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Home My WebLink About2906 CORTE CELESTE; ; CB002198; Permitefc/ 06/09/2000 City of Carlsbad Plumbing Permit Permit No CB002198 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2906 CORTE CELESTE CBAD PLUM 2551465300 Lot # Construction Type JOHNSON RES-COPPER RE-PIPE 0 NEW Status ISSUED Applied 06/09/2000 RMA 06/09/2000 06/09/2000 Entered By Plan Approved Issued Inspect Area Applicant TORREY PINES PLUMBING STE101 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619677-5445 Owner 963° 06/09/00 0001 01 JOHNSON FAMILY TRUST 11-12-99 C-PRMT 2906 CORTE CELESTE CARLSBAD CA 92009 52-00 Total Fees $5200 Total Payments To Date $000 Balance Due $5200 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 0 0 0 1 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $2500 $000 $000 TOTAL PERMIT FEES $5200 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 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 CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 City of Carlsbad Bldg Inspection Request For 7/17/2000 Permit# CB002198 Title JOHNSON RES-COPPER RE-PIPE Description 2906 CORTE CELESTE Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT TORREY PINES PLUMBING Owner JOHNSON FAMILY TRUST 11-12-99 Remarks Inspector Assignment JL Phone 7605055245 Inspector Total Time CD Description 29 Final Plumbing Act Comments Requested By KATHY Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 7/13/2000 24 Rough/Topout AP JL PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION MOb FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By^ Date JP-t Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #en finer Existing Use Proposed Use Desc/Tption of Work 2. CONTACT PERSON (if different from applicant) SQ FT #of Stories # of Bedrooms of Bathrooms Name 3 APPLICANT Address Q Contractor ETAgent for Contractor [U Owner &%0 f)ffhuai/f AVSAU/ City •.! D Agent for Owner State/Zip Telephone #Fax # Name 4 , PROPERTY OWNER , Addresfe City ML State/Zip Telephone # Mi20$ Address City State/Zip Telephone #Name !5 .;w CONTRACTOR COMPANY NAME • : ;: m ..--, - 1 (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 pjrsuant 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 applicant to a civil penalty of not more than five hundred dollars I$5001) Name State License # Address ^ Citf State/Zip License Class BC/lf. £&!. L ${/ ///£ City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION '" '" A </ .,,ff' s ., :': .,'f Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~1 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 rir 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 earner and policy number are Insurance Company nl^6HC^ f~/OflW fa^ Policy No LO' J? '7^^2^/^ Expiration Date_ ^ ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~| CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage i$ 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 compflteatijotyrfamages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE ^S~^T DATE faf7{ && 7 OWNER BUILDER DECLARATION ..;° : i: : / .,..;r3' ..-?• &** ...;" ~™^ - 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 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 fj 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 COMPLETE THIS SECTION FOR\NONRESiDENTIAL BUILDING PERMITS ONLY • -, ' Is the applicant or future building occupant required to submit a business plan acutely hazardous mat' rials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distn< t or air quality management district? fj YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? f~l YES C] 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 tt 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 30970) 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 ol 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 unde* 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 fro/jj/ie'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 commenced for a period of 180 j|^^®il^M06 4 4 Uniform Building Code) / / . APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance A£QBP- CERTIFICATE OF LIABILITY INSURANCE MWOUCIH Lipscomb & Pitts Ins., LLC 2670 Union Avenue Extended Suite 200 Memphis, TN 38112 INSURED American Residential Services Inc. dba 860 Ridge Lake Blvd Memphis, TN 38120 DATt|MU/D(yr«) •ma cwnweMi n ISSUED AS A MATTER OP INFORMATION