HomeMy WebLinkAbout2732 AVALON AVE; ; CB973879; PermitGIJILDING PERMIT Permit No: CB97387Y
12/24./97 09:13 ProJect No: A97u51iii5
Paue 1 of 1 Developnient No:
Job AGiciress: 2732 AVALON A\I Suite:
Permit. Type: PLUMBING
Parcel No: 16'7-561-36-Ou Lot#:
Valua t. i on : (I Construction Type: NEW
Occupancy Group : Reference#: Status: ISSUED
Description: COPPER REPIPE ENTIRE HOUSE Applied: 12/24/95 Apr/.Issue: 12/24/97
Entered By: JM
Awpl/Ownr : PEPPARD PLUMBING 619 442-6558
1466 PIONEER WAY SUITE 9
EL CAJON CA 92020
kxx Fees Required *** Fees Collected & Credits ***
Adjustments: C-fRHT. 00 27.00
_________________
2539 12/24/97 ooo1 01 02
-______-_--_----------------
Fees :
Total Fees: . VI., 27.00
Fee description Ext fee Data __________________ ________---_-----
Enter "Y" for Plum 2U.OIJ Y
Each InstallIRepai * PLUMRING TOTAL : I:,
7.00
27. 00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FOR OFFICE USE
PERMIT APPLICATION PLAN CHECK NO.
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palrnas Dr., Carisbad CA 92009
(760) 438-11 61
Addrass iinciuds BidglSuita #I
Legal Dmcription Lot No. Subdivision NamelNumbsr Unit No. Fhse NO. Total I of units
Burinrrs Name Iat this address)
Assessor's Parcei t Existing Use wowed use
Description of Work sa. FT. #Of stories I of Bedrooms I of Bathrooms
CoP,Qi=~ e eP/P F
Name Address City Statflip Telephone X Fax X
iasuyance. also rewiles the applicant for such permit 10 file a signed statmam thst he is licented punuam to the pmvi#ions of the Contractor's License Law
IChapter 9, commsnding with Section 7000 of Division 3 of the Bylinnss and Rofesions Code1 w that he is exempt tnerefram. and the basis for the alleged
axamption. Any ViolatiOn Of Section 7031 .5 by any applicant for a parmit subism the aPPiicam to a civil penalfy of not more then five hundred dolian 1$5001i. FPPam PWAdd /&L-9 P /aCw&Q de4y ,F( Ctsa;u YY2.-6SS*
Address city statllmp
Cin, Business ticanre # dm 9L b.7 Lictlnra cia- c-~L Name
Stat. Licens* x .
Dwigner Name Address CiV statelzip Tslsphona
State Licsnss #
I have and will maintain a certificate of consent to self-insure for worken' cornpanution as provided by Saction 3700 of tha Labor Code. for tha pertwmance
I have and will maimah Workers' compensation, as rquirsd by Section 3700 of the Labor Code. tor tha padormance of tha work for which this parmit is
work for which this permit is issued.
issued. My worker's compensation insumnca Cornier and policy number are:
Insurance Company ./--A 7 /A L- .
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 18 K)R ONE HUNDRED OOUARS 1$1001 OR LESS)
to become subject to tha Workers' Cornpansation Laws Of California.
gO/Expiration Date /-Z-ZY -27 Policy No. # 2 9 2 - ";p
CERTIFICATE OF EXEMPTION I sartify that in the pedormanca of the work for which this parmit is issued. I shall not employ any perron in any manna SO as
I hereby affirm that I am exempt from the Contractor's Limnis Law for the foliowing reason:
I, as owner of the propany or my employam With wages m their sole compensation. will do the work and the myct~re is not immded or offend for sal.
ISw. 7044, Business and Profmsions Code: The Comcactor's licente Law does not apply to an owner of pmpsrty who build. or improves them. and who doa
such work himself or through his own empioyam. provided that such impmvemems are not imended 01 offered for sale. If. howaver, the building or improvemem 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 saIe1.
i, as owner Of the propenv. am exdusivdy contracting with licensed comnctors to CoMtrYct the project (Sac. 7044, Businam and RDfessions Code: The
Contractor's License Law doer not apply to an owner of propany who builds or improves thanon. and contracts for such projacts with comractorirl licensed
pursuant to the Commctor's License Law).
1.
2.
3.
4.
number I comranon license numbsrl:
5.
I am axtlmpt under Section
i personally plan to provida the majw labor and mat.rial5 for comction of the propwad propdrtv improvemam. YES ON0
I (haw I have not1 signed an application for a building parmit for tM proposed work.
I have comrscted with the following parson (firm1 10 provide the pm-d comction (include rum. I addnu I phone number I omtractors licente number):
i plan to provide Ponions of the work. but I have hired the following parson to cowdinate, wwiee and provide mS mspr work (include name I address I phone
I will provide soma of the work, but I have ComIacted lhirsdl the followiw pa~ns to providd tho work indicated (indude name I addmas I phons number I Npe
Business and Rofwionr Code for thia reason:
1s the applicam or future building Occupam rewired to submit
program under Sections 25505. 25533 or 25534 Of the Rsslsy-Tanner Hazardne Substance Account Act7 YES NO
Is the applicant or future building occupam required to obtain a permit from tha air pollmion control district or air quality managemem district?
