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