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Home My WebLink About2723 AVENIDA DE ANITA; BLDG 9; CB990547; Permit-. , City of Carlsbad d3s.53 0211 011 999 Plumbing Permit Permit No:CB990547 Building Inspection Request Line (760) 438-31 01 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: Lot #: 0 Applied: 02/10/1999 Reference #: Plan Approved: 02/1011999 Issued: 02/10/1999 Project Title: 12 UNIT BLDG Inspect Area: 2723 AVENIDA DE ANITA CBAD Construction Type: NEW Entered By: MDP COPPER REPIPE Applicant: Owner: GAL-COAST REPIPPING t2e4 OU~O/B 01. O2 C---FRflT 5: (, 2: 1371 TITAN WY BREA CA 92821 800-649-7571 Plumbing Issue Fee Fixture or TraD Building Sewer Roof Drain InstalllRepair Water Line Water Heater andlor Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES I ! WMIT HAS EXPI' SECTION 106.4.4.4 I- --- DATE 8 I t s 1% SIGNATURE ,+- FINAL APPROVAL Inspector: Date: Clearance: NOTICE Please take NOTICE that approval of your project includes the 'Imposition' of fees. dedications, reseruations, or other exactions hereafter mlkcdvely referred to as 'feesiexadions.' You have 90 days from the date this permilwas issued to protest imposition of these feeslexatiwns. If you protest them, you must bllaw the protest procedures set forth in Government Code S&n 66020(a), and fde the protest and any other required infomation with the City Manager for processing in amrdance whh Cadsbad Municipal Code Secdon 3.32.030. Failure to Bmelv follow that pracedure will bar any Subsequent legal action to attack, review, set aside, void, or annul their impsition. You are hereby FURTHER NOTIFIED that your rQht to protest the spackd feeslexadbns DOES NOT APPLY to water and Sewer mnnection fees and CapW changes, nor planning, zoning, grading or other similar applicatwn pmssing or Sewice fees in mnnection wilh this project NOR DOES IT APPLY to any fdexactions of which you have previously been qiven a NOTiCE similar to this, or as to which the statute of limitations has PreviouSIv otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr., Carlsbad CA 92009 (760) 438-1 161 Address lincluds BldglSYite XI Business Name la1 thm address1 FOR OFFICE USE ONLY PLAN CHECK NO. 77- r'l? EST. VAL. Plan Ck. Deposit Validated By Date Legal Description Lot NO. Subdivision NsmelNumber Unit No. Phase No. Total X of units ~ ArrerGor% Parcel X- Existing Use Proposed Use X of Bedrooms CC 1 of Bathrooms SQ FT #of Stories 2. Name Address CltV StleIZlp Telephone X Fax X CONTACT PERSON (If dlffaranl from rwllwntl l&mer 0 Agent for Owner suo L /* dJ7@ PA 9 a/ 6U4 7571 Address Clt" statemp Telephone X PAL &As Nzme 6. .CONTRACTOR-COMPANYNAME. ISsc. 7031.5 Burinerr and Professio~ Coda: Any City 01 County which requires 8 Permit to ConstIUct. alter, improve, demolish 01 repair any slr~ct~re. prior to its isumce, also requires the applicant for such permit to file LI signed 5tatemenl that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending With Section 7000 of Division 3 Of the Business and Professions Codel or that hs is exempt therefrom. and the basis for the alleged ' ' civil pen Ity of not more than five hundred dollars 18500ii. R/& P7? 92J/ &o&Oy 791 Name Address StsteiZip Telephone X state License a ($36 SUP License class c 34 City Business ~icenss x 1-14 /d/ 7 Designer Name Address city Ststelzip Telephone state Llcanss X 8. WORKERS' COMWSATION Worked Compensation Dsclarmon' I hereby affirm under penally of perjury one of the following daclsrafions' c] oft e work for which this permit is issued. Issued. My worker's compensation insurance carrier and policy number are: insurance Company C/UA ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS Id1001 OR LESS1 to become Subiwt to the Workers' Campanratim Laws of California. WARNING: thousand dollars fd100.000l. In addlUon 10 the cos1 Of compen.atlon. damsgas as prOYlded for In SeEtlon 3706 Of the Labor code, in1sr.st and atl~rn(ly's teas. SIGNATURE DATE 7. OWNER-BUILOU1 