1s the facilii to ba constructed within 1,000 feet of the outer boundary Of a schwl rite?
busineU pian. acutdv huardour matotiah Iegimmion form or risk managemem and prevemion
YES NO
0 YES NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCV WAY NOT BE ISSUW UNLESS THE APPUCANT HAS MET OR IS MMNQ THE
REQUIREMENTS OF THE OFFICE OF EMERQENCV SERVICES AND THE AIR PMLUTlON CONTROL DISTRICT. ... , . . .. .. _. ... ___. (7.. 2*p:-...,, 8-1 ~UCTlONLeWDlNQAOE)I& - ...... ..
I hereby affirm that there io a construction lending agency for the padormance Of the work for which this permit is issued iSsc. 3097ii) Civil Code).
LENDER'S NAME LENDER'S ADDRESS ... .... . .j: ... ... ~ ,, , ,:.q ' , ;f , ;,' :I:- !'.?E~,~n ,'.I+---- .. . ~ ;, - .... 9.. nepucruacismRcn nom c .. ,'. ""'rc" ..
i cenify that I have read the application and atsts that the ibow information is conm end that the infanmion on the plant is accurate. I agree to comply with aIi
City ordinances and State laws relating to building Construction. I hereby authorize rePrUematiVe5 of the CW of Cerlrbad to emsr upon the above mentioned
Proparty for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CrrY OF CARLSW AGAINST ALL LIABIUTIES.
JUWMENTS, COSTS AN0 EXPENSES WHICH MAY 1N ANY WAV ACCRUE AGAINST SAID CtTY IN CONSEWENCE OF WE QRANTINQ OF THIS PERMIT.
OSHA An OSHA permit is mquired for excavations ovar SO- deep and demolition or ConstrUction of structures over 3 StorieS in height.
EXPIRATION: Evev Permit issued by the Building Official under the pmVi*ioM of this Code shall expke by limitation and become null and void if the buildinpor
work authorizad by such he date of such pannit or if the building or work euthorized by such penit is suspended
01 abandoned at any time day6 ISectiOn 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE y2 -%-y-y 7
LOW. Applicant PINK: Finance /
~
05/08/98 INSPECTION HISTORY LISTING
FOR PERMIT# CB973879
DATE INSPECTION TYPE INSP ACT COMNENTS
12/30/97 Interior Lath/Drywall PS AP
12/29/97 Final Plumbing RI RI C/KIM/4 4 2 -6 5 58
12/29/97 Final Plumbing PS NR 12/26/97 Rough/Topout RI RI C/KIM/442-6558 12/26/97 Rough/Topout PS AP
HIT <RETURN> TO CONTINUE...
DULED BUILDING INSPECTION -- -
DATE /!!47 -?? INSPECTOR
TIME ARRIVE: TIME
CODE
r7 -
COMMERCIAL CERTIFICATE OF INSURANCE Issue Dale (MMIDDIYY) Wfl& sw L7-j
8880 RIO SAN DIEGO DR., SUITE 700 This ceilificale IS issued as a matter of ifitormation only aid conlers 110 rights upon lhe cerlilicale holder This ceitilicale does nol amend, extend or aller Ihe coverage allorded by Ihe policies shown below
Name
Address
& SAN DIEGO CA 92108
' (61 9) 291 -0600
PDLICY EFFECTIVE DATE (MMIDDPIY)
ST. 99 DIST. 51 AGENT 39G
lNSUREO PEPPARD PLUMBING, INC.
Name '1466 PIONEER WAY, #9
& 'EL WON (3 92020
Address '
WLlCY LlMllS PDLlCY EXFIRATION DATE (MMIDWY)
COMPANIES PROVIDING COVERAGE
CUM PINY
L(IIIA A TRUCK INSURANCE EXCHANGE
Lfw B FARMERS INSURANCE EXCHANGE WMFNlY
CWPINY
Lt"lR c MID-CENTURY INSURANCE COMPANY
CDMPINY LElltA D
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE OAMAGE (Any me Fie)
MEDICAL EXPENSE [Any one oerron)
COVERAGES
$1,000,000
$1,000,000
$ 501 OOo
5,000 $
X
X
TYPE OF INSURANCE POLICY NUMBER
6ENEML LIABlUlY
~~
01492 85 01 AUlOMOIRE LIAIIUlV
AIL OWNED COMMERCIAL AUTOS
SCHEDULED AUIOS
HIRED AUTOS
NONOWNED AUIOS
GbRAGE LlABlLlIY I(
0'1 -01 -97 SlAlUlORV
$1 000,000 01-01-98 ACCIDENI
DISEASE-EACH EMPLOYEE $1 I ~~~I~~~
DISEASE-POLICY LIMIT $1 1000, 000
I N2008 26 01 WORKERS' COMPElSLllOl
A 1 '1 AH0
OESCRIPIIOH OF OP~MlIO~UVEHlCLLflRESlR~llONS~PE~AL ITEMS
01-01-97 101-01-98 I 1 $1 000,000
01 -01 -97
I $ ooofooo
PRODUCTS COMPIOPS AGGREGAIE I
COMBINED ~$1,000,000 01-01-98 I SINGLE LIMIT
EOOILY INJURY I (PER PERSON) I $
BODILY INJURY (PER ACCIDENI) I
PROPERIY DAMAGE
GARAGE AGGREGATE
LIMIT
CERTIFICATE HOLDER
Name .
Address '
&
CANCELLATION
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAllON OAK IHEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDfR NAME0 IO THE LEFT, BUT FULW IO MAIL SUCH NOllCE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. INS AGENTS OR REPRESENIATNES
.. . ^. .^_.