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HomeMy WebLinkAbout2007 AVENUE OF THE TREES; ; CB091241; Permit07-27-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091241 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2007 AVENUE OF THE TREES CBAD PLUM 1562801900 Lot#: 0 Construction Type: NEW DOWLAND RES REPLACE WTR HTR Status: ISSUED Applied: 07/27/2009 Entered By: KG Plan Approved: 07/27/2009 Issued: 07/27/2009 Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: DOWLAND FAMILY TRUST 09-25-03 2007 AVENUE OF THE TREES 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:$0.00 Balance Due:$27.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired, Print Form City of Carlsbad Plan Check 1635 Faraday Ave., Carlsbad, CA 92008 W Ikfxw 7 60-602-27 17/2718/2719 E^pO^ Fax: 760-602-8558 ^S2<^ Building Permit Application JOB ADDRESS2007 Avenue Of The Trees CT/PROJECT* LOT* PHASE* » OF UNITS » BEDROOMS •^J 'H Est. Value ^ Plan Ck. Deposit ^ Date "1 -^2f/-^$ff "ffr SUITE#/SPACE#/UNIT# APN S (BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Squan Feet of Aflfcttd An»(s) Replace water heater, same size, same location. EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (HDItttnnt Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME Taffie Dowland ADDRESS 2007 Avenue Of The Trees CITY STATE ZIP Carlsbad Ca. 92008 PHONE FAX 760-730-3067 EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE LIC. * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES[~]# N0[~l YES| |NO[ ] YES j )NO[^] APPLICANT NAMEJosh Keating ADDRESS 30300 Puerto Valllarta Way CITY STATE ZIP Menifee Ca. 92584 PHONE FAX 800-727-0977 95 1 -245-6366 EMAIL CONTRACTOR BUS. NAME .... ,„, ,,All Star Water Heaters ADDRESS 30300 Puerto Vallarta Way CITY STATE ZIP Menifee Ca. 92584 PHONE FAX800-727-0977 951-245-6366 EMAIL STATE LIC.» CLASS CITY BUS. LIC.# 812894 C36 1221418 (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 theapplicant for such permit to file & 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}). JWO R K E R S ' C QM P ENJt A Tl O N Workers' Compensation Declaration:; hereby affirm under penalty of perjury one of the following declarations: BI 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. I have and wilt maintain worker*' compensation, as requires by Section 3700 ol 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 Policy No. 238000323508 Expiration Date 08/02/09 This section need not be completed if the permit is for one hundred dollars ($100) or less. ( | 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 provijtMHor In Section 3706 ofjhe Labor code, Interest and attorney'i fees. jf!> CONTRACTOR SIGNATURE DATE 9 O W N E R - B U I L D E ft D EC t A R ATI O N / hereby affirm that I am exempt Irom Contractor's License Law for the following reason: [ [ 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 sate (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, it, however, the building or Improvement is sold within one year of completion, the owner-bulkier will have the burden of proving that he dkl not build or improve for the purpose of sale). I | | 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 lor such projects with contractor(s) licensed pursuant to the Contractor's License Law). ! | I 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. |~~|Yes I JNO 2.1 (have / have not) signed an application to a buiBing permit W the proposed work. 3.1 have contracted with the foltowlng 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): y»2S"pROPERTY OWNER SIGNATURE DATE Is me applicant or future buldlng occupant required to submit a business pladT 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? I I Yet EOto /Is me applicant or future buMIng occupant requlred-to obtain a penrtUwmthlrali pollution oontrol district or aJroyality management dlstrfcO LJYes fZkjo : is tne facility to be constructed within 1,000 feet of the outer boundary of a school site? LjYes (VlNo ' IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF ; 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). i Lender's Name Lender's Address I certify that I have lead the applctfon and state that the abxM Intemiatlon b conM and tnat the Infom^ OSHfc An OSHA permit Is required lor excavations over 5'u* deep and demolition or construction of structures over 3 stories in height i ^APPLICANT'S SIGNATURE City of Carlsbad Bldg Inspection Request For: 06/23/2010 Permit* CB091241 Title: DOWLAND RES REPLACE WTR HTR Description: 2007 AVENUE OF THE TREES Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner DOWLAND FAMILY TRUST 09-25-03 Remarks: am please Total Time: CD Description 29 Final Plumbing Act Comments AfL Inspector Assignment: TP Phone: 7607303067 Inspector: -/"" Requested By: BRIAN Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 01/13/2010 25 Water Heater/Vents CO TP City of Carlsbad Bldg Inspection Request For: 01/13/2010 Permit* CB091241 Title: DOWLAND RES REPLACE WTR HTR Description: 2007 AVENUE OF THE TREES Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: OWNER DOWLAND FAMILY TRUST 09-25-03 Owner: DOWLAND FAMILY TRUST 09-25-03 Remarks: W.H. is on outside of house. No one home Inspector Assignment: Phone. 7607303067 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 NOTICECITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT " 1635 FARADAY AVENUE DATE ///?//* TIME_ LOCATION ^ PERMIT NO. FOR INSPECTION CALL (760) 602-2725. RE-INSPECTION FEE DUE? I _ I YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER 2G09-Jul-08 02:37 PM IDA INSURANCE SERVICES 9254167869 7/12 AGQRCL CERTIFICATE OF LIABILITY INSURANCE PRODUCER (925)416-7862 FAX (925)416-7869 Insurance Office of America, Inc. DBA IDA Insurance Services 3875 Hopyard Road, Suite 240 Pleasanton, CA 94588 INSURED All Star Water Heaters, Inc. 30300 Puerto Vallarta Menlfee, CA 92584 Fax No. 951.245.6366 DATB (MWDWYYYV) 07/08/2009 THIS CERTIFICATE IS ISSUED A3 A MATTER OF INFORMATIONONLY 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: Peerless Insurance Company INSURER a; state Compensation Insurance Fum INSURERS INSURER ft INSURER ft NAIC# COVBRAQES POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fflF A A B IDOLM8RC TYPE OP INSURANCE GENERAL LIABILITY _X_COMMERCIAL GENERAL LIABIUTY I CLAIMB MADS [ X | OCCUR OWL AGGREGATE LIMIT APPLIES PER- TH POLICY fl ?!$ [Hue AUTOMOBILE UAHIUTY X T X AM V AUTO AU.OWNSP AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWN8D AUTOS 6AR&&I UAHUTV [ANY AUTO BXCgggftJMBRP.Lft UAIIUTY | OCCUR | | CLAIMS MADE 1 PHDUCTIBLE ~~1 RETEMTIOM 1 WOfcKEM COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OPPICER/MEMBER EXCLUDED? If yu, dtKrilM untltrSPECIAL PROVISIONS Wow OTHER •maipaigi'Hffm|^iaiiai>:»w<-iH-iii>'i-ii i .'i ii i MI i 'ni i iwfmnn^^m^ukim&mn^i^nmmi CBP8032624 BA8477294 23800323509 05/15/2009 08/22/2009 08/02/2009 05/15/2010 08/22/2010 08/02/2010 EACH OCCURRENCE OAMAOE TO RBNTEGBREUIIB* (E. .^Hmiip^} MEDEXP(Anyorapiraon) PERSONAL a ADV INJURY OENERALAaQREOATE PRODUCTS . COMWOP AGO COMBINED SINGLE LIMFT(EBBeddnu) BODILY INJURY(Ptfptnon) BODILY INJURY (P«r<cd0mO PROPERTY DAMAGE(PwecddBnt) AUTO ONLY . BA ACCIDENT QTHEHTHAN "«« AUTO ONLY: Aa8 EACH OCCURRBNOB AGGREGATE XlT^-^ftSfel PS" B-L EACH ACCIDENT B.L DISEASE -EA EMPLOYEE E.L DISEASE. POLICY LIMIT * 1,000,000 « 100,000 * 5,000 * 1.000,000 * 2.000.000 t 2,000,000 1.000.000 s S s s s s s t s •s * 1.000.000 s 1.000.000 $ l.OOO.OOC PB5Croi^WOFOPERA™N8/LOCATIONa/VEHICLfi8/EXCLUStD>»AraBDBrgNDW8™EOT/Sf1BqAL^VISK)(«fertlffcate holder -n(Lowers Companies, Inc., and ^any andaTT subsidiaries ire named as an additional insured as respect to General LlabHrly and Automobile Liability", rhls Insurance Is primary over any other avail 1able Insurance. Cancellation notice is 30 days except for the reason of non-payment which 1s 10 days. CEHTlFlCATf HOI HFR CANCELLATION Lowe"s Companies, Inc. IS Insurance P. 0, Box 1111 North Wllkesboro, NC 28656 SHOULD ANY EXPIRATION D 30 DAYS BUT FAILURE OF ANY KIND I 3P THE ABOVE DESCRIBED TOUCISS Bfi CAKOfiU-fiD BEKOKE THE ATE THEREOP. THE ISSU1NO INSURSR WILL BNDEAVOR TO MAR. WRITTEN NOTICE TO THfi CCRTinCATE HOLDER NAMED TO THE LEFT, fO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY IPON THE INSURER, |H AGENTS ORjEPRESEKT>ftyE9. AUTHOMZSD REPRESENTATIVE / / /^\^ / 9 '• UU~~ 31m Rabbltt ^<C?W_ ( £d,/kj!f ACORD 28 (2001/08) FAX: (336)905-3616 C-^ ©ACORD CORPORATION 1988