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HomeMy WebLinkAbout2905 CORTE CELESTE; ; CB021011; Permit04-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB021011 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2905 CORTE CELESTE CBAD PLUM 2551465000 Lot# Construction Type LEUNG - COPPER REPIPE W/DWALL 0 NEW Status ISSUED Applied 04/03/2002 JM 04/03/2002 Entered By Plan Approved Issued Inspect Area 04/03/2002 Applicant ARS STE100 3162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner LEUNG PERRY&ROBYN M 2905 CORTE CELESTE CARLSBAD CA 92009 04/03/02 0002 01 CGP 8,'. Total Fees $8700 Total Payments To Date $000 Balance Due $8700 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 $2000 $000 $000 $000 $700 $000 $000 $000 $6000 $000 $000 $000 TOTAL PERMIT FEES $8700 Inspector FINAL APPROVAL 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 theinmposrtion 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 vou have previously been aiven 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 1 PROJECT-INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated Byt /j Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No ision Name/Number Unit No Phase No Total tt of units Assessor s Parcel Existing Use Proposed Use Description of Work 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms tt of Bathrooms Address Agent for Contractor City ner n Agent for Owner State/Zip Telephone tt Fax tt City State/Zip Telephone tt Address City State/Zip Telephone ttName 5 CONTRACTOR COMPANY NAME (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct a ter improve demolish or repair any structure prior to its issuance also requites 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 theit he is exempt therefrom and the basis for the alleged exemption Any violation of(£ection 7031 F hy any applicant fjor a permit subjects the applicant to a civil penalj^of not more_than five hundred dollars j^500))_ Name State License tt \ &2.O Address License Class City <~J St6te/Zip Telephone tt City Busness License f I O^Q"7CO 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 O 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 theswork for which this permit is issued SfH— n 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 nnlicy number are Insurance Company jYVVfetA UL^A \C\C _ Policy No Z*j ^>S4^"B> ~ OQ Exp.ration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100| OR I ESS) PI 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 I ' / Laws of California unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred fion damages as provided for in Section 3706 of the Qbqfr code, ititerest and attorney s fees to become subject to WARNING Failure thousand dollars ($1 SIGNATURE 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~l 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) 0 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) l~1 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 [UNO 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 BUILDING 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? [3 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? l~l YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? n 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 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 peimit is issued (Sec 3097(i) 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 informal ion 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 tha 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 CONSf QUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is requic&d fbr excavations over 5 O^deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit n authorized by such permit is n< at any time after the work is & APPLICANT S SIGNATURE the building Official/linderjthe provisions of this Code shall expire by limitation and become null and void if the building or work need within 180 drfys fro d fpr.a Deriod. of/80 davd ) of such permit or if the building or wark authonzi > 4 4 Uniform Building Code) DATE y/such permit is suspended or abandoned WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/14/2002 Permit# CB021011 Title LEUNG - COPPER REPIPE W/DWALL Description Inspector Assignment RGB Type PLUM Sub Type Job Address 2905 CORTE CELESTE Suite Lot 0 Location APPLICANT ARS Owner LEUNG PERRY&ROBYN M Remarks Phone Inspector Total Time CD Description 19 Final Structural 29 Final Plumbing Requested By VERONICA Entered By CHRISTINE Act Comments IMC Associated PCRs Inspection History Date Description Act Insp Comments 05/09/2002 24 Rough/Topout AP RC CW BOND OK (NOTE ON CARD - RIPPED DUCTWORK) 05/07/2002 24 Rough/Topout CA RC PER VERONICA MARSH USA INC CERTIFICATE OF INSURANCE ™Q A^~A PRODUCER Marsh USA Inc 500 N Monroe Chicaac iL 50651 Attn LOLA DAVIS 2 -.2 527-3379 THIS CERTIFICATE IS ISSUED A.S A HATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED in THE POLICY THIS CERTIFICATE DOES MOT AMEND IXTENO OR ALTER THE COVERAGE AFFORDED 3Y THE POLICIES DESCRIBED HEREIN COMPANIES AFFORDING COVtKAUfc 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 Tfits certificate- supersedes and replaces any previously issued certificate for the policy penod noted below THIS IS TO CERTIFY THAT PQUCES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WFTH RESPECT TO WHICH THE CERTIFICATE MAY 3E ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONOmCNS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE SEEN REDUCED SY PAID CLAIMS CO LTH A A B A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE | X [ OCCUR OWNERS 4 CONTRACTORS PROT AUTOMOBILE LIABILITY X AMY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS LIABILITY THE PROPRIETOR/ X INO. OFFCERS AHEL EXCL OTHER POLICY NUMBER GLO 2938645-00 BAP 2938646-00 (AOS) BAP 2938647-00 (VA) TAP 2938648-00 (TX) BE 309-79-07 WC 2938643-00 POLICY EFFECTIVE 01/01/02 01/01/02 01/01/02 01/01/02 01/01/00 01/01/02 POLICY EXPIRATION DATE(tfUiaQ(YY) 01/01/03 01/01/03 01/01/03 01/01/03 01/01/03 01/01/03 LIMITS GENERAL AGGREGATE PRODUCTS COMP/OPAGG PERSONAL i AOV INJURY EACH OCCURRENCE FIRE DAMAGE (Any ana fire) MEO EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY (Pwparaon) BODILY INJURY (Per acadent) PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE $ 5 000 000 S 1 000 000 S 1 000 000 5 1 000 000 $ 1 000 QOQ S 5000 S 1 000 000 5 3 S S 3 S S 5 000 000 3 5 000 000 S „ I WC 5YATUX I TORY LIMITS | OTH- I ER EL EACH ACCIDENT EL DISEASE POLICY LIMrT S 1 000 000 S 1 000 000 EL DISEASE EACH EMPLOYEE! S 1 000 000 DESCRIPTION OF QPERAT10NS/LOCATIONS/VEHICLE5/SPEC1AL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETEMT10NS) CERTIFICATE HOLDER -CANCELLATION SHOULD ANY OF T>« POUOE3 0€ SCRIBED HEREIN 3E CANCELLED BEFORE TVE EXPIRATION DATE THEREC*1 TH€ INSURER AFFOROWG COVERAGE WILL ENDEAVOR O UAIL 111 -7AYS WRITTEN "OT1CE ~3 "-£ CERTIFICATE HOLDER NAMED HEflBN 3LTT FAILURE T3 MAIL oLOH NOTICE SHALL MPOSE NO GaLICvATlOi Cfl LIAflUTYOF ANVKNO UPON THE INSURER AFrCflOING COVERAGE "S AGENrs OR B£PRE5ENTAn/E5 HARSH USA INC BY E'sa M Lynch C~£*o.Srl+^/ yrvcA-' MMK9/931 VALID AS OF 2/14/01