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Home My WebLink About1781 SKIMMER CT; ; CB011684; Permit05/08/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB011684 Building Inspection Request Line (760) 602-2725 Job Address 1781 SKIMMER CT CBAD Permit Type PLUM Parcel No 2150505700 Lot# 0 Construction Type NEW Reference # DWG385-9 Project Title STEINER PROPERTY/ SEWER Applicant WESTERN PACIFIC HOUSING SUITE 210 5790 FLEET ST CARLSBAD CA 92008 760-929-1600 Status ISSUED Applied 05/08/2001 CB 05/08/2001 Entered By Plan Approved Issued 05/08/2001 Inspect Area 8780 05/08/01 0002 01 02 Owner CGP 32J9"°° SASKA ISABEL R TRUST 04-01-98 6721 EL CAMINO REAL CARLSBAD CA 92009 Total Fees $3,21900 Total Payments To Date $000 Balance Due $3,21900 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 1 0 0 0 0 0 $2000 $000 $1500 $000 $000 $000 $000 $000 $000 $000 $3,18400 $000 TOTAL PERMIT FEES $3,21900 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 tmely 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1: PROJECT INFORMATIO \~l^l S>Address (include Bldg/Suite#) FOR OFFICE USE ONLY PLAN CHECK NCv^fiQ (I (_6 fy^ EST VAL _ Plan Ck Deposit Validated By. Date _S"f Business Name (at this address) Legal Description Lot No Subdivision, Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work CONT A Iwe SQ FT #of Stones # of Bedrooms tt of Bathrooms . .. Q 'JO 10 Pff LD Name Address City ra"ctor';|; jED Owner;. . "O"Agerit"forr-Owner;:J State/Zip Telephone tt Fax Address City State/Zip TelephoneName » 5 Tc6NfRAiCTORft COMPANY NAME ; : J-«i 3'! ; •,.:<:•:•":'~ f ''3if "" '•• = "" ' :"r'?'' .•/""•'' ' '" " ":-™h;V' : ^if <V --^r- ... ~'\;, :;-;v : (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 dojJars I $5001) Name ( - State License tt ^-^ Designer Name State License tt x_A)iaress ^. l^E> ~l C^)^ ' License Class -V^ ' i'1 ,, ' Address .. __.'.«.. ~V. r:-*-"- . .--.. -x~.:~*-...^ ,:,*,¥^~ •" •.-»*.• ::v -.. :, City , City City State/Zip Business License # 1 State/Zip Telephone Telephone ••••«.<"" ..:, ! =>: • " *Quu)< ' j- '•.. •• 7.9-C '6't,:: WORKERS'COMPENSATION Workers' Compensation Declaration I hereby'affirm under penalty of perjury one of the following declarations ?• < .. ' . • ( - > ,'\ .' : n I have and will maintain a certificate.of consent to1 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 *..'... .. .. , jBv. 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 Tex C" \— ,OQv^vS^ & f^—:r—-• v- r*> Policy No *"| (•—) \ OQ r)~ (. d> Expiration Date (THIS SECTION NEED NOT BE COMPLETED THE PERMIT IS FOR ONE HUNDRED DOLLARS |$100] OR LESS) n 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 dollais-lSJOO.OOO) in addition to the costof, compensation damages as provided for in Section 3706 of the Lab9r code) interest and attorney s fees SIGNATURE ?f*'—f~J^ ^. A/^/V^^C-Q^-y^C^-X-SLx-^/ — DATE <5~ ;i72t:OVyNER-BUiLDf;Fi' DECLARAT ION , ; , •'• ^ - ; :: ,. -V . • ' fi'.1- .Zi'.;.'• ,".•' 1 - '-'^£IZ"l£Ss«-,.;. I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~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) O 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 abor code, interc•rs-7o\r m ~ Business and Professions Code for this reason pursuant to the Contractor's License Law) n I am exempt under Section 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement 2 I (have / have not) signed .an application, for a building permit for the proposed work YES QNO 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 rBUJLDING^ERMliSpNLYii/^;;:;,: ^Sl^'iijlC""7?^, : 1-CP'- . t* :"„ . '*'< •"' >•• 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 Cl 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES QJ 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 !9. ^CONSTRUCTION LENDING^AGENCYi ,'! ''^..,- '..•« ^-."=, ,-.:' :;„«. • ''3l';. - '-•' - W' ' ••' ""• : > - . ' '" '" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) 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 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 building 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 not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work ii^etumenced for a,penod of 1 80 days (Section 1 06 4 4 Uniform Building Code) i\ VQ-^r-, L Py->.APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/14/2001 Permit# CB011684 Title STEINER PROPERTY/ SEWER Description Inspector Assignment 1781 SKIMMER CT Lot Type PLUM Sub Type Job Address Suite Location OWNER SASKA ISABEL R TRUST 04-01 -98 Owner Remarks Phone 7605599798 Inspector Total Time CD Description 22 Sewer/Water Service Act Comments Requested By JIM Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments CERTIFICATf PRODUCER Ma'sh USA Inc P 0 Box 4238 \ Honolulu HI 96812 INSURED UESTERN PACIFIC HOUSING DEVELOPMENT LP & AFFILIATES & UESTERN PACIFIC HOUSING INC 300 Continental Blvd Ste 390 El Segundo CA 90245 • OF INSURANCE 7»™"r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY THIS CERTIFICATE DOES l\jpT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN COMPANIES AFFORDING COVERAGE COMPANY A PACIFIC EAGLE INSURANCE CO COMPANY B COMPANYc COMPANY D COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR » A TYPE OF INSURANCE GENERAL LIABILITY ; COMMERCIAL GENERAL LIABILITY ~ 1 CLAIMS MADE | JOCCUR OWNER S & CONTRACTOR S PROT AUTOMOBILE LIABILITY - - GAP ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS AGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER S COMPENSATION / EMPLOYERS LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE *ND INCL EXCL OTHER POLICY NUMBER • 4S0100273 POLICY EFFECTIVE DATE (MM/DD/YY) 3/19/01 POLICY EXPIRATION DATE (MM/DD/YY) 3/19/02 LIMITS GENERAL AGGREGATE PRODUCTS COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one hre) MED EXP (Any one person) COMBINED SINGLE LIMIT BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE $ $ $ $ $ $ $ $ $ $ $ $ S EACH OCCURRENCE * AGGREGATE y WC STATU 1 OTH« TORY LIMITSI ER EL EACH ACCIDENT EL DISEASE POLICY LIMIT EL DISEASE EA EMPLOYEE $ $ $ ] 000 000 * 1 000 000 * 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS RE HPH-EL CAMINO CERTIFICATE HOLDER CITY OF CARLSBAD ^ 1635 SARADAY AVENUE • CARLSBAD CA 92008r CANCaiATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE INSURER AFFORDING CC-'VERAGE WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATIVES Marsh USA Inc M J A M& BY IM^^tM •CJ^UJI^MW ^^^f ^^^^^^^^^^r ^^^^^^^(^^r ^^^^^^^ JHMM* ®)s&\ . VALttlASOF 3/l$/ftl 10 DAYS FOR NON-PAYMENT)