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Home My WebLink About2175 AVENIDA TORONJA; ; CB060406; Permit02-17-2006 City of Carlsbad 1635 Faraday Av Carlsbad CA 92008 Plumbing Permit Permit No CB060406 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2175 AVENIDA TORONJA CBAD PLUM 2552616300 Lot# 0 Construction Type NEW NECOCHEA RES REPLACE H20 HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/17/2006 LSM Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA CA 91321 661 2597131 Owner NECOCHEA CHERYL L REVOCABLE TRUST 07 30 03 2175 AVENIDA TORONJA 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 o 0 "% 1 I < \ $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees A 5 $27 00 Total Payments To Date $27 00 Balance Due $000 PERMIT HAS fcXPIRCfl IN \C( CPDWCE WTH C B C 8ECTSOW 1% 4 4 Aw A*iP Del, BY C M 0 18 04130 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 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 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated Bv Data Address (include Bldg/Suite ») Legal Description Assessor s Parcel * Description of Work "* " \J Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Existing Use SO, FT ^ Proposed Use 4>of Stories * of Bedrooms Total tt of units tt of Bathrooms Name Address City State/Zip Telephone Fax CA Name Address City State/Zip Telephone * 4i!«Bis^^O) Name Address City State/Zip Telephone * I \ n A ' (Sec 7031 6 Business and Professions Code Any City or County which requires a permit to construct altar improve demolish or repair any structure prior to its issuance also requires the applicant for such permit to file a aigned statement that ha is licensed pursuant to the provision* of the Contractor's License Law (Chapter 9 commending with Section 7000 of Division 3 of the Buainess snd Professions Code) or that ha la exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (4600J) CA* rernflrJo /2// Name Address / i\ ™i "O ( P* /v O iState License * (4 <f- ( 7 (02 License Class C. 5 <* City State/Zip Telephone * Cltv Business License * I&-I /•* ' 1 Designer Name Address State License tt City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury 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 Coda for the performance of the work for which this permit Is issued LH 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 worker's comoensatlon IP nee carrier and policy number are Insurance Company _ 7"Hd 2 10 I Tt\ Policy No ~LO fa?-?^ 70 I Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (tlOOl OR LESS) D CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which thia 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 la unlawful anil shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollara (»100 000) In addition to A* cost of compensation damages as provided for In Section 3708 of the Labor cod* Interest and attorney a fees SIGNATURE Jfjt*tt_ DATE £ / 3 ' 0 I, - •»j 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 aa 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 a 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 thet such Improvements are not intended or offered for aale 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) O I as owner of the property am exclusively contracting, with licensed contractors to construct the project (Sec 7044 Business end Professions Code The Contractor a License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractors) licensed pursuant to the Contractor s License Law) 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 O VES QNO 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 parsons 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 26534 of the Presley-Tanner Hazardous Subatanca Account Act? O VES O NO Is the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O VES O 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 Mtfbfioiiiiavsnw < » , I hereby affirm that there is 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 WHBMUUBMWII^^ fcfc ,j 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 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 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 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 H the building or work authorized by such permit Is suspended or abandoned at any time after the work Is commenced for a penod of/180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE Flit YELLOW Applicant PINK Finance ACORC?INSURANCE BINDER THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON AGENCY Hogan Insurance License #OC54750 P O Box 7419 Thousand Oaks CA J/u8.NNo.Ext) (805)379-2203 CODE. gulSoMERio 00003784 91359 WC.NOI (805)379-5299 SUB CODE. INSURED Affordable Water Heaters and Plumbing Inc , 24707 San Fernando Road Santa Clarita CA 91321 COMPANY The Zenith EFFECTIVEDATE TIME X 1/1/2006 12 01 OATE(MM/DD/YYYY) 12/9/2005 PAGE 2 SIDE OF THIS FORM BINDER * B0512900489 EXPIRATIONDATE TIME AM X 1201 AM PM 3/1/2006 NOON THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY # DESCRIPTION OF OPERATIONSWEHICLES/PROPERTY ( ndixfing Location) Water heater installation COVERAGES LIMITS TYPE OF INSURANCE PROPERTY CAUSES OF LOSS BASIC FJ BROAD | | SPEC GENERAL LIABILITY AU1 COMMERCIAL GENERAL LIABILITY | CLAMS MADE [ | OCCUR rOMOHLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS AUTO PHYSICAL DAMAGE DEDUCT1BLE COLLISION- OTHER THAN COL GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY SPE( CON OTH COV] HALomoNS/ ER ERAGES COVERAGE/FORMS RETRO DATE FOR CLAIMS MADE [ ALL VEHICLES | | SCHEDULED VEHICLES RETRO DATE FOR CLAIMS MADE Policy #Z067898701 01/01/06 - 01/01/07 DEDUCTIBLE COINS % EACH OCCURRENCE DAMAGE TO RENTED PREMISES MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMPrDPAGG COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE MEDICAL PAYMENTS PERSONAL INJURY PROT UNINSURED MOTORIST ACTUAL CASH VALUE STATED AMOUNT OTHER AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE SELFHNSURED RETENTION X WC STATUTORY LIMITS E L EACH ACCIDENT E L DISEASE EA EMPLOYEE £ L DISEASE POLICY LIMIT FEES TAXES ESTIMATED TOTAL PREMIUM AMOUNT $ $ $ $ t $ $ $ $ $ $ t $ $ S $ S S $ $ S S 1 000 000 $ 1 000 000 t 1 000 000 $ $ S NAME & ADDRESS MORTGAGEE LOSS PAYEE ADDITIONAL INSURED LOAN* AUTHORIZED REPRESENTATIVE Robert Hogan/SH