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HomeMy WebLinkAbout1323 ALCYON CT; ; CB081871; Permit10-01-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081871 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1323ALCYONCTCBAD PLUM 2157810400 Lot# Construction Type GREEN RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/01/2008 KG 10/01/2008 10/01/2008 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner GREEN JAMES E&KAREN J REVOCABLE TRUST 11-28-06 1323ALCYONCT CARLSBAD CA 92011 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 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL.APPROVAJL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations r r 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 othei 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 City of Carlsbad ^^ 1635 Farada/Ave , Carlsbad, CA 92008 B "^xf/^ 760-602-2717/2718/2719 U|^|/J^ Fax 760-602-8558 X?^?*1^ Building Permit Application JOB ADDRESS - , CT/PROJECT » LOT (( ' DESCRIPTION OF WORK s« EXISTING USE CONTACT NAME (It Different Fom Applicant) PHASE It (» OF UNITS 1 H BEDROOMS K Plan Check No^/S^^f / 0 // H Est. Value / Plan Ck. Deposit / v*^yo^/-of ((BATHROOMS TENAIMf BUSINESS NAME CONOIHIVF'E OCC GROUP ItZ flAl|0A <rytf U^Afer Heater v ^-/ d PROPOSED USE GARAGE (SF) ADDRESS CITY PHONE EMAIL STATE ZIP FAX PROPERTY OWNER NAME . \Y i fv\ fc r 4_.&i~ ADDRESS /, CITY PHONElifiO"<iSi- i \tfcfc' STATE ZIP FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC tt PATIOS (SF) DECKS iSF) FIREPLACE AIR CONDITIONING FIKt bHKINKLtKS YES D # NO D YES D NO D YES D NO D APPLICANT NAME . , ADDRESS BcteuJ CITY STATE ZIP PHONE 1 FAX EMAIL _ Scoff @ /?UW^CorvN CONTRACTOR BUS NAME/?FForeJlflLkle lOtxter Heocfc.r5 ADDRESS CITY STATE ZIP PHONE 1 FAX EMAIL STATE LIC # CLASS CITY BUS LIC # (Sec. 70315 Dullness and Professions Code Any City or County which requires a permit to construct, alter improve demolish or rep licensed .pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the B Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {J500}) repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is " Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Workers'Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to self Insure for workers' compensation as provided by Section 3700 of the labor (ode for the performance of the work for which this permit is issued Si I have and will maintain workers' compensation as required by Section 3700 of the Labor Code, for the performance of the work for number are Insurance Co pfi,fMTh Policy No nit is issued My workers compensation insurance carrier and policy Expiration Date I ' I ~ & °| This section need not be completed if 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 dollars (&100.000), in addition to the cost of compensation, damagefas provided for in Section 3706 of the Labor code, Interest and attorney's fees jfiS* CONTRACTOR SIGNATURE /(Qfltf't DATE C? - 'kP\ ~ C^ / hereby affirm that I am exempt from 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 do the work and the structure is not intended ot 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 mlended 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) Q 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 tins reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement a 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 / 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE 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' n Yes 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 site7 a Yes 6 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 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 tho 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 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 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 stones in height EXPIRATION Every permit issued by the Building Official under the provisions of Ihis Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within j 180 days from the date of such permit or if the buildinn or work authonzed by such permit is suspended or abandoned at any time after the work s commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) iw.^APPLICANT'S SIGNATURE DATE ~ Of City of Carlsbad Bldg Inspection Request For 10/16/2008 Inspector Assignment Phone 760 Permit* CB081871 Title GREEN RES REPLACE WTR HTR Description Type PLUM Sub Type Job Address 1323 ALCYON CT Suite Lot 0 Location Inspector OWNER GREEN JAMES E&KAREN J REVOCABLE TRUST 11 -28-06 Owner GREEN JAMES E&KAREN J REVOCABLE TRUST 11-28-06 Remarks Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Requested By P O Entered By JANEAN Act _ Comments C Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments rrom:yfalter Hortensen Insurance 11:41 #287 P.002/003 CERTIFICATE OF LIABILITY INSURANCE pRoooceR (661)948-1003 FAX (661)948-1533 Walter Hortensen Insurance License #0044424 1115 West Ave M-4 tC Palmdale, CA 93SS1 03/24/2008 Affordable Water Heaters & Flunking, Inc. 24707 Railroad Avenue Santa Clarita, CA 91321 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 BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC* INSURERA. Zemth Insurance Company INSURER B. INSURER C I USURER0 INSURER E. COVERAGES THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONWTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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 LUSTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS WSRUR A uun HSR!TYPE Of WSURAHCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE j | OCCUR GENX AGGREGATE LMT APPLIES PERn«w»nss riux AUTOMOBILE LIABILITY ANY AUTO ALL, OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NOU-OWNEO AUTOS OARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR } | CLAIMS MADE DEDUCTIBLE R£TENiTION S WORKERS COMPENSATION AND EMPLOYERS UA8IUTY ANY PROPfUETOR/PARTKEfVEXECUTIVC OFFICER/MEMBER EXCLUDED' H yes describe under SPECIAL PROVISIONS Oe'ow OTHER POLICY NUMBER Z067898703 POLICY EFFECTIVEDATE IWM/nn/YYl 01/01/2008 POLICY EXPIRATIOHDATE iMumorm 01/01/2009 uurrs EACH OCCURRENCE OAMUGETOREKTED PRPMKP^ fa nmfN'w-rj WED EXP (Any on« penon) PERSONAL t AOV KIURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG COM3INEO SINGLE UWT (Ea Mcafenl) BODILY INJURY (Perpereon) BODILY INJURY (Per undent) PROPERTY DAMAGE (Per accae.il) AUTO ONLY EAACCCeNT OT>.FRTHA\ EAACC AUTO ONLY AGG EACH OCCURRENCE AGGREGATE I WCSTATU I O~H 1 TORY LIY'T-'j ' ER EL EACH ACCIDENT EL DISEASS EA EMPLOYES E.L DISEASE POLICVUIAT $ t £ t S t S S S S S % s 1,000,000 s 1,000,000 s 1,000,000 _Dt5CKIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADO6D BY ENDORSEMENT ( SPECIAL PROVISIONS.ertif-jcate of Insurance CERTIFICATE HOLDERr CANCELLATION I ' - -7CS -'! 10 >t ",- .j-.'iio '„ ,,., i i ;