HomeMy WebLinkAbout2912 CORTE JARDIN; ; CB032225; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB032225
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2912 CORTE JARDIN CBAD
PLUM Status:
Parcel No: 2551445800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference#: Plan Approved:
Issued:
Project Title: PRINCIPE RES-COPPER RE-PIPE Inspect Area:
Applicant:
ANDERSON PLUMBING INC,WALTER
1150N MARSHALL
EL CAJON, CA 92020
619-449-3852
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
TOTAL PERMIT FEES
0
0
0
1
0
0
0
Owner:
PRINCIPE ALFONSO&JEAN L TRS
2912 CORTE JARDIN
CARLSBAD CA 92009
ISSUED
08/12/2003
RMA
08/12/2003
08/12/2003
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$57.00
Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00
Inspector:
FINAL ,~~~R~'{~L
Date: ~1.'/ f (f_j::::) 1'x
~ f Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "lmpo~ition" 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 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
FOR OFFICE USE~~ Y
PLAN CHECK NO. li{j t(J2 ~ 1.__ s
PERMIT APPLICATION EST. VAL.----------
Plan Ck. Deposit -----7t-.------e CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
2912 Corte Jardin
Validate~ r
Date / /<2
Address (include Bldg/Suite #)
SFD
Business Name (at this address)
Legal Description Lot No, Subdivision Name/Number Unit No. Phase No.
255-144-58-00
Assessor's Parcel #
COPPER REPIPE
Existing Use Proposed Use
Description of Work SQ. FT. #of Stories #of Bedrooms
Name Address City State/Zip Telephone#
Alfonso Principe same as #1 Carlsbad CA 92008 760-436-9705
Name Address City State/Zip Telephone#
(c
Total # of units
# of Bathrooms
Fax#
(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]).
Walter Anderson Plbg. 1150 N. Marshall Ave El Cajon, CA , 92020 619-449-3852
Name Address City State/Zip Telephone#
State License # 493163 License Class C-36 City Business License # _1,_,0~7-'----'4_,4,_,0,_,0"-------
Designer Name Address City State/Zip Telephone#
State License # -----------------
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
o 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 wor1<
for which this permit is issued.
0 I have and will maintain worker's 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 _StatE;LC.Qmp_lns .__f_und _____ Policy No._1_Q_60§~302 ________ Expiration Date _ _.:! 0/Q_.:!_{Q;L _______ _
(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($100,000), in addition to the cost of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees.
SIGNATURE _______________________________________________________________________ DATE _____________________ _
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will d 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).
0 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)_
0 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. 0 YES 0 NO
2. I (have/have not) signed an application for a building permit for the proposed wor1<.
3, I have contracted with the following person (firm) to provide the proposed construction (include name I address 1 phone number 1 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 wor1< (include name 1 address 1 phone number 1
/ontractors 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 I address I phone number I type of work):
PROPERTYOWNERSIGNATURE ______________________________________________________ DATE ____________________ _
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/19/2003
Permit# CB032225
Title: PRINCIPE RES-COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2912 CORTE JARDIN
Lot 0
APPLICANT ANDERSON PLUMBING INC,WALTER
Owner: PRINCIPE ALFONSO&JEAN L TRS
Remarks: AM PLEASE
Total Time:
CD Description Act Comment
Inspector Assignment: JM ---
Phone: 7604369705
Inspector:
Requested By: JEAN
Entered By: CHRISTINE
19 Final Structural fj;;;_ ~ ----~-----------------------------------
29 _F_i_na_I_P_I_um-,--b-in_g ________ + ---------------------------------------
Associated PCRs/CVs
Inspection History
Date Description
09/04/2003 24 Rough/Topout
Act lnsp Comments
AP JM CWBOK
.SrATE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
COMPENSATlON
INS U Ft A, N:iCE . .
FUN'D CERTIFICATE dF .WO~KERS' COMPENSATtd~·t~S~RANCE
ISSUE DATE: 10-01-02
CITY OF CARLSBAD iZOO ELM AVE ..
CARLSBAU CA 92008
POLICY NUMBER: 1660633 -02
CERTIFICATE EXPIRES: 10-01-03
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer.
We will also give you30 days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policies. listed herein. Notwithstanding any requirement, term, or condition of any contract or other document
with respect to which this certificate of insurance 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.
Yr/~ ~~!DENT .
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE.
ENDORSEMENT #2065ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10/01/02 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER
WALTERANDERSON. PLUMBING
1150 NORTH MARSHALL EL CAJON CA 92010 .
LEGAL NAME
WALTE~ ANDER.SON PI,.I,IMBING INC
PRINTED: 09-18-02 P041 0
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