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2186 CORTE MANGO; ; CB090117; Permit
01-22-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090117 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2186 CORTE MANGO CBAD PLUM 2552513500 Lot# Construction Type BROWN RES- REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/22/2009 LSM 01/22/2009 01/22/2009 Applicant ANDERSON PLUMBING INC.WALTER 11 SON MARSHALL EL CAJON, CA 92020 619-449-3852 Owner BROWN FREDERICK S&KELLY S 2186 CORTE MANGO 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 ; '• $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 (hrjirsr* FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 of fees, dedications, reservations "r 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 City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 Building Permit Application Plan Check No. 6609^3 11 "7 Est. Value Plan Ck Deposit JOB ADDRESS 2186CorteMango SUITE»/SPACE*/UNIT» CT/PROJECTI I LOT* DESCRIPTION OF WORK Include Square Feet of Affected Area(s) # BEDROOMS # BATHROOMS TENANT BUSINESS NAME water heater 50 gallon natural gas CONSTR TYPE OCC GROUP EXISTING USE CONTACT NAME (If Different font Applicant) PROPOSED USE GARAGE (SF) ADDRESS CITY PHONE STATE ZIP FAX EMAIL PROPERTY OWNER NAME Kelly Brown ADDRESS 2186 Code Manqo CITY Carlsbad STATE ZIP CA 92009 PHONE 760-436-3136 FAX EMAIL ARCH/DESIGNER i\AME & ADDRESS STATE LIC # PATIOS (SF)DECKS (SF) FIREPLAC YES|~~l# APPLICANT NAME ADDRESS CITY PHONE E NOQ AIR CONDITIONING YES | | NO | | FIRE SPRINKLERS YESQNOQ Jennifer Williams 11 SON Marshall Ave El Caion 619-449-3852 EMAIL STATE FAX CA ZIP 92020 619-449-0321 CONTRACTOR BUS NAME Anderson Plumbing Heating & Air ADDRESS CITY PHONE 11 SON Marshall Ave El Caion 619-449-3852 EMAIL STATE LIC * 493163 STATE FAX CA ZIP 92020 619-449-0321 CLASS C36 CITY BUS LIC ft 1074400 (Sec 70315 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 theBusiness and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations LJ 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 LLJ 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 insurance earner and policy number are Insurance Co Zomin imurancc Policy No Z069831601 Expiration Date g™J This section need not be completed if the permit is for one hundred dollars ($100) or less I I Certificate of Exemption I certify that in theMrformance of the work for which this permit is issued I shalUiot employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure worker!' compensatlonjcoverage isiinlawful, and shalllubjEicUn employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages^gprovidefnor \J Section 3706 of the Labor/odaf imere/t and attorney's fees -ef CONTRACTOR SIGNATURE Ltffaff /l J -^-^ DATE f / nereoy affirm that I am exempt from Contactors License Law for the following reason 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) I I 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) | | I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement f~lYes [ |No 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 / 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 / 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 / type of work) ^PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' I I Yes I iNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or airouality management district' QYes I I No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' I lYes I JNo IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civ! Code) Lender s Name Lender's Address I hereby authonze representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS OSHA An OSHA permit is required for EXPIRATION Every permit issued by the 180 days from the date of such permit or ij the b ^APPLICANT'S SIGNATURE AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT s over 5 0 degpjnd demolition or construction rf structures over 3 stones in height Official urideftrf provisions of this Code sha/eJ9ire))ay1iraitation and become null and void if the building or work ai by such petmit is not commenced within or abandoned at any time after the work is commenced for a pence of 180 days (Sraon 106A4 Uniform Building Code) DATE City of Carlsbad Bldg Inspection Request For 02/17/2009 Inspector AssignmentPermit* CB090117 Title BROWN RES- REPLACE WTR HTR Description 2186 CORTE MANGO Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT ANDERSON PLUMBING INC,WALTER Owner BROWN FREDERICK S&KELLY S Remarks Phone 6194493852 Inspector Total Time Requested By JENNA Entered By JANEAN CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments tf Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 1 Department of Consumer Affairs ( Contractors State License Board Contractor's License Detail - License # 493163 /i\ DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations > CSLB complaint disclosure is restricted by law (B_&P 7124 6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information "•> Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disclosed •> Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration > Due to workload, there may be relevant information that has not yet been entered onto the Board's license database License Number 493163 Extract Date 01/22/2009 Business Information Entity Issue pate Expire Date License Status WALTER ANDERSON PLUMBING INC 11 SON MARSHALL AVENUE EL CAJON, CA 92020 Business Phone Number (619) 449-7646 Corporation _06/10/1986_ 06/30/2010 This license is current and active All information below should be reviewed Classifications CLASS DESCRIPTION C20 WARM-AIR HEATING, VENTILATING AND AIR CONDITIONING C36 PLUMBING Bonding CONTRACTOR'S BOND This license filed Contractor's Bond number 641797 in the amount of $12,500 with the bonding company SURETY. CQ.MPANY_0_F.I.H.E..PACIFIC Effective Date 01/01/2007 Con.t_racLQ!is_BQ.ndMTa History BOND OF QUALIFYING INDIVIDUAL The Responsible Managing Officer (RMO) MARYJEAN CHRISTINE ANDERSON certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date 04/14/2004 Workers' Compensation This license has workers compensation insurance with the Z.ENnHJNSy..RANCE COMPANY Policy Number Z069891601 Effective Date 07/01/2008 Expire Date 07/01/2009 Workers' Cpmpe_nsation_Hjstory Miscellaneous Information 06/30/2004 DESCRIPTION CLASS C16 REMOVED Personnel listed on this license (current or disassociated) are listed on other licenses Personnel List I- Salesperson List I Other Licenses Conditions of Use | Pnyacy_Pplicy Copyright © 2009 State of California http //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 01/22/2009