ONLY AND OONPBM NO RIGHTS UPON THE CERTIFICATE HOLDS* THIS CERTIFICATE DOES NOT AMEND, EXTEND OF) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A. National Union Fire Ins. Co. INSURERS American Home Assurance INSURER a American International South Ins. INSURER o- 1 llinois National Insurance Co. INSURER E. COVERAGES THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ICSUED TO THE N9JREO NAMED ABOVE FOR THE POJCY PEBOO WDCATEO NOTWITHSTANDING ANY REOUW:VIENT TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPCCT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE NSURANCE AFFORDED BY THE POLICES OESCRBED HERON IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICES AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAWS. NSH LTR A B B D B B C D TYPE OF INSURANCE SEN ERA I LIABILITY XJCOMMERCIALQENERAL LIABILITY ' ] CLAIMS MAOEJJJT] OCCUR GEN L AGGREGATE LI MIT APPLIES PER: ~~| POLICY rxljs?T Hclioc AUTOMOBILE LIABILITY X ANY AUTO ALL OWN ED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON OWN ED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY [ OCCUR (^ J CLAIMS MADE DEDUCTIBLE RETENTION * WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POUCYNU-BER 'ffiffiffiSSWL 9330417 OS: 8260281 TX: 8260280 BE3097907 OS: 7082974 CA: 7082973 GA: 7082982 IL: 7082976 04/01/00 04/01/00 04/01/00 04/01/00 TOLICT W1HAIIUN DATEIMM/DD/YYI 04/01/01 04/01/01 04/01/01 04/01/01 LIMITS EACH OCCURRENCE FIRE 0AM AGE (Any on* lire) MED EXP (Any on* person) PEHSONALiADV INJURY GENERAL AGGREGATE PRODUCTS -COMP/OPAGG COMBINED SINGLE LIMIT (Eaacadml) BOOILY1NJURY (Perpmon) BODILY IN JURY (Per icadant) PROPERTY DA MAGE (Peracadent) AUTO ONLY EA ACCIDENT OTHPRTHAN £*ACC AUTO ONLY- AQQ EACH OCCURRENCE AGGREGATE v IWCSTATU IOTH -t TORY LIMITS I Efl EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICYLIMIT •1, 000, 000 si, 000, 000 *5,000 si, 000, 000 tl, 000, 000 *1,000,000 *1, 000, 000 t t s $ I I *2, 000, 000 »2, 000, 000 t I I tl, 000,000 $1,000,000 tl, 000, 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Branch # CERTIFICATE HOLDER I ADDITIONAL INSURED- INSURER LETTER:CANCELLATION 1 SHOULD ANYOFTHEABOVEDESCWBEDPOUCIESBECANCELLEDBEFORETHEEXPIRATON DATETHEHEOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL3_CL_ DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAUEDTOTHELEFT BUT FAILURE TOOOSOSHALL IMPOSE NOOBLIOATION OR LIABILITY OF ANYKINO UPON THEINSURER.ITS AGENTS OR HEPBESENTATIVES AUTHORIZED REPRESENTATIVE 20"»<1 IJfa ACORDZ5-S (7/97)1 Qf 2 #S13830/M13828 AIW ACORD CORPORATION 1988 NetClerk, Inc e-solutsons for the contracting industry -k Inc 880 Dubuque Ave I South San Francisco, Cii 94080 650-62-4-0-i26 Building Permit Application \Mail Permit Handling Instructions Carlsbad Building Department 1200 Carlsbad Village Dr Carlsbad, CA 92008 Mam (760)602-2718 Fax {760)602-8558 Notes Pick UP Instructions MAIL Pre-reg NO - NetClerk NO Payment CREDIT CARD - CC info on fax cover {Attachments SCLC- ' Permit Type PAPER Contractor Information Company Address City Phone Fax Business License # ARS of California Inc Worker's Comp Carrier American Home Assurance 6162 Nancy Ridge Di #100 Worker's Comp Carrier # 7082973 Exp 04/01/01 State Contractor's License # 742039 B C16, C20, C36 Exp 5/31/01San Diego, CA 92121 858-677-5455 x204 858-677-5479 Comments FedEx Credit Card Information Credit Card Number 4128-0035-3239-4882 Name on Card David C McKee Expiration Date 11/02 Visa ;X ] Master Card ; Authorization Forms Credit Card Authorization Company Name ARS of California Inc Company Address 6162 Nancy Ridge Dr StefclOO, San Diego. CA 92121 Phone 8586775455 Fax Email "Agent Authors ation" By completing and returning the information below, ytl authorize Net Clerk, Inc to act as an agent on your behalf To Whom It May Concern Let tins letter authorize NetClerk, Inc and all currently employed and authorized associates of NelClerk Inc to act as ap agent on our behalf-signing for any and all building permits and licenses required by our company Type of Card V Visa Cardholders Name J) t Credit Card* MasterCard Expiration Date By signing below, I give NetClerk, Inc and all currently employed and authorized associates of NetClerk to sign credit card authorizations for the purpose of permit applications David C McKee Contractor's Name Sincerely Name -M* !) .£- Title AM.u<i \L Signature Company ARS of California Inc