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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 .. . ^. .^_.