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Home My WebLink About2910 CAPAZO CT; ; CB021418; Permit11-15-2002 City of Carlsbad 1 635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB021418 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 291 0 CAPAZO CT CBAD PLUM 2153902000 Lot#: Construction Type: CARLIN - GAS & ELEC TO BBQ SINK CONNECTED TO SEWER 0 NEW Status: ISSUED Applied: 05/09/2002 Entered By: JM Plan Approved: 05/09/2002 Issued: 05/09/2002 Inspect Area: PD Applicant: BHI BUILDERS 5620 PASEO DEL NORTE CARLSBAD CA 92008 619972-4043 Owner: CARLIN REVOCABLE TRUST 03-22-00 1905 REDWING ST SAN MARCOS CA 92069 Total Fees:$121.50 Total Payments To Date:$81.00 Balance Due:$40.50 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 0 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $94.50 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $121.50 1332 11/15/02 0002 01 02CGP 40.50 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 11 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit- Validated By ^ X / // 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 iption of Work SQ.FT.#of Stories # of Bedrooms # of Bathrooms ON {if MHerarlt from appflcantl ***££«Name ^>/VjZ" &&-S£t St."~'APPLICANT ' EsJSSpntractor Q Agent for Contractor ^ Q dwner O Agent for Owner Telephone Fax # Name *, , •/ 7****.r<^ Telephone # Name T^/ :Bi: CONTRACTOR - COMPANY NAME (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 more than five hundred dollars [$5001). Name -^ ^ x> — _ Address State License # /J O £ / 3 License Class City State/Zip Telephone tt City Business License tt r ^ Designer Name Address State License # City State/Zip Telephone fi, WORKERS-COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f") 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. \~] 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 Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. " OWNER-BUILDER DECLARATION 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). t~\ 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~) 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. Q 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 i SECTION FOB NON-RESIDENTIAI. SUILDING 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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 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 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 thefitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLEggstHE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIDOTJpWCONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0* deep and demolitiojurCbn|trdction of structures over 3 stories in height. EXPIRATION: Every permit issued by thejxjtlding Official under theprpytsiCnsof thjs-dode shall expire by limitation and become null and void if the building or work authorized by such permit is not cormpetlced within 180 days froro-ttiSoate of sucb-fJermit or if the building or work authorized by such permit is suspended or abandoned tt any time after the work is corprflenced for aggnedlStMKrclays (Section 1fJ8^.4 Uniform Building Ooaej; ^_- Q PPLICANT'S SIGNATURE X^Xt^l ^^ P.ATI: -^ 'DATE E: File YELLOW: Applicant PINK: Finance Inspection List Permit*: CB021418 Type: PLUM CARLIN - GAS & ELEC TO BBQ SINK CONNECTED TO SEWER Date Inspection Item 02/06/2003 29 07/29/2002 22 07/22/2002 29 07/22/2002 39 05/10/2002 21 05/10/2002 31 Final Plumbing Sewer/Water Service Final Plumbing Final Electrical Underground/Under Floor Underground/Conduit-Wirin Inspector Act MP PD PD PD PD PD AP CO CO CO AP AP Comments FINAL SEE NOTICE ATTACHED Thursday, February 06,2003 Page 1 of 1 ACQRD^ CERTIFICATE OF LIABILITY INSURANCE PRODUCER AEG Insurance Services, Inc. P.O. Box 281 900 San Francisco, CA. 94126-1900 Kelli Comer (877) AGQ-4407 x401 9 INSURED BHI Builder*, Ino. o/o American Employers Group P.O. Box 281900 San, Francisco, CA- 94126-1900 cmero «w* DATE(MM0DSVYVY) 12/21/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THI3 CERTIFICATE DOES NOT AMEND ALTER THE COVERAGE AFFORDED BY THE POL INSURERS AFFORDING COVERAGE INSURER* Virginia Surety Company iNSuwRB: HSURSRC: INSURER ft I INSURER £• N FORMATION CERTIFICATE EXTEND OR CIES BELOW. NAtt# COVERACES ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OB OTHER DOCUMENT WITH PESPECT TO WHICH THIS CERTIFICATE WAV BE ISSUED OR MAY F€RTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Ali THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.RSI?LTR A top*!mm TYHOFiNBUOANce OCNCIML LIABILITY COMMERCIAL OCNEHAL UABILfTY1 I 1 I CLAIMS MADE | [ OCCUR OEN-L MNneGATE UMTT APPLES KR ~IwucrnS» Hux: AUTOMOBILE UAPtLnV AW AUTO ALLOWKCOAUTOS SCHGDULED AUTOS HIRED AUTOS NQNOWNCD AUTOS OARAGE LIABILITY I ANVAUTO CXCEMAMMIUA LIABILITY | OCCUR Q CUUM8MADE "1 DEDUCTIBLE 1 RCTEWTION t WORKERS COMPENSATION AND EMPLOYER* LIABILITY ANY PROPRIETORWARTMRR/WEOVTIVEOFFICER/MEMBER EXOWPEO? SP66AL*PnOVI3l8NS beta* OTHER POMCV NUMBER 005-00006301 POUtVfifttCTWK 1/1/02 ^ifiriffiSfei^ 1/1/03 UMITS C*CH OCCURRENCE DmMAB E TO RbfH I LUPREMISES (Ei occuf»mf) MEOEXP(Ally«ifp«<M«) PSR$ONALKADV INJURY QtmCRALAGGMKiATE PRODUCTS . OOMWOP AGO COMBINED 6INOLC LIMIT<Em«c*»m) BODILY INJURY(PWOMWIf) BOOH.Y »uunY (P«r«amnn PflOPWTY DAMME (PnocmrM) AUTO ONLY - EA ACCIDENT onAU1 KRTHAN EAACC OONCY: ^ EACH OCCURRENCE AGGREGATE X.VWJSTATU* 1 IOTM-itSfiYIIMITn 1 ER E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L.DISEASE -POLICY LIMIT « 1 s If s 1 * f * t 1 *t 1 * *t i 1.000.000 i 1.000.000 f 1.000.000 MSCIWTION OF OPERATIONS / LOCATKJNe / VEHICLES / EJCCUMMN9 ADDED BY BWORSEMCNT/ SPECIAL PROVISIONS Coverage is provided for all classifications and codas approved for the policy including the Alternate Employers Endorsement. BHI Builders, Inc., 5620 Paseo Del Norte, Ste. 127-222, Carlsbad, CA. 92009-0000 ** License # 738313 CERTIFICATE HOLDER CANCELLATION Contractor! State License Board P.O. Box 26000 Sacramento, CA. 95826-0000 j SftOVUJ AMY OF THE ABOVE OttCRtBEO POLICIES BE CAMCCLLID UFQRE THE EXPRATWN HATE THEREOF. THE ISSUING MMM.IK WK.L ENDEAVOR TO MAIL flD DAYS WRITTEN KOTICE TO THE CERTIPICATC HflLOER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MFOM NO OBLIGATION Ofl LIABILITY OF ANY KIND UPON TMI INSURER, ITS AGiWTS OR RCMWMNTATIVES. AUTHORIZED RBWW««NTATIVE^ 7 *s*~iSf*' ^^ ACORD 25(2001/08)CACORD CORPORATION 1MB