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HomeMy WebLinkAbout2714 AVALON AVE; ; CB072971; Permit11-29 2007 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Plumbing Permit Permit No CB072971 Building Inspection Request Line (760) 602 2725 Job Address Permit Type Parcel No Reference # Project Title 2714AVALONAVCBAD PLUM 1675613300 Lot# Construction Type PRIMMER COPPER REPIPE 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/29/2007 JMA 11/29/2007 11/29/2007 Applicant MASTERSERV 560 LIBRARY STREET 91340 818 408 4100 Owner PRIMMER RICHARD S&NANCY B 2714AVALONAVE CARLSBAD CA 92010 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 0 0 0 1 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $3800 $000 $000 $000 TOTAL PERMIT FEES $6500 Total Fees $65 00 Total Payments To Date $65 00 Balance Due $000 Inspector Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions 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 fees/exactions 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 760 602 8558 Building Permit Application Plan Check No C$5 Q"? 2^1 "I/ Est Value Plan Ck Deposit Date JOB ADDRESS <~) --) I/ / / A CV I IH 'A V/fl,/0/\ jn^ ' CT/PROJECT# LOT# PHASE* # OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME CCNSTR TYPE OCC GROUP rM*v{>>«^ DESCRIPTION OF WORK -^ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) f (~) ( \ ADDRESS , _y CITYC /^ l\ STATE ZIP A PHONE , FAX EMAIL PROPERTY OWNER NAME f\ . . A (O i2-i cA/^a<tx TL p-* AV^CY -\r /^'vxi/ ADDRESS / 1 1 ^ oln/t/ T^AlPA -M' CITY^ II // STATE ZIP PHOtfE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE YES D # NC APPLICANT NAME f\ (J^llW (D( ADDRESS f J oO \ b'A/\ 7 AIR CONDITIONING FIRE SPRINKLERS ) D YES D NO ID YES D NO D ?^vV-^ t-CITY.^ V /* STATE ZIP PHOVv-fci^i<pv FA> EMAIL CONTRACTOR BUS NAME iA \,) , f ADDRESS _ , / ft 0 Ibrtf-y J>cmr /~ § STATE /i Zlp PHONED FA> EMAIL STATE LIC # /] _ CLA ^ ^ £fc7l "7 *is 1 1 (^ ( SS CITY BUS 1 1C # <• "7 / i (1 i f\ 0 O ^~\*" } b ( ff~ ] ~D j ^ (-^ ec 70515 Business and Professions Code Any City or County hich requires a permit to construct, alter mprove demolish or repair any structure, prior to its issuance also requires the applicant for such permit to fie a igned statement that he is censed pi rsuant to the p o isons of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom and the basis for the alleged exemption Any violation of ection 703 1 5 by any appl cant for a permit sublets the applicant to a civil penalty of not more than five hundred dollars {1500}) Workers Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 of the work for which this permit is issued 5J--ftiave 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 issued My workers compensation insurance carrier and policj number are Insurance Co S r-v >j S •^r/wfl'/'l (^ Policy No Dt^faCfc./^ l| 0(?P'7^^/ Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less O 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 as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensation damages provided for in Section 3706 of the Labor code interest and attorney s fees DATE I ( ^Tca - O 1 / hereby affirm that I am exempt from Contractor s License Law for the following reason O I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor 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 sale 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 purpose of sale) D I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement D Yes O No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 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 / address / phone / contractors license number) 5 I w II p o de some of the work but I ha e cont acted (h red) the following persons to p o de the work ind cated (nclude name / address /phone / type of work) X£$VROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutgjy hazardous materials registration form or risk management and prevention program under Sections 25505 255 33 or 25534 of the Presley Tanner Hazardous Substance Account AcP DYes SLWtT^ . ^^,— Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality marjagEment district' D