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Home My WebLink About2911 CORTE CELESTE; ; CB053009; Permit08-19-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB053009 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2911 CORTE CELESTE CBAD PLUM 2551464700 Lot# Construction Type WITMER RES COPPER RE-PIPE 0 NEW Status ISSUED Applied 08/19/2005 KG 08/19/2005 Entered By Plan Approved Issued Inspect Area 08/19/2005 Applicant ANDERSON PLUMBING INC WALTER 11 SON MARSHALL EL CAJON, CA 92020 619-449-3852 Owner WITMER JOHN T&KAREN L 2911 CORTE CELESTE CARLSBAD CA 92009 5074 08/19/05 0002 0.1 02 CBP 60-30 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 $3300 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $0 00 Balance Due $6000 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 theinmposition 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 vnu have previously been given a NOTICE similar to this, or as to which the statute of limitations has rjreviously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION Ji FOR OFFICE USE PLAN CHECK N( EST VAL NLY Plan Ck Deposi Validated Date Address (include Bldg/Suite Business Name (at this address) Leqal Description Assessor s Parcel # Lot No Subdivision Name/Number Unit No Phase No Total # of units Existing Use Proposed Use Description df Work 2 . CONTACT PERSON (if'different from applicant) • SQ FT #of Stories # of Bedrooms # of Bathrooms Name 3 APPLICANT Address City Contractor, ^5),Agent for Contractor'. .i-.Q Owner [U Aflent for Owner' State/Zip Telephone #Fax* Name 4; 'PROPERTY OWNER Address City State/Zip Telephone tt Ce W» Name Address - City State/Zip Telephone # 5. "CONTRACTOR '.COMPANY NAME , I , ,-, v •'... ^c • ••> ":•..'" • '• " "'••r,"-H' ' iXV " f:\',;,,"i-' fv; *;i- « (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 ($500)1' ' ~% t>*, /!»*. NS0 rt Name State License ff Address License Class City ' State/Zip Telephone* fa j& \ f-f ty« .- City Business License ff I&7" *^ *•/ C?6 Designer Name Address City State/Zip Telephone State License ff 6 WORKERS'iCOMPENSATIOKTsi V" ^ •" '" "' '.' *'*•• i,<''• "^" • ••.:.'-'" ,..--...::"•• *••:•'*<"• 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 ST 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 ^—^ —> / I si I S-/ ) / I-rfl/n k VrJ Insurance Company Policy Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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 ( ^ „ /•" ~" *" the cost of compensation damages as provided for in Section 3706 of thp Labor .code/ interest and attorney s fees SIGNATURE , ^^//J^ DATE &J I 87/75 T'f- OWNER BUILDER DECLARATION [ i' '• '".' .;',',' ":"' :: ..' ' •', ,'M, 7';.' ;'"' '•• ' '' ! '•• , •- •' ... .; :'" \ ; •>,' '• - „ * ' -''.''I 1 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) n 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 l~1 YES f~lNO 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 25B34 of the Presley Tanner Hazardous Substance Account Act? f~l YES [~1 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~) YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? I") YES (~1 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 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 of the City 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 stones 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 l>y such permit is not commenced within 180 days from thexdate of such permit or if the building or work authorized by such permit is suspended or abandoned at any tin ter the work is commenced-far aJDer^dof 1 SOdgye-f^ection 106 4 4 Uniform Building Code) APPLICA SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City of Carlsbad Bldg Inspection Request For 08/25/2005 Permit* CB053009 Title WITMER RES COPPER RE-PIPE Description Sub Type 2911 CORTE CELESTE Lot 0 Type PLUM Job Address Suite Location APPLICANT ANDERSON PLUMBING INC.WALTER Owner WITMER JOHN T&KAREN L Remarks AM PLEASE Inspector Assignment Phone 7607294600 Inspector Total Time CD Description 24 Rough/Topout Act Comment Requested By BRANDY Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Kennedy Insurance Agency, Inc 2295 Fletcher Parkway, Ste 100 El Cajon CA 92020 Phone 619-797-1440 Fax 619-797-1459 INSURED Walter Anderson Plumbing, Inc1150 N Marshall AvenueEl Ca^on CA 92020 OP ID BC n»TE(MWDo/~~. WALTE-1 07/06/05 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 INSURERS AFFORDING COVERAGE NAIC # INSURER A Redwood Fire Casualty Ins Co INSURER B INSURER C INSURER D | INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR IADD'0LTR INSRD TYPE OF INSURANCE A 1 GENERAL LIABILITY 1 COMMERCIAL GENERAL LIABILITY | | CLAiMS MADE [ I OCCUR i i1 GEN L AGGREGATE LIMIT APPLIES PER ' POLICY i ' JECT f | LOG i AUTOMOBILE LIABILITY | ANY AUTO 1 ALL OWNED AUTOS SCHEDULED AUTOS I | HIRED AUTOS 1 NON OWNED AUTOS GARAGE LIABILITY | j ANY AUTO "1 | EXCESS/UMBRELLA LIABILITY ! OCCUR I \ CLAIMS MADE| 1 , ! 1 DEDUCTIBLE i RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED' If yes describe underSPECIAL PROVISIONS below OTHER POLICY NUMBER | !1 i j j i ij W5734094 | j DATE (MM/DDfYYJ DATE (MM/DD/YY) ! 1 07/01/05 07/01/06 LIMITS EACH OCCURRENCE | $ PREMISES (Ea ocojrence) | S MED EXP (Any ore person) ', S PERSONAL & ADV INJURY S GENERAL AGGREGATE j $ PRODUCTS COMP/OPAGG i S 11 . — -1COMBINED SINGLE LIMIT j .(Ea accident) i s BODILY INJURY .(Per person) BODILY INJURY ,(Per accident) * ; PROPERTY DAMAGE i ,(Per acaderi) s AUTO ONLY EA ACCIDENT S OTHFRTHAN EAACC . S AUTO ONLY AGGj$ EACH OCCURRENCE $ AGGREGATE S $ S l» wcBTA'D i ,OTH i• TORY LIMITS 1 i ER ! EL EACH ACCIDENT S 1000000 EL DISEASE EA EMPLOYEE $ 1000000 EL DISEASE POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION CITYCAS CITY OF CARLSBAD 1200 ELM AVE CARLSBAD CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP1RA " DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 OAYSWRiTTt NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT BUT FAILURE TO DO SO SHA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER ITS AGENTS OK REPRESENTATIVES AUjrfpRIZED REPRESENTWTllTE . ^ti^WaMoo I- -•,„.„ *» S\ 11 1 <£> ACOKU COKHUKA IUN iACORD 25 (2001/08)