Loading...
HomeMy WebLinkAbout2251 CAMINO ROBLEDO; ; CB100057; Permit01-08-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100057 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2251 CAMINO ROBLEDO CBAD PLUM 2552715300 Lot #: Construction Type: MASON RES REPLACE WTR HTR 0 NEW Status: ISSUED Applied: 01/08/2010 Entered By: KG Plan Approved: 01 /08/2010 Issued: 01/08/2010 Inspect Area: Applicant: FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner: MASON FAMILY TRUST 07-28-87 2251 CAMINO ROBLEDO 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 APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposiion" 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. City of Carlsbad 1635 Faraday Ave., Carisbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit; Application 472663 Plan Check No.•OOS7 Est. Value Plan Ck. Deposit Date JOB ADDRESS 2251 CAMINO ROBLEDO » OF UMTS SUITE#/SPACE*/UNtT» « BATHROOMS -VJ CONSTO.TVPE I OC& GROUP DESCRIPTION OF WORK: Include Square Fsof of Affected Ateafs) Remove/Replace Gas Water Heater EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE NOT~1 AIR CONDITIONING YESr~]No| | RRE SPRINKLERS CONTACT Applicant)APPLICANTTAST WATER HEATER COMPANY ADDRESS12601 132NDAVENE ADDRESS 12601 132NDAVENE CITY KIRKLAND STATE WA ZIP 98034 CITY KIRKLAND STATE WA ZIP98034 PHONE 425-636-7084 FAX425-636-7085 PHONE425-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com EMAIL.juliec@fastwaterheater.com PROPI CONTRACTORfWvVATER HEATER COMPANY ADDRESS2251 CAMINO ROBLEDO ADDRESS 12601 132NDAVENE CITY CARLSBAD STATE CA ZIP CA 92009 CITY KIRKLAND STATE WA ZIP 98034 PHONE (760)635-9283 FAX PHO""125-636-7084 FAX 425-636-7085 EMAIL EMAIL juliec@fastwaterheater.com ARCH/DESIGNER NAME & ADDRESS STATE U& #STATE IK.* 877489 CLASS C36 CITY BUS. UC-K1222302 (Sep. 70315 Business and Professions Code Any City or County which requires a permit to construcL alter. Improve, demolish or r_,._.. _ ,, .__"or such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License UwJCnapler 9, commending with Section 7000 of Division 3 of the.,..„-. ,. .... ,- ._.. , ,. , air any structure, prior to its Issuance, also requires theapplicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chanter 9, commending with Section 7000 of Division 3 of _..Business 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 a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby sflimi under penalty of perjury am of the foSawing declarations: LJI have «nd will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for tie performance of the work for which this permit is issued 123 I have and will maintain workers' compensation, as reoulred by Section 3700 of the Labor Code, lor the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Truck Insurance Exchange PoicyNo. A09304455 Expiration Date 12/1/10 pfe section reed not be completed If the permit is for one hundred dollars ($100) or less. I ICerttfleatecfExenmaomlcerafVtrBtlnlneoeflfrnnanceciflhew Calforrta, 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 (4100,000), In addition to the cost of compensation, Haman»R « nmuWmt far in sortinn T7AK nf iho Labor code, Interest and attorney's fees. 12/29/09 I toeoy affirm Hut I on exempt from Cofltocfcrt tfcense Law for the Stowing reason: j | 1, as ovmer of Ire property m my employees with wages as their sole compensation, will DO tte wort License Law does not apply to an owner of property who builds or Improves therecA am) v^ does such wo* himself or through!