HomeMy WebLinkAbout1909 ALGA RD; ; CB101344; Permit07-19-2010
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB101344
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
1909 ALGA RDCBAD
PLUM
2151700310 Lot#:0
Construction Type: NEW
LABORATI RES REPLACE WTR HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/19/2010
KG
07/19/2010
07/19/2010
Applicant:
ALL STAR WATER HEATERS & PLUMBING
17886LAKESHOREDR 92530
1-800-727-0977
Owner:
LABORATI CECELIA A
1909 ALGA RD#A
CARLSBAD CA 92009
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
$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
Inspector:
FINAL APPROVAL
Date: ^a/'Z/o 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.
x£ *fjx Building Permit A
vK^,-v 1635 Faraday Ave., Carlsba
^X CITY OF 760-602-2717/2718
/"* A n i CD A ni Fax: 76°-602-85
CAKL.ODAU www.carlsbadca.1
I9<9C( /t(cr a, TZcy
CT/PROJECT # LOT # \PHfSE ft ft OF UNITS ft BEDROOMSvj
rmlirntimi P'a" Ch<ppiicution
d, CA 92008 Est. Valu
58 Plan Ck.
m Date •;
SUITE*/SPACE*/UNIT# APN
# BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
HHcNo^/^/^4^/
e
Deposit ^^.
'--^•-/o X^
X
CONSTR. TYPE OCC. GROUP
UJcJxr \\aJrf r Cl to E-pf^/^ f^cx/iAe- £»^,~ hoc^'o^
EXISTING USE PROPOSED USE GARAGE (SF)
CONTACT NAME (If DIHertnt torn Applicant)
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
PROPERTY OWNER NAME /C sy f \ • 1 1Cc- C € ) , £L L— /i U/o p rt. "j >
ADDRESS x^ — _— ,
•— -dxv^-€_- f^€_ *ti •!^> O ^^
CITY x" i / STAlf ZIFJ,
C-'^Lr^l(c>icic<L <2/ t . £v_ 7&IOO {
PHONED. _ FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. *
PATIOS (SF) DECKS (SF) FIREPLACE
YES D #
AIR CONDITIONING FIRE SPRINKLERS
NO D YES D NO D YES D NO D
APPLICANT NAME . , , .±Jn^U\ U d^xt ; <\ c\
ADDRESS . s~\
^ LfcJilriAtA.
CITY STATE ZIP,
PHONE _
f^(90 7Z7 ^-7-7
-AX
EMAIL
CONTRACTOR BUS. NAME X 1 x- 1rr 1 3te«
ADDRESS x-j
riiJcdtr Ke^te^
to VcJ^rh^
CITY x - r STATE Zl?
PHONE
EMAIL
STATE LIC.# , . / C
"AX
"~ cs?B2m\r
(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 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
Worker*' Compensation Declaration: / /larefcy sffi/m undar penalty of perjury one of the following declarations:
O I have and will maintain a certificate of content 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.
^3^1 have and will maintain workers' £pmpen»ation. 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 and policy
number are: Insurance Co. \ID £.(&*-, ji /\. Q . Policy No. Oi DI^IZ-M I2&& ?H-5~S> Expiration Dale jf /.3^//£3
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 l> unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's feet.
CONTRACTOR SIGNATURE
O W N EH- B U 1 L D E n DECLARATION
OAGENT DATE
/ hereby affirm thai I am exempt from Contractor's License Law for the following reason:
D I, as owner ol 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 lor
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).