DECURATION I hereby aftiim that t am exempt from the Contractor's License Law tor the following reason: i. ns owner of the propmy or my employass with wager as their $01. compensation. will do the work and the str~ct~re is not intended or offered for sale 1Sec. 7044, Business and Professions Code: The Contla~t~r's License L6w doer not apply 10 an awnel of property who builds or improves thereon. and who does such work himself or through his own smployoss. provided that such improvemantr 0re 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 $aiel. c] i, as owner of the properly. am exclusively contracting with licensed contIBCt01S 10 CDnOtlUCt the project ISec. 7044. Business and Profaojions Coda: The Contractor's License Law does not apply to an owner of properly who builds or imPrOYe5 thereon. and ~ontl~~ts for such projects with COnlractOrlsi licensed PU~BUB~~ 10 the Contractor's License Law). 1 .' 2. 3. 4. number I Contractors license number): 5. of worki: PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NONJIESID~TIAL BUlLDRC PERMITS ONLY IS th0 applicant or future building occupant required to submit a businsrr plan. acutnly hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 Or 25534 Of the PrerlsyTanner HazardOUI Substance ACCDUnt Act7 YES NO 1s the applicant or future building occupm1 required to obtain a permit from the air pollution Contra1 district or air quality management diStiict1 c] YES 0 NO Is the facility to be constructed withh 1.W feet ol the 0me1 boundary of a schoal rite1 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 REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY ~' . . I hereby affirm that them is a construction lending agency for the performance of the Wark for which this permit is ihmd ISec. 30971i1 Civil Code). I have and will maintain a cerlifioate of consent to self-insure for workers' comPmoati0n as Provided by Saction 3700 of the Labor Code. for the performance I have and will maintain Workers' compensation, IS required by Section 3700 of the Labor Code. for the performance of the work for which this permit is & Policy No &/3/L?A3 793 5L, r Expiration Date id 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 Failure to ~(Icu~. workers' Cornpen~stlon coverage Is unlawful. and Ihdl subIan an employer lo Crlmlnal panalllo. and SIYII tines up to one hundred . ,.. . , . I am exempi under Section I personally plan to provide the maim labor and materials for CQNt~UCliOn of ths PiapoMd Pnpnrlrty improvement. YES DNO I Ihaw I have not1 signed an application for I building permit for ths proposed work. I have cantrsctd with the following perron lfirml to provide the propored CanetrUCtion linclude name I address I phone number I Contractors license number): I plan to provide portions of the worh. but I have hired the following person to coordinate. SUPBIVISB and provide the major work llnclude nams I address I phone I will provide soma of the work. but I have contracted fhirsdl the foilowing persons to provide the work indicated linclude name I address I phone number I type Business and Proflls~ionf Code for this reason: LENDERS NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION I Certify that I have read the application and state that the above information i$ correct and that thn information on the plans io DCCU~B~B. I agree 10 comply with 011 City ordinances and State laws relating 10 building Construction. I hereby authorim representatives of the City of Carlsbad to enter upon the above mentioned p~openy for impetikm purpose^. 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 excwalions over 5'0" deep and demolition or COnStrUCtion of Structures over 3 stories in height. EXPIRATION: Every permit ikswd by the Building Official under th8 pi~visions 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 365 days from tho date of such permit or if the building or work authorized by such permit is suspended or ebsndonad at any time after 106 4 4 Uniform Building Codel. APPLICANT'S SIGNATURE ,-' ' ' ' DATE d//D/99 WHITE: File YELLOW Applicant PINK: Finance - ~~~~~~~ c City of Carlsbad Inspection Request or 2/12/99 Permit# CB990547 Inspector Assignment Title. 