* own erapio^ sala If, rrawevtf, ftebuBdiry «improverr^l fe sold within OTB^ || I, as owner of the property, am exclusively contracting wife 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 *no ouflds or Improves Ihereon, and corfrads for such fns^\M(M^^s)^ts^fimatto^C!Xiitta^sV^melw^. I [ I em exempt under Section Business and Professions Code far this mason; 1J personally plan to rjmvidette major labw and mateiials for OTislrudion of |~lYes I ha 2.1 (have / have nol) s^ned an applcalion for a buldtag penrtt for ihe proposed work. 3.1 have contracted with the folbiraig person (firm) to provhlg Ihe proposed construction (include name address I phone / contractors' Icense number): 4 J plan to prcrvide portions oJ the wort, but I rave hired fte Wowing petsm to c^^ 5.1 will provide some of the wart, but I have contracted (Wrad) the following persoiBtopiDvi*theworkindkated(iru^enarne/addrBSS/phone/typeofMrk): ^PROPERTY OWNER SIGNATURE DATE s^ BUI t a in e i> Eft MIT so MtY IE the applicant or (uturebuMnqnecuoantreouired to submii a busim^ plan, acuielvhaa Presley-tanrarHazard«mSu!Btancf|Accoun!Actt 1 I Yes \ {Ho Is the apptart or future buWhgocajpanl required to obtain a pemilt from the BirpoBufonwnlrold^ UJYes |_jNo IE the faaTity to be constructed withiti 1,000 feet o( the outer boundary of a school site? L]Yes flNo IF ANY OF THE ANSWERS ARE YES, A FOUL 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. I hereby affirm (hat there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (!) Civil Code). Lender's Name Lender's Address I certify thallhsven^ the apr^^Dn am! state that the ab^ oftheCfr/rf EXRRATION: Every pemVI Issued by ^BuldngOM SAPPLICANTS SIGNATURE DATE 12/29/09 City of Carlsbad Bldg Inspection Request For: 02/05/2010 Permit# CB100057 Title: MASON RES REPLACE WTR HTR Description: Inspector Assignment: 2251 CAMINO ROBLEDO Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT FAST WATER HEATER COMPANY Owner: MASON FAMILY TRUST 07-28-87 Remarks: Phone: 7606359283 Inspector: Total Time: CD Description 25 Water Heater/Vents Act .Comments ,-rv i- Requested By: DONNA MASON Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ^GOfrtr CERTIFICATE OF LIABILITY INSURANCE PRODUCER I ova Insurance, Inc. 19030 Lenton Place SE #546 Monroe, WA 98272 (Rfifi) 244-4682 INSURED pAST WATER HEATERS If INC PAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND, WA 98034 1(425)814-3124 X141 DATE (MM/DD/YYYY) 12/1/200Q THIS CERTIFICATE IS ISSUEDAS 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* TRUCK INSURANCE EXCHANGE INSURER B: INSURER C: INSURER D: INSURER E: NAIC# 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 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. INSRLIU A kDD'L NSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: 1 POLICY 1 1 JECT 1 1 LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS /UMBRELLA LIABILITY | OCCUR | [CLAIMS MADE 1 DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y;N ANY PROPRIETOR/PARTNER/EXECUTIVE 1 1OFFICER/MEMBER EXCLUDED? 1 Yl (Mandatory In NH) ' • If yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER A0930 44 55 DATE (MM/DD/YYYY) 12/01/09 POLICY EXPIRATIONDATE (MM/DD/YYYY) 12/01/10 LIMITS EACH OCCURRENCE PREMISES (Ea occurence) MED EXP( Any ore person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY- EA ACCIDENT OTHER THAN EAACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE « 1 WC STATU- 1 IOTH-X ITORY LIMITS | | ER E.L. EACH ACCIDENT E.L DISEASE- EA EMPLOYEE E.L. DISEASE- POLICY LIMIT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ s $ * irooo,ooo s 1,000,000 * i.ooo.ono DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate is issued as evidence of coverage in effect for the Named Insured. Policy excludes three officers of the corporation, that are not on job sites. *10 day notice of cancellation applies in the event of non payment of premium. CERTIFICATE HOLDER CANCELLATION Contractors State License Board Workers Compensation Unit P. 0. Box 26000 Sacramento, CA 95826-0026 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATTVE ^^J^^^^ ACORD25 (2009/01)© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD