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Home My WebLink About2145 CORTE MORAL; ; CB050571; Permit02-24-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB050571 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Projeet-Title 2145 CORTE MORAL CBAD PLUM 2552602500 Lot # Construction Type SCHERTZER RES REPLACE H20 HEATER 0 NEW Status ISSUED Applied 02/24/2005 KG 02/24/2005 02/24/2005 Entered By Plan Approved Issued Inspect Area 643 S^SANTO FE VISTA CA 92083 760-726-2002 Owner SCHERTZER ANGELA L 2145 CORTE MORAL CARLSBAD CA 92009 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 0 0 0 0 1 0 0 i $2000 $000 $000 $000 $000 $700 $000 $000 $000 SO 00 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $2700 EXPIRED PERMIT 0002 01 CGP 02 27.00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the 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 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 given 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 EST VAL Plan Ck Deposit Validated By Date £-1 is Address (include Bldg/Suite #)Business Name (at this address) Legal Description Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel ft Existing Use Proposed Use Descri of WiuCT, PjRSON W diffai #of Stones # of Bedrooms # of Bathrooms applicant). Name Address City Agent for Contractor , -So wrier ,'"0 Agent for Owner -e. State/Zip Telephone # Fax # CA-poo Address City State/Zip Telephone # Address City State/Zip Telephone # (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 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 exer/iption Any violatwrf of Section.7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fjve hundred dollars [$500]) Name State License # Address License Class City State/Zip Telephone tt City Business License # UE7 / O O® Designer Name Address City State/Zip Telephone State License tt 6 WORKERSgCOMPENSATlON .Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Vf 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 'ofthe work for which this permit is issued E l 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 .--jed My worker's compensation insurance carrierjsjjd policy number are Insurance Company <~S\'A_ ~fg- 1 .& W\ 0- I >t 5 - Policy No . (THIS SECTION NEED NOT BE COMPLETED IF THE*PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / l~l 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 FailuriS to secure workers' compensation coverage a unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollBsJJP1 QP.OOO), h adjqitijMi |p the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees DATE r i*oae, ror me perrormance or me worK ror wmcn inis !<£& 2-7 ^ ^05"ExDiration Date ^/O<9 I 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) Q 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 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES l~lNO 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 / address / 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? ED 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 D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ("1 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 a, , coNSTRucTi6N:tENDiNG AGENCY;;: v,if*-; <:;: - "^ . &&" .vP'' •,-f-: •'•"''•'•.:.:'~*MJ'.*^- ' ™; ':- '•••••.-.. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER'S ADDRESS ;9;: "'APPLICANT CERTIFICATION; :.• . • :-;:' ' . '.: 2;Sf" . ,,WE" ' jsr '" Jt**' .', J .... '. •*' ';..... •"'£;/ , '". .,:^; .;.t,. 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 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 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tim- -nfter the work is commenced for a period oM180 days (Section 106 4 4 Uniform Building Code)-1-osAPPLICAi S SIGNATURE DATE HITE File YELLOW Applicant PINK Finance so -COMPENSATION INSURANCE '•-• " ''.; ' •" ''.'. POLICYHOLDER COPY PO, BOX,:; 807, SAN'FRAiyCISCCXCA,'94142-0807 CERTIFICATE OF VyORKERS1 COMPENSATION INSURANCE •'i . . c " •••* . • (;' ISSUE DATE 01-01-2005 '• , ;, ' . I ;GROUP 000046 '••'•. PCtlCY NUMBER 0012627-2005 CERTIFICATE ID 92 CERTIFICATE EXPIRES 01-01-2006 01-01-2005/01-01-2006 CITY OF CARLSBAD BLDG DEPT 1635 FARADAY AVE CARLSBAD CA 92008-7311*" SO This is to certify that we have issued a valid Workers' Corrip^nsation. insurance policy in a form approved by the- California Insurance Commissioner to the employer named: below for-this.'policy ^period indicated .This policy is not subject to cancellation-by the Fund except upon.30days'.advance written notice to the employer We will also give you 30 days' advance riotice should this; .policy be cancelled prior to its normal expiration This certificate of insurance is-not an insurance policy and. does not. amend, extend or alter the coverage afforded :by the policies listed herein Notwithstanding any requirement,, term or condition of any contract or other documentwith respect to which this certificate of insurance 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 AUTHORIZED REPRESENTATIVE PRESIDENT .EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00 PER OCCURRENCE I1; • . , jjllj 'ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2005 IS ATTACHED TO AND !'FORMS A PART OF THIS POLICY " " ai EMPLOYER LEGAL NAME HANNA PLUMBING & SUPPLY, INC 6U3 S SANTA FE AVE • 'VISTA CA 92083 " -' '• ; HANNA PLUMBING & SUPPLY, INC PRINTED ^"7/2004