HomeMy WebLinkAbout2031 CUMBRE CT; ; CB070814; Permit03-26-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB070814
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2031 CUMBRE CT CBAD
PLUM
2164912500 Lot#
Construction Type
HEIT RES REPLACE WTR HTR
0
NEW
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/26/2007
KG
Applicant
AFFORDABLE WATER HEATER
24707 SAN FRANANDO RD
SANTA CLARITA, CA 91321
661 259-7131
Owner
HEIT LOUIS W&WENDY B
2031 CUMBRE CT
CARLSBAD CA 92009
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Dram
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
$2000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Total Fees $27 00 Total Payments To Date $27 00 Balance Due-$000
PERMIT HAS
SECTION1Cb4*A&
^DANCEWrTHCBC
MC 18 04 030
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your project includes the "Imposition of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack
review, set aside, void or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPIY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection win this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY. OF-QARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
it. yspROJECf INFORMATION5'
run urriue uoc
PLAN CHECK
EST VAL /"
Plan Ck Depos
Validated By £
Date
Address (include Bldg/Suite ff)Business Name (at this address)
Lagal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Assessor s, Parcel tt$-?/?\auL LOibheA^Existing Use / . Proposed UseLo r/JL-yH />/\
SQ FT #of Stories tt of Bedrooms # of Bathrooms
Address" ' City
mt for Contractor : Q Owner, .Q Agent fojiO-wner
State/Zip Telephone.*Fax tt
City State/Zip Telephone tt
City State/Zip Telephone ff
(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 the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged
examptiein Any Violation of Section 7031 $ by any. applipa/1* for a permit subjects the applicant to a_civiljwnalty of qaUDOre than five hundred doljafj? 1^5001)il penalty of QQljmore than five hundredr)a,v\a-&r\r\CLi\do
Namev ' / .^j ^^- ^j / _
State License tt \J? £^ / Z)(jp (
Designer Name
State License tt
,. Address
5 License Class
Address
Cfr(p City '
City
City
State/Zip
Business License tt j
State/Zip
Telephone* /— ifl--//) ' ^
2J72--7I c^t u-
Telephone
Workers' Compensation Declaration I 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
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 worker's compensation insurance carter and policy number are , , . _ .., __ . .YK^7^L?KL. POIICV NO TJXfiiwmoiInsurance Company Expiration Date_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
[") CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California
WARNING Failure ' bis&ura workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($V >lM)Opj, to addjtton to the cost of compensation, damages as provided for in Section 3706 of the Labor, cpde^irjtetert^and attorney's fees
SIGNATURE i-^—^/' ~Y_J DATE _
I hereby affirm that I am exernjjX from the Contractor's License Law for the following 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)
Q |, 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)
C] I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement f~l YES QNO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work, but I have hired the following person to coordinate, supeivise and provide the major work (include name / address / phone
number / contractors license number)
5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work)
PROPERTY OWNER SIGNATURE DATE
NO
iCOMPLETE THIS SECTION:FOR/VO/V-«FS/O£/yr/X)i BUILDING PERMITS-ONLY, ,^tr , •• , ,t ..- :,, /si .. ;,.:„ ^V ;, i/J ,is^. ,::..,. -. i,v1iit. *>,..- a. - i 'K.^L'_U,i "
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 Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CD YES
Is the facility to be~£onstructed within 1,000 feet of the outer boundary of a school site? C YES Q NO
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
i8." .,_... CONSTRUCTION'LENDING AGEN.CY > , . 1:: ,..:.*' ,, * ., . * • '' ' , . '','•
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code)
LENDER'S NAME _ LENDER'S ADDRESS __
8. ... .APPLICANT CERTIFICATION;, ;,!' : -/i :*.." ,_,- "• , ,.,-,,.,• , " ' <,..,.'. -" •• : .. - •. ^ ,JL,.. AaHiyii'i...«..., U". .
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 representatives of the 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
within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
ir a pe/pd qMBp days (Section 106 4 4 Uniform Building Code)
authorized by such permit is not comrrv
at any time alter the work is comrneno
APPLICANT 5 SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 03/24/2008
Permit* CB070814
Title HEIT RES REPLACE WTR HTR
Description
Inspector Assignment
2031 CUMBRECT
Lot
Type PLUM Sub Type
Job Address
Suite
Location
APPLICANT AFFORDABLE WATER HEATER
Owner HEIT
Remarkam PLEASE - EARLY AS POSSIBLE
Total Time
CD Description
25 Water Heater/Vents
Act Comments
Phone 7609429121
Inspector
Requested EJy WENDY HEIT
Entered EJy CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
..CPMIOXTABain
ACTIVE LICENSE
627368 CORP
AFFORDABLE WATER HEATERS AND
PLUMING INC
C36
E...M.D.. 09/30/2008
TheZenith
ZENITH INSURANCE COMPANY
Company No 13145
21255 CALIF A ST WOODLAND HILLS CA 91367
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMATION PAGE
ITEM1
INSURED
NAME AND
MAILING
ADDRESS
PHYSICAL
LOCATION
PRODUCER
091177A
100
Renewal of Z067898701
AFFORDABLE WATER HEATERS AND PLUMBING INC
24707 SAN FERNANDO RD
SANTA CLARITA, CA 91321
Policy Number Z067898702
DIRECT BILL
24707 SAN FERNANDO RD
SANTA CLARITA, CA 91321
Policy Type. WN
Line NON-PARTICIPATING
Entity. CORPORATION
Billing Type PAYROLL
Frequency MONTHLY
OTHER WORKPLACES NOT SHOWN ABOVE FEIN. 95^660066
See WC-00-99-05 - ADDITIONAL LOCATION ENDORSEMENT
HOGAN INSURANCE SERVICES, INC
PO. BOX 7419
THOUSAND OAKS, CA 91359-7419
ITEM 2 The Policy Period is from; 01/01/07 to: 01/01/08 12:01 A.M. standard time at the insured's mailing address
ITEM3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the
states listed here
CALIFORNIA
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3 A The
limits of our liability under Part Two are
Bodily Injury By Accident $ 1,000,000 Each Accident
Bodily Injury By Disease $ 1,000,000 Each Employee
Bodily Injury By Disease $ 1,000,000 Policy Limit
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here
All states except states listed in item 3.A and
NORTH DAKOTA, OHIO, WASHINGTON, WEST VIRGINIA, WYOMING
D. See attached list for endorsements and schedules.
ITEM 4 The premium for this policy will be determined by our manuals of Rules, Classifications, Rates and Rating
Plans. All information required below is subject to verification and change by audit.
See endorsement WC-99-00-01: RATING SCHEDULE
Total Estimated Annual Premium '
Minimum Premium :
Deposit Premium :
141,977
500
24,470
Countersigned At: Woodland Hills, CA On- 12/29/06 By:
WC-00-OX3-01A