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Home My WebLink About2753 BERKELEY AVE; ; CB061699; PermitCity of Carlsbad k 1635 Faraday Av Carlsbad, CA 92008 06-13-2006 Plumbing Permit Permit No:CB061699 Building Inspection Request Line (760) 602-2725 Job Address: 2753 BERKELEY AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 1675631600 Lot #: 0 Applied: 06/13/2006 Construction Type: NEW Entered By: LSM Reference #: Plan Approved: 06/13/2006 Issued: 06/13/2006 Project Title: LIN RES- COPPER REPIPE Inspect Area: Applicant: Owner: CALIFORNIA DELTA MECHANICAL LIN ROBERT K&CINDY WU SUITE # 27 2753 BERKELEY AVE 12440 OAK KNOLL RD 92064 CARLSBAD CA 92010 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 1 0 0 0 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $60.00 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: $0.00 & FINAL APPROVAL Inspector: \ —' Date: ^" '^—_^_ Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired, PERMIT APPLICATIONcitv OF'CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECKEST. VAL.Plan Ck. Deposit _Validated ByDate fe ISAddress [include Bldg/Suite #)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of unitsAssessor's Parcel #Existing Use Proposed UseDescription of Work SQ. FT.#of Stories # of Bedrooms of Bathrooms Name ' Address ' City State/Zip Telephone # iiiiIiNt$ia^^ (Sec. 7031.5 Business and Professions Code: Any City 01 County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicanjtjj^ civil penalty of not more thar^fivq hundred dollars I$5tJO] "Rame " vA 1 1 1 I t ' Address -, , • f > \ ,, City State/Zfp Telephone # State License # £3 \ \ \ *• \ License Class t_Xn ^*O H 1 L- City Business License # Designer Name State License # Address City State/Zip Telephone VT#4 V thoi As Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain 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. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: . Insurance Company ^myTfc^ _' t^-xr>_/j Policy No. * (0 i 7 • _"r Expiration Date ' ~ / " C-/ >£ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker*' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (£100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor coda, interest and attorney's fees. SIGNATURE C £->*-+ KLslAS ___^^_ DATE OC=> - *f ^ — O G> I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement 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 sale). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). C] I am exempt under Section Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a 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): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and 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 persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE •arf"»b,:?",KK:'HVAV^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO te the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES d NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AtR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that 1 have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence^ for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/15/2006 Permit* CB061699 Title: LIN RES- COPPER REPIPE Description: Inspector Assignment: 2753 BERKELEY AV Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER LIN ROBERT K&CINDY WU Owner: LIN ROBERT K&CINDY WU Remarks: Phone: Inspector: V- > Total Time: CD Description 24 Rough/Topout Act Comment Requested By: NA Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 9:41AM No. 7187 P. COMPBN*rtQNN s u m POLICYHDUJB* COPY P.O. BOX 807. SAN FRANCISCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE issue OATC 07-01-200B GHOUP: POLICY NUMBER; 1*17123-2001 CERTIFICATE EXPIRES: 07-01-200* 07-Ot-200»V07-01-20C« CONTRACTORS STATE LICENSE BOARD NF WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 LICENSE iHCWtlQN OATC; 07-Q1-2QOV D.O.i NP ' Thii !• to certify that w* have issued* • valid Workers' Compensation fn«ur*nc« policy In • form approved bv the Callfornlfl Iniurirtn Commluionir to th> nnplavtr nwnvd b«low for th« policy period Indleiwd. Thli policy I* not *ub)Mt to cwicvllitlon by the Fund «xcept upon 30 days' advance wrknen notice to \*+ emplover. We wUI *l«o give you 90 <^i' toVmoe notice ihould thl> policy be etncelled prior to U» normal expiration. This certificate of insurance i| not an Insurance policy and doei not unend, extend or alter the coverage if forded by_ the polkcle* lle'ted herein, Notwithstanding .any requirement term, or condition of any contract or other documentwith respect to which this certificate of insurance; may b» issued or may pertain,' the insurance afforded by the policies described herein is subject to all the terms, exclusion! and condition* of such policies. AUTHOWZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIAIILITY LIMIT INCLUDING DEFENSE COSTS: $1,666,000.00 PER OCCURRENCE. ENDORSEMENT #aOM ENTITLED CERTIFICATE HOLDERS' NOTICE- EFFICTJVI 07-01-200i IS ATTACHED TO AND FORMS A PART OP THIS POUIDV. EMPLOYER CALIFORNIA DELTA MECHANICAL/ INC 2500 S PWtR RO #^8-1^MESA AZ 85208 LEGAL NAME CALIFORNIA DELTA MECHANICAL, XNC I«V,3-QJI PRINTEO:P0409