12 UNIT BLDG Description COPPER REPIPE Type: PLUM Sub Type: Job Address: Location: 2723 AVENIDA DE ANITA Suite: Lot 0 4PPLICANT : CAL-COAST REPIPPING Owner: VILLA REAL APTS Remarks: COPPER REPIPE Total Time: Phone: 800649751 1 Inspector: Requested By: JIM Entered By: CHRISTINE CD Description Act Comment 26 Plumbing RepairslSprinkler Inspection History Date Description Act lnsp Comments . ilestone Insurance Brokers HOLDER. THIS CEI.. ........ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE ... ....... ....... . . ~, : 'COMPANY baci'fi'c Insurance c/o American E&S iillREo ' ' COMP'MY CNA/Vailey Forge Insurance Company .......... ........... ..... ........... .................. Ann: Steven Erody Ext: 221 ~ A .. Cal-Coast Repiping. Inc. R 1371 Titan Way Brea. CA 92621 .- ... ..................................... COMPANY c RLI Insurance c/o American E&S .................................................................. : CD~~PIWY CNA/Transcontinental Insurance Company I D Qks THIS IS TO CERTIFY MAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE0 TO THE INSURE0 NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOPMTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LlMlTS SHOW MAY HAVE BEEh REDUCED BY PAID CLAIMS LIMITS j POLICY EFFECrmE .wLW EXPIRAWN j : OATEIMM~LWYI MTEIMH~DDIY~ ~ TYPE OF INSURANCE WUM NUMBER GENERAL LIABILITY X COMMERCUL GENERAL LWlLm i ....... ..... : ..... ~. .... ..: ............ .......... ........ ,:.:. ,,~~~: .... CMMSMME X"': OCCUR ................ ........ ZI0007212 OWNERS 6 CONTWTORS PRO1 i ........................................................... : AU~OYOMLE uIB1In-v X ANYAUTO ..... . .. .. :GENEPAAGGREGATE I 2,000,00[ i PERSONU6ADVINJURY S ~,ooo,o~( ~ EACH OCCURRENCE ..................................................................................... i "0°C" I C?M"P AOG . 3. .. 1. ! 0 0e.t. OO! ~ 04/27/1998 04/27/199g j ................................................................................... l:.O!o.!oo( ......................... j FIRE DAMAGE (hy one rm) .: MED EXP (MY MO wnmJ s S : .............................................. ~ ..................................... j COMBINED SINGLE LIMIT $ ....... ...... .?.40!. 00' 5 .: BODILY WJURY ....... .. i (P6fP-m) : (PU ncsidwi) NL OWNED AUTOS SCHEDULED AUTOS ? 04/27/1gg8 01/27/1ggg ; ................................... i BODILY INJURY I iEUA1029089573 .................................. .... NOKOWNEOAUTOS ............................................................ i PROPERTY DAMAGE s 1 AUTO ONLY. EA ACCIDENT S : ............................................ ....... 1 OTHER THAN AUTO ONLY: GARAGE LIABILITY IWY AUTO .................. EACH ACCIDENT .................................................... ......................................................... AGGREGATE S : i :... EACHOCCURRENCE s 1,000,00( ........................................................................... ....... EXCESS WUTY .. 15 C UMBRELUFORM 'OUL0027572 i 04/27/1998 04/27/1999 i AGGREGATE OTHER i ELDISEASE-POLICYLIMIT I l.OOO,,OOl ............. THE PROPRIETOR! PARTNERSIEXECUTNE ' ' ~ELDISWE-EAEMPLOYEE I 1,000.oo1 OFFICERS ARE: WCL i DESCRlPTlON OF OPERA~ONULOC(\T1ONSNEnlCLE~PEC~L ITEMS .roof/Evidence of Insurance. lo day notice of cancellation for non-payment of premium. mFWTSWLWR CAXcEwm I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE . .~~ Contractors State License Board UPlrUnON DATE THEREOF, THE ISSUING COMPANY WLLENDEAVOR TO MAIL P.O. Box 26000 DAYS WRITTEN NOTICE TO THE CERnFlCATE HOLDER NAMED TO THE LEFT. 9035 Goethe Rd. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGAllON OR LIABILITY Sacramento CA 95826 - DFANY MIND UPON ME COMPANV. ITS AGENTS OR REPRESENTAllVES. %