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2840 LOKER AV EAST; ; CB012823; Permit
08-29-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB012823 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2840 LOKER AV EAST CBAD PLUM 2090820500 Lot # Construction Type ASHWORTH RP VALVE Applicant KMP PLUMBING 435 SCEDROS AVENUE SOLANA BEACH, CA 92075 619-259-9300 C 0 NEW Status ISSUED Applied 08/29/2001 Entered By MDP Plan Approved 08/29/2001 Issued 08/29/2001 Inspect Area Owner ~°~^, COCC ASSCS LTD C/0 MADISON SQ PROP INC 5414 OBERLINDR #140 SAN-DIEGO CA 92121 / 8711 08/29/01 0002 01 02 ' . v '\ CGP 27-00 Total Fees $27 00 Total Payments'To Date f ! : \ $0^00 .Balance Due $27 00 Plumbing Issue Fee "~~. Fixture or Trap ' f~- Buildmg Sewer | Roof Drain I V0_ Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker \ Other Plumbing Fees Master Drainage Fee x x Sewer Fee \ Additional Fees, \ ' ^$0 00 $700 $000 $000 $000 $000 $0 DO/ $000$0-60 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL Date NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired •2-1 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075-1. .ac Pnlmas Pr, Cnrlobad CA 02000 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) NoLegal Description Lot No 00 Subdivision Name/Number Unit No Phase No " Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work SQ FT #of Stories v— ^indifferent from applicant # of Bedrooms Ac- 1* # of Bathrooms U VI f-»Address \^ 3 J~ ^ toritractqr}( J Q JSwner. Cltv State/Zip Telephone * V-V/cx City 6 State/Zip Telephone # L ""«vv\ o % "" '' " Name Address ' City State/Zip Telephone # •B^ rCONTRACTQRVqQMPANY-NAME ! \'l } ", Z?™'$&?J$&L ™"*« ',' ',1 t b 1- ^ W ^I^l'lSl!" $ -r V -^, ISlliVl *„• ,< W" ^1^3 i^lCT^'fT1!' (Sec 7031 5 Business and Professions Code Any City or 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 Code] 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 applicant to a civil penalty of not more than five hundred dollars [S500])S Name State License # 2-*^ M V ) C> Designer Name State License # 1 Address License Class <-• *" i t Address City State/Zift Telephone # b City Business License # / &\ O |CO City State/Zip Telephone ^ jernjwdRKERs^cQMP^SA'TiQNjiTfi .glV^^l eJ1 T!£Z££*„LTVfiP P* ' • £'"""'I;!™ H'•!''"fv S4C!Srr^%w ^SnilbtSff8WJ%~,~\ Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations ^Q—•4-haiigjsnd 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 i . Insurance Company ^ Vj^"S"<>-r__ *—^ M Q Policy No CPM T V *-*( " ^a^CJ Expiration Date ^ / (THIS SECTION NEED NOTOE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS} n CERTIFICATE OF EXJSMPriON I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the B/orlers Compensation Laws of California WARNING Failure to smurf workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (6,100 9p<f, m addition to the cost of compensation, damages as provided for m Section 3706 of the Labor code, interest and attorney's fees^. / F ft aSIGNATURE I hereby affirnvtHStlnTexempt from the Contractor's License Law for the following reason Q I, as owner o/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, BuGirress/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 himseKjor 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 contractor(s) licensed pursuant to the Contractor's License Law) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES 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 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? d YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~] YES n NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 Q YES Q 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 AIR POLLUTION CONTROL DISTRICT ^8 ^^fCONSTriUfefION IEND1NG Ac'ENCY?«i^ ',,.Til 11,1& $,fJi kl 'f'J-'X"^"* HIT';"" ^i' K»« , t & < ^ !t "E'^",!l f^u f" ^ C^1W)"1" i Til?"""? !',""£ ^"? 