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Home My WebLink About2719 AVENIDA DE ANITA; ; CB990126; Permit\ .. City of Carlsbad 01 /I 2/1999 Plumbing Permit Permit No:CB990126 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: Lot #: 0 Applied: 01/12/1999 Reference #: Plan Approved: 01/12/1999 Issued: 01/12/1999 Project Title: COPPER REPIPE Inspect Area: 2719 AVENIDA DE ANITA CBAD Construction Type: NEW Entered By: MDP Applicant: CAL-COAST RE 1371 TITAN WY 800-649-7571 Total Fees: !PIPPING ' 92821 $52.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Veni Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES Owner: 0001 01 . 02 C-mT 52.00 $52.00 n FINALAP 0 AL Date: .&? Clearance: hOT CE Please lake COTICE mal appwal d y0.r p-cpct ncludes me 'lmpmlbh' d fees cedcams malums. or omer wcbm rareatbr cakcuvety relenea to as 'IBBOIexaclans ' Yo. have 90 oays kom me @ate hs perm# was m.ed to protest wbon of We IeaI~xmms d you pmml mem you mal Mlow me pmlest pmcadures set lor& n Government Cwe Secmn 660M(a) am file me pmtest an0 any omer req-ired informatan wnn the City Manager for paess ng #n aaomance wlth Carlsbad Munopa Code Secwn 3 32 030 Fa .re lo rme y follow mal pmcedure w I bar any smeqml lega man to auacr. revmw set aside. wd or ann.1 the r impmmn YwannerebyFURTrlERNOTlFlEDthalywrrghlto~~tMespsc~edfeeslexk(ans DOESNOT APPLY towalstardssvermn~(eesaMca~ changes. nor planning mn ng graalng or odxr similar a@icatan pmceooirg or sfmice fee0 m omwm *ilh mu pmect NOR DOES IT APPLY (0 any leeolexacnons cd whch YOU have p(ewusly ~een wen a NOT CE s mi ai m Ins. or as b which he slallmt d l!mnabcm has prevausly omenrise e~plred 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 Asse~~fs Parcel X Use Proposed Use Dsrcription of Work SO. FT. #of Stories X of Bedrooms X of Bathtowns P~PP~J /&WGW@ w rum FOR OFFICE USE ONLY PLAN CHECK NO. ?? 26 EST. VAL. Plan Ck. Deposit Validated By Date /e - 7 ~ ,, .. 3. ' " CONTRACTOR i COMPANYNAME . , . lS11c. 7031.5 Business and Professions Code: Any City or County which requires a permit to COnstiUCt, alter. improve, demolish or repair any structure. prior to its issuance, also requires the applicant for such permit to fila II signed statamem that he is licensed punuant to the provisions of the Contractor's License Law IChaptsr 9, commending with Ssction 7000 of Oivision 3 of the Business and Professions Codel or that ha is exempt therefrom. and the basis for the alleged exemption. An violation Of Ss ' n 7031.5 by sny applicant for a permi Name Address f City StstelZip Telephone X stat. ticanre a d9 Lk+9 License class 436 city Business License a /AU 66/ 7 Designer Name Address City StitelZip ~ Tslaphons applicant to e civil penalty of not mom than five hundred dollars 1$5001). - &.5r &P//P/A/G. &@. /3 7/ State UCeMe X , . '. WORUER8%OMPENSAIION '' . . ~. .. Workers' ComDsnsation Declaration: I hereby affirm under penalty of periurv one of the fallowine declarations: 0 ark for which this permit is issuad. "P I haw and will maintain workan' compensation. as required by Section 3700 of the Labor Cod2 fw the PMtmmance of the wmk tor which mir permit is, iswad. My worker's cornpansation insUIanC0 carrier end Policy number are: insurmca Company /I/& policy NO.-#$ /06 '37935b Expiration Data (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OOLIARS 1$1OD1 OR LESS1 0 CERTIFICATE OF EXEMPTION I certify that in the psrtormancs of the work for which this Permit ia issued. I shall not employ any person in any manner SO as to become subjsct to the Workers' Compenaatien Laws of California. WARNING: Fdur. to mme workm' compensation coverage I8 unBwM. and shml wbbct an .rnPloVar to cridnal prnaltles and clvil flms up to one hundred thousand dollar. 11100,0001. In addition to the mst of Compmmtlon. damagu as povldul far In Section 3106 of tha Labor code, interm and attorney's fees. SIGNATURE DATE 7. ' OWNER-BUILDER DECLARATION I hereby affirm that I am axempt from the Contrector's Licsnra Law for the following rearon: 0 I, as owns, Of the property or my amploveas with Wages as thair sole compensation. will do the work and the structure is not intended or Offered for sale ISec. 7044, Business and Professions Codll: The Contractor's License L~w does not aPPlv to an Owner of property who builds or improves thereon, and who doel such work himself or through his own emplovsar. piavidad that such imprwsmsntr are not intandad of offered for sole. If. however, the building or improvement is sold within one year of completion, the owner-builder will have tho burden of proving that he did not build or improw for the purpose of sale). 0 i, as owner of the property, am aXCIUsiveIv comracting with licensed COntraCtols to COnStNCt the project ISec. 7044. Business and Professions Code: The Contiactm's Cim~ Law d0o.i not apply to an owner of plweny who builds or imPrDVes thsreon. and contracts for such projects with contrictorlsl licensed Pursuant to the Contractor's License Lswl. 1.' 2. 