Yes CTMrf* Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' O Yes ^\^sr^^ 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 hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lenders Name Lenders Address 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 relatmj to building construction thereby authonze representative 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 issued by the Building-Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the buildi Jg or work authonzed by such permit is suspended or abandoned at any tone after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) ^APPLICANT S SIGNATURE /I/ DATE / I UNSCHEDULED BUILDING INSPECTION DATE \->-<*>* INSPECTOR ^_ys PERMIT # on -. <\-7 \ PLAN CHECK # JOB ADDRESS VTUH (X DESCRIPTION CODE DESCRIPTION ACT COMMENTS I J- 16 AUGUST 2007 PERMIT AUTHORIZATION LETTER To Whom It May Concern The following is a list of personnel authorized to pull permits and business licenses on behalf of MasterServ Inc GEORGE ANDERSON CINDY ANDERSON ROBIN ANDERSON )SCAR GONZALES^ LARRY HORT? TODD GARCIA If you have any questions please feel free to contact our office CmdyAnderson Sec/Treasurer for MasterServ, Inc 560 Library Street San Fernando, CA 91340 WWW repipenow com Tel (800) 806 7374 Fax (818) 408 4106 Lie #580017 Check A License Contractor s License Detail Page 1 of 2 Skip to CSLB Home | Content | Footer | Accessibility r^Searcr ~ *m 03 f APPLICANTS CONTRACTORS STATE LICENSE BOARD GENERAL INFO About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLP Library Frequently Asked Questions Online Services » fhf k A Li en e or HIS R 31 t ition a r I ng i Construction Con p 11 t • Pro i>&i q Times « St rrh for a Surety Bond Insunncc Company s Search or i Workers Cc inr fns ilion Company How to Participate cSo DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information you should be awat the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subji ct to pu complaint disclosure a link for complaint disclosure will appear below Click on the link oi obtain complaint and/or legal action information • Per B&P 7071 17 only construction related civil judgments reported to the CSLB are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitr • Due to workload there may be relevant information that has not yet been entered onto th license database JjcenseJ^umber _580P!7 _ Extract Date 1J/29/2I Business MASTERSERV INC Information DBA MASTERSERV INC THE COPPER REPIPE SPECIALISTS 560 LIBRARY STREET SAN FERNANDO CA91340 Business Phone Number (818) 408 4100 Entity Corporation Jssue Date 10/26/1989 __ Expire Date 10/31/2009 License Status This license is current and active All information below ^hould b reviewed Bonding ications C36 C20 C10 B ^23?*'* * - IcflSSilSLJ^V " ' a'T' ]] PLUMBING WARM AIR HEATING VENTILATING AND AIR CONDITIONING ELECTRICAL GENERAL BUILDING CONTRACTOR This license filed Contractors Bond number 266957 in th amouni $12 500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractors Bonding History W '/r'^^M^^L2^^^2^^''T ***! http //www2 cslb ca gov/General Information/interactive tools/check a hcense/License+ 11/29/2007 Check A License Contractor s License Detail Page 2 of 2 Workers Compensation •OND OF QUALIFYING INDIVIDUAL 1 The Responsible Managing Officer (RMO) GEORGE HENRY ANDERSON JR certified that he/she owns 10 percent or mor the voting stock/equity of the corporation A bond of qualifymc individual is not required Effective Date 09/20/1991 BQI s Bonding History This license has workers compensation insurance with the DELOSINSURANCE COMPANY Policy Number 01DKRM11000754 Effective Date 02/13/2007 Expire Date 02/13/2008 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses {S^, Consumers | Contractors I Applicants* I Journeymen LPublic,Works* gBuildmg Officials, I General Info«is Ith / i llf' «*SSf<»* „ '** iJUdr j A J»'ij,n ' e- f^ . - ._ CSLBHome |» Conditions of Use I Pnvacy*lj!Contact CSBBr ,f J:^^ " f „ *"*s tui i f-H-'sv«-*^ mt1* »r iii'M?*****^ Copyright © 2007 State of California http //www2 cslb ca gov/General Information/interactive tools/check a hcense/License+ 11/29/2007