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1593 CORTE ORCHIDIA; ; CB091006; Permit
06-18-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No. CB091006 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1593 CORTE ORCHIDIA CBAD PLUM 2150733100 Lot#: Construction Type: TUCKER RES REPLACE WTR HTR 0 NEW Status: Applied: Entered By: ISSUED 06/18/2009 KG Plan Approved: 06/18/2009 Issued: 06/18/2009 Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: TUCKER CRAIG W SSEPARATE PROPERTY TRUST 05-27-03 1593 CORTE ORCHIDIA 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 $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 PEFMT HAS EXFPtO IN ACCORDANCE WITH C.B.C. SECTION 186.U AS AME^OEO BY C.M.C.18.04.Q3Q DATE SISHAttRE 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check I Est. Value Plan Ck. Deposit Date JOB ADDRESS f. - , , ,1^3 £oHr«- 6ccUiJltc\ CT/PROJECT #LOT#PHASE *H OF UNITS # BEDROOMS SUITE#/SPACE#/UNIT#APN / # BATHROOMS I TENANT BUSINESS NAME ICONSTR.TYPE 1 OCC. GROUP DESCRIPTION OF WORK: 'K liefer Heater EXISTING USE CONTACT NAME (If Different Fom Applicant ADDRESS " f CITY PHONE EMAIL / PROPERTY OWNER NAME V ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS c PROPOSED USE GARAGE (SF) STATE ZIP FAX STATE ZIP [FAX 1 STATE LIC. H 1 - PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME . , ., . ..Set ft (^'"frldfiCJA ADDRESS 8*-(cuJ CITY STATE ZIP PHONE FAX EMA'L Scoff @ 4u)//*P.C0f* CONTRACTOR BUS. NAME/?FForcJloibi€ U/ft.t€r nficef£.r,y ADDRESS Af?o7 RaiOcCVcl /Wt. CITY STATE ZIP PHONE FAX EMAIL STATE LIC.# CLASS CITY BUS. LIC.# ;ec 7031.S 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 :emed 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 eiempt therefrom, and the basis for the alleged exemption. Any violation of tction 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).Section ', WO tt K 1 It 5 ' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Latxr Code, for the performance of the work for which this permit is issued. Wl have and will maintain workers!compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which IhisDermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. pfefMTr\ Policy No. jLQb if T* j Oj Expiration Date \ ' I " / 0 This section need not be completed if the permit is for one hundred dollars ($100) or less. O 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, damage^as provided for in Section 3706 of the Labor code, interest and attorney's fees. '{ .CONTRACTOR SIGNATURE DATE if i> E |f i A R If Tip / hereby affirm that I am exempt from Contractor's License Law for the following reason: Cl 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 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). 0 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license 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); 5.1 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 *lr *f.l $ DATE RESIDENTIAL; B II IIOING PERMITS ONLY 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? D Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a Yes a No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. L E NO I MM :*. G E tf.i$' 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 •',€,* it T i F it ATI ON ' I certify that t 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 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'G" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by Ihe Building Official under the provisions of this Code shall expire by limitation and become nun 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 Die buildim or work authorized by such permit is suspended cfabanotaed at any time after Ihe wort; is omrrfcncedte ^APPLICANT'S SIGNATURE J(QQV~t .DATE City of Carlsbad December 10,2009 TUCKER PROPERTY TRUST 1593 CORTE ORCHIDIA CARLSBADCA 92011 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: WATER HEATER Building Department Permit Number: CB091006 Issue Date: 06/18/2009 ADDRESS: 1593 CORTE ORCHIDIA PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 12/15/2009. 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 • (76O) 6O2-2700 • FAX (760) 6O2-856O 1<>6194«1"J WMI 02:31:40p.m. 01-06-2009 2/3 A£QRD» CERTIFICATE OF LIABILITY INSURANCE PRODUCER ( Walter * License 1113 We: Palmdalc INSURED Af 1 24< Net bbi;948-1003 FAX (661)948-1533 iortensen Insurance #0044424 it Ave H-4 K i, CA 93SS1 fordable Water Heaters & Plunfcing, Inc. 563 Railroad Avenue vhall, CA 91321 DATE fOVDOirrff) 01/06/2009 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 BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC* INSURER* Zenith Insurance Conpany INSURER Bi INSURER C: MSURERO: INSURER EL COVERAGES THE POLICIES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOCT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR J^Jvl *TA!I!x TH£ 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. WSR UTR A AOPl NSR TYPE Of INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY [ CLAIMS MADE [ j OCCUR GE.VL AGGREGATE UMTT APPLES PER: AU1OMOB».E LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ) ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR | | Cl AIMS tttOE j DEDUCTIBLE 1 RETENTION S WORKERS COMPENSATION AND EMPLOYERS' UABILtTY ANY PROPRlETOWARTNERtXECUTIVfc OFFtCEfVMEMBER EXCLUDED? \' yes. describe unoer SPECIAL PROVISIONS below OTHER POLICY NUMBER Z067898703 POUCY EFFECTIVEDATE 0MM/DD/YY) 01/01/2009 POLICY EXPIRATIONDATE IHM/DDfYYI 01/01/2010 UNITS EACH OCCURRENCE DAMAGE TO RENTED PRFUISFS (Fa ftrft if(*nr>») MED EXP (Any one person) PERSONAL » ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea tcodenl) BOCHLY INJURY (Per person) BODILY INJURY (Pet acoden!) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDEW OTHER THAN EAACC AUTO ONLY. AGG EACH OCCURRENCE AGGREGATE 1 WCSTATU- I IOTH- 1 TORY LIMITS 1 1 FK E.L EACH AOCIDCNT EL DISEASE - EA EMROYEE E L. DISEASE - POLICY LIMIT t s $ t t t t « j s i $ s J $ s t $ s 1,000,000 $ 1,000,000 i 1,000,000 DESCRIPTION Of OPERATIONS ( LOCATIONS / VEHICLES ( EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS.ertTTicate of Insurance CERTIFICATE HOIOER CANCELLATION Affordable Water Heaters & Plumbing Inc 24707 Railroad Avenue Santa Clarita, CA 91321 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BCFOBE Till LXF'IRATIOK DATE Th£REOf. THE ISSUING INSJRt K WILL ENDtAVOH TC MAJ1 _10_ DAYSWRfTTEK NOTICE TO THE CERTIFICATE HOLDER NAMED TC THE LEFT BUT f A.LURE TOMAJL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE iNSURER ITS AGLN1S OK REPRESENTATIVES tUTMOFUZFO R.'PRESENTATIVE Mark Heyne/KJN ACORO 25 (20Q-H08)©ACORD CORPORATION 1986