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Home My WebLink About197 CHINQUAPIN AVE; ; CB091720; Permit10-15-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 197 CHINQUAPIN AV CBAD PLUM 2060700101 Lot#: 0 Construction Type: NEW COPPOLA RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/15/2009 LSM 10/15/2009 10/15/2009 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: COPPOLA FAMILY TRUST 01 -15-96 197 CHINQUAPIN 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 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 ,1 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. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check No. &&O°i \ Est. Value Plan Ck. Deposit Pate JOB ADDRESS CT/PROJECT(f O!A^ LOT ft V *vPr^ PHASE ff A-VJS ff OF UNITS ff BEDROOMS SUITE ff/SPACEff/UNITff ff BATHROOMS 1 TENANT BUSINESS NAME APN - CONSTR. TYPE j OCC. GROUP Reflate, So aAl|or\ o.c.5 UWer Neaterj j Sam€ lOCAffDrN^ t^Ur^rc/ ft^m / EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAMF m "'« • •= — «nn//r»nfl ADDRESS _ ' v CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME .£>cV> CopptM^ ADDRESS ' $£\^V\4_ CITY STATE ZIP PHONE FAX 1(£C 7&0 ^IIP 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 D APPLICANT NAME .Sort L.'.++le.ft'LU ADDRESS BetocJ CITY STATE ZIP PHONE FAX 4>fcl'^f^'7/3l fc*/-«JPj'9ST£ EMAIL _Scott @ 4uJtf.4P.C0f* CONTRACTOR BUS. NAME . . /JFFo liable lOater Heecfdrs ADDRESS Wo7 Rai/rcac* rtVt. CITY STATE ZIP M«U)hA/| dA 9/3^| PHONE I FAX fcfel-^S-q-OSAO 1 EMAIL STATE LIC.ff _ CLASS CITY BUS. LlC.ff fcA-mfr <L3k /»7£7/ [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 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 die 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 five hundred dollars {$500}). WORKERS' C O M P E N SA T ION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: 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 r the performance of the work for which thisperr . policy NO. l.Qb"7ffMr7flj Expiration Date I * I" / O SIT I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. My workers' compensation insurance carrier and policy number are; Insurance Co ffefM I O This section need not be completed if the permit is for one hundred dollars ($100) or less. C3 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 (4100,000), in addition to the cost of compensation, damagetfas provided for in Section 3706 of the Labor code, interest and attorney's fees. . ^CONTRACTORSIGNATURE /^C^fX - DATE I CI 101 0 ^ OWNE tt-B U 1 L D E l< DECLARATION / hereby 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). O 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 i-t'H i s s ec jr i o N "'- e'o tt DATE - n E si o e N T i A!*; 1 1, 0 i n G P e R M i T s 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? a 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 G No | Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . 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 A P >t I C ANTCERTiriCATION I certify that I have read the application and state that the above Information is correct and ttiat the infomaflon on the plans Is aoarate. I agree to rempty with all City o I hereby authorize representative of Die 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, 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 180 days from the date of such permit or if the buiWirjp or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ) APPLICANT'S SIGNATURE DATE lOJttf City of Carlsbad Bldg Inspection Request For 11/02/2009 Permit# CB091720 Title COPPOLA RES- REPLACE WTR HTR Description 197 CHINQUAPIN AV Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER COPPOLA FAMILY TRUST 01-15-96 Owner COPPOLA FAMILY TRUST 01-15-96 Remarks CALLW/ETA Inspector Assignment Phone 7607205370 Inspect Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By BOB Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 16619481533 WMI ACOfiP. CERTIFH 023140pm 01-06-2009 2/3 :ATE OF LIABILITY INSURANCE I.ROOOCEX (661)948-1003 FAX (661)948-1533 Walter Kortensen Insurance License #0044424 1113 West Ave H-4 K Palmdale. CA 935S1 INSURED Affordable Water Heaters & Plumbing, Inc. 24663 Railroad Avenue Newhall, CA 91321 COVERAGES MTEWM/DUYYYY) 01/06/2009 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 POUCIES BELOW INSURERS AFFORDING COVERAGE NAlCft INSURER A Zenith Insurance Conpany INSURER B- INSURER C INSURER L> INSURER E. 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 SUCH POLICIES AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS WSR LTR A WOT. NSRS TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE [ | OCCUR GEJrt. AGGREGATE UMTT APPLES PER. AUTOMO8LE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | [ CLAWS WADE DEDUCTIBLE RETENTION t WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER-EXECUTIVE OFFICER-MEMBER EXCLUDED' 1' yes describe under SPECIAL PROVISIONS Selow OTHER t — . POLICY NUMBER Z067898703 POLICY EFFECTIVEDATE ntHioorm 01/01/2009 POLICY EXPIRATIONDATE IHM/DD/YY1 01/01/2010 Lwrrs EACH OCCURRENCE DAMAGE TO RENTEDPRFUISFS f* nmirnw} MED EXP (Any one person) PERSONAL & ADV HIURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LMT(Eatcadert) BODILY INJURY (Per person) BODILY INJURY (Per acadenl) PROPERTY DAMAGE (Per acadenl} AUTO ONLY EA ACCIDENT OTHERTHAN EAACC AUTO ONLY M.Q EACH OCCURRENCE AGGREGATE I WCSTATU- I 10TH- iTORYIIMlTSl 1 ER E L EACH ACCIDENT EL. DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT t s s s V t t s * I s t I t $ $ I t 5 1,000,000 J 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES / EXCLUSIONS ADOtD BY ENDORSEMENT / SPECIAL PROVISIONS lertificate of Insurance CERTIFICATE HOLDER CANCELLATION Affordable Uater Heaters & Plumbing Inc 24707 Railroad Avenue Santa Clanta, CA 91321 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING IMSJRER W.I.L ENDEAVOR 1O MAIL 10 DAYS WRTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TC THE LCFT BUT FA.LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGLNTS OK REPRKStNIAIIVES AUTHORIZED REPRESENTATIVE _. -, ' Mark Hevne/MJN ACORD 25 J200VOS)fiACORD CORPORATION 19ac