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Home My WebLink About1741 CATALPA RD; ; CB961603; PermitBUILDING PERMIT08/28/96 13.21 Page 1 of a Job Address. 1741 CATALPA RD Suite Permit Type PLUMBING Parcel No. 215-51S-02-00 Lot#. 0Valuation. Occupancy Group' Reference*. Description- WATER HEATER REPLACEMENT Permit Wo CB961603 Project No: A9602295 Development No 9351 08/28/96 0001 01 ty> C-PKMT ** 27.00 Appl/Ownr . TORREY PINES PLUMBING 3580 PRODUCTION AVE SAN DIEGO, CA 92121 Fees Adjustments: Total Fees- \ t-~PY"— — — ff . cto- Construction Type VN Status: ISSUED Applied- 08/28/96 Apr/Issue- 08/28/96 Entered By. MDP 619 566-4533 * A A 00 00 27 00re<? aescriptiou i Enter "Y" for Pluitifc Each Water Heater a * PLUMBING TOTAL " /^ - / "";\A dWei " ^ - ^ 1 1 ia" >C?~*~-".T ^"Tv ri^/^ Vent NT >"/:\" *V ~ '' ; ' %. - -' • ->•' , W\. ^--.- "if •• kX-'-^™ ^^units \v F-v6/Uri*i.t Tn/^j'' ^ J^?!~r, ,/•*'' i n, ,~ ,3 'Qtvx? /O'/ , \ \" * , M S -S'-j . '-'- ! Ext fee Data 20 00 Y7 . 00 27 00 \ IMS0 -V APPROVAL ., DATEli^Jl CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION V City of Carlsbad Building Department 2075 Las PaImas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Projecte Only From List 2 (see back) give Code of Structure-Type _*j_J Net Loss/Gain of Dwelling Units PLAN CHECK NO. EST VAL PIAN CK DEPOSIT VALID BY ~ DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Nearest Cross Street LRJAL bEscRlPTIoN Building or Suite No Lot No Subdivision Name/Number"Unit No Phdse No CHlKJk BELOW It SUHMlTl'ELi D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCF.T.EXISTING USE _EROPOSED USE DESCRIPTION OF WORK SQ FT UJNlAL'l PLKSUN (il diHerenl trom applicant] NAME (last name first) — # OF STORIES # OF BEDROOMS # OF BATHROOMS STATED ZIPCODE^200^ DAY TELEPHONE'S 8 4 APPLICANT LKJONTKACTOH — UAfJHNT FOR WNTKAtTluK — U OWN NAME (last name first) ADDRESS CITY *> P U AGENT l-'OR OWNER STATE ZIP CODE DAY TELEPHONE 57 PROPERTY OWNER NAME (last name first) STATE ft ADDRESS ZIP CODE DAY TELEPHONE fi /C STATED NAME (last name first) ft. . 0* 1212. I DAYTELEPHONE^^ STATE LIC #h3t//%Q LICENSE CLASS ^-" **? CITY BUSINESS LIC # NAML (last name tirstj ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC #1 UOMPLN*JATloN Workers Compensation Declaration I hereby affirm that I have a certificate ofconsent to self-insure issjed by the Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab C) INSURANCE COMPANY POLICY NO EXPIRATION DATE Certificate of Exemption I certify that in the performance or 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 SIGNATURE DATE 8. OW NCR-BUILDER DECLARATION iJwner-uu] Icier Uecld ration Thcrecy attirm that 1 am exempt trom the Contractor's Lactnse Law lor tht following reason D 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 ) D 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) D 1 am exempt under Section _ Business and Professions Code for this reason (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor 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, commencing 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 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) SIGNATURE DATE COMPLETE THIS FOR NoN-RESIDENTlAl BUILDING PKUMl'IS oNLV 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? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distncl or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES O NOIF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE A1K POLLUTION CONTROL DISTRICT 9 UONkTUUcTloN LENLHNC AtiENCV m^^rmTm_^_T_-__ l h(;feby affirm that there is a construction lending agency tor the performance ot the work for which this permit is issued (.Sec 3097UJ Civil CodeJ LENDER'S NAME APPLICANT CUUIPICMION LENDER'S ADDRESS TO" l certify that I nave reacTthe application and state that the above information is correct I agree to comply with all CUy ordinances and btateTaws 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 OTY 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 building or work authorized by such' such permit is suspended or abali APPLICANTS SIGNATURE al under the provisions of this Code shall expire by limitation and become null and void if the mmJenced within 365 days from the date of such permit or if the building or work authorized byfe aftqFthe work is commenced for a period of 180 days (Section 303(d) Uniform Building Code) DATE lie YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMITS CB961603 FOR 09/20/96 DESCRIPTION: WATER HEATER REPLACEMENT TYPE: PLUM JOB ADDRESS: 1741 CATALPA RD APPLICANT: TORREY PINES PLUMBING CONTRACTOR: OWNER: REMARKS: MW/DOUG/566-4533 INSPECTOR AREA PLANCKtf CB961603 OCC GRP CONSTR. TYPE VN STE: LOT: PHONE: 619 566-4533 PHONE: PHONE: INSPECTOR SPECIAL INSTRUCT: HOMEOWNER WILL BE HOME AFTER 2 PM 438-3889 IF NOT OK CALL MRS. ROBINSON TOTAL TIME: CD LVL DESCRIPTION 25 PL Water Heater/Vents ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS Certificate of Insurance THE CErnnCATB 6 ESUED AS A MATTER OF INFORMATION ONLY AND COMTEK NO nzmurCN*W-mECmVttTKtK>U3ElL ^ r This is to Certify that I TORREY PINES PLUMBING AN AACHEN INC COMPANY 8580 PRODUCTION AVE SAN DIEGO CA 92121 Is, at the issue date of this certificate, Insured by the Company ureter the po(kyOes)Dsted below. The insurarxa affc^ed by the Dsted rxrfk^Ieslts subject to all their term*, exclusions and conditions and Is not altered by any reo^remerrl, term or corxfflion of any contract or other doo^ Name and address of Insured. LIBERTY MUTUAL TYPE OF POLICY EXP. DATE D CONTINUOUS D EXTENDED H POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION 01/01/97 WC2-161-037482-016 COVERAGE AFFORDED UNOER WC LAW OF THE FOLLOWING STATES. CALIFORNIA EMPLOYERS UABIUTY Bodtv Iniury Bv Acadent $1,000,000 EachAccident Disease PolicyLimit Disease Each^fc.Person. GENERAL LIABILITY LJ OCCURRENCE CLAIMS MADE General Aggregate - Other th«in Products/Completed Operations Products/Completed Operations Aggregate Bodily Injury and Property Damaqe Liability , Personal and Advertising Injury RETRO DATE Per Occurrence Per Person/ Organization Other .Other AUTOMOBILE LIABILITY D OWNED D NONOWNED D HIRED Each Acadent - Single Umrt Bl andPD Combined Each Person Each Accident or Occurrence Each Acadent or Occurrence OTHER ADDITIONAL COMMENTS RE: AIX OPERATIONS OF THE NAMED INSURED 'ADDITIONAL INSURED REQUEST NOT APPLICABLE TO WORKERS COMPENSATION POLICY' L, *M» ftiimcat* expiration d>ta is continuous or extended term, you will betyatfRed if coverage Is terminated or reduced belore th« certificate expiration date WSB*> IWTKf-OMIO- ANY PERSON WHO. WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS PAOUTATINQ A FRAUD AGAINST AN INSURER SUBMITS <*_*miC*TIOM OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD "***« 0* CANCELLATION- (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW) BEFORE Liberty M ulual Group At*'ATtD exPTHATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED ^^•"m MOVE POLICIES UNTIL AT LEAST X DAYS "" . — **"** OHUCH CANCELLATION HAS BEEN MAILED TO" PINES PLUMBING PRODUCTION AVE SAN DIEGO CA 92121 ALTTHORIZED REPRESENTATIVE RR SAN DIEGO CA (619) 558-8311 12/21/95 OFFICE PHONE NUMBER DATE ISSUED