3. I Mve and will maintain 8 certificate of consent to Self4nrure for workers' compensation as provided by Section 3700 of thyLabor Code, for the performance & *./ ".,.,/. ,. . I am exempt under Section I pwsonslly plan to provide the major labor and materials for construction of the Proposed Propertv improvement. YES ON0 I (have I have not) sipnad an appiimtion for a building permit for the proposed work. 1 have contractd With the foliowing c arson (firm) to provide the proposed cOnstrYCtiOn linclude name I address I phone numbar I contractors license number): Business and Profenianr Code for this rearm: 4. number I contractors license numbar): 5. of workl: PROPERTY OWNER SIGNATURE DATE COMPLmTtllS SECTION FOR N0,WESISIDWTUL BUILDING PERMITS ONLY. Is the applicant or future building occupant required to submit a burinas pian Program under Sections 25505, 25533 or 25534 of the Preslev.Tanner Hazardous Substance Account Act? 0 YES 0 NO 1s the applicant or future building occupant required to obtain a permit from the air pollution Control district or ail quality managemem district? IS the facility to be constructed within 1 ,OW leet of tho outer boundary of a school lite? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. I plan to provide portions of the work. but I haw hired the following person to coordinatn. IuPerYiae and provids the major work (include name I address I phons I will provide some Of the work, aut I have contracted (hired) the foilowing parsons to Provide the work indicated linciuda name I address I phone number I type ely hazardous materials registration form or risk management and prevention 0 YES 0 NO 8. ..,CONSTRUcTK))I LE"O.AGENW ., I hereby affirm that them Is a construction LENDER'S NAME LENDER'S ADDRESS the work for which this permit is issued ISsc. 3097111 Civil Code). 1. . APPLICANT I canify that I have reed the application and atate that the above information Is correct and that tho information 00 me olans is accu~ate. 1 wree to comolv with all City ordinances and State laws relating to building COnltRIctiOn. I hereby authorize IePrsrantatlvss of the City of Carlrbad to entar uponthe above mentioned PmPertv for inspection PU~DPDILIS. I ALSO AQREE 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT, OSHA An OSHA permit is required for excavations over VO" deep and dllmolition or COMtrUction of stru~t~res over 3 stories In height. EXPIRATION Every permit issued by the Building Offlclal under the Proviaions of this Code shall expire by limitation and become null and void if the building or work authorirad by such permit is not commenced within 365 days ffm the date of auch pnmit m if the building 01 work authorized by such permit is swpandsd or abandoned at any tim APPLICANT'S SIGNATU DATE //shy ys (Section 106.4.4 Uniform Building Code). WHITE Fils YELLOW Applicant PINK: Finance ~. , City of Carlsbad Inspection Request For: 1/14/99 A Permit# CB990126 Title: COPPER REPIPE fi Inspector Assignment: t- Description: Type: PLUM Sub Type: Job Address: Location: 2719 AVENIDA DE ANITA Suite: Lot 0 APPLICANT : CAL-COAST REPIPPING Owner: VILLA REAL APTS Remarks: COPPER REPIPE Total Time: Phone: 8006497511 Inspector: Requested By: JIM Entered By: CHRISTINE CD Description 26 Plumbing RepairslSprinkler InspectionHistory Date Desdption Act lnsp Comments HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND ight Corporate Park, Ste.130 .vine. CA 92606-5105 .. ttn: Steven Brody IWURU) ................................................................................. Cal-Coast Repiping. Inc. 1371 Titan Uay Brea. CA 92621 Ext: 221 ............................ ..................................................................................................................................... COWANY Pacific Insurance c/o American ECS c~p~ CNA/Valley Forqe Insurance Company A B .................................................................................. .: CWAm ic ........................................................................................... RLI Insurance c/o American E&S ................................................................................................................................................. :,, I i cmp~ CNA/Transcontinental Insurance Company iD MIS IS TO CERTIFY THATME POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED i INDICATED. NONKMSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONlRAC CERTIFICATE MLY BE ISSUED OR MAY PERTAIN. ME INSURANCE AFFORDED BY THE POLICIE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW MAY HAVE BEEN REDUCE ...... ....... , .. i CWSYIDE i X :OCCUR i ER'S 6 CW4TRACTORS PRO7 j i ....... ZI0007212 ....... ~. .. j 01/27/1998 .. ,...... i .................................................... j i mmLE WUPI : .. ......... > ..... i x ;MMo i iMLoymDAuTwl 1 ...... 1 2 I6CHECUEDUiTOS p ,HIREDNOS 1 3 ...... > jBUA1029089573 ........ : .. : iNOKOVUKOAuTwl ......... ... i 04/27/1998 ........................................................... I 2 j .. .. .. !GARAGELl4WLnY : /WMO ........ ......... .. ...... ;. .................................................... : >! .. .~ ......... ': Excw l.lauuTI : :. 1 UlBREUAFMUl jOUL0027572 ! 04/27/1998 ......... ~WC1063793501 i 04/27/1998 i .. i EXCLj ' THE PROPRETOW ~ ~ INCL i !P-RSIU(ECVTNE ! ....... ~ : OWlCERS UIE: : OnIER R .oof/Evidence of Insurance. 10 day notice of cancellation for non-payment of premium. .................................... ................................. ................................ I i C~lNEDSlNGLEuMrr ~ 8 1,000,000 ...................................................................................... Sacramento CA 95826 -