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Home My WebLink About1817 ASTON AVE; ; CB071814; Permit07-06-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No. CB071814 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 1817ASTONAVCBAD PLUM 2121201100 Lot#: Construction Type: NEW NRG - UNDERGROUND PLUMBING ONLY Status: ISSUED Applied: 07/06/2007 Entered By: LSM Plan Approved: 07/06/2007 Issued: 07/06/2007 Inspect Area: Applicant: GOOD & ROBERTS INC. 1090 JOSHUA WAY VISTA, CA 92083 619-598-7614 Owner: JETT&JONES L L C T LAWRENCE JETT P 0 BOX 455 SANTA YNEZCA 93460 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 1 0 0 0 0 0 0 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $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 Inspect FINAL APPROVAL Date: Jt&^'l'f* " <> 7 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 vou have previously been qiven 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 No. &&T7 / Est. Value Plan Ck. Deposit Date gS'OO JOB ADDRESS A\/ SUITE#/SPACE#/UNIT#APN - l| -00 CT/?ROJECT#PHASE # # OF UNITS # BEDI # BATHROOMS NANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WOR m^t EXISTING USE PRO USE*'GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO O AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME <tf Different Fom Applicant) ADDRESS NT NAME ADDRESS530 CITY STATE ZIP CITY ,STATE PHONE FAX EMAIL EMAIL NER NAMEPROBERTY OWNER NA -oejV--r •*• ACTOR BUS. NAME-V ADDRESS1 33 0 CITY STATE ZIP CITY STATE ZIP PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE L1C. #STATE LIC.# 1 "?Dt CLASS CITY BUS. LIC.# (Sec. 7031.5 Business and Professions Code: Any City or County which requaMt permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires die applicant for such permit to file a signed statement that he islicensed 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 ofSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars {$500}). WORKERS' COMPENSATION Workers' 'Compensation Declaration:/ hereby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-ins ure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.K_4 HI I 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 workers' compensation insurance carrier androlicy /number are: Insurance Co.LJ* performance of the work for which this permit is issued. My workers' compensation insurance carrier androlic icy No. OOQQ.3M6- & OQ Cp Expiration Date ) O — ) - CT7Policy No. This section need not be completed if the permit is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100.000), in addition to the cost of compensation, damages is provided for in Section 3706 of the Labor code, interest and attorney's fees. £$ CONTRACTOR SIGNATuk^X^S— Y\A A A^t^ DATE / — //J — A 7 OWNER-BUILDER r/ECLARATION / toeby affirm that I am exempt from 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 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). O 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). 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. O 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 DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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? O 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 O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES, I EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION I certify that I have read the application and state that the above information Is correct and that the hiforniation on the 0ans is accurate, lagreetooomo^ I hereby authorize representative of the City of Carbbad to enter upon the above mentioned property for iispectjon 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 oxistrudion()fstru(^i« over 3 stories in height EXPIRATION: Every permit issued by Ihe Building Official uraiwfte provision Ms Code srralexpre by im^ 180 days from Ihe date of such permit or if the bulding or work auttaizexlrjysudinemt is suspended wabanttaied at any t^ ^APPLICANT'S SIGNATURE \^YVI* ~/T~>—— DATE City of Carlsbad Bldg Inspection Request For: 07/09/2007 Permit# CB071814 Title: NRG - UNDERGROUND PLUMBING Description: ONLY Type: PLUM Sub Type: Job Address: 1817 ASTON AV Suite: Lot Location: APPLICANT GOOD & ROBERTS INC. Owner: Remarks: Inspector Assignment: Phone: 7604588577 Inspector Total Time: CD Description Act Comment 21 Underground/Under Floor Requested By: ED Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments GOOD & ROBERTS, INC. GENERAL CONTRACTOR, SINCE 1979 goodandroberts.com 1330 Park Center Drive • VISTA, CA 92081-8300 • 760.598.7614 FAX: 598.7659 CA Lie. #377551 July 6, 2007 City of Carlsbad This letter gives Julie Mitchell the authorization to act as our representative and sign all necessary paperwork required by the City of Carlsbad Building Department. Thank You, Good & Roberts, Inc. ChucrGlynn Vice President POLICYHOLDER COPY SD COMPENSATION I N SURANCEFUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 10-04-2006 GROUP: 000333 POLICY NUMBER: OO00345-20O6 CERTIFICATE ID: 559 CERTIFICATE EXPIRES: 10-01-2007 10-01-2006/10-01-2007 CITY OF CARLSBAD PURCHASING DEPARTMENT 1635 FARADAY AVE CARLSBAD CA 92008-7314 SD JOB:ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. JTHORIZED REPRESENTATIVE^) PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT 11600 - JACK GOOD CEO - EXCLUDED. ENDORSEMENT 11600 - ELIZABETH GOOD SEC.TRES - EXCLUDED. •• ENDORSEMENT /C2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-20O1 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER GOOD & ROBERTS, INC 1330 PARK CENTER DR VISTA CA 92081 SD mEV.2-05>PRINTED [B17.SD] 10-04-2008 N) oe ? o 8O OCDmXI O T) O 2 Oi^lc2 2 *• Dm c » £»< & O