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):
JB$PROPERTY OWNER SIGNATURE DAGENT DATE
COMPtET'E THIS SECTION FOR N O N - R E S I D E N T 1 A I. 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 D44o
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,/
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 information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon Ihe 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
City of Carlsbad Bldg Inspection Request
For: 08/23/2010
Permit# CB101344
Title: LABORATI RES REPLACE WTR HTR
Description:
Inspector Assignment:
Type: PLUM ^^ ^-^ Subtype:
Job Address: /T909 ALGA I
Suite:
Location:
APPLICANT ALL STAR WATER HEATERS & PLUMBING
Owner:
Remarks, mid morning inspection
Total Time:
CD Description
25 Water Heater/Vents
Act Comments
Phone:
Inspector:
Requested By: JOHN LABORATI
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
2010-Apr-30 09:14 AM IDA INSURANCE SERVICES 9254167869 1/15
AGQBH CERTIFICATE OF LIABILITY INSURANCE
PRODUCE* ttz5)4l«-7m FAX <3i*>4U-7iW
Insurance Off-iea of AnwMc*, Inc.
DBA IOA Insurinct Strvfcts
3875 Hopy«rd Road, Suit* 240
Plemnton, CA 94519
INSURES AII star wattr Hwterx, inc.
30300 Puerto V«Tl«rta
M«nif««, CA 92514
Fax No. 951.Z45.0366
MTf.(MM/PO/mY|
04/30/2010
Tfll* 6IBTIFWAT* IS IS5UBD AS A MATT1R OF INFORMATION
ONLY AND CONFERS NO K10HT* UPON THE CERTIFICATE
HOC6|R,THI» OBRTIWOATEDOH NOT AMEND, EXTEND ORApffilffHE COVERAd^ AFFORDED BY T^I POlllO E8 BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: F««r1«»$ Insurance Company
iNsuMtftf DELOS Insurance Company
MiUKftft
INIURJERD:
iNtuRifti
NAIC*
COVgRAQES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION 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 CONDITIONS OF SUCK
POLICIES. ASBRBGATB LIMITS SHOWN MAY HAVE BBSN REDUCED BY PAID CLAIMS.
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««AU LIABILITY
COMMERCIAL OENIRAL LIABILITY
~J CLAIMS MADE pX~| OCCUR
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AU
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'OMOllLS LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTO*
HIRED AUTOS
NON-OWNBO AUTOS
BARAQI LIABILITY
[ANY AUTO
JUCCUWUMBRlUA LIABILITY
~~] OCCUR |~~| CLAIMS MADS
DEDUCTIBLE
RETENTION (
WORKtRS COMPILATION AND
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05/15/2010
08/22/2009
01/02/2009
05/15/2011
OS/22/2010
08/02/2010
EACH OeeURRENCE
^AguMj|Vd*fcWiii
M«DiXP(Anycn»pi/Hfl)
PERSONAL * ABV INJURY
OIN8RALA80RBOATE
PRODUCT*. OOMJ»WF AM
COMBINED SINOLI LIMIT(It *eei«inl)
BODILY INJURY(Per fttnn)
BODILY INJURY(Pirteelrfint)
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AUTO ONLY . EA ACCIDENT
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BACH OCCURRENCE
AGGREGATE
X |Y%OTiB% VW
C.L. EACH ACCIDENT
E,L DISEASE • EA EMPLOYEE
E.L DISEASE. POLICY LIMIT
* 1,000,000
« ^00,001
* 5.000
» 1,000,000
* 2,000,000
i 2,000,000
' 1,000,000
»
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s
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* 1,000,000
i 1,000.000
f 1,000,000
V?&BP^BSWy ^85*JlYNi ' VBHI°L» ' EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONSOF INSURANCE
CJERTIFICATK HOLDMR _ CAMOBLLATIOM
'EVIDENCE OF INSURANCE"
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION PAT« tWWOf, THU I9SU1N3 INSURER WB.L gNDRAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLI3AT10N OR LIABILITY
OF ANY KIND UPON THi INSURW, IT* A6I>» OR RIPRJSJNTATIVM,
AUTHORIZED REPRESENTATIVE / i (J \ \ jl/ —
JinRibbitt L-A^ \\&Mtiw
ACORDM (1001/01) £/ tACORD CORPORATION INI