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HomeMy WebLinkAbout1644 CORMORANT DR; ; CB082071; Permit11-12-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB082071 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1644 CORMORANT DR CBAD PLUM 2156500412 Lot# 0 Construction Type NEW NICHOLS RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/12/2008 KG 11/12/2008 11/12/2008 Applicant JUST WATER HEATERS INC 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 Owner NICHOLS WILLIAM A&KATHLEEN A 652 THORNHILL RD DANVILLE CA 94526 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain install/Repair Water Line Watei 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 S27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL AP,PR 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 FOR OFFICE USE PLAN CHECK NO EST VAL Plan Ck Deposit x Validated By Date 5SB£>fejaW*;-p^^fc! business Name (at fhis address) Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use 5-•*""« rajf!«>*a^^»r)B»Mll|4JMMl|l>ly^ '•' * <-•"'• '.' • '• *'••• -«*--" ' (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 an^ applicant for a permit^ ubjects tbe,applicary to a civil penalty_of not_mo/e than fivejiundred dollars [$500] Name State License # Address License Class City State/Zip City Business License # ne* Designer Name State License # Address City State/Zip Telephone # K€Si£ii:l,?J^^ -• Workers Compensation Declaration I hereby affirm under penalty of penun r-n t the following declarations d I have and will maintain a certificate of consent to self-insure for »r. -, _ -unpensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued ^8f I 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 r woiker s compensation insurance earner and policy number are , „, (\)\d.f\Q\ rt"7 VJ L\— ) * /") ^? Insurance Company _Po ExoiratonPate (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) a CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($ioO 000) in addition Ufthe cosVof compensation damages are'pr?/>d?d for in Section 3706 of the Labor Code, interest and attorney's f»< I hereby affirm that I am exempt from the Contractor's License Law for the following reason n I as owner of the property or my employees with wages as their sole -ompensation will d 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) tp 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 irprc es ihereon and contracts for such projects with contractor's) licensed pursuant to the Contractor s License Law) D I am exempt under Section Business ->"J P-~ifi>s • ns Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES O NO 2 I (have/have not) signed an application for a building permit for the-ptodsed work 3 I have contracted with the following person (firm) to provide the prooos?;! construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following pe"«n i 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 follov. n-.nersons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE WHITE F'lp YP LOW Applicant PINK Finance PERMIT 'APPLICATION ,H \ CITY OF CARLSBAD BUILDING DEPARTMENTS 1635 Faraday Ave , Carlsbad CA 92008 ; Page 2 of 2 air quality management distncf D YES Is the applicant or future building occupant required to submit a business dan, 'acutely hazardous r Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O YES ' Is the applicant or future building occupant required to obtain a permit from trie air pollution control < Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES** IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NQ/^E ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CO*"yL :"gTire T ^ I 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) .w<a;J*.>"»^v:-- • '• nsk^managefnent and prevention program under LENDER S NAME gisS^ss-viss?--;^--- I certify that I have read the application and state that the aboveTnformsfton is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to budding construction I hereby authorize 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 »ie provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such^perming not commenced within 180 daysjrom the date of such parlor if the building or work authonzed by such permit is suspended or abandoned at any time after i,,.,_ . 1106 4 4 Uniform Eu'iding Code)the work is commenced for a period of 180 APPLICANT S SIGNA'DATE. WHITE File YELLOW Applicant PINK Finance P City of Carlsbad Bldg Inspection Request For 11/25/2008 Permit* CB082071 Title NICHOLS RES REPLACE WTR HTR Description 1644 CORMORANT DR Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER NICHOLS WILLIAM A&KATHLEEN A Owner NICHOLS WILLIAM A&KATHLEEN A Remarks Inspector Assignment Phone 9257195550 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By KATHY Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments AQQBR CERTIFICATE OF LIABILITY INSURANCE -Kuu0^« C925>416-7S€2 FAX (925)416-7*69 Insurance Office of America, Inc. DBA IOA Insurance Services 387S Hopyard Road, Suite 240 Pleasanton, CA 94588 •4WREC. Just Water Heaters, Inc. 3400 Investment Blvd. Hayward, CA 94545 Fax. 510.293.0562 HOtoiSrTHBG&raPIGiS INSURERS A^ORDBHQ <X»@UMK OS/39/2QM SneiAtt'ecruMDOR MAiC* INSURER* GOLDEN EAGLE INSURANCE COMPAWY "NSURCRB HAitTPORD FIRE BUSWUNCE COMPANY INSURER c ACE PKOPCRTY ft CAStlALTY IKSURAMCt COMPANY INSURER D INSURER & COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE SEEN ISSUED TO THE W ANY REQUIREMENT TERM OR CONDJTtQNOJF ANY CONIRAGT OR OTHER O MAY CERTAIN THE INSURANCE AF FORDED 8V THE POLICIES DESCRIBED W POLiCiES AGGREGATE UMJTS SHOWN MAY HAVE ^?F^UC^fiYPAIO 'fsll^Rfl TYPE Of INSURANCE i GENERAL LIABILITY [Y] COMMERCIAL GENERAL LIABILITY i : j CLAIMS MADE j X 1 OCCUR i 1 ' 1*A • i• - i ! 1 ! GCN L AGGREGATE LIMIT APPLIES PER ' ' 1 POLICY j j 5gPf j j UK; > AUTOMOBILE LIABILITY , Xj ANY AUTO i ALL OWNED AUTOS4 p . ! SCHEDULED AUTOS X i HIRED AUTOS , X j NON-OWNED AUTOS , i : i ' GARAGE LIABIUTY - — | 1 ANY AUTO j I EXCfcSS/UMBRCLLA LIABILITY i 1 ! 1 i Or.CUB | j CLAIMS MADE I DEDUCTIBLE ; RfcTENTIOM $ i WORKERS COMPENSATION AND ; EMPLOYERS LIABILITY f '. AN'PROPR!ETOR'PARTNER/EXECUT!VE ' i OFFiCtfUMEMBER EXCLUDED'' • if s es oescribe uncter ' SPECIAL PROVISIONS bno* OTHER IESCSIP 1 il>N Of OPERATIONS ' LOCATIONS / VEHIC EVIDENCE OF IMSIWANCE^ CBP9S57432 72UECHY3100 C4S096282 •* *SUREO NAMED ABOVE FOR THE POI OCUMa<TW«3tH ASPECT TO1NMO EREWJS SUBJECT TO AU. THE TE«U! 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