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HomeMy WebLinkAbout2221 CORTE ANANAS; ; CB100346; Permit02-26-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100346 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2221 CORTE ANANAS CBAD PLUM 2552613900 Lot#: 0 Construction Type: NEW BOOMER RES- REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/26/2010 LSM 02/26/2010 02/26/2010 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: BOOMER JASON H&DARBI G 2221 CORTE ANANAS CARLSBAD CA 92009 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 Inspector: FINAL AfTfROj/AL Date: 7/ 2^/ ?X> JO Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impose/on" of fe^s, 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 previouslv otherwise expired. <# #»w? Building Permit A| xSi^^-v 1635 Faraday Ave., Carlsbac NJJX CITY OF 760-602-2717/2718 /•""* Am c c> A r^ Fax: 76°-602-85 C A-\r\| llj/'XI J www.carlsbadca.t JOB ADDRESS 5A3\ Cor-re. AAAOS CT/PROJECT* LOT* PHASE* # OF UNITS » BEDROOMS ,. ^ Plan Check No. Q& ® OS'^'y^plication l, CA 92008 Est. Value rztw58 Plan Ck. Deposit •^ Date £L 5>V t t O , ?^^rvv- SUITE#/SPACE«/UNIT# APN » BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) <»*•*«. IOC<X-HO* = <W<U>4_ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME vJSXS Df\ ft CO \\6sf~ ADDRESS Sfrpot CITY STATE ZIP PHONE 1 FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME .... .1Scott Lit-He.Ffe.lcJl ADDRESS CITY STATE ZIP PHONE FAX EMAIL ^ CONTRACTOR BUS. NAME ^FFortXcvblt LjJ&te.r H€.tt.TfcrS ADDRESS CITY STATE ZIP PHONE j FAX EMAIL STATE UC.# CLASS CITY BUS. UC.# (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 tp 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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). W O R KE R ?•!, ,,.C;O 'ttlP $M $ A T I Q N : Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: CD 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. ?S I have and will maintain workers' compeosatioji, as required by Section 3700 of the Labor Code, for the performance of the wo*for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. T-€.t> \ T r» Policy No. tOW I %M< T O Expiration Date I " I *" \\ This section need not be completed if the permit is for one hundred dollars ($100) or less. CD 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages Is provided for in Section 3706 of the Labor code, Merest and attorney's fees. J&) CONTRACTOR SIGNATURE \ftti*f"V- flTJAGENT DATE ^ - ^ ^ ' (0 I hereby affirm thai / am exempt from Confractor'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 contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement, n Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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): 5.1 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): flOPERTY OWNER SIGNATURE HAIAGENT 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^Tarmer Hazardous Substance Account Act? O 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 D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? d Yes D No IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C 0N S T R If CTl O N 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 I hereby aulhorize representative of Hie 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, 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 Ihe buiding or wo* authorized by such permit is not commenced within 180 days from the date of such permit or if Ihe butting or work aulhorized by such permit is suspeno^ or abarxte^ at any time after the wxk is commenced Ibf a period of 180 days (Sedim ^APPLICANT'S SIGNATURE AGO/Pl DATE <5 City of Carlsbad Bldg Inspection Request For: 04/02/2010 Inspector Assignment:Permit* CB100346 Title: BOOHER RES- REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2221 CORTE ANANAS Suite: Lot: 0 Location: OWNER BOOHER JASON H&DARBI G Owner BOOHER JASON H&DARBI G Remarks: A M PLEASE Phone: 7605321115 Inspector: Total Time: CD Description 25 Water Heater/Vents Requested By: DARBY Entered By: CHRISTINE Act Commenjs-^., L^t^^^ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 16619481533 WMI 10:54:31 a.m. 01-05-2010 2/3 ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER (661)948-1003 FAX: (661)948-1533 Walter Mortensen Insurance CA License #0044424 1113 West Ave. , M4, Suite C Palmdale CA. 93551 INSURED Affordable Water Heaters & Plumbing, Inc. 24707 Railroad Avenue Santa CJ,arita CA 91321 HA1E(VMOCMYYYY) 1/5/2010 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.- Zenith Insurance Company USURER a WSURERC: INSURER 0: INSURER E: NAJC* COVERAGES 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 THS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDfTIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAH) CLAIMS. MSR LTR A torn. NSRD TYPS OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LM8UTY j CLAMS MADE | | OCCUR GENT AGGREGATE LIMIT APPLES PER AU1rOMODILE LIABILITY AMY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGS UASiLTTY ANY AUTO EXCESS 1 UMBRELLA UABUTY 1 OCCUR 1 ] CLAMS MADE DEDUCTIBLE RETENTION » WORKERS COMPENSATION AND EMPLOYERS* LIABILITY r/N ANY PROPRIETOR/PARTNER/EXECUTIVE 1 1OFFICER/MEMBER EXCLUDED? 1(UandatMylnNH) ' ' (yes, describe underSPECIAL PROVISIONS below OTHER POLICY NUMBER | DMEmUOafYYVYI 1 DATE^MS55vYYrl Z067898704 1/1/2010 1/1/2011 UMTTS EACH OCCURRENCE DAMAGE TO ttENtED PREMISES fEa occurrence) MED EXP (Any one penon) PERSONAL * AOV INJURY GENERAL AGGREGATE PROOUCTS-COMPWPAGG COMBMED SMGLE UMTT (Ea accident) BODLY INJURY(Per person) BODLY MJURY(Per accident) PROPERTY DAMAGE(Per accident) AUTO ONLY- EA ACCIDENT OTHER THW4 EAACC AUTO ONLY: #%. EACH OCCURRENCE AGGREGATE 1 WCSTATU- I IOTH-ITHRYUMrrsi i ER EO.EACHAOCOENT E.L DISEASE - EA EMPLOYEE E.L OCSEASE - POLICY UMTT t t t $ i t t t t s t t t t t t t t t 1,000,000 I 1,000,000 t 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS (VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate of Insurance. 10 day notice of cancellation fox non-paynent of praaiuo. CERTIFICATE HOLDER CANCELLATION Affordable Water Heaters & Plumbing Inc 24663 Railroad Avenue Newhall, CA 91321 SHOULD ANY OFTHE ABOVE DESCRBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO HAL ^O PAYS VWTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL HFOSE NO OBLIGATION OR LIABILITY OF ANT KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ^-j ^, ,- ACORD 25 (2009/01) INS025 (200901) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD