture building wcuparn required to obtain a permit lrom the sir pollution tonlr~l dimict n ai, qualily management district? YES l-J NO
Is the lacilitv to be mnslructed within 1,000 loot 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
REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. , . I.'i_ .- ~ , t8, -CONSTRU~ONLENDlNGAGMCY.:.~' :. .,,. , ' ,. , . . , ..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is itrued (Sac. 30971ii Civil Codel.
LENDER'S NAME LENOEWS ADDRESS .9.. APPLICANT CERTIFICATION . .. .
I certify that I have read the application and data that the above information is conect and that the information on thO plans is accu~ate. I agree to comply with all City ordinances and Stats lews rdsting to building mstructim. I hersby authorize IePreaentatiYeI 01 the Citb of Carlrbad to ante, upon the above mentioned
Property lor inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY A1ID KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OSHA permit is required lor excevatims over 5'0" deep and demolition or construction 01 Stru~tures over 3 stories in hdghf.
EXPIRATION Every permit issued by the Building Olficial under lhe provisions 01 this Coda shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 305 days from the date 01 such Parmit or if the building or wmk authorized by such permit is suspended
ISeetion 106.4.4 Unilorm Building Codal.
DATE /7 99
WHITE: Fila YELLOW: Applicant PINK: Finance
City of Carlsbad Inspection Request
For 8/26/99
Permit# CB991350
Title: COPPER REPIPE
Description:
Type: PLUM Sub Type:
Job Address:
Location:
2713 AVENIDA DE ANITA
Suite: Lot 0
APPLICANT CAL COAST REPIPING
Owner: VILLA REAL APTS
Remarks: SEE MILDRED AT THE OFFICE
Inspector Assignment: PY
Phone: 0000000000
Inspector:
Total Time: Requested By: MILDRED
CD Description
Entered By: CHRISTINE
17 Interior LathlDrywall
Inspection History
Data DescripUon Act lnsp Comments
4/8/99 26 Plumbing RepaidSprinkler AP PY
PRoDUCER ( 7 14) 8 I
ilestone Insurance Brokers
COMPANIES AFFORDING COVERAGE ...................................................................................................
j coup- CNA/Transcontinental Insurance Co. Ext: 221 :A ~ ............................... .
: u)MPANV Cal-Coast Repiping. Inc. iB
1371 Titan Yay
Bra.. CA 92621 I .................... i coup*HI IC
INDICATED. NOTWlMSTANDlNG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ME INSURANCE AFFORDED BY ME POLICIES DE
EXCLUSIONS AND CONDITIONS OF SUCM POLICIES. LIMITS S).(owN MAY HAVE BEEN REDUCED BY I .. T~.:.~.LL.Z~.~..:.: ...... ::..: ....................... ...~
...... ; ....................................................
PERSONU L ADV INMY I
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i PROPERN DYUOE a
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UC1063793 501
E: license t636649.
10 day no'ticc of cancellation for non-payment of premium.
Contractors State License Board
P.O. Box 26000
9835 Gocthe Road
Sacramento, CA 91826
ff ANV IM UPON WE CONPINY, m AGENTS OR REPRESENTAlNES
AUInORDm RCTRESENT AM A