HomeMy WebLinkAbout1677 DOCENA RD; ; CB100163; PermitCity of Carlsbad
01-25-2010
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB100163
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1677 DOCENA RD CBAD
PLUM
2159100600 Lot#: 0
Construction Type: NEW
HUANG RES REPLACE WTR HTR
Status: ISSUED
Applied: 01/25/2010
Entered By: KG
Plan Approved: 01/25/2010
Issued: 01/25/2010
Inspect Area:
Applicant:
AFFORDABLE WATER HEATER
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
Owner:
HUANG RIOKY&XU XIAONI
i677 DOCENA RD
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
01
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:$0.00
PERMIT HAS EXPJRffi IN ACCORDANCE WITH C.B.C,
SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030
DATE
Inspector:
FINAL APPROVAL
Date:Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
Building Permit A|
vVV^ 1635 Faraday Ave., Carlsba(
' ^" CITY OF 760-602-2717/2718
r* A D i CD A r^ Fax: 76°-602-85
\-.r\KLoD/\L/ www.caflsbadca.f
JOB ADDRESS
CT/PROJECT # LOT# PHASES (( OF UNITS ((BEDROOMS
plication Plan Check No^00 / (Q^>ppiKmion
j, CA 92008 Est. Value
/2/la58 Plan Ck. Deposit ^
>gy 1 OlP"*""^ =%- ^ ,a
SUITE#/SPACE#/UNIT# APN If
tt BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 'OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
P.€.P\Ok.C&- "7^ ttc\.Uor» °f$ UJo^'Vc.r tr&Cv'f^r
^ «, i e_ t' r(j ^
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If Different Fom Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME
ADDRESS 1 J
CITY STATE ZIP
PHONE 1 FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #
PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES D # NO D YES D NO D YES D NO O
APPLICANT NAME ... 1Scott LittleFTetei.
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME4FFortle\bl£_ uta.«te,r He.are.r5
ADDRESS
CITY STATE ZIP
PHONE JFAX
EMAIL
STATE UC.« CLASS CITY BUS. LIC.#
(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 theappjicant 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 theBusiness 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 acivil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: / hereby affirm under penalty at perjury one of the iotlomng declarations:
O 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,
of I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. TC.frt'fr V> Policy No. TOW*?*^* 7& Expiration Date I " I - \ \
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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees,
JS!> CONTRACTOR SIGNATURE SfAGENT DATE I ~ 3-6 ~ ( 0
I hereby affirm that I am exempt from Contractor's License Law for trie to/lowing reason:
D 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).
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:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes d 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):
>£j"pROPERTY OWNER SIGNATURE IAGENT DATE I- 10
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? D Yes O No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes O No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN"
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
'^^Mi^^^^^^M^ff£-iii^^^i^^^iK^&
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
I hereby authorize representative of (he 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
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in heighl
180 days famine date of such perrrit or if foe buidirra or wo^
^APPLICANT'S SIGNATURE Aft^L DATE i ~ 2-6 - (0
City of Carlsbad
June 11,2010
Building Department
Permit Number: CB100163
Issue Date: 01/25/2010
RICKY HUANG
1677DOCENARD
CARLSBAD CA 92011
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: WATER HEATER
ADDRESS: 1677DOCENARD
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 07/24/2010.
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 beL recommenced, ajiew_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 cheek 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 92008-7314 • (76O) 6O2-270O • FAX (76O) 6O2-856O
16619481533 WMl 10:54:31 a.m. 01-05-2010 2/3
A.CORD CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (661)948-1003 FAX: (661)948-1533
Walter Mortensen Insurance
CA License #0044424
1113 West Ave. , M4, Suite C
Palmdale CA 93551
INSURED
Affordable Water Heaters & Plumbing, Inc.
24707 Railroad Avenue
Santa C0,arita CA 91321
OATE(iaK>D/YYYY)
1/5/2010
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
INSURER A: Zenith Insurance Company
INSURER a
INSURER C
INSURER &
INSURER E
NAIC*
COVERAGES
THE POLICIES OF INSURANCE LISTED B&OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDfTIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS.
MSRLTR
A
UWL
MSB!TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL UABUTY
| CLAMS MADE | | OCCUR
GEN-L AGGREGATE LIMIT APPLES PER
~|pOUCYri3£ riLOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS / UMBRELLA LIABILITY
1 OCCUR | j CLAMS WOE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y|N
ANY PROPWETOWPARTNeWQCECUTIVE I 1OFFICER/MEMBER EXCLUDED?
(MmdatmylnNH) '
W yes. describe underSPECIAL PROVISIONS betow
OTHER
POLICY NUMBER
Z067898704
aHEMUODffYYYi
1/1/2010
POLICY EXP RATION
OATEMWDDOTYY)
1/1/2011
LIMITS
EACH OCCURRENCE
DAMAGE TO RENIbUPREMISES fEa occurroicel
MED EXP (Any one penon)
PERSONAL *AOV INJURY
GENERAL AGGREGATE
PROOUCTS-COMP/OPAGG
OOMBMED SINGLE L*«T
(Ea accident)
BODILY INJURY(Per P«cn)
BODILY WJURY
(Per accident}
PROPERTY DAMAGE(Pa-scotoH)
AUTO ONLY - EA ACCIDENT
OTHERTHAN EAACC
AUTO ONLY: f^
EACH OCCURRENCE
AGGREGATE
1 WCSTATU- 1 IOTH-1 TORY LIMITS! 1 ER
ELL EACH ACCIDENT
EX. DISEASE -EA EMPLOYEE
E-L CXSEASE - POLICY LIMIT
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$ 1,000,000
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$ 1,000,000
DESCRIPTION OF OPERATHNS/LOCATMNSfVEHICLES/EXCUJSMNSA^
Certificate of Insurance. 10 day notice of cancellation for non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
Affordable Water Boaters fi Plumbing Inc
24663 Railroad Avenue
Newhall, CA 91321
SHOULD AMY OFTHE ABOVE DESCRBED POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO UAL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIM} UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ^__ ^^ ,
Ronald Burcharo/MNASTE <^~ — XL' <^ £3—s£-
ACORD 25 (2009/01)
INS025 (2009W)
@ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD