HomeMy WebLinkAbout2051 AVENUE OF THE TREES; ; CB070644; Permit03-07-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB070644
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2051 AVENUE OF THE TREES CBAD
PLUM
1562903200 Lot# 0
Construction Type NEW
JOHNSON RES-REPLACE H20 HEATER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
03/07/2007
RMA
03/07/2007
03/07/2007
Applicant
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Owner
JOHNSON ANDREW P&HEIDI W
2051 AVENUE OF THE TREES
CARLSBAD CA 92008
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
$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
Inspector
FINALAPPROVAL
Date Clearance
NOTICE Please take NOTICE that approval of your pro]ect includes ihe 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 nght 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
PERMIT APPLICATIONt
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE ONL
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address!
Legal Description Lot No bdivision Name/Number Unit No Phase No Total # of units
Assessor's Existing Use Proposed Use
Description of Work
$$*< "3~oNTA"<Tf"PERSbN7trf'diffefontfromappfic
SQ FT #of Stories of Bedrooms of Bathrooms
Name City State/Zip Telephone #Fax
(Sec 7031 5 Business and Professions Code Any Crty 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 Code] or that he is exempt therefrom, and the basis for the alleged
y violation of Section 7031 5 by any
Name
State License 9
Designer Name
State License #
Address City State/Zip Telephone
xi/-i,- /,-, -,
^i/07
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
0 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
iS,, 1 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 carrier and policy number are /) / j i r\ I t
Insurance Company LJ fJf^L^^\J Policy No fj(3^ \ZsLs L?V?^/ / I/ I ^ Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS)
[J 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 i&ecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (Sliu.OOOl in addition 4o tlf^c&st of compensation, damages as provided for in Section 3706 of the Labor cpdgfJifiterest and attorney s fees
SIGNATURE -^ V^-^A^^A/L^ /[ f YdA-JL-^ DATE
'7 '^JOWNER-BUltDERiD'EfcL'ARAffbfri^^f^^'1-' *f "Sffj* s^i'jT/K t^y^ff^^n~ '
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason
0 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)
CD 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)
l~l I am exempt under Section Business and Professions Code for this reason
I
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES (UNO
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contacted 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 / address / phone number / type
of work) -
PROPERTY OWNER SIGNATURE I
COMPLETE'THIS S£CT\&tt'FQri*NdN-fi£SIDENTtAL BUlLDW&PERMlfS <5lfl.fr
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? O YES O NO
Is the facility to be constructed withm 1,000 feet of the outer boundary of a school site? D 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
8, '^"CONSTRUCTION LENDING AGENCY -/p-J'^V *$' * > *- ^ *' l-**'"" W } ".{". •.->''* I " -. t l'~, . '-
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
9' APPLICANT CERTIFICATION5 ,'., ?f t^," T-cC' F ^ TTft^ I' M^f T?^ f^'Vf t£.V!i,-' "Si 'V,'»*" "' "
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 CitV 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 thVbuildmg Official under the provisions of this Code shall expire by limitation and become nuil and void if the building or work
authorized by such permit is not cc/nmenceq within 180 days from the date of such permit or if the budding or work authorized by such Rermit is suspended or abandoned
at any tim
APPLICA'
'PI the work is con
. SIGNATURE
Section 106 4 4 Uniform Building Code)
DATE
Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 05/07/2007
Permit# CB070644
Title JOHNSON RES-REPLACE H2O HEATER
Description
Inspector Assignment PC
2051 AVENUE OF THE TREES
Lot 0
Type PLUM Sub Type
Job Address
Suite
Location
OWNER JOHNSON ANDREW P&HEIDI W
Owner JOHNSON ANDREW P&HEIDI W
Remarks
Phone 7603152339
Inspector
Total Time
CD Description
29 Final Plumbing
Act Cefnments
Requested By HEIDI JOHNSON
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Dale Description Act Insp Comments
04/18/2007 25 Water Heater/Vents CA PC
ACORD^ .QERTIFICATE OF LIABILITY INSURANCE 09/29/2007 "00?
PHoOUCER
INSURED
1073055
Lockton Companies
7 Times Square, Suite 3802
New York NY 10036
ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA
DBA ARS OF SAN DIEGO
6162 NANCY RIDGE DR , SUITE 100
SAN DIEGO CA 92121
THIS CERTIFICATE IS ISSUED A3 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 POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURER A LIBERTY MUTUAL FIRE INSURANCE CO
INSURERS LIBERTY INSURANCE CORPORATION
INSURER c ACE AMERICAN INSURANCE COMPANY
INSURER D
INSURER E
COVERAGES RB THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
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 CERTlFiCATE MAY BE (SSUEQ OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS
JNSR<TR
A
A
C
B
TYPE OF INSURANCE
GENERAL LIABILITY~~~H
X ! COMMERCIAL GENERAL LIABILITY
OCCUR
1
1
GEN L AGGREGATE LIMIT APPLIES PER— n ph PRO i i
1 POLICY 1 1 uECT | [LOG
^AUTOMOBILE LIABILITY
_X_ ANY AUTO
, ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
' NON OWNED AUTOS
gflRAGE LIABILITY
ANY VJTO
EXCESS LIABILITY
Xj OCCUR 1 j CLAIMS MADE
B FTT) UMBRELLA
DEDUCTIBLE 1—^-1 FORM
RETENTION c
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
i
j
POLICY NUMBER
TB263 150863 1026
AS2631508631036
NOT APPLICABLE
G23716197
WC763i5Q36310lb
'
POLICY EFFECTIVEDATEfMM/DD/YYl
09/19/2006
09/29/2006
09/29/2006
09/29/2006
«
1
POLICY EXPIRATIONlDATE= ,MM/DD/YYI
09/29/2007
09/29/2007
09/29/2007
09/29/2007
LIMITS
EACH OCCURRENCE I 2,000.000
FIRE DAMAGE [Anv one firel
MED EXP (Anv one oetsonl
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS COMP/OP AGG
COMBINED SINGLE LIMIT(Ea accident)
BODILY INJURY(Per person]
BODILY INJURY(Pei accident)
PROPERTY DAMAGE(Per accident)
AUTO ONLY EA ACCIDENT
OTHER THANAUTO ONLY
EAACC
AGG
EACH OCCURRENCE
AGGREGATE
v (WC STATUA ITORY LIMIT!}I?R™
EL EACH ACCIDENT
J 1 ,000 000
j 10,000
i 2 000,000
i 4,000,000
* 4,000,000
* 2,000,000
* xxxxxxx
i XXXXXXX
$ xxxxxxx
i XXXXXXX
i XXXXXXX
* XXXXXXX
* 5,000,000
i 5 000,000
s XXXXXXX I
, XXXXXXX
i XXXXXXX
c i 000 000
EL DISEASE EA EMPLOYEE! i !, 000.000
EL DISEASE POLICY LIMIT | * 1 000,000
DESCRIPTION OF OPER ATI OHS/LOC ATI ONSAfEHlCLESJEXCUJ SIGNS ADDED BY ENDORSEM6NT/SPEC1AL PROVISIONS t
THE GENERAL LIABILITYPOLICY SGENERAL AGGREGATE LI MIT \PPLIES PER LOCATION AND IS SUBJECT TO A 1<-2l) 000 000 GENERAL
\CGRCG ATE POLICY LIMIT CONSUMER PLUMBING RECOVERY CENTER IS NAMED AS ADDITION ALINSL'RED ON < .ENFRAL LIABILITY
\ND WORKERS COMPENSATION WHERE REQUIRED BY WRITTEN CONTRACT
. .
CERTIFICATE HOLDER ..ODITIONAL INSURED. INSURER LETTER CANCELLATION
2716792
CONSUMER PLUMBING RECOVERY CENTER
P 0 BOX 869006
PLANOTX "50865006
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE ~O DO SO SHALL
IMPOSE NO OBLIGATION OH LIABILITY OF -NY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE ; -"} { ^
^-^t^if^ ^ ^r7^A-*-**Srr^
ACORD 25-3(7/97)ACORD CORPORATION 1988