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HomeMy WebLinkAbout1331 CHINQUAPIN AVE; ; CB100624; Permit04-12-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100624 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1331 CHINQUAPIN AV CBAD PLUM 2061403600 Lot#: Construction Type: MCFADDEN RES REPLACE WTR HTR 0 NEW Status: ISSUED Applied: 04/12/2010 Entered By: KG Plan Approved: 04/12/2010 Issued: 04/12/2010 Inspect Area: Applicant: FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner: MCFADDEN FAMILY TRUST 02-07-97 1331 CHINQUAPIN AVE CARLSBAD CA 92008 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 InspectiL FINAL APPROVAL Date: *V - /f ~ f 0 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application 486499 Plan Check No. Est. Value Plan Ck. Deposit Date (f-\Z~)Q JOB ADDRESS 1331 CHINQUAPIN AVE wTST PHASE»SOFUNfTS S BATHROOMS 60F DESCRIPTION OF WORK: Include Square Feet of Affected Ataa(s) Remove/Replace Gas Water Heater EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE NOT~1 AIR CONDITIONING FIRE SPRINKLERS CONTACT Applicant)APPLICANTTAST WATER HEATER COMPANY ADDRESS12601 132NDAVENE ADDRESS 12601 132NDAVENE CITY KIRKLAND STATE WA ZIP 98034 CITY KIRKLAND STATE WA ZIP 98034 PHONE 425-636-7084 FAX425-636-7085 PHONE425-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com EMAIL.juliec@fastwaterheater.com PROPl , ROBERTS JEAN COimMCTO"tWwATER HEATER COMPANY ADDRE?331 CHINQUAPIN AVE ADDRESS 12601 132NDAVENE CITY CARLSBAD STATE CA ZIP CA 92008 CITY KIRKLAND STATE WA ZIP 98034 PHONE (760)729-7432 FAX PHO'N425-636-7084 FAX 425-636-7085 EMAIL EMAIL juliec@fastwaterheater.com ARCH/DESIGNER NAME & ADDRESS STA1E UC. #CLASS C36 CITY BUS. UC.» 1222302 (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 theapplicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter a, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicanffor a permit subjects the applicant to acivil penalty of not more than five hundred dollars (5500}). Workers' Compensation Declaration:/nereijy affirm under penalty ofpsijury one otlhe Mo/ring ttedaraSons: LJ I have and will maintain a certificate of consent to sell-insure for workers' compensation as provided by Section 3700 of the Labor Code, far the performance of the work tar which this permit is issued. IXII have and will maintain workers' compensation, as required by Sedan 3700 of to Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy numberaru: Insurance Co Truck Insurance Exchange Policy No. A09304455 ExairalionDale 12/1/10 Thisi section need not be completed If the permit b for one hundred dollars (S100) or less (_] Certificate of Exemption: I certify thai In the performance of the worii lor 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 Caiforria. 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, rismamw as nmvHwi for in SMflnn THIS *f fho tabor code, interest and attorney's fees. ^CONTRACTOR SIGNATURE (^^^^^•f^-t^^^ DATE 4/6/10 I neraoy aSSrn Iftaf / am exempt from Contractor's license Law for (fie following reason: j ] Us owner of the property or my emptoyees *ith wages as rneirs* 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-bidder wtl have the burden of proving that he did not build or improve for (he purpose of sale). I I 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 w Improves thereon, and contracts fur such projects with contractors) tensed pursuant to tha Contractor's License Law). I [ I am exempt under Section Business and Professions Code for fliis reason- 1J personally plan to pn^iiielrre major labor and moterials (or constmctlcfl of the proposed property if^ ) [Yes {""fop 2.1 (have / have not) signed an application for a DuMng permit for tne proposed work. 3.1 have contracted with (lie followir.g parson (firni) to provide the proposed construction (include name address J phone / contractors' Scer.se 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 J will [OTvideson^ of the wod(, out I have contraded (hired) u^fottowng persons to prCMde the wrkm .^PROPERTY OWNER SIGNATURE DATE Is the applicant or future buiWing occupant requl-ed to submit a business plan, acutely hazardous materials registration farm or risk managamant end prevention program under Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Subsbnfis Account Act? QYes QNo Is the applicant or tee bula"ng occupant rerfjired to o^ UJYes flNo IsthefadStytobaconstructedvviMnl.OOOfeelofthBOiilefboundaryofaschoolsrta? QYes fjNo IF ANY OF THE ANSWERS ARE YES,/" EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^^^^^f^^K^Myxi^jsK'*JE£^^^^I^W^W^^^^£^^^^y^ I hereby affirm that (here 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 havarwd the oppUcstlon and stHlB that Uie above Inforrration Is conertand that Uwlrrformatfen onto lterebyautaizerEp<^ntaiirecf!t^ OSl^ An OSHApemA is required fwewavafeow^ EXMFWT1 ON: Every permtt issued by (he BuBdhgQfa^ 1TO day* from tte date of such pern* ortfthebuM^ .^APPLICANTS SIGNATURE <3&-*^T&j'&J&$>--*f**:&&r DATE 4/6/10 City of Carlsbad Bldg Inspection Request For: 05/10/2010 Permit# CB100624 Title: MCFADDEN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 1331 CHINQUAPIN AV Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: MCFADDEN FAMILY TRUST 02-07-97 Remarks: AM PLEASE Inspector Assignment: Phone: 76072974 Inspecto Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By: JEAN Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments A 4~¥~UPff DATE (MM/DD/YYYY)-T£3™* CERTIFICATE OF LIABILITY INSURANCE 17/1 /9nno PRODUCER lova Insurance , Inc . 19030 Lenton Place SE #546 Monroe, WA 98272 (866)244-4fiR9 INSURED FAST yxfEx. HEATERS I, INC FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND, WA 98034 1/425) 814-<?194 X141 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 INSURER A: TRUCK INSURANCE EXCHANGE INSURER B: INSURER C: INSURER D: INSURER E: NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSRLTR A UMTLNSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: ~1 POLICY HISS HLOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS /UMBRELLA LIABILITY 1 OCCUR | | CLAIMS MADE 1 DEDUCTIBLE | RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N ANY PROPRieTOfUPARTOEWEXECUTIVE 1 1OFFICER/MEMBER EXCLUDED? 1 Y| (Mandatory In NH) • "If yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER A0930 44 55 POLICY EFFECTIVEDATE (MM/DD/YYYY) 12/01/09 SSWtBSWf! 12/01/10 LIMITS EACH OCCURRENCE u/wtAuc i u Kfen 1 tii PREMISES (Efl occurence) MED EXP(Anyoneperson) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHFR THAN EAACC AUTO ONLY: A6G EACH OCCURRENCE AGGREGATE X WffMrrs | I°E£ E.L EACH ACCIDENT E.L DISEASE- EA EMPLOYEE E.L DISEASE- POLICY LIMIT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ * 1,000,000 * 1,000,000 * 1 .000.000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate is issued as evidence of coverage in effect for the Named Insured. Policy excludes three officers of the corporation, that are not on job sites. *10 day notice of cancellation applies in the event of non payment of premium. CERTIFICATE HOLDER CANCELLATION Contractors State License Board Workers Compensation 'Unit P. 0. Box 26000 Sacramento, CA 95826-0026 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE "•/}'.' . • '•& '• ,, i »^t&^ e&UKt&ba) ACORD25 (2009/01)© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD