HomeMy WebLinkAbout2725 CIRCULO SANTIAGO; R; CB000081; Permit01/10/2000
City of Carlsbad
Plumbing Permit Permit No CB000081
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Reference #
Project Title
2725 CIRCULO SANTIAGO CBAD St R
PLUM
Lot# 0
Construction Type NEW
INSTALL ELECTRICAL/PLUMBING
& DRYWALL WASHER & DRYER
Status ISSUED
Applied 01/10/2000
Entered By GMF
01/10/2000
01/10/2000
Plan Approved
Issued
Inspect Area
Applicant
R & R ELECTRICAL AND GENERAL
Owner
'('
7896 01/10/00 0001 01 02
C-PRMT 96 00
t)&y W UKANAUA C 1 /
ONTARIO CA 91 762 /
9099837173 /
/\
^ \C ^';-.\ °J -. X
\ V ' ' ° /( i f v \
'"'"''/ ^X x x 'i^\ \/-"/ \^ \ s (- x
Total Fees $9600 ' k Total Payments To Date N
x $000" XVy Balance Due $9600
/ "~
!
Plumbing Issue Fee i '
Fixture or Trap (
Building Sewer
Roof Dram v
Install/Repair Water Line
Water Heater and/or Vent
/ \ ~o? — — '7 ^--- \ ^ ^ '-~^ ~~~-- — — zz. ^~~_ __^_, "^""/y ) -^
/ \ ^^ X ^ ! ~ ~ ' '%, \ xx / r ~™ i,X ^-> x ^r, o-y/ $2000
^M\^r ^ /^AC/1 $700
- ^{//o Pr1 ' (//rN% o $000
V \ iQT> ['I-) ' f^ "" /X $°°°0\V ^- l '^ r ^ $o 00
x / 1 ^v; "" / $700
Gas Piping System -V ^ x C 0 INCORPORATED ^/ ( ^ / $0 00
Vacuum Breaker \ v
x
Other Plumbing Fees \
\
Master Drainage Fee
Sewer Fee
, /~> "0 T ,. - \ V~ / $00°J/^' , ~ ~ "_xX^Yx / $6200
V
7<( ' -VA (
x\ ^x X
- r v / ^ •- "" ^ -- $o oo
\^_^ — ^ ^ ^ JQ QQ
TOTAL PERMIT FEES $9600
Inspector
(
FINAL APPROVAL
Date /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 theinmposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
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
2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438 1161
FROM PSP ELEC & GEN C0NTRPICT0RS PHONE NO 909 986 0404 Jan 10 2000 09 17flM PI
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr , Carlsbad CA 92009
(760)4381161
rwn
PLAN CHECK NO _ eft**** VI
E8T VAL
PtanCk Deposit.
Validated
Date '/lff '**"
ln**» MIA* tot thl* •*«•«»>
tfc» *\Y}~insCity Bt*te/Z)p
CJty BuilMn Ueem* •
Ouignir Nemi
Stew Ue«nM »
c«v 5tete/Zlp
H I hev* ma wffl melnain WO*OT
Tewphoni
to lotMneur* for worker*' corapmwtion M provided by feotion 3700 of the Ubor Code for tM pertormene*
, * required by Seettofv 3700 of the Ubor Cod* for the Berformtnei of th* work for which this permit i*
Expmnlon Pet* 3~/P-~gp€>
t thell nol employ eny penon In eny menner *o •*
out HUOTIUSP PCUAM Ktoei on tesw
<I^^M«>1^^ ktMfut md MtonMy • fMi
. ..__ , _. ..,_,. _ . .,... . ^3*r=5<'rH2*WT!s^^^!»'I hereby etflrm thit 1 *m •xemptfroWth* ContreetortUcem* uwlorth* Mlowino lecean
0 ' *» owner of the property or my ompioyoei with weoet M th*tr tole Mmpmtetton, wfll tt* the work end the etructure It not Intended or offered for tele
(Sec 7044 8«*IMM end P«f eeeton* Cod* Th* Comreetar'* Uoente uw doef not ipply to en *wn*r of property who MiMe or Improve* thereon end who doe*
such wor*Wm»*lfwthrauanhli own employ*** provided thet tueh imtnuireiiienu ere not Intended or offend tor eel* if howevei tM building or Improvement it
•old within one yeer of completion the owner-ouBoer w«t neve the burden of provmo thet h* *d not bu«d or Improve for the purpo** of cele)
O I *> own*' o* the property em exctwlvely «atnrtrtlno wftn licenced eontreetoti to eorntruct the ptoiwt (Sec 7044 Buem*** end rVofueion* Cede The
Centnietor'i Ueent* Uw d«*t not eppty to an owner of property who bund* or improve* thereon md eontnuu for eueh project* with eontrectorlsl Itceniedpunuent to the Contreotor*! Ueenee Lewi /*
Q I »«<i ex»mot urtd*r Section Bu«lne«eer>d "tofeeelone Cod* for thtt neinn.
