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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