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Home My WebLink About2903 CORTE JARDIN; ; CB022987; Permit10-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No Building Inspection Request Line (760) 602-2725 CB022987 Job Address Permit Type Parcel No Reference # Project Title 2903 CORTE JARDIN CBAD PLUM 2551445300 Lot# Construction Type CLAVE RES-COPPER RE-PIPE 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/03/2002 RMA 10/03/2002 10/03/2002 Applicant ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner CLAVE TIMOTHY A&ELENA 2903 CORTE JARDIN CARLSBAD CA 92009 10/03/02 0002 01 02 CGP 57.00 Total Fees $5700 Total Payments To Date $000 Balance Due $5700 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 $2000 $000 $000 $000 $700 $000 $000 $000 $3000 $000 $000 $000 TOTAL PERMIT FEES $5700 Inspector FINAL APPROVAL Date »S?/6 2-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 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO (2&Q EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Existing Use Proposed Use Description of Work 2 CONTACT PERSON (if different from applicant) SQ FT tfof Stones tt of Bedrooms tt of Bathrooms Name Address City 3 ) APPLICANT CD Contractor ^Agent for Contractor ' CD Owner CD Agent for Owner State/Zip Telephone Fax Wca Name 4.^-PROPERTY OWNER"TT Address City State/Zip Telephone tt Address City ;tate/Zip Telephone ttName 5 CONTRACTOR - COMPANY NAME " ' i ~ -, (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 m/re than five hundred dollars IS500])" Name State License tt Addrb.. License Class C/ZO City State/Zip City Business License tt Telephone tt Designer Name Address City State/Zip Telephone State License tt 6 WORKERS'COMPENSATION ''•""' Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations CD 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 S3 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 f'irTK^£?H i^J^rjT \l\Cs Policy No ^Pl'&okt4f'£ "*(-*-) Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |$100] OR LESS) CD CERTIFICATE OF EXEMPTION 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 ttie""Workers Compensation Laws of California WARNING FailurefW secure workers compensation^coverage Is unlawful and shall subject an employer to criminal penalties and, civil fines up to one hundred thousand dollars ($100 OCra) iruaddition to th/cosrEt^utifWnpatfSn damages as provided for in Section 3706 of the Lab</rjfcoHe'>lnt£rte9t)and attorney s fees SIGNATURE ^JAZ#U^ O^7Tffi/l<_ DATE / U/C7 / OZ-^ 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason CD 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) CD 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) CD 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 l~l YES CDNO 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINGi PERMITS*ONLY ' ' ' 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? O YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES CD 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 CONSTRUCTION LENDING AGENCY , , • "< I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION ! , ,, I certify that I 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 tef>.excavations over 5 0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued/by tne 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 cjorfimenAed within 180rteys Irom the date of such permit or if the building or work authorized by such qermit is suspended or abandoned at any time after the work is com^rjfenijjed^or a pen^r^rljB^av^Section 106 4 4 Uniform Building Code) AAPPLICANT S SIGNATURE V—\ZS &S >—^ f / far -— DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 11/12/2002 Permit# CB022987 Title CLAVE RES-COPPER RE-PIPE Description Inspector Assignment RF Type PLUM Sub Type Job Address 2903 CORTE JARDIN Suite Lot 0 Location APPLICANT ARS Owner CLAVE TIMOTHY A&ELENA Remarks Phone 8586775455 EX 205 Inspector f\' Total Time CD Description 29 Final Plumbing Act Comments Requested By VERONICA Entered By CHRISTINE Associated PCRs/CVs " •* Inspection History Date Description Act Insp Comments 11/01/2002 24 Rough/Topout AP RF BOND TO PANEL OK 10/30/2002 24 Rough/Topout NR RF @ 2 30PM MARSH USA INC. PRODUCER Marsh USA Inc 500 W Monroe Chicago IL 50661 Attn LOLA DAVIS 312627-6379 CERTIFICATE OF INSURANCE f"^ NU«BER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN COMPANIES AFFORDING COVERAGE COMPANY A ZURICH AMERICAN INSURANCE COMPANY INSURED ARS American Residential Services of California, Inc dba 860 Ridge Lake Blvd Memphis, TN 38120 COMPANY B ILLINOIS NATIONAL INSURANCE COMPANY COMPANY c COMPANY D COVERAGES This certificate supersedes: and replaces any previously issued, certificate for the policy period noted below THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONOmON OF ANY CONTRACT OR OTHER DOCUMENT WfTH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED 8Y THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MJUDOrYY) POLICY EXPIRATION DATE IUU/00/YY)LIMITS GENERAL LIABILITY GLO 2938645-00 01/01/02 01/01/03 GENERAL AGGREGATE COMMERCIAL GENERAL LIABUTY | CLAIMS MADE | X | OCCUR OWNER'S 4 CONTRACTOR'S PROT PRODUCTS COMP/OP AGG PERSONAL & AOV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any ona p 5 000 000 1 000,000 1 000 000 1.000 000 1,000000 5000 AUTOMOBILE LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BAP 2938646-00 (ACS) BAP 2938647-00 (VA) TAP 2938648-00 (TX) 01/01/02 01/01/02 01/01/02 01/01/03 01/01/03 01/01/03 COMBINED SINGLE LIMIT 1 000 000 BODILY INJURY (For person) BODILY INJURY (Per accident) PROPERTY DAMAGE SARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE 5,000 000 UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE 5,000 000 BE 309-79-07 01/01/00 01/01/03 WORKERS COMPENSATION AND EMPLOYERS LIABILITY WC 2938643-00 01/01/02 01/01/03 WC STATU-TORY LIMITS I OTH-I ER EL EACH ACCIDENT 1,000000 THE PROPRIETOR/ PARTNERS/EXECUTIVe OFFCERS ARE. INCL EXCL EL DISEASE POLICY LIMIT 1 000 COO EL DISEASE EACH EMPLOYEE S 1 000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO OEQUCT1BLES OR RETENTIONS) CERTIFICATE HOLDER -CANCELLATION SHOULD ANY Of TUg POUCIES OESCRI8EO HEREIN BE CANCELLED BEFORE THE EXPIRATION OATH THEREOF THE INSURER AITOROWG COVERAGE WILL ENDEAVOR TO MAIL Ifl OAY5 WRITTEN NOTICE "O ~HE CERTOTCATC HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OaLIGATION OH LIAflUTYOf AWrKKOUPON TVIE INSURER AFFORDING COVERAGE T5 AGENTS OR REPRESENTATTVES MARSH USA INC BY Elsa M Lynch MM1(9/99>VALID AS OF 12/14/01