The URL can be used to link to this page

Home My WebLink About2740 CIRCULO SANTIAGO; J; CB000090; Permit01/10/2000 City of Carlsbad Plumbing Permit Permit No CB000090 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Reference # Project Title 2740 CIRCULO SANTIAGO CBAD St J PLUM Lot# 0 Construction Type NEW INSTALL WASHER & DRYER Status ISSUED Applied 01/10/2000 Entered By JM Plan Approved 01/10/2000 Issued 01/10/2000 Inspect Area Applicant R & R ELECTRICAL AND GENERAL 559 W GRANADA CT ONTARIO CA 91762 / 9099837173 / Owner -\\ 7896 01/10/00 0001 01 02 C-PRMT 96 00 7896 01/10/00 0001 01 02 \ C-PRMT 96 00 Total Fees $96 00 / /- Total Payments foxDate ^ $0 00 ^ Balance Due $96 00- ' / \ " /Plumbing Issue Fee _ ; Xx -£- Fixture or Trap ! " ( /Y!o\x~ Building Sewer » * _, ( U o | K Roof Dram \ -^CC^V Install/Repair Water Line x \ 1\V> i ' Water Heater and/or Vent \ , 0 \ ~ / 1 ^ //7 ^j' yf"^ $2000 f ^ /^ x r ; ) " $o oo4 ' ( ' ^ f / / $o oo 4/ f l ' ;,/ , $000 j/^J „ $700 / ' $000 Gas Piping System \ ^ x x 0 ^ CORPORATCD / r~~^ $Q 00 Vacuum Breaker \ \\ ^ ,. < ®^~. I Other Plumbing Fees \ ' / ) v J / — / Master Drainage Fee Xx " r~ 0 Sewer Fee "" - ~, _ \\\ " / $000 "^ „ ^x\ / $6900 •— \ , , ^ ^ v x . x $o oo ^ $0 00 TOTAL PERMIT FEES $9600 Inspector \ FINAL APPROVAL Date /Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of tees 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)438-1161 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL PlanCk Deposit Validated By Date <LtA**J c.*-L<>7 Business Name (at this addressi Legal Description1 UK No Subdivision Name/Number Unit No PhMa No Total * of units Assessor's Percel f Elating Uaa J.«/s/w3i^ ££Ccr*i-vrt. T**tf r«£t cvftr- ' SOFT Proposed Use MMV«»WI • r«l**wl p£«/>~/?U--«, Description of W<ion of Work fof Storte*f of Bedrooms * of Bathrooms 7/75 C*9**-v« _»/-a77«- S <Chapt.r 9 exSon 5 Business and Prof eaaion* Coda Any City or County which require* • permit to construct, altar Improv. demolish or repair any .tructure prior to Its isoraoC£ the ap^cinTJoTaud. WnSioflleTaigned «at.m*nt that h* i* UoffiMd purauam to th. provlaiona of th. Contractor * Ucense L*wiso requires tne applicant ror men mm. « g ^ ^t Buaineaa and Professions Cod.) or that h. ta exempt therefrom and the basis for the alleged ion 7031 (o* '*.i.v» «~........ -..- ,/enmi rr?jName State License # Address License Class City State/Zip City Bu*iMM Ue«n** f _ Telephone Designer Nem* State Ueent e » City State/Zip Telephone _ i^sga^ipisaaai^^ Worksrs"compens*tion Declaration I hereby affirm under penalty of perjury on* of the following declaration* H. I have and will maintain a certificate of con-ant to eatMnaure for workers companaatlon aa provided by Section 3700 of the Labor Code for the performance of the work for which this permit I* issued S I have and will maintain werkar* compensation a* mquiwl by S.ctlon 3700 of the Labor Cod. for th. performance of the work for which this permit is jed My worker^ compensation insurance carter and policy number are i Insurance Company J S F Policy No ______J___1_Exo.rat.on Data (THIS SECTION NEED NOTRE COMPtETEOJF THE fBWrr 18 FOB ONE HUNDRED OOLUBS II100J OR LESS) O CEBTinCATE OF EXEMPTION I eattHv that In the'peHormance of thtTworkfor whlch'Sia permit la issued I shall not employ any person in eny manner ao as to become subject to the Workers Compensation Laws of California WARNING Failure to aacure workan compensation coverage to unlawful and thai subject an employer to criminal penalties and oMI fines up to one hundred thousand dollars 1*100,000) In addition to the cost of compensation damages aa provided for In Section 3708 of the. Labor coda Interut and attorney s fees SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for th* following reason O ' ** owner of the property or my employees with wege* aa their apla compensation will do the work end the structure la not intended or offered for aale (Sec 7044 Business and Professions Cod* Th* Contractor'* License Law does not apply to an owner of property who builds or improves thereon end who does such work himself or through hi* own employee* provided that auch Improvement* era not Intended or offered for aala If however th. building or improvement is sold within one year of completion the owner-builder will neve the burden of proving thst h* did not build or Improve for the purpose of eel.) D I as owner of the property am exclusively contracting with licensed contractor* to construct th* project (See 7044 Business and Professions Code The Contractor's License Lew does not apply to en owner of property who builds or Improve* thereon and contract* for such project* with contractor!*) licensed pursuent to the Contractor s License Lew) O I am exempt under Section ___________ Buaineaa and Professions Cod* for this reason v*> 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement O YES 2 I Iheve / neve not) algned an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide th* proposed construction (Include name / address / phone number / contractor* license number) 4 I plan to provide portion* of th* work but I have hired the following person to coordinate supervise and provide th* 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 person* to provide the work Indicated (Include name / addreaa / phone number / type of work) _ _ PROPERTY OWNER SIGNATURE DATE NO Is the epplicem or future building occupant required to aubmlt • business plan acutely hazardous matarial* registration form or risk management and prevention program under Sections 25SOS 25533 or 26634 of the Pre*l*y-T*r«i*r HuardMJ* Sub*tar_« Account Act? Q YES O NO is the applicant or future building occupant rtqulrad to obtain* permit from the air pollution comrol district or air qu»lrty m*n*oemem district? Q YES Q li theficility to be constmctedwh^lnl OCX) feet of the outer boundary of e school srta? Q YES Q 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 POLLUTION CONTROLDISTIUCT WWCAWT HAS MET OR IS MEE™° ™f r±**>?oiii8tRoal61M1^ „ _ hereby affirm that there is a construction landing agency for th* performance of the work for which this permit I* Isiued (Sec 3097(1) Civil Code) J NDER S NAME ^^ ***** * AD°B6SS certifv that I have read the application and atat* that rhe above Information la correct and that th* Information on th* plan* ,* *ccur*t* I .gree to comply with an tty ordm.ncM end St.t. law* bating to building connruction I hereby authorize rtpnMntativa* of the Oft of cirtibad «OMM upoJ ?7he abovT 'SSXSmZ'SXSF •£""'**' ' AL8° AOKE TO *"*• WOSMIFY AW> «EP HARMLESS THE CITY Of TARL^BAD MfSm Si lJDQMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAV ACCRUE AQAJN8T SAID CITY IN CONSEQUENCE OF THEORANTINQ ToF THIS ^ERMIT SHA An OSHA permit is required f or excavation* over BO deep and demolition or construction of structures ov*r 3 stories in height •PLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance OAT£„ /Q „ €><__.> City of Carlsbad Bldg Inspection Request For 1/18/2000 Permit* CB000090 Title INSTALL WASHER & DRYER Description Inspector Assignment PY Type PLUM Sub Type Job Address 2740 CIRCULO SANTIAGO Suite J Lot 0 Location APPLICANT R & R ELECTRICAL AND GENERAL Owner Remarks REPT TO LEASING OFFICE FOR DIRECTIONS Phone 9092329187 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical Requested By R & R GENERAL CONTR Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 1/14/2000 24 Rough/Topout AP PY 1/14/2000 34 Rough Electric AP PY 1/13/2000 24 Rough/Topout NR PY NO ONE HOME 1/13/2000 24 Rough/Topout NR PY 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 SHO 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 ItemS Item 4 MARCH 12 1999 to MARCH 12 2000 (12 Olam unless otherwise specified) Description of Insurance afforded hereunder COMMERCIAL GENERAL LIABILITY Limits of Liability Coverage is provided only if a limit is shown below General Aggregate Limit (other than Products-Completed Operations) $ 2 OOP OOP 00 Products - Completed Operations Aggregate Limit $ 1 OOP OOP 00 Personal & Advertising Injury Limit $ 1 OOP OOP 00 Each Occurrence Limit $ 1 OOP OOP 00 Medical Payments Limit $ 5 OOP 00 Fire Damage Limit $ 50 OOP 00 ItemS Self Insured Retention $ (any one person) (any one fire) Per Claim 1~) Per Occurrence/Offense See Endorsement Number Item 6 Deductible $ 250000 Per Claim f~1 Per Occurrence/Offense See Endorsement Number 6 Item 7 The Named Insured is Individual [~~l Partnership |~~| Corporation Joint Venture |~1 Other O Limited Liability Corporation Item 8 Premium The premium stated herein is the minimum premium for the policy period 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 I Annual [Flat I Flat Fully Earned Term $6 630 00 MINIMUM & DEPOSIT ^ 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 Countersignature Date March 17 1999 COUNTERSIGNATURE OF AUTHORIZED REPRESENTATIVE USFOCCDEC(ED 12/97) (Rev 8/98)