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Home My WebLink About1635 BASSWOOD AVE; ; CB062541; Permit09-06-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB062541 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1635 BASSWOOD AV CBAD PLUM 2051306100 Lot#: Construction Type: BENSEN RES-COPPER RE-PIPE 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/06/2006 RMA 09/06/2006 09/06/2006 Applicant: PIPES PLUMBING 1145LAWST 92069 434-3067 Owner: BENSEN DANIEL&HEATHER 1635 BASS WOOD 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 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $60.00 Total Fees:$60.00 Total Payments To Date:$60.00 Balance Due:$0.00 Inspector: FINAL APRROVAL Clearance: NOTICE: Please take NOTICft'that approval of your project includes (he 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 vou 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 iflfMi.nWW- • •"'< "!•••• "•'.'-„• . . >. ,•,-:-,. a,^<r P^toooX Jw^ FOR OFFICE USE 0 PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Pa reel #s rarcei 9 gP\AK)W- c^y Existing Use Proposed Use Description of Work J ' ' SQ. FT. ^^&^(»!d«Iertn*i^m*p^iieaMp:';;-^:;=;.:.;-'::'::-' #of Stories # of Bedrooms # of Bathrooms Name Address City Agent:foFt>vvner State/Zip Telephone # Fax Name Address City State/Zip Telephone # (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 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]).1146" \flr\ji3V. JJK nwaa eft Name State License ft nse Class City State/Zi City Business License It Designer Name State License # City State/Zip Telephone ^Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f^> | 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 "Vie 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 Ssued. My worker's compensation jnsurance carrier and policy number are: /l<J-»«y -5 Insurance Company &Jf\(J&-> _ Policy No!/L& ^" ^3^>"O3 Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [3 CERTIFICATE OF EXEMPTION: I certify that in tha performarwe of the wotk for which this permit is issued, I shall not employ any person in arty 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,OO01,TrV>ddition to the cost of compensation, damages as provided for in Section 3706 of the J,ab9r fode., jnterest and attorney's fees. SIGNATURE - "~^<£^* - — - . DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 therflon, 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 coritractor(s) licensed pursuant to the Contractor's License Law). C] 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. Q YES QNO 2. I (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 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 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 Q 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 Q NO Is the facility to be constructed within 1,000 feat of the outer boundary of a school site? Q YES Q 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. MJiSlli!^ -.•-•'•,-: '";••. "- - 'A $• '^>.;:;"--, :'-,rr:: •'::;-;.-: •:.- w :.:U'U/. :;;•:/ •' , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) 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 1 80 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 corryDaced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ' WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/07/2006 Permit* CB062541 Title: BENSEN RES-COPPER RE-PIPE Description: Sub Type: 1635 BASSWOODAV Lot 0 Type: PLUM Job Address: Suite: Location: OWNER BENSEN DANIEL&HEATHER Owner: BENSEN DANIEL&HEATHER Remarks: Inspector Assignment: / Phone: 7604343067 Inspector: Total Time: CD Description 24 Rough/To pout Act Comment Requested By: RUTH Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments :32 AM FAX Ho. 858 350 D5BE P. 001/031 ACORQ^ CERTIFICATE OF LIABILITY INSURANCE ""tSSSST1 PRODUCER Phon* (ta)WH)535 ftK (R98)39EM»Q6 K T L BUSINESS INSURANCE SERVICES, INC. 322 8TH STREET 8IKTE#101 DELMARCAB2D14 AowwLJcttDDMU INSURED PPESPUJUBMG DBA BENTLY BUILDERS 1146 LAW STREET SAN MARCOS CA flJOBO THIS CERTIFICATE IS ISSUED AS A HATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. ALTER THE COVCRAOE AFFORDCD ftf THE POLICIES BH-OW. INSURERS AFFORDING COVERAGE NA1C* « , , INSURERA- ARRCO Insuranca Company 19100 INSURER & ZENITH INSURANCE COMAPNY INSURER C: HARTFORD CASUALTY INSURANCE COMPANY INSURER D; INSURER E: COVERAGES THfc POLICIES 0# INSURANCE LISTED BELOW HAW BEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POLICY PERIOD INDICATED. NaiwiiF^iJwiuHw ANY RBOUWEMEWT. TEW* OR CONCmOJ* OF AW CONTRACT OR OTHER DOCUMENT WITH REJECT ™ W™JMjtJCBminCOT U«fBEIW«D Oft MAY PBRTAN. TH§ NSURMCi AFFORDED BY THE POLICIES DESOMBBD HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOTnONS OF 3OCH POLICIES. AOOREQATE UMTS SHOWN HAY HAVE BEEN REDUCED BY PAD CLAIMS. J^jjg^ TYPE Of INSURANCE A e c GENERAL LIAMUTY A COfcfteRCLW. GENERAL USBlLfTY ^~] CLAJM3MADE("x"| OCCUR GEKLAGGREGATE LMT APPLIES PER AUTDHDBU LIABILITY ANY AUTO ALL OWNED AUTOS SCK3XJLED AUTOS HIRED ALTOS NQNOWNBD AOTOS OARAGE LIABILITY AW AUTO EXCES3 1 UMBRELLA LIABILITY ^J OCCUR r~J CLAMS IUDE OBXICTlBLe WORKERS GOHPENMTION AM> EMPLOYER*' UABILfTY OFfii.iJiw.iani mcuioapT WttML mCnrmoMMMM OTt^ PROPERTY rOUCY NUMBER 7048263303 72SBAKN6B14 •S^SSSrff 07/01/OB ^.SSS™1 07/01/07 •\2ttMQS 07/01/06 12T31/06 07/01/07 LWITS 5ACH OCCURRENCE 'PITFidfirf ff*l inrwBul MED. EXT (Any onspmcn) PERSONAL A ADV INJURY GENERAL AQOREOATE t^OOUCTS-COUPlOP AO6. g-saa""uMT 90DH.YMJURY BODLY INJURY ^SS^1^ ALfTO ONLY. EA ACCIDENT OTMHITHAN EAACC AUTO ONLY; AS8 EACH OCCURRENCE AGGREGATE X iTOKYUim 1 (OTTfcK EX-EACMA.COOiHT EL. OISEASE-EA H*LOYE6 8 J_ DISEAStlOtlCY LIMTl S 1,000,000 $ 100,000 S 5.000 S 1,000,000 S 2,000,000 S 2,000,000 » S t S S *9 s $ X $ s f 1,000,000 S 1.000,000 t 1,000,000 8PP $54,900 REPLACEMENT COST SPECIAL FORM DESCRIPTION OF OPEMATIONS'LOCATIONS/VEHCLES/EXCLIJSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS PROOF OF COVERAGES ONLY CANCELLATION FOR INFORMATIONAL PURPOSES ONLY Attention: SHOULD ANT OF THE ABOVE DBSCRSBD POLICES BC CANCCLLCD BEFORE THE EX^RAHOH DATE THEREOF, THE 1361*4(5 INSURER WILL ENDEAVOR TO MA1.30 WRITTEN NOTICE TO THt CERTIFKATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE HO OBLIGATION OR UABLJTY OF *W KWp UPON THE WSU HER ITS AGENTS OR RBPRESEMrATIVES. AUTHORIZE REPRBSEMTATtVE ACORD 25 (2001/08)CerSiicate* 10974 <p ACORD CORPORATION 188B