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 City ordinances and State laws relating to building construction I hereby authorize representatives of the City 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 WJlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for EXPIRATION Every permit issued by work authorized by such permit is not or abandoned at any time after the APPLICANT'S SIGNATURE (cavations over 5 0" deep and demolition or construction of structures over 3 stories in height Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or pmmenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended for a period of 180 days (Section 106 4 4 Uniform Building Code) DATE ^ " 3-^" "^ V WHITE File YE alicant PINK Finance City of Carlsbad Bldg Inspection Request For 10/04/2001 Permit# CB012823 Title ASHWORTH Description RP VALVE Inspector Assignment RB 2840 LOKER AV EAST Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT K.M P PLUMBING Owner FENTON H G CO Remarks BACK FLOW PASSED Phone 8582599300 Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By JIM Entered By ROBIN Act Comments P I 6 Associated PCRs Inspection History Date Description Act Insp Comments 08/30/2001 24 Rough/Topout CO RB SEE NOTICE ATTACHED 08/30/2001 29 Final Plumbing CO RB City of Carlsbad Bldg Inspection Request For 08/31/2001 Permits CB012823 Title ASHWORTH Description RP VALVE Inspector Assignment 2840 LOKER AV EAST Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT K M P PLUMBING Owner FENTON H G CO Remarks Phone Inspector Total Time CD Description 29 Final Plumbing Act Comments Requested By JIM Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CITY OF* CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO & ) TIME (760) 602-2700 1635 FARADAY AVENUE ^ / // FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? FOR FURTHER INFORMATION, CONTACT YES BUILDING INSPECT CODE ENFORCEMENT OFFICER © City of Carlsbad Bldg Inspection Request For 08/30/2001 Permittf CB012823 Title ASHWORTH Description RP VALVE Inspector Assignment 2840 LOKER AV EAST Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT K M P. PLUMBING Owner FENTON H G CO Remarks Phone Inspector Total Time CD Description 24 Rough/Topout 29 Final Plumbing Requested By ASHWORTH Entered By CHRISTINE Act Comments Associated PCRs Inspection History Date Description Act Insp Comments NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE DATE f> 3^- *?/ TIME _ LOCATION - .04 tft/s ** ' *"" f ' C 'PERMIT NO f I/a /*/&- \/ /I/a pArtJ A f0~e^7^ jT / ^ x X^e g^y^ ts^n-frs- cS" -er /f 0Q<q 0-7 t/4 ft FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE'? FOR FURTHER INFORMATION, CONTACTjj/r BUILDING INSPECTOR CODE ENFORCEMENT OFFICER YES License Detail Page 2 of 2> „ « CONTRACTOR'S BOND: This license filed Contractor's Bond number 13206 in the amount of $7,500 with the bonding company AMERICAN CONTRACTORS INDEMN1 1Y COMPANY. Effective Date 02/28/1996 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(l): This license filed an exemption certificate for the Responsible Managing Officer (RMO) EUGENE ANTHONY GRIESHABER JR certifying that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 03/25/1996 BQl's Bonding History * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 441-0019913 Effective Date 10/01/2000 Expire Date 10/01/2001 Personnel listed on this license (current or disassociated) are listed on other licenses. Personnel_Ust Other_ Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request A public sewicc of Ihe Contiartors State I iconso Board Copyright 2001 All Last Updated 08/16/2001 http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 08/29/2001 License Detail Page 1 of2 rai (FORMA roNTRACTORSSTAir i KTMST License Detail Contractor License # 294110 DISCLAIMER A license status cht_ck provides inloimation taken from the CSLB license data base lit, tore lelying on this information you should IIL .iwaie ot the following limitations • CSLB is prohibited by law !rom disclosing complaints until they aie lefencd lor legal action • Per IJiS.1' 7071 17, only construction related civil judgments known to the CSLB art disclosed • Aibitrjlions aic not listed unless the contiactor fails to comply with the turns of the arbitration • Due to workload there may be relevant information that hai not yet been entered onto the Board's license data base Extract Date 08/29/2001 * * *Business Information * * * KEARNY MESA PLUMBING CO dba KMP PLUMBING CO INC 435 S CEDROS AVENUE SOLANA BEACH, CA 92075 Business Phone Number (858) 259-9300 Entity Corporation Issue Date 05/07/1974 Expire Date 02/28/2003 * * *License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class C16 C36 Description FIRE PROTECTION CONTRACTOR PLUMBING * * * Certifications * * * Cert HIC Description HOME IMPROVEMENT CERTIFICATION * Bonding Information * * * http //www2 cslb ca gov/CSLB_LlBRARY/License+Detail asp 08/29/2001