HomeMy WebLinkAbout2909 CORTE CELESTE; ; CB013646; Permit11-26-2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB013646
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2909 CORTE CELESTE CBAD
PLUM
2551464800 Lot # 0
Construction Type NEW
ODONNELL RESIDENCE
COPPER REPIPE
Status ISSUED
Applied 11/26/2001
Entered By MDP
Plan Approved 11/26/2001
Issued 11/26/2001
Inspect Area
Applicant
ANDERSON PLUMBING INC,WALTER
11 SON MARSHALL
EL CAJON, CA 92020
619-449-3852
Owner
ODONNELL TIMOTHY J&CINDY A
2909 CORTE CELESTE
CARLSBAD CA 92009
528' u/26/01 00y2 01
n't. -L
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 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 proiect 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
T INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO 6\~
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 # of units
Assessor s Parcel tt Existing Use Proposed Use
SO FT fot Stones # of Bedrooms # of Bathrooms
CONTACT PERSON (if different from applicant)
Name
.3. APPLICANT P Contractor,
Address
PAgent for Contractor Q Owner,"
City
| Agent for Owner
State/Zip Telephone tt Fax »
Name Address ity State/Zip Telephone tt
Name ' f Address City State/Zip Telephone tt
5. , CONTRACTOR - COMPANY NAME « , •• .. f „ ,. ;
(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
exejTipt,iqn Any violation of Sectipjj.7031 5 by any applicant .for a permit subjects the applicant to a civil penalty of jjat_more than five hundred dol)ar.sj$500i)plicant to a civil penalty ofref C^\o(\ ,rfr
ity JName
State License #
Address
License Class
City J 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
|~| 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
M3P 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 Compamg^ftfe Cf>M 0 ^flM£J itftS Policy No I LgL?D(X33C> 1 Expiration Date I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
l~l 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 is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (5100 000),. in additioivjto the cost of compensation damages as provided for In Section 3706 of the Labor code interest and attorney s fees
SIGNATURE £Q_y_j£j_/Jt jn^U^J^l DATE il|Z-G?fo |
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
f~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)
t~l 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~l 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 CD YES ONO
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? H] 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 CONSTRUCTION LENDING AGENCY .. , ,- M; n
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 APPyCANT 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
properly 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 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 commenced within 180 days from the 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 commencedjor a period of JtJO days (Seption 106 4 4 Uniform Building Code) .
DATE IJ/^t l£ IAPPLICANT S SIGNATURE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 12/21/2001
Permit# CB013646 Inspector Assignment GG
Title ODONNELL RESIDENCE
Description COPPER REPIPE
Type PLUM Sub Type
Phone 6194493852
Job Address 2909 CORTE CELESTE
Suite Lot 0
Location Inspector
APPLICANT ANDERSON PLUMBING INC.WALTER
Owner ODONNELL TIMOTHY J&CINDY A
Remarks
Total Time Requested By MICHAEL
Entered By KAREN
CD Description Act Comments
26 Plumbing Repairs/Sprinkler fty-p
Associated PCRs
Inspection History
Date Description Act Insp Comments
12/19/2001 29 Final Plumbing NR GG
12/05/2001 24 Rough/Topout AP GG
12/04/2001 24 Rough/Topout NR GG
ACORD. CERTIFICATE OF LIABILITY [NSaRANCfe^
PRODUCER
Advanced Insurance Services
License SOCS6701
n 0 Box 44040
lorama City CA 91412-0040
.rnone 819-393-4828 Fax 818-893-0615
INSURED
Walter Anderson Plumbing Inc ,Mary Jean Anderson1150 N Marshall
SI Ca^on CA 92020
DATE(MM/DD/YY)
10/1S/01
.. THIS CERTIFICATED ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND CR
ALTER THE COVERAGE AFFORDED BY THE POLiC.ES 3ELOW
INSURERS AFFORDING COVERAGE
INSURER A. State Coiroensation Ins Fund
INSURER B
INSURER C
'NSURERD
1
INSURER E
COVERAGES
THE POLIdES OF INSURANCE LISTED 8ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRAC"" OR OTHER DOCUMENT WITH RESPEC' ~O WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLiC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF .3UC H
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSRILTR TYPE OF INSURANCE POLICY NUMBER ?OLiCY EFFECTIVE PCL1C ~ (P'RATION IOATE'MM/DO/YYI DATE :MM/DDfYYI LIMITS
GENERAL LIABILITY
: CCMMERC AL jENE^AL LIABILITY
! : | CLAIMS MADE ! OCCUR
i i
! ;
1 GEN L AGGREGATE LIMIT APPLIES PER
! ! POLICY1 !^ ; Uoc
! AUTOMOBILE UABIUTY
| i ANY AUTO
i i ALL OWNED AUTOS
i SCHEDULED AUTOS
! 1 HIRED AUTOS
i I NON-OWNED AUTOS
' 1
1
!
i:
<
|
1
|
1
,
EACH OCCURRENCE s
FiRE DAMAGE Anv cne nret I
, VIED EXP Anvcnecersom 3
i PERSONAL i ADV INJURY : 3
GENERAL AGGREGATE 3
PRODUCES COMP/OPAGG ] 3
COMBINED SINGLE LIMIT -
(Eaaccaeni) j
BODILY INJURY , -
(Per person) «
BODILY INJURYDer accident)
PROPPHTV nAMAr;?:
1
| OARAGE UABIUTY
| 1 ANY AUTO
M
EXCESS UABIUTY
j 1 OCCUR [ | CLAIMS MADE
1
1 DEDUCTIBLE
(Per accident)
AUTO ONLY EAACCDENT
OTHER THAN EAACC
AUTO ONLY AGG
EACH OCCURRENCE
AGGREGATE
^
s
$
3
S
3
3
3
|OFH II PSWORKERS COMPENSATION AND
EMPLOYERS UABIUTY I 166063301
i TORY LIMITS I
10/01/01 10/01/02 | H.L EACH ACCIDENT S1,000,000
EL. DISEASE EA EMPLOYES S 1 , OOP , OOP
E.L. DISEASE POLICY LIMFT | S 1,000,000
OTHER
*10 Days Notice of Cancellation for Non-Payment of Premium
CERTIFICATE HOLDER [ N I ADDITIONAL INSURED INSURER LETTER CANCELLATION
KBH9213
i
SHOULD ANY OF THE ABOVE DESCRIBED POUC1ES BE CANCELLED BEFORE THE EXPIRATION
DATETHEREOF THE ISSUING INSURER WILLENDEAVOR TO MAIL * 3 0 DAYS WRITTEN
NOnCETn THE CERTIFICATE HOLDER NAMED TO THE LEFT 3UT FAILURE TO DO SO SHALL
IMPOSENO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES-
ACORD 25-S (7/97)CORPORATION 1988