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Home My WebLink About2044 CORDOBA PL; ; CB044098; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB044098 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2044 CORDOBA PL CBAD PLUM 2073003900 Lot #: 0 Construction Type: NEW HAWKINS RESIDENCE WATER HEATER REPLACEMENT Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/09/2004 MDP 11/09/2004 11/09/2004 Applicant: PACIFIC EXPRESS INSTALLATION P O 4056 CARLSBAD 92018 760421-0380 Owner: HAWKINS FAMILY TRUST 04-14-04 2044 CORDOBA PL 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 5073 11/09/04 0002 01 02 CGP 27-00 A. Inspector: FINAL AP/PROVAL Date:Clearance: NOTICE: Please take NOTI#; that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/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 oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of units Assessor's Parcel #Existing Use Proposed Use Name Address City State/Zip 'Telephone *Fax # Name Address State/Zip Telephone t (Sec. 7031.5 Business end 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, commanding with Section 7000 of Division 3 of the Business and Professions Coda] or that he is exempt therefrom,.and the besis for the alleged exemption. Any violation of Section 7031.5 by any applicant to/ a nwniit subjects the applicant to a civil penalty of .not more than five hundred dollars 1*500]}. K> Name State License * Address License Class City State/Zip City Business License * Telephone # Designer Name State License t Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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 ia issued. Q 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 compensationJnsurance carrier and policy number are: Insurance Company <Jkfli< &ntM*MA<GfJte*. "C\t/fcnf Policy No. 1 TS'Z-Z/*-(-j Expiration Date,Ejitf^ PLETED I(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) Q 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 aacure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and dvH fines up to one hundred thousand nmur. j*iQp,nnm in adtfbon to the to si of compensation, damages as provided for in Section 3706 of the_Laborj:oda, Inte/est and attorney's fees. SIGNATURE j C3^4»t itfvts 0 JS DATE I hereby affirm that I am exempt from thfrtontractor'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, 7Q44, Business and Professions Code: The Contractor's License Law does not spply 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' •• owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business end Professions Cods: The Contractor'* License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors} licensed pursuant to the Contractor's License Law). ,Q 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. Q 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, supervise 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 / eddress / phone number / type of work): _^___ . PROPERTY OWNER SIGNATURE DATE 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 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES O 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have reed 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 authorized by such permit is not commenced within 160 days from trie date of such permit or If the building 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 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/21/2004 Permit* CB044098 Title: HAWKINS RESIDENCE Description: WATER HEATER REPLACEMENT Inspector Assignment: 2044 CORDOBA PL Lot Type; PLUM Sub Type: Job Address: Suite: Location: APPLICANT PACIFIC EXPRESS INSTALLATION Owner: HAWKINS FAMILY TRUST 04-14-04 Remarks: LOCATED OUTSIDE, CARD LFT BY HEATER Phone: 7607298923 Inspector: Total Time:Requested By: JIM red By: JANEAN CD Description 25 Water Heater/Vents Act Comment Date Associated PCRs/CVs Inspection History Description Act Insp Comments 11/08/2004 21:35 FAI 17604210395 @001 ACOREf CERTIFICATE OF LIABILITY INSURANCE ..SSW0 ^Im/S •MOO*JtortB Haddock* £ Associates insurance service* , inc.1901 Wright Place, Suite #2*0 Carlsbad ex »2008 I-hoae: 760-804-0402 rax:7GO-«04-0942 IMSUMB) Pacific Expveas installation& cervices, Inc.179 Koyttar Road |Hooeanslde CA 92054 THB CERTWCATi IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFER* NO RMHT3 UPON THE CERTIFICATE HOLDER. TH» CWTIHCATE DOES NOT AMEND, EXTlND OR ALTER THE COVBUOE APPORDfiD BY THE POUCH* BELOW. USURERS AFFOKDMO COVERAGE NAIC * MsiwbKA: interstate insurance Ctrp, V-t> IMSUWSB Tne Hartford imncpc state Condensation las. FUIM raunotp IMMURE COVGRAOGS THC fV IClEB OP INSURANCE LISTED Htf Ow H*VF ntSEN SH JHJ TO Tl C iN&DPn N*MD ABOVE FOR THE TO ICY PERIOD INDICAYto r-wrwmwiwwipio *NT RCOUPrfCMT. TKRM OR (WOmON Cf- /*1V CON1 RACT « OTW» DOOWCNT WITW «S)PBCT TO WVWCH H »8 CERTFigATE MA? Bt SHUCO OR tW'F19mjN.T«IN»«ANCB/WFn«e3liVT«POLKiS80BSnBI»^ TWFBWe. CxflUSIONSMft flONDTTlONS OP SUCH PC4 HTJFR rtMRaCAT? UMT» 3K1UVN MAT H\VC iCW RKWCiP RY PAID CLAIMS LTR A B C Mm X X TVrtOFMUWICti ooww.Llwn.rn1 X ri un x" — ftY c.cMNpnci/4 «EwnN. > i^nLrrv— i „ r..iCLAIMS MaDE |X j OCCUH "-^Tn'isTn^ CMONLC UAMjrV AhVAUTO ATHRDUIROALJPD& iMBLwMurrqw^» exc - tfMftJMeiMIJLUHLITV OCCUR [""]] CLAlMfi hUOE OOllJC^OS BCTfWON « WON-emCOMPVOADW ANO OfffceWMEMBD! iXOLCCDI SftCW. WWWONNi Matt rOUCVAIMBHI I'Sf^'dBffl^ ITift'lSCSSv^" I I""* d.P«25ia20 1732214 01/20/04 10/13/03 OS/17/04 01/20/OS 10/13/04 03/01/05 EACHOCGJffENC? MCPEXP (Anil ont pwwnl PCR90m.«'0V»Ulf)V GBCMALAMRGSATt PROCHirm CCWWCfAtA tf»«NEDa<NOLELiMrr BODILY WJWY UODILY INJURV K^srMF ^1/TOOH.V-eAAnOOHNr OTHCK rMflN ^^K, CACHACCURRCNC! AOGRKAIV lTORytiSrra_l_ 1 u^ Pi D1SEASC -EA fiMPlflYK c.LuyhM.-PajcyLiMn' (1,000,000 * SO, 000 (1,000 * 1,000, 000 * 1,000 ,000 11,000,000 * 300000 * * ' f * — . 1 4 I r* t looooob * 1000000 f 1000000 . 1H6WPTIOH Of OPGRKHONG ( LOOTWW / WKL« / IXCLUWNV«DDCDBYH«attWIHr>»OC|AlNlDVttKMtf Lowe's CoBpaaies, Inc. end any and all Subsidiaries ace namd as Additional Insured with respect to Oteneral and Auto Liability off tbe above Hasted insured. *10 day notice of cancellation due to non payaent of premln applies . CERTmCATE HOLDER CANCELLATION LOWESCO flMOOl* AHV » TW ABOVE MBCRBHl TOUCW H CM4CIUID MTW« tHB EXNWTON nmiH«eoF,iHemiuimmiM«twu*wuv<MiTDMNL *3Q wnvmtm* nonce TO iw cvmncAic HOU«B N««> TO -mi i»r, BUT FM.UW TO eo »o MAIL «r «6 NO OBUWT»H 0« IWBUTY OF «W K«0 UPON THi MKMK ITHAOWTSOR «0*«IMTATTVli, AurUbnidb WMUftiWiiVB tffrvnn D. Tbo«E«A, CIC ACORD 2$ (2001/Ofl) * ACORD CORPORATION 1M»