HomeMy WebLinkAbout2717 AVENIDA DE ANITA; ; CB982639; Permit,
9 EUILDING PERMIT Fermi t No: CE982639 Pro,ject No: R9803468 I 08718/98 09:56 Page 1 of 1 Deuelopment No:
Job Rddress: 2717 RUENIDR DE RNITR su i te :
Permit Tup": PLUMBING
Parcel No: Lot#:
Valuation: 0 Construct ion Type: NEW
Occuparicy Groi~p: Reference#: Status: ISSUED
Description: COPPER RE-PIPE-HORIZONTRL MRIN Rppl ied: 08/18/98
: TO 1 BUILDING p r /I S 5 Ue 0 8 / I 8/Y 8 Entered By: RPIR
flp~~l/O~r~r : CRL CORST RE-PIPING
:I. :3 7 1 I- I T A N W Y
800 649-7511 a97 ww-
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I00
,00
?7,00
:t fee Data - - - - - - __ - - _ _
20.00 Y
7.00
- ----- I CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., CarlsW, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr.. Carlsbad CA 92009
(760) 438-1 161
FOR OFFICE USE ONLY
PLAN CHECK NO. q( my - EST. VAL.
Plan Ck. Deposit
,
Existing Use Proposed Use
#of Stories H of Bedrooms X of Bathrooms Pi nl W.P& biw-lwv- )*n so. FT. Oescfidon of Wwk
.,,, ,,. .. . . . . .
2- E .,
(Sec. 7031.5 Businass and Rofsssiom Coda: Any City or County which IaquileS a permit to EOnstNct. aker. impmve. demolish or repair any StNCtYrL prior to its
issumw, also rsquiru the applicant for such permit to file a signed statement that he is licsnssd pumuant to the provisions of the Contractor's License Law
[Chapter 9, commending with Section 7000 of Division 3 Of the Burinass and Rofurionr C&l or that he is exempt therefrom. and the basis for the alleged by my applicant for a permit subiects the applicwn to a civil psnaity of not mora than five hundred dollam 1$50011.
137 cn LVh A&A- on- 32fP/ IW.cq9 7 Y// -
Name ' Addre- CLV
stat. Liesnas t Ir 3 I,
Designer Name Add re as City statelzip Telephone
rS License Class C, jb City Business Ucense X
of the work for which this parmit is issued.
issued. My worker's compensation insurmco wrrir and policv number are:
Inswmw Company CQ blicyNol~.jYKtq3b 3
ITHIS SECTION NEW NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS1
0 to become subject to the Worken' Compensation Lawa of California.
WARNING: Fdlun to ..EYI. workm' ComomnMlOn somg. Is UIdaWhd. Md 8hdl8ubhCl UI e to erMrul
thou4 do1l.r. 00 000 , In .dwon to tb con of comp.n.nion, d.nupu ms Pr0vid.d ta h Sectla 3708 D
DATE
I have and will maintain a oerlificate of consent to self-insure for worken' compenaatim as provided by Section 3700 Of the Labor Code, for the performance
I have and will maintain workers' comp.naatiOn, as required by Section 3700 of the Labor Cads. 101 the performance of the work for which this permit is
Expiration Date 427-9 @I
CERTIFICATE OF EXEMPTION: i wrlify that in the pertoimanw of tha work for which this permit is irruad. I shall not employ my pwwm in my manner so as
nd SlrH fh.8 up to au kvndnd
., , . ,:,. ., ., ,.
SIGNATURE ELdA
~.,.'~~~.~~~
I hereby affirm that I am axampt from the Comncto& License Law for the following mason:
I, as owner of the propem, or my employear with wagas as their sols compenaaion. will do the work and the RNcture is not intended or offarad fw sal. ISec. 7044. Business end Rofauiona Code: The COmractOr's License Law do8a not apply to en owner of properly who builds or improves thereon, and who does such work himaalf 0, through his own employees, provided that such improvtlmentr are not intandad or offered for sale. If, however. the building or improvement is
sold within one yea, of completion. the owner-builder will haw the burden of proving that he did not build or improve for the PYIPOS~ of sale,).
i, as owner of the properly, am excIuaiveIy contracting with licensed comracton to construct the project ISsc. 7044. Burinus and Rofessionr Code: The
Contractor's License Law does not apply to an owner of propem, who builds or improves thereon, and Contracts for such projects with contnctorls,) licensed
pursuant to the Contractor's Uwnae Lawl.