rlmpraverrtent Q VES
3 I rtavt eorm*etM artth tti» foBoKrtog ntnon <flrm> to provM* thi tlen (indutfo ntfflf / iddlM* / phono number / comr»qtor» fieerti* numov)
ipertontocoorolftete tupervie* end provld* th* m*)or work Itndud* r»m* / *dd»*et / phan*4 I pl«n to provide portions df th*wg«K.DUt I fwMNrOtf the folto
ruimbtr / eomrtotart llcent* ruimbw) <
$ I wlU provfcM urnw of tM wort buM h»vo oemractetf (MfM) th*o« work) __ _ ___ _ , __ _•m*. / oddfe** / phono number / type
PftOOEftTY OWNt* 8IONATUM DATE
I* in* eppBeint or fuiur* bi •red ta tubmrr e butlnew aUn, oeuMy hi trlalf
preffem under SecBone 28508. aSfr» or »B34 of 1h* rV*J>*y-T*mw Henrtotie Sufatenqe Account Act? D YES D NO
i»tr^«p^to»mofMur*buttdirvoeeuj)*mr*ijuir*dte*bt«to*p*™^
rofSMhaoitNt? D YES Q NO
YES
IF ANY OF TUB ANSWtRS ARE YW. A FWAl COnWCAtl OP OCC>ma^ ^VMOrUtaS(m>\mU^-ntE UVUCJ^ HM M^ OK >$MB^HQ
RfOUTRfMENtS OF THE OFFICE OP WHMPICT BErWICCB **P THE AIR POUVTWN COWTTOU OSTWCT
> *±^(rai»mCTl^iaaita>i&i<i^^ ^.^^ ^
I hereby eff Irm thet there I* e eenetmetten tamSno e0*ney for th* performene* of tn* work for whWi thli permit I* leeued <S*e 3OS7M civil Code)
UNOER-S NAME ______ —_—___ «NOeiT8 AOWWOS _ , , __ _
NO
- - - ^-, . —ileeorteetendthetth* MormMon onth* pltrtt liecauet* I ten** to eempiy with *nCity ordinenoet end Sttte lewt reletiftff to building eomtruetton. I heresy euthorize npnuxiUtlve* of th* Cfr» of C*rt*bed to enter upon the tbove mentioned
property for Inraecnon PWPOMB I ALSO A8KEE TO SAVE MBEMMFV AND Kfi0> MAKMUH THE CITY OF CARLSBAD AOAINST AU UABILITIES
JUDOMIHT8 CO»T8 AND EXPCMSES WHICH MAY MANY WAV ACCfttrt AO«f«tT »AIO OfT W COimOUENCe Of THE QftAimNQ OF TrUS PEftWT
OSHA An OSHA permit I* requlnd for enevetione ever 0*0 o**p end demoUUon or eanetmetlon of etruetunu over 3 etorie* In hewht
EXPIRATION Every permit l»eued by th* BuBdlnfl OfBdel under the provitteru of thie Cod* eheff *»plf* by KmroMton end beeom* null end void If ww building orw«k «iir>«n*ed by euch permit it not commenced within 388 deyi from th* dm of eueh permit or If th* building or work mthortted by tuch permit i
rt •tlffjfutofiaH mt eiftW «*«•• •*•*•«•««• >*m»* I* firttnn»**>n^rt *VM* d* eiael n el +M 4JOM «i aeleTI —* lOft A *4 UnffOffll AufirftrUI CAfltll
OATE / —,
o abinooned n eny time efterthe
APPLICANT S SIGNATURE
commenced for * peftodjf 1«0
I WHIT! til* VeaOW Applieem PINK nnenee
City of Carlsbad Bldg Inspection Request
For 1/18/2000
Permit# CB000081
Title INSTALL ELECTRICAL/PLUMBING
Description & DRYWALL WASHER & DRYER
Inspector Assignment DM
Type PLUM Sub Type
Job Address 2725 CIRCULO SANTIAGO
Suite R Lot 0
Location
APPLICANT R & R ELECTRICAL AND GENERAL
Owner
Remarks REPORT TO LEASING OFFICE
Phone 9092329187
Inspector
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
Act _ Comments
Requested By R & R GENERAL CONTR
Entered By CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
1/14/2000 24 Rough/Topout AP DM
1/14/2000 39 Final Electrical AP DM
USF Insurance Company
100 Campus Drive Florham Park, New Jersey 07932
DECLARATIONS
; Declarations Page is issued in conjunction with and forms a part of Policy Number SHO 10121 01
Renewal of Number SHQ 10121
Item 1 Name of Insured R & R ELECTRICAL AND GENERAL CONTRACTORS
ROCKY G MATHEWS
Address 559 WEST GRANADA COURT
ONTARIO CALIFORNIA 91762
Item 2 Policy Period MARCH 12 1999 to MARCH 12 2000
(12 01 a m unless otherwise specified)
Item 3 Description of Insurance afforded hereunder COMMERCIAL GENERAL LIABILITY
Item 4 Limits of Liability Coverage is provided only if a limit is shown below
General Aggregate Limit (other than Products-Completed Operations)
Products - Completed Operations Aggregate Limit
Personal & Advertising Injury Limit
Each Occurrence Limit
Medical Payments Limit
Fire Damage Limit
$$$$$$
2 000 000 00
1 000 000 00
1 000 000 00
1 000 000 00
5 000 00
50 000 00
(any one person)
(any one fire)
Item 5 Self Insured Retention $
Item 6 Deductible $ 250000
D Per Claim
Per Claim
l~~l Per Occurrence/Offense
See Endorsement Number
|~| Per Occurrence/Offense
See Endorsement Number 6
Item 7 The Named Insured is I Individual l~~l Partnership |~1 Corporation
| Joint Venture d Other i~l Limited Liability Corporation
Item 8 Premium
Annual
QFlat
The premium stated herein is the minimum premium for the policy penod Any adjustment upon
audit will be upward only There will be no premium refund of the minimum premium upon audit if
the estimated exposure is less than shown herein Twenty five percent (25%) of the annual premium
is fully earned as of the inception date of the policy
D Flat Fully Earned
D Term $6 630 00 MINIMUM & DEPOSIT
IE! Adjustable at a Rate of $8 50 PER $1 OOP 00 OF GROSS RECEIPTS
Estimated Exposure $780 OOP 00
Item 9 Endorsements and forms attached to this Policy USF ADDLDEC (ED 12/97)
USF OCCUR (ED 12/97) (Rev 6/98) ENDORSEMENTS 1 THROUGH 12
Counters ignature Date
March 17 1999
U
COUNTERgfGNATURE OF AUTHORIZED
REPRESENTATIVE
USF OCCDEC (ED 12/97) (Rev 8/98)