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HomeMy WebLinkAbout1024 DAISY AVE; ; CB100511; Permit03-25-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100511 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 1024 DAISY AVCBAD PLUM 2144021900 Lot #: 0 Construction Type: NEW AUGUST RES-REPLACE WATER HEATE SAME LOCATION Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/25/2010 RMA 03/25/2010 03/25/2010 Owner: AUGUST FAMILY TRUST 07-14-97 1024 DAISY AVE CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$0 00 Balance Due:$27.00 Inspector? FINAL A/PROVAL Date: 7 ' * ~ / °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 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ^Building Permit A| ^•W 1635 Faraday Ave- CarlsbacNJ/' CITY OF 760-602-2717/2718 f* A D I CD A Pl Fax 76° 602 85 L.AKLbDAU www.carlsbadca.E JOB ADDRESS CT/PROJECT # LOT # PHRSE # DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) *±-A-t/# OF UNITS ^ (/BEDROOMS animation Pla" Che°k N°' (^ fOt^SlIspnccirion v — >%/ * ' i, CA 92008 Est. Value /2/iy 58 Plan Ck. Deposit **3)oLS/fD fl/f- SUITE#/SPACE#/UNIT# APN ' # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP ' / , fi^w J r^^! / EXISTING USE PROPOSED USE f/v- (&r^&vf ^^>t^v_ GARAGE (SF) CONTACT NAME (If Different Fom Applicant) » . / ADDRESS • J CITY . ... STATE ZIP PHONE ,' FAX ^ EMA'L ^ ^) // £/^*<- Ir \J i c <?- ** f-ttiv\ri& T I(JMh/rt<) (<9Sn PROPERTY OWNER NAME/^ J /\ ' 1 fel^-rC/ * L^t(Jfit <MU-<\b{C. 7" ADDRESS 7 , J [o~Xi-i Dti^y ST CITY s>. t 1 I STATE / ZIP PHONE - / FAX EMAIL ' ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME I 1 .ni , ADDRESS ,' 7 ( f, v ** J- ?(Ltr^'rit f-£ r''v~£- • CITY v-lr l i STATE ZIP \J i *i TU c A- - *-/ i oA ~^ PHONE , ( [FAX EMAIL ^ ^1 , -5<?{ \j(i^st (p HainrtG. 1 i^t^kf^iCj _ cdri^ CONTRACTOR BUS. NAME / / fl 1 , -* ADDRESS / CITY , i STATE ZIP ^i^'O C fl , \~2*Oik/ PHONE i / FAX ' \& O j / 2- ^ "^ C^C)O ^~ I \£2 O II ^5 * EMAIL » /^ i i ^ STATE LIC.« CLASS CITY BUS. Ll«# (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}). Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: CD 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. I have and will maintain wwkers' compensation, as req6ired.to Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatirfi ins/ranee carrier and policy number are: Insurance COA/(? \i\ IM.W | Ufi(/(^ W\fi\iJLi\&t ftl \f?f 3 Policy No. "^-O / 0 O Q 33 *?'fo 36JS Expiration Date I'/'/2-G I I This-section need not be completed if the permit is for one hundred dollars ($100) or less. \\ 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: Failufelo\ecure 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 as prnvirlrfUnrJn Hrrtinn 17flfi of the Labor code, interest and attorney's fees. DATE / hereby affirm (hat / am exempt from Contractor's License Law for the following reason: O 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 o! property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, d Yes a No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): pROPERTY OWNER SIGNATURE DAGENT DATE 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 O 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 a No Is the ,'acility to be. constructed within 1,000 feet of the outer boundary of a school site? D Yes O No IF AMY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work 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 representative of (tie 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 stories in height EXPIRATION: Every permit issued by Ihe'BuiiaVtg Official under the provisions of thisCgde 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 byiiiding or work authorized bv_sudri5erml is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 04/06/2010 Permit* CB100511 Title. AUGUST RES-REPLACE WATER HEATE Description: SAME LOCATION Type: PLUM Sub Type: Job Address: 1024 DAISY AV Suite: Lot: 0 Location: APPLICANT HANNA PLUMBING Owner. AUGUST FAMILY TRUST 07-14-97 Remarks: Inspector Assignment: Phone: 7604381774 Inspector Total Time: CD Description 25 Water Heater/Vents Act Comments Requested By: LAURA Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat... Page 1 of 1 Department of Consumer Affairs *••* . - Contractors State License Board Contractor's License Detail - License # 705790 •* DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. •*> CSLB complaint disclosure is restricted by law (B&P 7124 6). If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. •'» Per B&P 707.1 17, only construction related civil judgments reported to the CSLB are disclosed. ••%• Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. ••» Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number: Business Information: Entity: Issue Date: Expire Date: License Status: Classifications: Bonding: Workers' Compensation: 705790 Extract Date: 03/25/2010 HANNA PLUMBING & SUPPLY INC 643 SOUTH SANTA FE AVENUE VISTA, CA 92083 Business Phone Number: (760) 726-2002 Corporation 05/01/1995 05/31/2011 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION C36 PLUMBING CONTRACTOR'S BOND This license filed Contractor's Bond number SC6018682 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 03/02/2009 Contractor's.^Bonding History BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) EDWARD FRANK NELSON certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 05/01/1995 This license has workers compensation insurance with the PENMSYLVAN!A.|yiANUFACIURERS ASSOCIATION INSURANCE COMPANY Policy Number: 201000339363 Effective Date: 01/01/2010 Expire Date: 01/01/2011 Workers' Compensation History Personnel List Conditions oLU.se | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicense/LicenseDetail.asp 03/25/2010