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
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