HomeMy WebLinkAbout2715 AVENIDA DE ANITA; ; CB984325; PermitJ3*3
BUI
:L2/11/!?8 11: 53
Page 1 of 1 1 Jcrb Address: 2715 AVENIDA DE
Permit Type: PLUMBING
Parcel No:
Valuation : 0
Occupancy Group :
Description: COPPER REPIPE
LDlNG PERMIT Permit No: CRY8432E.
Project No: A9805598
Development, No: ANITA Suite :
Lot# :
' Construction Type: NEW
Reference#: Stat.us : ISSUED
Applied : 3.2/11/98
Apr/Issue: 12/11/98
Entered hy: JM Appl/Ownr : CAL COAST REPIPING
1371 TITAN WAY
800 649-7511
***
02
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CITY OF CARLSBAD
2075 Las 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 Oy$E
PLAN CHECK NO.
EST. VAL.
Validated By
Date
9aB;ya Name In this addressi
Legal Description Lot No. Subdivision NamalNumber Unit No. Phus No. Total X of units /z
AU06.0fS PWWl X Existing Use Roposad Use
#Of stories X of Bedrooms X Of Bathrooms
Name City Statslap Telephone X
. . , , , ., ,. ,' ,, .
(sac. 7031.5 Burin- and Rofessions Code: Any City or Coumy which require3 a parmit to COMtNct, aiter, improve). demolish or repair any Structwe. Prior to ifs
ibumce, also requires the applicant for such permit to file a rigrmd atatemam that he is lienrsd pursIumt to tha provisions of the Contractor's License Law
[Chapter 9, commending with Section 7MN) of Division 3 of the Business and Fmfessions Cod.] or that he is exempt therefrom, and the basis for the alleged - kV4- 7S//
Name Add r e r a ' City StateRip Telephone X E;.B 9aw &d
state tiwn.s I 6x649 ticens. ~~asr 12/36 city Burin- ticsnss x /cto6C / 7
Designer Name Address City statemp Teiephone
penaity of not more than five hundred ddlars It 5OOIi.
stns LIC.".. X a. wowmrrcar~now. .. .. ... ..
Worken' COmp.NmOn Dssl.mion: I hamby iffirm under pm.lty of per~ury one of the following decI.i.tions:
0 I have and will maimain LI cerlificate of consant to self-insure for worked CompsM.tiOn as provided by Section 3700 Of the Labor Code. for tho parformanw
I have and will maimain workers' compemsmim, as requitad by Saction 3700 of the Labor Code. for the pertormancs of the work for which this permit Is
work for which this parmit ia iswad.
iraued. My workar's compmaatio I~urmw wrriw and policy number we:
(THIS SECTION NEED NOT BE'lDMPIETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
to become subject to the Workers' Compensation Lawa of California.
WARNINO: Fail
thouund-
PolicyNo.we /0637933 1 Expiration Date %!?7/99
2
imUr.- Company Cua -&&--
CERTIFICATE OF EXEMPTION: i wrlify that in the partormsnw of the work for which this parmit is issued. I shall not employ any perron in my memar so a6
&di sub).ct YI 8mplq.r 10 cr*nhd p.n.n*. nd CMI fbm. up to one hundn6 I.*. , de- u pr0Vid.d (a in S.&n 3706 monm.. frn.
DAT
, , ,. .
work and the Structure is not intended or offered for sale Issc. 7044, Businrs and Pmf-ions Code: The Comractot's Liwnse Law doas not apply to an owner of property who builds or improves thweon. and who does such work himself or through his own employsss. provided that such imprOVemems am not intended or offered for sale. If, however. the building or improvement is
sold within one year of cornpiation, the owner-builder will have the burdm of proving that ha did not build or improve for the purposa of saiel.
0 I, as owner of the properly. am exdusivaIy comncting with 1iwna.d contractors to CoNtwCt the project ISsc. 7044. Business and Rofurions Cod.: The
Commctofs License Law dWs not apply to an owner of properly who builds 01 impfovea thweon. and contracts for such proiects with comractorlsl licensed
pursuant to the Contractor's Lieem Law).
0
1,
2.
3.
4.
number I comractors licanse number):
5. of work):
PROPERTY OWNER SIGNATURE DATE
I am exempt under Section
i penonilly plan to provide the major labor and malarials for construction of h prowand wperlv imprnvemant. 0 YES ON0
I Ihave I hwa not1 signed an application for a buildlng permit for the propoaed work.
I have comcted with the followlng person ifinn) to provide the proposed COnatNction (include nama I addresa I phone number I Eommctors license numberi:
I plan to provide porliona of tha wwk, but I have hired the following person to coordinml). supervise and providn the major work (include name I address I phone
i will prwida some of the work. but I have contracted lhiredl the following mons to provide the work indicated linclude name I address I phone number I type
Bwineu and ROf~MiOM Code for thia maon:
~~jmB~~W;FDR ,, .,. ,
1s the appliwm or future building occupam required to submit a businsrs plan. acutely hazardou materials regirtration form or risk manegemem and prevemion
program under Sections 25505; 25533 or 26534 of ths ResiwTanner Hnrrrdnim Subqtance kcwnt Act?
Is the applicam or future building 0ccup.m required to obtain a permit from the air pollution control district or air quality management dimict? 0 YES dNO
Is the facilii to b. coMtructad within 1.000 feat of tha outer boundary of a school de7
IF ANY OF THE ANSWERS ARE YES. A RNAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
0 YES d NO
YES rs/ NO
REWIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR muunoN CONTROL DISTRICT. . , . , , . . . ,. ..,. ,.,
which this permit is issued (Sac. 309701 Civil Code].
. ... . . .,.
LENDER'S NAME LENDER'S ADDRESS
.. ,, ., i
I cwtify that I have read the sppiication and aut. thet the above information is cornct and that the information on the plans is ecwrate. I qrae to comply with 41 Cn, ordinances and State laws relating to building construction. I heraby authorize representatives of the CiV of Carlsbad to .mer upon the above mentioned property for impaction purposes. 1 ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CRV OF CARLSBAO AGAINST AU 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 parmit is requiiad for axcmvatims war 5'0" deap and damoliion or construction of structures over 3 storias in haight.
EXPIWTION Every permit issued by the Building Official under tho provirions of this Code ahali expirn by limitation and become null and void if the building 01
work authorized by such permit is not commsncsd within 305 daw from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time a mmmeed for a d of 180 yr (Saction 100.4.4 Uniform Building Codel.
APPLICANT'S SiGNATURE &z4.L- DATE /Dz/ / 9#
WHITE Fils YELLOW Applioam PINK: Finance
CITY OF CARLSBAD INSPECTION REQUEST
PERMIT# CB984325 FOR 12/16/98
DESCRIPTION: COPPER REPIPE
INSPECTOR AREA
PLANCK# CB984325
OCC GRP
TYPE: PLUM CONSTR. TYPE NEW
APPLICANT: CAL COAST REPIPING PHONE: 800 649-7511
JOB ADDRESS: 2715 AVENIDA DE ANITA STE : LOT :
CONTRACTOR: PHONE :
OWNER : PHONE :
REMARKS: c/ INSPECTOR
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
24 PL Rough/Topout -- - -- - --
***** INSPECTION HISTORY *****
ACT INSP COMMENTS DATE DESCRIPTION
Iight Corporate Park, Ste.130
:rvine, CA 92606-5105 .........................................................................................................
Pacific Insurance c/o American E&S
Cal-Coast Rcpiping. Inc.
1371 Titan Way
Brea, CA 92621 :c
:, .................................................................................................................................... : c-~ RLI Insurance c/o American E&S
Y CONTRACT OR OMER DOCUMENT WTH RESPECTTO WlCH THIS
ME INSURANCE AFFORDED BY ME POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
-CoMPlw*M 8 1 ..........................................
: iSU(EWLEO*UIOS
i .wRED*uTos B !.....; iBUA1029089 5 73 .............................................
I ~ BDDlLY INJURY i1PI-1 .......... .................................................................................. :.. I ......
.......... i PROPEW Mu*oE .s
WC1063793501
10 day notice of cancellation for non-payment of premium.
SHWLDANVOPTHEA~OE6CRN1EOWUaEB Contractors State License Board EXPIRAM~N DATE THEREOF. THe IWINQ mwAm W~UENOEAVOR m MAIL
P.O. Box 26000 ~M*II-ND~CE~THEMR~~~TEHOLDU~NIYEO~THEL~.
9835 Goethe Rd. BUT FAILURE m MAIL SUCH NoncE ~HML IMPO~E ~o onuoInw OR IMBIUTY
Sacramento CA 95826