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HomeMy WebLinkAbout1615 CORTE ORCHIDIA; ; CB072384; Permit09-14-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB072384 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1615 CORTE ORCHIDIA CBAD PLUM 2159503400 Lot# 0 Construction Type NEW MARTINSON REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/14/2007 JMA 09/14/2007 09/14/2007 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner MARTINSON THOMAS R&BRENDA L 1615 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 $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 FINAUAP Date y\L 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 Ltol5L '.)..,&!,? FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date 0/Mil 7 Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel tt\a<jL Exist™ Use / ,^ £j(jwv\ J. in coin Proposed Use Description of Work SQ FT g?Vi. pON,TACT,PEBS,P.N(i»;,«ll«erent>from applicant) ,£ i..' #of Stories tt of Bedrooms tt of Bathrooms Name Address City Agent tiitlOwner Fax tt City State/Zip Telephone f " ' Name Address City State/Zip Telephone # ISec 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 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 Codel or that he is exempt therefrom, and the basis for the alleged examptisfn Any Violation of Section 7G31 S by any. applicant for a pfe'mit subjects the applicant to a civil penalty of n^unore than five hundred dol|af3 13500))"il penalty of n^unore than five hundred Namel l /V? -7 ^/ C/ Address , State License tt \J( Is* [ 3(J> Q License Class ( , .*, r City State/Zip Telephone # /-• ifl. -//) I "2. 7 I/-\( i^7 I~"7O — 71 C-xTT "I l*/£^|y , ^ ^^i? City Business License tt 1 LA 1 •*- / 1 Designer Name Address State License tt City State/Zip Telephone 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 for which this permit is issued have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance carrier and policy number are Insurance Company \ I/V^C- ( j2A^j^Cv^,^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) £] 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE /\(2'Qtf~T~- DATE ^- It1}- 0 ~7 Policy No LjjJ)l%> M 0 lUfc^ Expiration Date 1 > Q 0 nocn nm I ADC T4inni no I ccci ^ I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q '. 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) f~l 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) l~l 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 [~l YES QNO 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 / 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 number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION >FOR/yOA«KS/D£W7Mi BUILDING PERMITS ONLY^;;;,. '« , -,": ," "'i „<•„"!• $.•'•*..•£ L.iLr<' mL ...'" i..'; ..^'.i K L"-r.1,a :*;„,.„„' ' 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? Q 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? Q YES O NO Is the facility to be~constructed within 1,000 feet of the outer boundary of a school site? l~l YES O 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 l8,,.,i.;QANSTRyCj;ilQ^j.EMPINa:Ai3ENCY i.:, ,";. j .7a£ L~.r- !: ~"L"'""I u, '.."-i'.*'^''.-^ * "' / ,.-!.'•, •- '—., i.'.> ' ,.''.,:>, , ':-i! .. ; 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS 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 authorize representatives of the CitV 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 stories 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 fo/st period of 180 days (Section 106 4 4 Uniform Building Code) ^- DATE - I 0 ~ O 'APPLICANT S SIGNATURE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 09/25/2007 Permit* CB072384 Title MARTINSON REPLACE WTR HTR Description Inspector Assignment 1615 CORTE ORCHIDIA Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER MARTINSON THOMAS R&BRENDA L Owner MARTINSON THOMAS R&BRENDA L Remarks P M PLEASE Phone 7604760685 Inspector i' ,0 Total Time CD Description 25 Water Heater/Vents Act Comments Requested By NA Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments License Detail Page 1 of 3 California Home Friday, Septemb License Detail Contractor License # 627368 CALIFORNIA CONTRACTORS STATE LICENSI DISCLAIMER IA license status check provides information taken from the CSLB license data Before relying on this information, you should be aware of the following hmitati • CSLB complaint disclosure is restricted by law (B&P 7124 _6) If this entity subject to public complaint disclosure, a link for complaint disclosure will i below Click on the link or button to obtain complaint and/or legal action information • Per B&P_707117, only construction related civil judgments reported to th- CSLB are disclosed • Arbitrations are not listed unless the contractor fails to comply with the tei the arbitration • Due to workload, there may be relevant information that has not yet been entered onto the Board's license data base * * * Extract Date 09/14/2007 Business Information * * * AFFORDABLE WATER HEATERS AND PLUMBING INC 24707 SAN FERNANDO ROAD SANTA CLARITA, CA 91321 Business Phone Number (661) 259-0520 Entity Corporation Issue Date 09/04/1991 Reissue Date 09/09/1998 Expire Date 09/30/20 * * License Status * * * This license is current and active All information below should be reviewed * * *Classifications * * Class [Description C36 PLUMBING http //www2 cslb ca gov/CSLBJJBRARY/License+Detail asp 09/14/2007 License Detail Page 2 of 3 * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 41045- amount of $12,500 with the bonding company SURETY COMPANY OF THE PACIFIC. Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer LEONCE JOSEPH ROUX JR certified that he/she owns 10 percent or more voting stock/equity of the corporation A bond of qualifying individual is not re Effective Date 09/09/1998 * * * Workers Compensation Information * * * This license has workers compensation insurance with the ZENITH INSURANCE COMPANY Policy Number Z067898702 Effective Date 01/01/2006 Expire Date 01/OH Workers Compensation History * * * Miscellaneous Information * * * Date Description 09/09/1 998 [LICENSE REISSUED TO ANOTHER ENTITY Personnel listed on this license (current or disassociated) are listed on licenses. Personnel List Salesperson List Other Licenses ILicense Number Request IContractor Name Request IPersonnel .Name Request [salesperson Request ISalesperson Name http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 09/14/2007