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Home My WebLink About2750 CIRCULO SANTIAGO; T; CB000089; Permit01/10/2000 City of Carlsbad Plumbing Permit Permit No CB000089 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Rates' No-** Reference # Project Title 2750 CIRCULO SANTIAGO CBAD St T ' PLUM Lot# 0 Construction Type NEW INSTALL WASHER & DRYER Status ISSUED Applied 01/10/2000 JM 01/10/2000 01/10/2000 Entered By Plan Approved Issued Inspect Area Applicant R & R ELECTRICAL AND GENERAL 559 W GRANADA CT ONTARIO CA 91762 9099837173 / Owner 7896 01/10/00 0001 01 02 C-PRMT 96 00 ?896 Ol/10/oo 0001 01 02 " Total Fees $96 00 , ! Plumbing Issue Fee } Fixture or Trap \ Building Sewer < Roof Dram * Install/Repair Water Line v Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee , ^s ' \ f~\ ft *u» «*" / ^ /~i ^ '- \^ \ C-PRMT 96 oo ^\ " ^/ -x \ ^-'/"S\ \ ^ i^Total payments To Date f\xX" $0 00X ^ \V f Balance Due $96 00 r-- _^ 7 -^ ---v — """""^ -~ .- •?>//' \ ^ ''^ " \ i Xv >" //" n v — — i \^^ I N\ -^ s/^ / f l vrj) $2000 \ ^ A)tf V^| / ^ /--sf/; ^ " $000x -J//0 \ KJ ' (^\f/' $000 v \ 'OCXs 1 'l-i , J/ ' $000 x -y 1\1\,"^V ° - / /$700 \ 0 \ / / $000 \ ^ " \ \x 0 INCORPORAiCD ' / $000 \ \s x- / o 1952 - \\ ^ / $00° \ <^^/ // ~ ~ ~^< As^ / $6900 \^ ! / . / / ) ^-™~-^ r-, \^^~- ^^ / \ ' ~ v l ^ ' o^ /- X $0 00--^ - - - $000 TOTAL PERMIT FEES $9600 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 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 «r CITYOF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL PlanCk Deposit Validated By Date. Business Name let tWe address) UnttNo PhaaeNo Total » ot units Proposed Use Subdivision Name/NumberLegal Oeacriptiorf Assessor's Pare*! f f.£^TfL,tL. €• /CiVy^xg^W-C- Q*^City Stata/Zi City Bualnaaa Ucense t Narrta Stata Ueanaa * Oeaignar Name Stata Ueanaa # Addnwa City Stata/Zip Telepf - _ _____ _ _ " ' 2ken Compensation Declaration I hereby afflrm undar penalty of perjury on* of the following declarations I have and will maintain a certificate of eonaent to self-insure for worker* compensation aa provided by Section 3700 of the Lebor Code for the performance of tha work for which this permit I* issued S I hsve and will maintain worker* compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is Lied My worker's compensation insurance carrier and policy number are I 2 _ i S rf0 I O i ef- | Expiration Oate_^ 5> /Insurance Company Policy No (THIS SECTION NEEDJUOT BE COMPUTED tF THE WRMff W FM WEHUMM^OOUARSJ«100] OR LESS) 0 CERTIFICATE OF EXEMPTION I certify that in the'performance M the wwtTfor which this permit Is issued T shall not employ any person In eny manner ao as to become subiect to the Workers Compensation Laws of California WARNING Failure to secure workers compenaation coverage I* unlawful and ahaB subject an employer to criminal penalties and civil fine* up to one hundred thousand dollara 1*100 000) hi eddWon to the coat of compensation damages aa provided lor In Section 3708 of the Labor coda interest and attorney s fees SIGNATURE, DATE. 1 hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason 0 I ss owner of the property or my employees with wages a* their sole compensation will do tha work and the structure la not intended or offered for aale (Sec 7044 Business and Professions Coda Tha Contractor's Ucense Law does net apply to an owner of property who builds or improves thereon end who does such work himself or through his own employees provided that such Improvements are not intended or offered for aala H however tha building or improvement is sold within one veer of completion the owner-builder will hsve the burden of proving that he did not build or Improve for the purpose of aale) D I as owner of the property am exclusively contracting with licensed contractors to construct the protect (Sec 7044 Business end Professions Cods The Contractor's Ueense Law does not apply to an owner of property who builds or improves thereon and contracta for such projects with contractors) licensed pursuant to the Contractor's Ucense Law) _/• Q I am exempt under Section ... Business and Professions Code for this reason 1 I personally plan to provide the mejor labor and materials for construction of the proposed property improvement D YES QNO 2 I (have / hava not) atgnad an application for a building permit for the proposed work 3 I heve contracted with the following person (firm) to provide the proposed construction (include name / addreas / phone number / contractors license number) 4 I plan to provide pontons of the work but I hava hired the following person to coordinate auparviaa and provide the major work (include name / address / phone number / contractors license number) . ___^__ a 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 workl PROPERTY OWNER SIGNATURE DATE LESITI. Is the applicant or future building occupant required to aubmtt • business plan acutely hazardous material* registration form or risk management and prevention program undar Sections 28606 26S33 or 26634 at the Preatey-Tenner Hazardous Substance Account ActT O YES Q NO Is the applicant or f uture building occupant required to obtain t permit from tha air pollution control district or air quality management district? Q YES Q Is the facility to be constructed within 1 000 feet of the outer boundary of a aehool alta? Q YES Q NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OP OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT NO I hereby affirm that there la a construction landing agency for the performance of the work for which this parmrt I* issued (Sec 3097(1) Civil Code) LENDERS NAME _ _ LENDER S ADDRESS r^ ' 3iT^^* *™*^r^*^'***™*^*<* "*1*'*"»'*WfKTi;TljriWTl™ IST"**"*' havVe e id *• •«*lc«lon •«• ««• ««*• "taw '"formation to comet and that tha Information on the plans is accurate I egree to comply with all rSLS^TT "I*"' liwi "I"** » Mldlngconatruction I hereby authorize representatives of the City of Carlsbad to enter upon the above rmmuntdP..%Z2J2 inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY W CONSEQUENCE OF THE GRANTING1 OFTHIS^ERMIT OSHA An OSHA permit is required for excavation* over S 0 deep and demolition or construction of structures ever 3 stories in height w^k^iTh^LJhi?, TT"* T* bV ** BUl¥lnB ^'^" ** ****** of this Code shall expire by limitation end become null and void If the building or r.h.nln.H .,« « T*.T T^°,mmtnc«I Wl?ln 386 *y* from the date of such permit or If the building or work authorized by such parmit is suspendedor abandoned at any time ett«the_work is commenced for a period^ 160 da^JSaction 106 4 4 Uniform Building Coda) APPLICANT S SIGNATURE "^^fecV^y ' t~^4&%f£ t*1*^^^ ftAT, / ^ i" ^i J-m^i™iaefc»Ja«^Ma»i»».^ _ - _ UM I C f I WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 2/15/2000 Permit* CB000089 Title INSTALL WASHER & DRYER Description Inspector Assignment DM 2750 CIRCULO SANTIAGO T Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT R&R ELECTRICAL AND GENERAL Owner OCEANCREST APPARTMENTS Remarks Phone 9092329187 Inspector Total Time CD Description 29 Final Plumbing 39 Final Electrical Requested By R & R GENERAL Entered By CHRISTINE Act Comments Date 2/9/2000 Associated PCRs Inspection History Description Act Insp Comments 84 Rough Combo AP DM USF Insurance Company 100 Campus Drive Florham Park, New Jersey 07932 DECLARATIONS s Declarations Page is issued in conjunction with and forms a part of Policy Number SHO 10121 01 Renewal of Number SHO 10121 Item 1 Name of Insured R & R ELECTRICAL AND GENERAL CONTRACTORS ROCKY G MATHEWS Address 559 WEST GRANADA COURT ONTARIO CALIFORNIA 91762 Item 2 Policy Period MARCH 12 1999 to MARCH 12 2000 (1201 am unless otherwise specified) Item 3 Description of Insurance afforded hereunder COMMERCIAL GENERAL LIABILITY Item 4 Limits of Liability Coverage is provided only if a limit is shown below General Aggregate Limit (other than Products-Completed Operations) Products - Completed Operations Aggregate Limit Personal & Advertising Injury Limit Each Occurrence Limit Medical Payments Limit Fire Damage Limit $$$$$$ 2 000 000 00 1 000 000 00 1 000 000 00 1 000 000 00 5 000 00 50 000 00 (any one person) (any one fire) Item 5 Self Insured Retention $| Per Claim ("~| Per Occurrence/Offense See Endorsement Number Item 6 Deductible Item 7 The Named Insured is $ 250000 I Individual Joint Venture ^ Per Claim [J Per Occurrence/Offense See Endorsement Number 6 |~1 Partnership [~~1 Corporation [~~l Other [U Limited Liability Corporation Item 8 Premium The premium stated herein is the minimum premium for the policy penod Any adjustment upon audit will be upward only There will be no premium refund of the minimum premium upon audit if the estimated exposure is less than shown herein Twenty five percent (25%) of the annual premium is fully earned as of the inception date of the policy I Annual I Flat j Flat Fully Earned $6 630 00 MINIMUM & DEPOSIT| Term | Adjustable at a Rate of $8 50 PER $1 OOP 00 OF GROSS RECEIPTS Estimated Exposure $780 OOP 00 Item 9 Endorsements and forms attached to this Policy USF ADDLDEC (ED 12/97) USF OCCUR (ED 12/97) (Rev 6/98) ENDORSEMENTS 1 THROUGH 12 Countersignature Date March 17 1999 COUNTERSIGNATURE OF AUTHORIZED REPRESENTATIVE USF OCCDEC (ED 12/97) (Rev 8/98)