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Home My WebLink About2312 CAMINO ROBLEDO; ; CB102083; Permit11-08-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 . Plumbing Permit Permit No: CB102083 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2312 CAMINO ROBLEDO CBAD PLUM 2552720900 Lot #: Construction Type: MAZZIOTTA RES REPLACE WTR HTR 0 NEW Status: Applied: Entered By; Plan Approved: Issued: Inspect Area: ISSUED 11/08/2010 KG 11/08/2010 11/08/2010 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: MAZZIOTTA SANDRO&JULIE 2312 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 o ••-•.-,.... • •• '; '•"' ;;' '. ' , •'•: Is , $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: /2-Clearance: NOTICE: Please take NOTICE Jnat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." f/ou 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. <€^*rft" Building Permit Application V^JL-^ 1635 Faraday Ave., Carlsbad, CA 92008 ^y CITY OF 760-602-2717/2718/2719 /•"* A D I CD A r\ Fax: 76°-602-8558 V_r/\i\« -IIJ/AL*/ www.carlsbadca.gov JOB ADDRESS /\ *j i ^ /*i • /?!!/•>{ f> Dl JL CJ^^XrO | f~V(J f~C) r? 1 -kL-C* 0 CT/PROJECT* LOT# PHASE* # OF UNITS * BEDROOMS SUITE#/SPACE#/UNIT# # BATHROOMS TENANT Bt Plan Check N<C^) ) 0X0^ _f> Est. Value Plan Ck. Deposit Date j — V— '/ f) APN JSINESS NAME C DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) p.€.P\<x.C6_ ^ oe\.llorN ^AT uJo^'V'tr t4€A*^€jr ^^m€ lot&tiA*e GL^T^SLJ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ADDRESS <J^ </W CITY , STATE ZIP ^LxrvJUlXX*^! C^ 92-Oo°| PHONE FAX EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) DECKS (SF)FIREPLACE AIR CONDITION YES D # NO D YES D NO Y y^^/ - ONSTRTYPE OCC. GROUP ING RRE SPRINKLERS D YES D NO D APPLICANT NAME ... 1Scott Lit+le-FTelel ADDRESS fc«J, CITY PHONE StJ STATE ZIP FAX EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE STATE ZIP (L/*. <M3 JFAX EMAIL Permits @ AWhAf-Com STATE Lia*' CLASS CITY BUS. Al !5Tt uc.#7A71 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter, improve, demolish or rapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {IBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7civil penalty of not more than five hundred dollars ($500)). ' m^3- RKER $:-':'X-X> W 'P'S ft SAT I'O/N r any structure, prior to its issuance, also requires the)ter 9, commending with Section 7000 of Division 3 of the.5 by any applicant for a permit subjects the applicant to a Workers' Compensation Declaration: I hereby affirm under penalty at perjury one of the following declarations: D 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. H I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, lor the performance of the wo* brjffhjch this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. Tfc*M^"K Policy No. TC,OV7%*C 7& Expiration Date 1 ** I " \ \ This section need not be completed if the permit is for one 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 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 as provided for in Section 3706 of the Labor code, interest and attorney's fees. ^CONTRACTORSIGNATURE AQQtf't . ' fflfAGENT DATE //-3'"^0 O W N :E:« - B U t L D~£*. ID S.C.