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Home My WebLink About2725 CIRCULO SANTIAGO; ; CB000177; Permit01/17/2000 City of Carlsbad Plumbing Permit Permit No CB000177 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Reference # Project Title 2725 CIRCULO SANTIAGO CBAD PLUM Lot# 0 Construction Type NEW INSTALL WASHER & DRYER Status ISSUED Applied 01/17/2000 JM 01/17/2000 01/17/2000 Entered By Plan Approved Issued Inspect Area Applicant R & R ELECTRICAL AND GENERAL 559 W GRANADA CT ONTARIO CA 91762 < 9099837173 jDwner-8101 01/17/00 0001 01 02 C-PRMT 96 00 Total Fees $9600 Total Payments ToTJate $0 00 .Balance Due $9600 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee •1 0 0 0ro 0 0 $2000 $,700 $000 $000 $000 / $0 00 $000 $000 $6900 $000 $000 TOTAL PERMIT FEES $9600 Inspector 7 FINAL APPROVAL Date /-J/Clearance NOTICE Please take NOTICE that approvai"bf 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 their imposition 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 PERMIT APPLICATION \ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)4381161 , . , FOR OFFICE USE ONLY PLAN CHECK NO £-6 EST VAL Plan Ck Deposit, Validated By Pate Address (include Bldg/Sulte *)Business Name («this address) Ugal DeVcriptiorl Lot No Subdivision Nsms/Number Unit No Assessor's Pares) * Description of Work Existing Use SO. FT »of Stories BfTOHHMflHIttffiP"^^ >t«£.L|-crx»v/F CjS*«•*/•« o/^t771. ^ 2/7 Cx^T? tS£ / £.\ Vf^XUtf]no\'(^OKrisiriHFnr^wiieai'Wiiritmfrmfif\'r^'v^fi n ..— mi..- .............. .-. ,.rm.~— .».»— . ----- •••- -- (Sac 7031 5 Buainess and Profession* Cod. Any Chy or County whteh wquttw • perm* to eoMtmet alter Improve demollah or repair any structure prior to iu • ein* etetenwM that he is tteeneed pureuant to the provlrtone of the Contractor s License Lew rofession* Cod. Any y or ouny w u wHeamfor eueh pSmttto III. • eign* etetenwM that he is tteeneed pureuant to the provlrtone of the Contractor s License ^ Sm^on 7000 of WvWon 3 of the Bualnaes and ProfaMlona Co*) or thtt h. I. exempt therefrom and the basis tor the a I not more than five hundred dollars»m to a civil panahvpf not mor '<A^/fc,Ta»Jrrtfi. NarrJa * SUM License * 5* / 3 ^O *Jr Designer Name ; State License 9 Address License Class « "" f ^^^ Address t SJ, C- - f£> , Qty Business Ueensa * * i City Stata/Zip i*> ^--^ Compensation Declaration t\ hereby affirm under penalty of perjury one of tha following declarations I have and will nuflntsin a certificate of consent to self-insure for workers compensation as provided by Section 3700 of the Labor Code for the performance 'of the work for which this permit Is issued \ ' " « l hsve and will maintain workers compensation aa required by Section 3700 of the Labor Code for the performance of the work for which this permit is d My worker's compensation insurance carrier end policy number are ••- / "\ Insurance Company vJ S F Policy No S/7P f O l<^- | Expiration Date (THIS SECTION NETO NOT BE COMFm Q t, CERTIFICATE OF EXEMPTION I certlfv thst In theperfermsncsofThe work for whlen'this permit is issued I shall not employ any person m eny manner so as to become sublet to the Workers jCompenaation Laws,of CaUfomia . .. WARNING FaHura to secure workers eompenaation coverage to unlawful and anal subject an employer to criminal penalties end civil fines up to one hundred thousand dollars («100 000) In addition to the cost of compensation damages aa provided for In Section 370B of tha Labor code Interest and attorney a fees SIGNATURE ' DATE i^^ - *~ I hereby affirm that I em exempt from the Contractor's License Law for the following reason O ' M owner of the property or my employees with wages es their sole compensation will do the work and the structure la not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor's License Law does not spply to en owner of property who builds or Improves thereon end who does such work himself or through his own employee* provided that such Improvements we net Intended or offered for tale If however trie building or improvement is sold within one year of completion the owneMHillder wttl have the burden of proving that he did not build or Improve for the purpose of sale) O I ss owner of the property am exclusively eomreetlng with licensed contractor* to construct tha project (See 7044 Business end Professions Code The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and contracts tor such projects with contractors) licensed pursuant to the Contractor t License Lew) i* 0 I am exempt under Section ______ Bualnasa and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of trie proposed property Improvement Q YES QNO 2 I (have / have net) signed an application for s building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number)________ _ _ t 4 I pisn to provide portions of the work but I have hired the following person to eoordinata supervise end provide the major work (include name / address / phone number / contractors license number) _—__— _____________________________________ _ ( 5 I will provide some of the work but I have contracted (hired! the following persona to provids tha work Indicated (include name / addreas / phone number / type of work! ______ PROPERTY OWNEB SIGNATURE DATE i is the epplicent or future building occupant required to submit • business plan acutely hazardous materials registration form or risk management end prevention program under Sections 2S605 25533 or 26534 of tha f^esley-Tsriner Hstsrdous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a parmtt from the air pollution control district or sir qualtty msns8«mem d.iwict 7 Q YES D NO Is the Ucility to be constructed within 1 000 feet of tha outer boundary of a school ana? O YES O NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OP OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OP EMERGENCY SERVICES AND THE AIR POUUTION (X)N1TOUOISTTOCT WUCANT MAS MET OR IS "BETING THE "''x*«-'.l'«''«-'iI «l'-. --- — - - . --------- . --- i m,i in.inna luajiHiHUM • MiimUfliinngMaTlimili 'twITr-l*'"" ^M»1*'*PffTJ)ia^lJt|>a|tpiJiijN|^^^]»J|]|™^ •^»-*~*»fc*-' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit la issued (See 3097(1) Civil Code) LENDER S NAME _ LENDER S ADDRESS accurate I agree to comply w,th .11 to enter upon the above C^lnJ.^.VV?tlth! ipp"._f ?" ind«"J ** *• ibw* ""formation •» cemjet and that tha Information on the plan. i. City ordinances and State laws relating to building construction l hereby authorize representatives of the City of Carlsbad ener upon te aove m SENT^wgn^Sa^ KKP MARMU88 ™E «" OFTSkSJuSJUDBMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT JSHA An OSHA permit Is required f or excavations over SO deep and demolition or construct/on of structures over 3 stotie* m height ^ ef thi, Cod. rt_» exp^e by Mmtation and become null and void If the buftftng or "^ bv *uoh "'""" iPPLICANT S SIGNATURE terttva work is WHITE Rle YELLOW Applicant PINK Finance DATE - City of Carlsbad Bldg Inspection Request For 1/26/2000 Permit# CB000177 Title INSTALL WASHER & DRYER Description Type PLUM Sub Type Job Address 2725 CIRCULO SANTIAGO Suite Lot 0 Location APPLICANT R & R ELECTRICAL AND GENERAL Owner Remarks REPORT TO THE LEASING OFFICE Inspector Assignment DM Phone 9092329187 Inspector Total Time CD Description 29 Final Plumbing 39 Final Electrical Act Comments A? Requested By R & R Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 1/24/2000 24 Rough/Topout AP DM 1/24/2000 34 Rough Electric AP DM [A INDEMNITY INSURANCE COMPANY HOME OFFICE PLEASANTON CALIFORNIA I Address (No Street Town County State Zip Code) ROCK (AN IND ) & R ELECTRICAL AND GENERAL IgfRICAL W GRANADA COURT ONTARIO CA 91762 Policy N 8058316A Number Uployeris INDIVIDUAL * ITEM 2 Policy Period (Mo Day Yr) 12 01 AM standard time as to each of said dates From 4/06/99 to 4/06/00 Producer JETTON S, ASSOC INS SRVCS INC Renews No NEW Number 4-800163-00-1000-Q ITEM 3 Locations All usual workplaces of the Employer at or from which operations covered by this policy are conducted are located at the above address unless otherwise stated herein ITEM 4 CodeNos CLASSIFICATION OF PRINCIPAL OPERATIONS ESTIMATED ANNUAL REMUNERATION RATE PER $100 OF REMUNERATION ESTIMATED ANNUAL PREMIUM SEE EXTENSION SCHEDULE ATTACHED ENDORSEMENT ATTACHED 1 E18 2 E39 3 E01 4 E23 5 E09 EAP $15,34! The language of the classification or classification of operations inserted in the policy declarations shall not be interpreted to extend insurance or obligate the Company to the payment of benefits to any person who is excluded from insurance by express statement elsewhere in this policy or in any endorsement hereto OTHER OPERATIONS proper classifications and rates to be determined in accordance with the manual in use by the Company ITEM 5 The following persons are specifically covered as employees anything in the Policy Exclusions to the contrary notwithstanding ALL EXCLUSIONS APPLICABLE """^M 6 Minimum Premium $ 2,500 Deposit Premium $ 2 500 + ITEM 7 Payroll reporting and premium adjustment period MONTHLY ITEM 8 Limit of Liability Coverage B Employers Liability $1 000 000 Countersigned at BURBANK on 3/18/99 X2 N 8058316A ' SEE ENDORSEMENT // 2 AUTHORIZED REPRESENTATIVE UND6201/O (03/94) 45 « 27"