1 em exempt YndW Section
I pmmnally plan to provide the m8j0r labor end mnerids for CMmNmion of the pmposed pr0p.W improwmmt. YES ON0
I (haw I have not,) signad an 8ppiicMinn for a bvildinp permit for the prowed wwk.
I have cmtractd with the following penon lfirml to provide the proposed construction linclude name I addrus I phone number I contractors license numberl:
Busimss and Rofsssims Code for this reason:
1.
2.
3.
4.
number I contracton liwnsa number):
5. of workl:
PROPERTY OWNER SIGNATURE DATE
I plan to provlde portions of tha work. but I have hired tha following person to cwrdinale. supervise and provide the major work linclude name I address I phone
I will provide some of the work. but I havm contracted Ihiredl the following parsons to providm the work indicatad linclude name I address I phon- number I type
,. .... ., .
1s the applicant or future
progrsm under Sections 25505, 25533 or 25634 of tho P~tl~l~Tann~ Hazardous Subsfence Account Act? YES NO
Is the applicant or future building ooc~pant required to obtain a pennit hom tha air pollution control dinrict or air quality managament district?
Is the fecility to be constructad within 1.ooO fen of the omer boundary of I) schwl ate7 YES 0 NO
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 REOUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
k management and prevention
0 YES NO
., .. jl
I hemby affirm that them is a construction lending agency for the partormance of the work for which this permit is issued ISsc. 3097lil Civil Codsl.
LENDERS NAME LENDER'S ADDRESS .. . ._ .. .. '. 1. . .---.i :
I oerlify that I have mad the 8pplication and net. that the above information is correct and that the informaion on tho plans ia accwate. I agree to cmnply whh a11 Cn, ordinances and State iaws nlMing to building EONnNctiOn. I hrsby authorize IapIeMlntetiVns Of tha CW Of Carlsbad to enter upon the abav0 mentioned properly for inspection purposes, I ALSO AGREE TO SAVE. INDEMNIFY AND KW HARMLESS THE ClTy OF CARLSBAD AQAINST ALL LIABILITIES.
JUDOMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSW An OSHA permit is requirad for exowaims over 6'0- &ap end damolkion or CoMtNction of muctures Over 3 atOlies in height.
EXPIRATION Evew wrmlt iuuad by the Building Official under the pmvisions of this Code shall expire by limitation and bacmns null and vDtd if the building or
work authmired by such parmit is not commenced within 385 days fmm the data of such pnmit or if the bullding or work authorized by such permit is suspended
or abandoned at any time after t or is cornmancad for a pwiod of 180 days ISsction 106.4.4 Uniform Building Codsl.
APPLICANT'S SIGNATURE E&!* C f
WHITE File YELLOW Applicant PINK: Fimnce
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/24/98 INSPECTOR AREA PERMIT# CB982639
DESCRIPTION: COPPER RE-PIPE-HORIZONTAL MAIN PUCK# CB98263
TYPE: PLUM CONSTR. TYPE NEW
APPLICANT: CAL COAST RE-PIPING PHONE: 800 649-7511
TO 1 BUILDING OCC GRP
JOB ADDRESS: 2717 AVENIDA DE ANITA STE : LOT :
CONTRACTOR: PHONE : OWNER : PHONE :
REMARKS: c/ SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
INSPECTOR
\
ACT COMMENTS
26 PL Plumbing Repairs/Sprinkler - -- -- - --
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
~, Steven Brody .....................................................
Cal-Coarr Repiping. ~nt.
1371 litan Way
Brea. CA 92621
............ 1 :., ,,. . , , , . , , .. ,, , ... , , . , . , .. , ............... , ... , ,. , .. ,.. .................................................................................
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i cwmy CNA/Valley Forge Insurance Company ;B I 1 QMIINV CNA/Tranrconrin4nsal Insurance Company
INDICATED. NOTMWSThNDING ANT' REOUIREMEhT. TERM OR CDhDmON Of CUmflUTE u*V BE ISSUED OR UAV PERTIUN. THE INSURANCE AffOllDCD UT' THE POLlcm DCSCNUCD UCREIN IS SUBJECTTO ALL THE TEW9
UCLUSlONSAND CONDITIONS OF SUCH POLICIES LIMITS SHW MAY MVE BEEh REDUCED BY PAID CLAYIS
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10 day norice of cancrllation for non-payment of premium.