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Home My WebLink About2260 NOB HILL DR; ; CB091939; Permit (2)11-18-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB091939 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2260 NOB HILL DR CBAD PLUM 1671122400 Lot#: 0 Construction Type: NEW ROBERTS RES-REPLACE WTR HTR Status: ISSUED Applied: 11/18/2009 LSM 11/18/2009 11/18/2009 Entered By: Plan Approved: Issued: Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: ROBERTS JANICE A TRUST 04-29-99 2260 NOB HILL DR 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 $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 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 expired. City of Carlsbad X^ 1635 Faraday Ave., Carlsbad, CA 92008 fif^S^ * ' ' 760-602-2717/2718/2719 «^fJ^! Fax: 760-602-8558 ^h7r^ Building Permit Application JOB ADDRESS a^b.o not I4|*H Or CT/PROJECT* UOT# PHASE* * OF UNITS ((BEDROOMS K Plan Check No. QftCR / ^ 39 H Est. Value / Plan Ck. Deposit Date tv\^<2fj<gq SUITE((/SPACE((/UNIT(( APN # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 1 OCC. GROUP DESCRIPTION OF WORK: K&Flaee, 50 fluxllo* o^r I^Attr Heater... -r J J Sane lotAf/on* 6><xrAc,e,7 EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME _ i , , J*ir\ifjJ RcOb<?.r-K ADDRESS x, J^l^t CITY STATE ZIP PHONE FAXiioo 130 3i-n EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRt SKKiNKLtKb YES D # NO D YES O NO D YES D NO D APPLICANT NAME . . .5 c.9tt LWe.Fri.IA ADDRESS BttecJ CITY STATE ZIP Ti»-w«i'7/*i FWU/-,W'95-s* EMAIL _ . -~Scott @ /?u)f/4^Com CONTRACTOR BUS. NAME % . ./JFFor<Aflik!*2 Ute.t«r WeeeK*"* ADDRESS JW3 Roi/roAcl rtVe.. CITY STATE ZIP Nf«u>hA// £4- ^/3Jf PHONE FAX 4>fo[-«3.^05-A0 EMAIL STATE LIC.# CLASS CITY BUS. LIC.#frA-73(tf- C.31 WWI (Sec. 7031.5 Busineii and Professions Code; Any City or County which requires a permit to construct alter, improve, demolish or repair anylicensed .pursuant to the provision! of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division J of the BusinessSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). any structure, prior to its issuance, also requires tfie i .._... ........,.. .... -.., ,—... ...,.- ,"and Profusion! Code} or that he is eiempt therefrom, and the basis for the alleged eiemption. Any violation ofermit to file a signed statement that he is-' 'L ' * -'-- '- '-'""- ' WORKERS ' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: n 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. UTI have and will maintain workers'compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thispermit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. pfefMTK . Policy No. ^.Q b*7pTiT *7^ j Expiration Date I ' I * /O This section need not be completed if the permit is for one hundred dollars ($100) or less. G 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 (4100,000), in addition to the cost of compensation, damageinai provided for in Section 3706 of the Labor code, Interest and attorney's fees. JET CONTRACTOR SIGNATURE AQjQti't . DATE (I ( ' OWN ER-B Ul LD E It DECLARATION / fiereby 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). n 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 of 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O 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): ^PROPERTY OWNER SIGNATURE DATE <OMPtBTE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? D Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Ves O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CON S TRUCTION LENDING AGENCY 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 APPLICANT CERTIFICATION 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 representative 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'G" 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 nun and void if trie building or work authorized by such permit is not commenced within 180 days from fce date of sutfperniitwiftfwbuMra^ ^APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/03/2009 Permit# CB091939 Title: ROBERTS RES-REPLACE WTR HTR Description: Inspector Assignment: 2260 NOB HILL DR Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT AFFORDABLE WATER HEATER Owner: ROBERTS JANICE A TRUST 04-29-99 Remarks: PERMIT IS ON WASHER MACH IN GRG Phone: 7607303777 Inspector Total Time: CD Description 25 Water Heater/Vents 29 Final Plumbing t A Comment Requested By: JANIS Entered By: JANEAN Com ments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 16619481533 WMI 02:31:40 p.m. 01-06-2009 2/3 AGQRQ. CERTIFICATE OF LIABILITY INSURANCE PRODUCER (661)94«-1003 FAX (661)948-1533 Walter Hortensen Insurance License #0044424 1113 West Ave H-4 K. Palmdale. CA 93SS1 INSURED Affordable Water Heaters & Plumbing. Inc. 24663 Railroad Avenue Newhall, CA 91321 ISXSSS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Zenith Insurance Conpany INSURER 8: INSURER C: USURER D-. INSURER E NAIC* COVERAGES THE POUCIES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDfTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THG 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 LJMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. MSR UK. A •am.H5BI TYPE OF INSURANCE GENERAL UABU.ITY COMMERCIAL GENERAL LIABILITY ~~[ CLAIMS MADE ( ( OCCUR GENT AGGREGATE UMTT APPLIES PER"~i"ouwnss n«* AUl[OMOMLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED ALTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY [ OCCUR | [ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEttMEMBER EXCLUDED? <t. yes. describe underSPCCIAL PROVISIONS Oetow OTHER POLICY NUMBER Z067898703 POLICY EFFECTIVEDATE Itlllrfin/YYI 01/01/2009 POLICY EXPIRATIONQAJE MM/DIVVY^ 01/01/2010 UMTS EACH OCCURRENCE DAMAGE TO RENTEDPOFUSn fm nmravjrt MED EXP(Anr one person) PERSONAL ( ADV MJURY GENERAL AGGREGATE PRODUCTS - COMPlOP AGG COMBINED SINGLE UMIT ft tax)**.} BODILY INJURY (Per person) BODILY INJURY (Pertccklent) PROPERTY DAMAGE (Per Modem) AUTO ONLY - EA ACCIDENT OTHFRTHAN EAACC AUTO ONLY: fj^ EACH OCCURRENCE AGGREGATE I WCSTATU- I OTH-1 TORY LIMITS 1 ER E.L EACH ACCIDENT E.L. DISEASE • EA EMPLOYEE 6 L. DISEASE - POLICY LWtT $ J I s s s I s t s s s t s s t I t s 1,000.000 s 1,000,000 » 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS ' VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONSiertificate of Insurance CERTIFICATE HOLDER CANCELLATION Affordable Water Heaters & Pluntnng Inc 24707 Railroad Avenue Santa Clarita,CA 91321 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WiLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAjLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION O« LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES AUTHORIZED RE?RCSENTATrVE ._,-, / Mark Hevne/KJN '' ',/" ACORQ 25 J200V08)j)ACORD CORPORATION 1<t8ti