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HomeMy WebLinkAbout2910 CORTE JARDIN; ; CB990754; Permit02/25/1999 City of Carlsbad Plumbing Permit Permit No CB990754 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Reference # Project Title 2910 CORTE JARDIN CBAD PLUM 2551445700 Lot# 0 Construction Type NEW COPPER REPIPE Status ISSUED Applied 02/25/1999 Entered By JM Plan Approved 02/25/1999 Issued 02/25/1999 Inspect Area Applicant WALTER ANDERSON 1150N MARSHALL EL CAJON CA 92020 619-449-3852 Owner 6822 02/25/99 0001 01 NORTON JON O&DIANA B C-PRHT 2910 CORTE JARDIN CARLSBAD CA 92009 02 57.00 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 TOTAL PERMIT FEES "0 .'0 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $3000 $000 00 PERMIT HAS EXPIRED IN ACCORDANCE WITH &5B.C° SECTION 106.4.4 ' " DATE..SIGNATURE FINAL APPROVAL Inspector 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 ;n 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 1 .PROJECT INFORMATION\Scve.i£L FOR OFFICE USE ONLY PLAN CHECK NO ^ff 7 J / EST VAL Plan Ck Deposit Validated By Date Address (include BldgSuite Business Name (at this address) Legal Descrif Lot No Subdivision Name/Number Unit No Phase No Total # of units Assess/at s Parcel tt Existing Use Proposed Use Description olwork SQ FT #of Stories tt of Bedrooms tt of Bathrooms CONTACT PERSON (if different from applicant) Name 3 APPLICANT n Contractor Address Agent for Contractor Q Owneri USD n City Q Agent for Own State/Zip Telephone tt CM ..Fax » Name Address City State/:Telephone tt ftrte,CA- Name Address City State/Zip Telephone tt 5 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 lo the provisions ol 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 I $500)) M/v^b . USD State License tt H~^ iA ' Address . £•2? License Class US ->if City State/Zip City Business License tt Telephone tt Designer Name State License # Address City State/Zip Telephone 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations C] I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issuedWjJ0,, I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are . /\ «, Insurance Company U^/LMJuLtTf^QUl Policy No (_flJ/$ jLy/CtftSQT'^ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) [3 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 thp Workers Compensation Laws of California WARNING Failure tof secure workers compensajiun/covet^ge is un'<"-'<ul and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dollars ($10p OOOL^h addition to thexfost/^Kcprripensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE_ ^-^^< /1L2&~*\ ^—-^JT^^^T^^jf DATE 7 OWNER I I hereby affirm that I am exempt from the Contractor s License Law for the following reason (~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) f~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 protects with contractor(s) licensed pursuant to the Contractor s License Law) r~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 l~) 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 I 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? 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? O YES O 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 _ ___ __ _____ 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 of 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 Buildmg 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/fet commenced within 365 days fraffi the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th<£work ts/commenced/KSfir0e>(odxgr 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Inspection Request For 3/2/99 Permit# CB990754 Title COPPER REPIPE Description Inspector Assignment 2910 CORTEJARDIN Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT WALTER ANDERSON Owner NORTON JON O&DIANA B Remarks Phone 7604493852 Inspector Total Time CD Description 24 Rough/Topout Act ..Comments Requested By RICH Entered By ROBIN Inspection History Date Description Act Insp Comments PRODUCER ADVANCED INS SERVICES P O BOX 44040 PANORAMA CITY CA 91412 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A CAL COMP INS CO MSUHED WALTER ANDERSON PLUMBING INC WALTER ANDERSON ARIZONA 1150 N. MARSHALL EL CAJON CA 92020 COMPANY B COMPANYc COMPANY D THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WfTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OH MAY PERTAIN, IHb INSURANCE AFFORDED B*" THE POL.C.EG ECSCPi.SCD HEPE!" IS SUBJECT" TO »LL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POUCIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS COLTH TYPE OF MSURANCE POUCY NUMBER POLICY EFFECTIVE DATE (MM/DD/VY) POLICY EXPIRATION DATE (MM/DD/YV) GENERAL UABUTY COMMERCIAL GENERAL LIABILITY ~] CLAIMS MADE | | OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS COMP/OPAGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any on* Dm) MED EXP (Any on* parson) AUTOMOBU UABUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE QARAQE UABUTY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS UABUTY EACH OCCURRENCE UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE WORKERS COMPENSATION AND EMPLOYERS UABIUTY W98D165053 10/01/98 10/01/99 I WC oTATJ I I TORY LIMITS I ,OTHI ER THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE. Y EL EACH ACCIDENT $1,000,000 INCL EXCL EL DISEASE POUCY LIMIT $1,000,000 EL DISEASE EA EMPLOYEE $1,000,000 OTHEB 9 DESCRIPTION OF OPERATONS/LOCATONS/VEMCLEft/SPECIAL ITEMS CAHCfLtATJOK FOR INSURANCE PURPOSES ONLY!!! FOR INDURANCE PURPOSES ONLY ! ! ! FOR INSURANCE PURPOSES ONLY!!! FOR INSURANCE PURPOSES ONLY ! ! ! SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WU. ENDEAVOR TO MAI. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO HAL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR UABUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Leon Katz, CIC, CPIA TA A ©ACORD CORPORATION 1988