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HomeMy WebLinkAbout1313 BULRUSH CT; ; CB091480; Permit09-08-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091480 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1313 BULRUSH CTCBAD PLUM 2158501500 Lot#: Construction Type: PRICE RES REPLACE WTR HTR 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/08/2009 KG 09/08/2009 09/08/2009 Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: PRICE KILEENJ 6979 GOLDSTONE RD CARLSBAD CA 92009 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:$27 00 Balance Due:$0.00 PERMIT HAS EXPIRED IN A.TOPHANCE WITH C 8 SECTION 108.4.4 AS AMENDED 3Y C,M.C.18.04.93o 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 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. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECTWFORM^TION ' . , ' '„ >.""*,'. ^ I313 " "~ FOR OFFICE USE.O PLAN CHECK N, EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #) Legal Description Assessor's Parcel # Description of Work Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Existing Use SQ. FT.# of Stories Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms 2. CONTACT PERSON (if ^different from Applicant) Name 3, APPLICANT Name A PRDPFRTYr Address D Contractor,, *S*%gent for Contractor ' S>ie?cU' "3o3 o c f~Lv Address IWWPR -"."'- - ' : " > "" . City , ',-;o, Owner :-^ City State/Zip State/Zip Telephone # Fax # 'Agent for O^ner ^', Telephone # 7 7 U Name Address City State/Zip Telephone # 5. , CONTRACTOR-(JOMfANXyAMl;^,; .s^f^V: -^XSJL. (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]). A_-i j £1^. .L— _ r-~ s , ) s . __ i—i .-y _ i _ \--JT "^2. - \ ~> **• s~i I , j ^ *—L —. ; ) . tl Name State License # ^fe' "^c?~ ' Designer Name State License # Address 1 "^1 License Class C^ !> L? Address City City State/Zip City Business License # State/Zip /^ypty/f' Telephone # I shall not employ any person in any manner so as to 6. WORKER'S COMPENSATION ' ,,.",', / ' ' '""',"• '•'•' ''-•-• ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. Sj£> 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 jEs-rfc^C- I tX/l Cx Policy No. -3o o ~J JL'^) £. J>[ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) P CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, 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 tn iho i-.n^t of compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's fees. SIGNATURE " /<^<^' ^°^——__ DATE f~/3/£) Cf 7, OWNER-BUILDER DECLARATION^ m-,UltA£ii\Uk,!,Jla*''il*Ll >\, ^^^>, A^& '•-..< o'""., I *' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). 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 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. D YES O NO 2. 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 / /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 / address / phone number / type of work): PROPERTY OWNER SIGNATURE.DATE WHITE: File YFI I OW- Annlinant PINK- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTIOl^ lj(»NON-§^«>£NTMi. BUILDING PERMITS ONLY : is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? DYES D 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 D NO is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. 8. CONSTRUCTION LENDING AGENCY i hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec, 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTlf JPATJSN . 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 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, JUDGEMENTS, 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 of 5'0" deep and demolition or construction of structures over 3 stones 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 oy 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, is commenced for a perjojLoiJao Uayi (Syykion 106.4,4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad February 23, 2010 Building Department Permit Number: CB091480 Issue Date: 09/08/2009 CAROL PHILIPS 1313 BULRUSH CT CARLSBAD CA 92011 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: WATER HEATER ADDRESS: 1313 BULRUSH CT PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 03/07/2010. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92OO8-7314 • (760) 6O2-2700 • FAX (760) 6O2-8560 200.9-Ju>23 08:27 AM IOA INSURANCE SERVICES 9254167869 1/2 ACQRR, CERTIFICATE OF LIABILITY INSURANCE PRODUCER (925)416-7862 FAX (925)416-7869 Insurance Office of America, Inc. DBA IOA Insurance Services 3875 Hopyard Road, Suite 240 Pleasanton, CA 94588 INSURED All Star Water Heaters, Inc. 30300 Puerto Vallarta Men! fee, CA 92584 Fax No. 951.245.6366 oATEtMWDD/wr) 07/23/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLIC BS BELOW. INSURERS AFFORDING COVERAGE INSURER * Peerless Insurance Company INSURERS: state Compensation Insurance Fum INSURER ft INSURER B INSURER B NAIC* COVERAGES ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE AMY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L™ A A B MJD1 MSB TYPEOFINSURANCI GBNfRAL LIABILITY -X.COMMERCIAL OENBRAL LIABILITY ^] CLAIMS MADE [T] OCCUR GENl A80RESATE LIMIT APPLIES PER Y\POUCft\ |J|gf I | IOC AUTOMOMLfi LIABILITY X XT ANY AUTO ALL OWNED AUTOS CCXHIUUb AUTOS HIRED AUTOS NON-OWNED AUTOS OARAQK LIABILITY ANY AUTO BXCESB/UHBRgOA LIABILITY I OCCUR PI CLAIMS MADE I DEDUCTIBLE I RETENTION 1 WORKERS OdHlMNSATON AND ANY PROPRIETORIPAMTNBRfEXECUTIVE IPfiCHL PROVISIONS Mow OTHER POLICY NUMBER | 'S^i^Hm^y? 1 P8AT?(SK!vw5KN 1 UMITS CBP8032624 BA8477294 23800323509 05/15/2009 08/22/2009 08/02/2009 05/15/2010 08/22/2010 08/02/2010 eACHOccuwwcfi SBBu»II9J5S2S2.-t MEOEXP(Anywwp»rton) PERSONAL *ADV INJURY OENERALAQGREGATg PRODUCTS - COMP/OP A0« COMBINED SlNOLR LIMIT BODILY INJURY (Pvprnon) BODILYUUUnY PROPERTY OAMAQE(PwweWwO AUTO ONLY- EA ACCIDENT OTHER THAN BA*CC AUTO ONLY; ACa EACHOOOURRSNCE AGGREGATE X iTOBvlfljITRl I^PO" E.L. 6ACHACC10BMT E.L DISEASE .EA EMPLOYEE E.L. DISEASE • POLICY LJWT s 1,000,000 S 100.000 * 5.000 * 1,000,000 s 2.000,000 s 2.000.000 ' 1,000.000 s s *« s s s s *•s • 1.000.000 s 1.000,000 t 1,000.000 eaTs^oelD'uc^ as Additional Insured on the General Liability stnd Automobile coverage. Ml Star Water Heaters Federal Id#48-l257374 rancellafion notice 1s 30 days except fof the reason of non-payment which is 10 days. CERTIFICATE HOLDER CANCELLATION Sears Roebuck and Co.1560 Cable Ranch Rd Building A San Antonio, TX 78245 SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3JL_ DAY! WRITTEN NOTICfi TO THB CERTIFICATE HOLDER NAMED TO THB L1PT. BUT FAILURE TO MAIL SUCH NOTffiS SHALL IMPOSE NO OBU8ATJON OR LMBIUTY OF ANY KIND UPON THE INSURER, ITS AOENT3XUWBPRESENTATWIS. AUTHORIZED RBmEBENYATWBX" J S \^/J]*JLM 31m Rabbltt y/oA- ( /^MfU/ ACORD 25 (2001/08) PAX: (407)677-3306 /^ (DACORD CORPORATION 1988