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Home My WebLink About2320 CAMINO VIDA ROBLE; ; CB023044; Permit10-08-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB023044 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: HANNA PLUMBING 643 S. SANTA FE VISTA CA 92083 760-726-2002 2320 CAMINO VIDA ROBLE CBAD PLUM 2130500800 Lot#: 0 Construction Type: NEW METALIC POWER ELECTRIC WATER HEATER REPLACEMENT Status: ISSUED Applied: 10/08/2002 Entered By: MDP Plan Approved: 10/08/2002 Issued: 10/08/2002 Inspect Area: Owner: ONIMAC CORP 12520 HIGH BLUFF DR #100 SAN DIEGO CA 92130 8278 10/08/02 0002 Oi CGP 02 Total Fees:$27.00 Total Payments To Date:SO.OO Balance Due:$27.00 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 $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 E PERM PERMIT H SECTION i SIGNATURE, 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 lees/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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date_ Business Name (at this addresAddress (include Bldg/Suite #) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name State/Zip Telephone #Fax* Name Address City State/Zip (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 to 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 Any violation/ejection 70/31.5'by any applicant for a permit subjects the appjfcVrt to a^ciyil pena/ty of noVrgoce that>fwe hundred dollars I$500]). tame — ^ > — ~'t-~l /? /-v. Address ' s~\ ^ City State/Zip/ . /(T^PjW?8 * State License # /& JD / I ^ License Class (_, ^_D & Citv Business License"* (if) /CT^^ Designer Name — s~~ r~j /T/~>v Address State License # /O ^> I ^jLJ City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: .XQ 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 / ofjhe work for which this permit is issued. V/H I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is 'issued. My worker's compensation insurance carrier and policy number are: , , *--j , , Insurance Company /^(^^~ fa (2J^ Policy No. I)LuQ£^>/3fo ^Tj~(0/ Expiration Date/ /£>/ '(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q 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 ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars m00,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the4-abor jrijda, Interest and attorney's fees. "' Oz-SIGNATURE wv..»» i to thi22 DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q 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 ofproving that he did not build or improve for the purpose of sale). d 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). ' -.... Q I arn 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. Q YES QNO 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 number / 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 number / 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 number / 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? Q YES Q 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 YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES. A FINAL 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. igsii!^^ •&,---T*te I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 representatives 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 5'0" 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 the building or work authorized by such permit is not corrVnenced within 180 days from the date of such permit or if the building or work authorized by such permtyis suspended or abandoned at any time after the work is cgrnrnpnced for a p,eriod of irfo days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURED T^^^fS^- : File YELLOW: Applicant PINK: Finance ~ CEFTTIRCATE OF INSURANCE ISSUE DATE (MM/OO/YVi PRODUCER ARM of California Post Insurance Services 2356 Torrance Blvd. Torrance. Gfl 90501 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AMD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIF1CATI DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 9V THE POLICIES BELOW. _ I INSURED Hanna 643 S Vista Plumbing * Supply Inc Santa Fe Avenue COMPANY LETTER COMPANY | LETTER ' COMPANY , LETTER ' COMPANIES AFFORDING COVERAGE ACE Fire- Underwriters Ins Co Cft 92083 COMPANY pLETTER E COVERAGES THIS IS TO CERTIFY THAT 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 OH MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/OD/YY) DATE (MM/DD/YY) . .„„,LIMtTS 1 i ? GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAMS MADE OCCUR OWNER'S t CONTRACTOR'S PHOT, AUTOMOBILE UAMUTV ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY EXCESS LU8HJTY UMBRELLA FORM OTHER THAN UMBRELLA FORM '' . \ GENERAL AGGREGATE PRODUCTS-COMP/OP AGO. PERSONAL ft ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any am Hra) MEO. EXPENSE (Any ma peroan) COMBINED SINGLE LIMIT BODILY INJURY (Pftrpwton) BODILY INJURY(PwwcfcJwtt) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE S *S » *S S S S S S S WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY WKCQ13648-01 12/31/01 1/01/03 STATUTORY LIMITS EACMACCIOEMT S 1000000 DISEASE—POLICY UMfT $ 1000000 DISEASE—EACHEMPLQYEE^I• _ JJ) Q_Q Q Q Q OTHER DESCRIPTION OF OPCRATIOMBJLOCATONSJVEHIClBBMreCIAL ITEMS As respects all California operations perfomed by named insured 30 day cancellation notice except nonpay/nonreporting which is 10 days CERTIFICATE HOLDER County of San Diego ft TIN: Building Department 5201 Ruffin Road "an Diego. Cfl 92123 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR Yd MAIL 30 DAYS WBTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 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