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HomeMy WebLinkAbout2217 CAMEO RD; ; CB080324; Permit02-21-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080324 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2217CAMEORDCBAD PLUM 1670801100 Lot* Construction Type ROEDE RES- REPLACE WTR HTER 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/21/2008 LSM 02/21/2008 02/21/2008 Applicant ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner ROEDE ANDERS&STEPHANIE 2217 CAMEO RD CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain 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 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 exoired City of Carlsbad 1635 Faraday Ave, Carlsbad.-CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. ^J-*Ofr0S«5>v/ Est. Value Plan Ck. Deposit Date ^2/^C (0& WASE # I # OF UNITS I # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME CONSTR TYPE I OCC GROUP DESCRIPTION OF WORK FIREPLACE YESD # AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES Q NO D CONTACT NAME (If Different Fom Applicant)APPLICANT NAME PROPERTY OWNER NAME CONTRACTOR BUS ARCH/DESIGNER NAME & ADDRESS SUITE#/SPACE#/UNIT# IH7 -D&-II -CQ [Sec licen Secti ec 703 1 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 fie a signed statement that he is ensed 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 for the alleged exemption Any violation of ction 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars {$500}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations O 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 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issued My workers compens^taon insurance earner and policy number are Insurance Co LL^g'T^'fv)/'— ' Policy No \tiL'fh&[C7b£b:^\C>) to Expiration Date 11 2& I O % This section need not be completed if the permit is forgjjie hundred dollars ($100) or less O 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 wotKer&Uompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fhjes up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for in Section 37Bfrpfyttie Labor code, interest and attorney's fees I hereby affirm that I am exempt from Contractor's License Law for the following reason O 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) O 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 contractors) licensed pursuant to the Contractor's License Law) H 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 D Yes O 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 materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' 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 district? D Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' n Yes O No 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) Civil Code) Lender's Name Lender's Address m I hereby authorize representative of the City of Carbbad 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, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excarStJoffeover SO' deep and demolition or construction of structures over 3 stones in height. EXPIRATION EverypermrtssuedbyfheaiMirgCTFralundw^ 180 days from the date erf sudipemiitofyf^ljuildir^ >£?APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For 08/08/2008 Permit* CB080324 Title ROEDE RES- REPLACE WTR HTER Description Type PLUM Sub Type Job Address 2217 CAMEO RD Suite Lot 0 Location OWNER ROEDE ANDERS&STEPHANIE Owner ROEDE ANDERS&STEPHANIE Remarks EARLY, EARLY, OR 10AM - 12NOON PLEASE Total Time Inspector Assignment Phone 7604349337 Inspector \\0 Requested By HONEST & STEPHANIE Entered By CHRISTINE CD Description 25 Water Heater/Vents Act Comments \ JU Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACORDm CERTIFICATE OF LIABILITY INSURANCE TC9l,M8 PRODUCER Lockt()n companies ILL J Nov. York 7 TI:TKS Square Suit;; 3,502 New, York NY 10036 INSURED ARS .\MERJCAN RESIDENTIAL SERVICES OF CALIFORM -\ i'J/3055 DBA ARS OF SAN DIEGO BRANCH S112 6162 NANCY RIDGK DRIVE SUITE 100 SAN DIEGO CA '32121 9/21, '2007 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 INSURER A Libertv Mutual Fire Insurance Company INSURER 3 Libertv Insurance Corporation INSURER c f\CE -\mencan Insurance Companv INSURER D INSURER c NAIC# 23035 42404 22667 COVERAGES AMEREQ2 RB THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN ThC ISSUING INSURER(S) AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR A A (_ li ADDL NSRC TYPE OF INSURANCE OE X NERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MACE | X | OCCUR GEN L AGGREGATE LIMIT APPLES PER~i POLICY |-IJE& ri'-co AU X TOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTCS NON OWNED AUTOS GARAGE LIABILITY ^J ANY/,UTO EX WORKER EMPLOY ANY PRC OFFICER if vis Je SPF-CIAL CESS/UMBRELLA LIABILITY OCCUR | CL-.IMS MACE 1 [T"| UMBRELLA C-EDUCTIBLE LU FORM RETF_NT!ON S S COMPENSATION AND ERS LIABILITY MEMBER EXCLUDED'3 scribe tnoer ^ PROVISIONS below OTHER POLICY NUMBER TB2-63I 508631-02" AS2-63 1-508631 (137 NOT APPI.ICABL1: \OO-G2--S-S^L? 3 \Vf 7 'ijl i.'Sn'l nr POLICY EFFECTIVE DATE (MM/DD/YY) 9/29/2007 9/29/2007 '5/29/2007 1V21V2007 POLICY EXPIRATION DATE (MM/DD/YY) 9/29/2008 '•'V29/200S ')/2')/200S • i/T'ipOOS LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ela occiirencs) MED EXP (Any one perscn) PERSONAL i ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/CPAGG COMBINED SINGLE LIMIT •ha accident) BODILY INJURY (Per person) BODILY INJURY •Per accident) PROPERTY DAMAGE ;Per accident) ALTO ONLY EA ACCIDENT OTHER THAN =A *C:" AUTO ONLY _r.•MjU EACH OCCURRENCE AGGREGATE . 1 vVCSTA.TlJ I OTH " 1 TORY LIMITS 1 i-R E. EACH ACCIDENT E i_ DISEASE EA EMPLC'-TE EL DISEASE POI.iCr' ;.-M,T S 2 OCO 000 S 1 000 000 3 10 000 3 2 000 000 S 4 000 000 S 4 000 000 s : ooo ooo s \X\XX\X S XXXXXXX 3 \xxxxxx 3 \.XXXXXX S \XXXXXX S XXXXXXX 3 5 000 fJOO '•- ^ i.iOO 000 s \xxxx.x < s \xx\xxx 3 v\\\X vX s I >1(';0 (J(i0 3 : l!0(.l i:i")(i J i i :•( 11 ) i il 11 i DESCRIPTION OF OPERATIONS ; LOCATIONS ; VEHICLES i EXCLUSIONS ADDED DV F-NDORSEMENT .' SPECIAL PROVISIONS iME'.r\[-RAL ! I dJIlin i'OIJO -M.il \fV\l. Ujui-'K, \ M : IMIT ''i'l'l iLS SI Rl <X \ MON \\D Is M.'U'K. T IO \ s2fl i-'f.i m, •ilNCRAl \i.GRKi\ir !'<>! l(~'i 1 IMIT OK INFOI-A! \ 1 l"1^ "! Kl'f iM M )NI , CERTIFICATE HOLDER CANCELLATION 2700036 SHOULD ANY OF THE ABO^E DESCRIBED K)LIC1ES DE ^ANOELLLD BEFORE Hfc -IXPIRATION •JATE THEREOF THE ISSUING INbU'^F-R WILL-INDEAVOP TO MAIL • "AVS /RiTTfl-- I JOTICETOTHH-'EHTIFICAIE HOLDER .;AMED FO THE L.£FT "U r -ii-^rtF- " 1: CO .SO SHALL I 1POSE .NO OB1JGA i'lON OS LiAftli.i Tv Or -,NY KIND UPON T'-ti n j'V-jREP • '• j -,C-r. JT:;, ;')H ACORD ^5 (2001/08)S. ACORD CORPORATION !938