Loading...
HomeMy WebLinkAbout2140 BASSWOOD AVE; ; CB154291; Permit12-07-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit Permit No: CB154291 Building Inspection Request Line (760) 602-2725 2140 BASSWOOD AV CBAD PME 1671303500 Lot#: 0 KINGHORN RES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/07/2015 RMA 12/07/2015 12/07/2015 AFFORDABLE WATER HEATERS AND PLUMBING INC KINGHORN JAMES&JOANNE FAMILY 2000 TRUST 28372 CONSTELLATION RD VALENCIA CA 91355 855-345-9087 I 9048 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2140 BASSWOOD AVE CARLSBAD CA 92008 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: FINAL~-~PF~_Gtk,AL Date: .J .J I J Clearance: $0.00 NCJTlCE Rease take NOllCE that approval of your ~ect includes the "lrrpasition" of fees, dedications, reservatims, or other exactions hereafter collectively referred to as "feeslexactims." You have 00 days from the date this pernit was issued to protest irrp:JSition of these fees' exactions. If you protest them, you rrust fallON the protest pucedures set forth in C?ovemrrent Qx:le Section 66020(a), and file the protest and any other required inforrraticn wth the Oty Manager for pt'ln!SSing in acccrdance wth Carlsbad M.inidpal Qx:le Secticn3.32.030. Failure to tirrely fallON that pucedure wll bar any subsequent legal action to attack, review, set aside, void, cr annul their irrpcsition. You are hereby FLRTHER I\OTIRED that your right to (XOtest the sra;ified feeslexactims DOES NOT .APR.. Y to water and reNer <rnnecticn fees and capadty changes, ror planning, zoning, grading or other sinilar applicaticn pt'ln!SSing cr servire fees in <rnnecticn wth this (Xqect. NCR !:XES IT .APR.. Yto any feeslexactims of W"lich have eviousl been ·vena NCJTlCE sinilar to this cr as to Wlich the statute of linitatims has eviousl otherWse 'red. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: [J PLANNING CJ ENGINEERING l ___ f BUILDING []FIRE (City of c:arlsbad :JOB ADDRESS 1\ 'CT/PROJECT # CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL I STATE FAX Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov I{ e_ . #BEDROOMS #BATHROOMS Plan Check No. Est. Value Plan Ck. Deposit Date APN Rep I C\ ce vu a-te-;--hea~e·r- >S"ame 1 oc a-tj on- CONTRACTOR BUS. N ADDRESS ZIP CITY PHONE EMAIL STATE UC. # Workers' Compensation Declaration: I hereby affifTTI under penalty of perjury one of the following declarations: SWPPP FIRE SPRINKLERS YEsONoO ~_}have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, forth~ performance of the work for which this permit is issued. M I have and will maintain workers' compensation, as re uired v Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My workers' compensaHQn insurance carrier and policy number are: Insurance Co. · • .--• olicy No. Q i q ?> q 1 2 2 ! . Expiration Date \ • I \ ll? This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of ' which this 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' c~:~::l•f:;i~~~:~~:;;~~ZJ~~fJ:.~~;i;:; an employer to criminal penalties and civil fines up to one hundred thousand dollars (& 1 00,000), in 1r< and attorney's fees. ~GENT I hereby affirm that I am exempt from 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 Ucense 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-builderwill have the burden of proving that he did not build or improve for the purpose of sa!e). 0 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 Ucense law). 0 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. DYes 0No 2. I (have I have not) signed an application for a building permit for the proposed work. 3.1 have contracled with the following person {firm) to provide the proposed construction ~nclude name address I phone I 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 I address I phone I contractors' license number): 5. I will provide some of the work, but I have work indicated ~nclude name I address I phone I type of work): £)PROPERTY OWNER SIGNATURE Is the applicant or fulure 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? 0 Yes 0 No Is the applicant or future building occupant required to obtain a permit from the air pollubon control distnct or air quality management diStrict? 0 Yes 0 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes 0 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 SERVJCES AND THE AIR POLLUTION CONTROL DISTRJCT. I certify that I have read the application and state that the above information is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby aulhorize representative of lhe City of Carlsbad to enler upon lhe above mentioned property for inspection pu1p0ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permft is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories irl height. EXPIRATION: Evel)' permit issued by the Building Official under the rovisicy\s of this Code shall expire by limitation and become null and void if the building or work authorized by such pennit is not commenced \loiithin 180 days from the date of such permit or if the building or work auth ed ~ spch'¥rrnit iss ed or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / L;'' ' ' DATE \. '1 ·'1 I '(" ~ APPUCANT'S SIGNATURE L t-I ) I on ist Permit#: CB154291 Type: PME Date lnspecti()n !~m __ 05/03/2016 25 Water HeaterNents 05/03/2016 25 Water HeaterNents 05/03/2016 29 Final Plumbing 05/03/2016 29 Final Plumbing Tuesday, May 03, 2016 Inspector Act Rl PO AP Rl PO AP KINGHORN RES-REPLACE WATER HEATER Comments AM PLEASE AM PLEASE Page 1 of 1 02/10/2015 09:44 (FAX) P.OOG/007 ACORD® CERTIFICATE OF LIABILITY INSURANCE J DATE (MM/00/YYYY) ~ 1/2/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy{les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCSR CONTACT NAME: Walter Mortensen Insurance / INSURICA rAI)g~.jo. Erll: (661)948-1003 If~~ Nol:(661)948-~33 CA License #OD44424 ~~D~hs: 1113 West Ave. M4; Suite C INSURE~ AFfORDING COVERAGE NAICII Palmdale CA 93551 INSURER A :National Union Fire Ins. Co. of 19445 INSURED INSURERS: Affordable Water Heaters & Plumbing, Inc. INSURERC: 28372 Constellation Rd INSURERD: INSURERE: Valencia CA 91355 lNSURERF: COVERAGES CERTIFICATENUMBER·lS-16 W/C REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING AtN REQUIREMENT, 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. l~f~ TYPE OF INSURANCE IINSR wvo POLicY NUMBER , t&3~ l1t;g~%~1 GENERAL UAlliUlY i-- -COMMERCIAL GENERAL UABIUTY ;--:J CLAIMS--MADE 0 OCCUR i---------------------- 1------------------------~·L AGGREGATE LIMIT APPUES PER: 1 1 POLICY~~-~~g: n LOC AUTOMOBILE LIABIUTY 1-- 1--~=D ~AUTOS _ HIRED AUTOS r-SCHEDULED '--AUTOS NON-OWNED :-AUTOS UMBREUAUAB HOCCUR -EXCESS UAB CLAIMS--MADE oea·l I RETENTIONs A WORKERS COMPENSA110N AND EMPLOYERS" LIABlUTY y 1 N ANY PROPRIETORIPARTNE!liEXECUnVE 0 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) g~~'M= 'C)'~~PERATIONS below N/A f'<c0l9397221 /U2D15 tJ.t1/2cl16 DE:SCRIP110N OF OPERA110NS /LOCATIONS /VEHICLES (Attach ACORD 101, Addllfcnal Remarks Schedule, If mora spaca Is "'qul,.,d} Sample Certi.f:i.cate of Insurance CERTIFICATE HOLDER CANCELLATION UMITS EACH OCCURRENCE s s· MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE S PRODUCTS-COMP/OP AGG $ $ BODILY INJURY (Per personj $ BODILY INJURY (Per accident) $ I ft.~~~.r.:..~AMAGE $ $ .EACH OCCURRENCE $ AGGREGATE $ $ X I T~:rfJ14"sl I OJ: E.L EACH ACCIDENT $ ~ 000 000 E.L DISEASE-EA EMPLOY~ $ 1 000 000 E.L DISEASE· POLICY UMIT $ l. 000 000 SHOULD AtN OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Affordable ·water Heaters & Plumbing Inc ACCORDANCE WITH THE POUCY PROVISIONS. 28372 Constellation Road Valencia, CA 91355 AUltiORIZED REPRESeNTATIVE Ron Burcham/MNASTE cP~/_/ ,c7 d__/_ ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. Ali rights reserved. INSil2!i 1701 nn.~1 n1 Tht:t. A~nRn n:J~rru::) :~nrllnnn ~reo ronic::.tgrori m::a.rltc: nf .Ar.:nkl'n 02/10/2015 09:44 (FAX) P.0071007 · ' State Of California <;~of:...CONTRACTORS STATE LICENSE BOARD c.n••m" ACTIVE UCENSE AJT:ziu. u-..._ 627368 . .,_coRP ......._,_ AFFORDABLE WATI;:R HEATERS AND PLUMBING INC a..•-.•• C36 """"""'""" 09/30/2016 ... bd~ wwW.cslb.ca.gov i]~ ··' ... ·-. . .. ...• . .. . . ... --. ---... ~-·· .•. ---.. . -.. ----------.. ·