*. A R A T I O N f hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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 contractorfs) 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 ID Yes a 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): >£TPROPERTY OWNER SIGNATURE 0AGENT DATE Is the applicant or future building occupant requited 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 quail ty management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN 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 I hereby authorize representative of Ihe City of Gsfebad to enter uprjntteatoverrenfonedp^^ OSHA: An OSHA pennit is required for exraraforis over SB'o^ EXPIRATION: Every pemrt issued by the Building OfM 180 days from Ihe date of such peimftrjr if Itebukfinow APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 12/07/2010 Permit* CB102083 Title: MAZZIOTTA RES REPLACE WTR HTR Description: Sub Type: 2312 CAMINO ROBLEDO Lot: 0 Type: PLUM Job Address: Suite: Location: APPLICANT AFFORDABLE WATER HEATER Owner: MAZZIOTTA SANDRO&JULIE Remarks: Inspector Assignment: Phone: 7607145556 Inspector: Total Time:Requested By: NA tared By: CHRISTINE CD Description 24 Rough/Topout Act Comments Comments/NoticesSHorfds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Acro/?oe CERTIFICATE OF LIABILITY INSURANCE PRODUCER (661)948-1003 FAX: {661)948-1533 Walter Mortenaen Insurance CA License KOD44424 1113 West Ave., M4, Suite C Palmdala CA 93551 INSURED Affordable Water Heaters £ Plumbing, Inc. 24707 Railroad Avenue Santa C3,arita CA 91321 OA.TC (larooTVYY) 1/5/2010 THIS CERTIFICATE IS ISSUED AS A MAlltK OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DQES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE .1 USURER* Zenith Insurance Company INSURER ft INSURER C INSURER 0: USURER E: NA1C* COVERAGES THE POLICIES OF INSURANCE LISTED 8ELOW 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 CONDfTIONS DFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAJO CLAIMS. MSR ITR A Atxn HSRS TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL UABUIY ICLAMSUAOE | j OCCUR GENT. AGGREGATE UWT APPLES PBt AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS - GARAGE LIABILITY ANY AUTO EXCESS 1 UMBRELLA LIABILITY 1 OCCUR j JClAttSMAOE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AWO EMPLOYERS' LIABILITY y/N ANY PROPRIETOWPARTMERfiCECUTJVE 1 1 tf yes. cfeacrifee under SPECIAL PROVISIONS tetow OTHER POLICY NUMBER :<K789fl704 POLICY EFFECTIVE 1/1/2010 POLICY FJOHRATUMDATEOMDOrYYYYI 1/1/2011 UMTS EACH OCCURRENCE DAMAGE TO RENTED PREMISES l£a occmranori MED EXP (Any one (Koran) PERSONAL ( AOV MMRY GENERAL AGGREGATE PRODUCTS - COUP/OP AGG COMBMEO SINGLE UUT (£a accident) 80OO.Y INJURY (Perpmon) BOOCLYKIURY (Peracadertf) PROPERTY OAUAGE(Per«cdd«n() AUTO ONLY - EA ACCOEHT OTHER THAN AUTO ONLY: FAACC AGG EACHOCCURRB4CE AGGREGATE 1 V<CSTATU-ITORYIMTS IOTH- I£R EJLEACHACCDeKT Ei. DISEASE - EA EMPLOYE! £.L CKSEASE -POUCYUMT t t t t t t * * * t t t I $ t J 1 * J 1.000,000 t 1,000,000 j 1,000,000 oescwpTWN OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS AOOEO BY €«OC«SEMENT/ SPECIAL PROVISIONS Cart-ifi-cata of Insurance. 10 day notice of cancellation for uou-p«3fB»tit. of premium. CERTIFICATE HOLDER Affordable Water Heaters C Plumbing Inc 24663 Railroad Avenue Newhall, CA 91321 CANCELLATION SHOULD AW Of THE ABOVE OESCRBtO POLICES BE CANCELLED DATE THEREOF, THE ISSUING INSURER WILL EttOEAVOR TO MAI. NOTICE TO WE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT 1 WOSE NO OBLIGATION On UAStUTY OF AMY KINO UPON THE 1 REPRESENTATIVES. AUTHORUEDREPRESEHTAT1VE ^^ Ronald Burcham/MNASTE <^~ /—/ * BEFORE THE EXPWAT1ON 30 DAYS YVRlTTEN AIUJRE TO DO SO SHALL VSURER T3 AGENTS OR ' t3L-/ ACORD 25(2009/01) INS025 (200901) e 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD