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HomeMy WebLinkAbout1411 CORAL WAY; ; CB090182; Permit02-02-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090182 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1411 CORAL WYCBAD PLUM 2121903800 Lot# Construction Type SEEMANN RES REPLACE WTR HTR 0 NEW Status Applied Enteied By Plan Approved Issued Inspect Area ISSUED 02/02/2009 KG 02/02/2009 02/02/2009 Applicant JUST WATER HEATERS INC 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 Owner SEEMANN FAMILY TRUST 07-19-79 1411 CORAL WAY 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 SO 00 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APRROV/ Date Clearance NOTICE Please take NOTICE that app/oval 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 ba, 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 jnd sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this proprt 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 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By ___ Business/Name (at this address) Legal Description Lot Nol Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use # of Bathrooms Name Address State/Zip Telephone #Fax# Na'me " * Address (Jity*^*' ' State/Zip " Telephone* 5-(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve demolish or repair any structure pnor 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]) Name State License »-£> jan q\\~jL-l Address License Class City State/ZirJ City Business License #. Designer Name Address City State/Zip Telephone # State License # Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 foi/tfhich this permit is issued 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 s compensation insurance carrier and policy number are Insurance Company Policy No f— /-vO/ /i O C/ O ^5 L/~ / \je £~ ^ *•"piration Date___ __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 caveragejs unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,OQO), m addition to the cost of compensaWMi, damagesVe provided for in Section 3706 of the Labor Code, interest and attorneys I " SIGNATURED— ---- \ x^X V I - ^/^L^ __ DATE 7 *.£Sw"*">--..| ;^^V'" -^-•"••.•-< ,1.SSftSKtesJK; •:"£•:•••* ."1-.' **-s:s--.,".**x.r-z:&:f*-svsfr-^-^.sizr':;'zrz.-3i> •z^x&^^^^^&KX'&T.'^M-zr.tSZ&J.S^ay.^ 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 Contractors 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 n 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 sate) 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 contractors) 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 D 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 YELLOW Applicant PINK Finance PERMIT APPLICATION „ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 __ _______ _ _____________________________________ Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' O 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 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 I hereby affirm that there is a construction lending agency for the performance of the wortTfor which this permit is issued (Sec 3097(1) Civil Code) LENDER S NAME _ LENDERS ADDRESS ____ 9 ~r:""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 authonze 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 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 suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform^tiding-Qpde) APPLICANT SSIGI DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 02/20/2009 Permit* CB090182 Title SEEMANN RES REPLACE WTR HTR Description Inspector Assignment 1411 CORAL WY Lot Type PLUM Sub Type Job Address Suite Location ' OWNER SEEMANN FAMILY TRUST 07-19-79 Owner SEEMANN FAMILY TRUST 07-19-79 Remarks Phone 7604310484 Inspector Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By CATHY Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments State Of California CONTRACTORS STATE LICENSE BOARD „ _ _ -" ACTIVE LICENSECommaAffair, \~,..^ 591329 «*QPRP JUST WATER HEATERS INC I 03/31/2010 AGSfift CERTIFICATE OF LIABILITY INSURANCE PRODUCER (925)416-78^2 FAX (925)416-7869 Insurance Office of America, Inc. DBA IDA Insurance Services 3375 Hopyard Road, Suite 240 isanton, CA 94588 I.NSURSD JUST WATER HEATERS INC ' ' ! 34-00 INVESTMENT BLVD i HAYWARD, CA 94545 i DATE (MM/DD/YYYY 03/27/2008 THIS CERTIFICATE IS ISSUED AS A lidATTER 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. ACE PROPERTY & CASUALTY INSURANCI INSURER B INSURER C INSURER 0 INSURER E NAIC# COMPANY COVERAGES i HE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIr. ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERSTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCHPOL!C1ES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I'UgfeP^ , TYPEOFINSURANCE 1 i i 1 ! i i i 1 GENERAL LJAeiLTTY COMMERCIAL GENERAL LIABILITY [ CLAIMS MADE j J OCCUR GEN L AGGREGATE LIMIT APPLIES PER~~i"OLK*n3^ r>oc AUTOMOBILE LIABILITY r ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY j OCCUR j | CLAIMS MADE DEDUCTIBLE RETENTION S i WORKERS COMPENSATION AND EMPLOYERS LIABILITY <•• ANV PROPRIETOR/PARTNER/EXECUTIVE OFF ICERJMEM8ER EXCLUDED? I yes oesenoe under OTHER POLICY NUMBER C45096282 POUCY EFFECTIVEDftTC (MMfDCWYYI 04/01/2008 POLICY EXPIRATIONDATE* fUfUUOn/YY\ 04/01/2009 LIMITS EACH OCCURRENCE AMAGE TO RENTEDREMISE (p^ pp^)^P9rA) MED EXP (Any one person) ERSONAL & AOV INJURY GENERAL AGGREGATE ROOUCTS - COMP/OP AGG COMBINED SINGLE LIMITEaacodent) BODILY INJURYPer person) BODILY INJURYPer accident) PROPERTY DAMAGE Peracodent) AUTO ONLY - EA ACCIDENT i-)TH(:p THAM EAACP.r AUTO ONLY AGG EACH OCCURRENCE AGGREGATE, X I -may \ UJITTR i L-ER. E.L EACH ACCIDENT E L DISEASE - EA EMPLOYE El. DISEASE - POLICY LIMIT s ) S S S S S S S $ S S s 1,000,OC s 1,000,00 s l.OOO.OC •5=S« P PON 05 OPERATIONS / LOCATIONS / VEH LES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVEN* CONTRAGOR'S LICENSE NO. S91329 • . CERTIFICATE HOLDER CANiCELLATIQN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ng AGENTS OR REgRESENTATlVES -CORD 25 (2001;08) Jim Rabbitt ©ACORD CORPORATION 19;