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Home My WebLink About2064 AVENUE OF THE TREES; ; CB071010; Permit04-16-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB071010 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2064 AVENUE OF THE TREES CBAD PLUM 1562901700 Lot# 0 Construction Type NEW ALLEN RES- REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/16/2007 LSM Applicant JUST WATER HEATERS INC 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 Owner ALLEN WILLIAM J&JOAN M R 2064 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 Othei Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 1 0 0 //• * '' , S2000 , - , so oo "' $0 00 SO 00 SO 00 $700 SO 00so oo SO 00 SO 00 SO 00so oo - TOTAL PERMIT FEES S2700 Total Fees $27 00 Total Payments To Date '-$27 00 Balance Due $000 Inspector FINAL A Date Q Clearance NOTICE Please take NOTICE that approval of your prefect includes Ihe Imposition of fees dedications, reservations or other exactions hereafter collectively referred to ds fees'exactions ' You have 90 days from the date this permit was issued to protest imposition of these tees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest dnd 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 dnnul their imposition PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO AftQ"?fQrO EST VAI , 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 ft Existing Use Proposed Use Description of Work tt of Stones it of Bedrooms # of Bathrooms Name £-&: coNTP^ctof^c^Mi^ (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 Contractors 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 lor the alleged exemption Any violation of Section 7031 5 t;y any applicant for a permit subjects trie applicant to a civil penalty of not more than five hundred dollars [S500J) Name State License tt ^i ' '3 Address ^ 1 2-^7 License Class &-•&&£ City > i/ State/Zip Cilv Business License tt f . Telephone #x-> r^^i Designer Name State License # Address City State/Zip Telephone tt y Workers Compensation Declaration I hereby affirm under penalty of penury one of the following declarations D 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 jp 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 workers compensation insflpnce easier and policy number are . . _ , _ __. , Insurance Company T^C-O^- PolicyNo C^-*M: -> |"£*TJ Expiration Date (THIS SECTION MEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [S100J OR LESS) D 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(S100,000), in addition to the cost of compepj^on, danjageTare provided for in Section 3706 of the Labor Code, interest and attorney's SIGNATURE fl JT DATE ,7 I hereby affirm that I am exempt 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 d 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-buildef will have the burden of proving that he did not build or improve for the purpose of sale) Q 1 as owner of the property am exclusively contracting with licensed contractors to construct the proiect (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 proiects with contractorfs) licensed pursuant to the Contractor s License Law) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the mapr labor and materials for construction of the proposed property improvement Q YES D NO 2 I (have/have not) signed an application for a building permit for the proposed work 3 I have contracted witn (he fotowmg 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 l 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 DATE WHITF Flip YPI I Annhrant PINK Pmanro PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 is the applicant or fulure"buildmg occupant required to submit a business plan, acutely hazardous matenals registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Acf n YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 D YES n NO Is (he facility to be constructed within 1 000 feet of the outer boundary of a school site7 n YES D 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 \s a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1} Civil Code) LENDER S NAME LENDER'S ADDRESS certify thai I have read the application and, slate lhat 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, JUDGEMENTS, 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 of 5 0 deep and demolition or construction of structures over 3 stones 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 180 days ftom the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime after the work is commenced for a period_pi4«et^ys (Section 106A 4 Uniform Buildjng-Code) APPLICANT S SIGNATURE DATE IA/HITP Pil^ VPI [ City of Carlsbad Bldg Inspection Request For 05/17/2007 Permit# CB071010 Title ALLEN RES- REPLACE WTR HTR Description Inspector Assignment 2064 AVENUE OF THE TREES Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT JUST WATER HEATERS INC. Owner ALLEN WILLIAM J&JOAN M R Remarks A M PLEASE Phone 7605855968 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By JOAN Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments AQQRH CERTIFICATE OF LIABILITY INSURANCE w'w' PRODUCER (925)934-0505 FAX (925)977-1591 Insurance Associates of Northern CA 27B5 North Main Street PO Box 8070 Walnut Creek, CA 94596 INSURED Dust Water Heaters, Inc. 3400 Investment Blvd. Hayward, CA 94545 THIS CERTIFICATE IS ISSUED AS 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 INSURERA. Sirius America Insurance Company INSURER B INSURER C INSURER 0 INSURER E 1 NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDING ANY REOUiREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 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 BEEN REDUCED BY PAID CLAIMS •ISR^DDL A ! TYPE OF INSURANCE GENERAL LIABILITY GENn AUT GA COMMERCIAL GENERAL LIABILITY j CLAIMS MADE j^J OCCUR L AGGREGATE LIMIT APPLIES PER. OMO81LE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS WGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY [ OCCUR j 1 CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY DROPRIETOR/PARTNER/exeCUTIVE OFFICER/MEMBER EXCLUDED? ifves describe under] SPECIAL PROVISIONS below OTHER POUCY NUMBER ' 01DKRM11001070 POLICY EFFECTIVEDATF/II1I/DD/YY1 04/01/2007 POLICY EXPIRATIONDATE fMII/nn/YYl * 04/01/2008 UMTTS EACH OCCURRENCE DAMAGE TO RENTED MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBENED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE Y 1 WC STATTJ-A iTfiRYllMlTS OTH- .£R_ E L EACH ACCIDENT E L DISEASE - EA EMPLOYE E L. DISEASE - POLICY L1MTT s : $ $ s 1s s $ s $ ! s s s s s s $ 5 $ 1 , 000 , OOtJ s 1S000,OOO $ 1,000,000 • DESCRIPTION OF OPERATIONS / LOCATIONS ' VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 'EVIDENCE OF INSURANCE" CERTIFICATE HOLDER CAMCELLAT1QM 'EVIDENCE OF COVERAGE1 | SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXMRATKJN QA.TE THEREOF, THE ISSUING INSURER WUJ. ENDEAVOR TO WML DAYS WRITTEN NOTICe TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAiLUftE TO UA1L SUCK NOTKC SHALL IMPOSE NO OBUGAT1QN OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE