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Home My WebLink About2321 DANA CT; ; CB060919; Permit04-03-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB060919 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2321 DANA CT CBAD PLUM 1675323000 Lot* 0 Construction Type NEW LOVICK RES REPLACE H20 HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/03/2006 KG 04/03/2006 04/03/2006 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA CA 91321 661 259-7131 Owner LOVICK RONALD E&ANN L 2321 DANA CT CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 PERMIT HAS EXPIRED !N ACCORDANCE WITH C B C SECTION 106 4 4 AS AMENDED BY C M C18 04 030 OATE H\\>» l/r-lSIGNATURE 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 PERMIT APPLICATION CITY1 OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Date 4- Address (include Bldg/Suite *)Business Name (at this address) Legal Description Assessor s Parcel # Description of Work Lot No Subdivision Name/Number Existing Use TV ^C^tf- £&n\Q. loCCcT SO. FT :<>A *of Stories Unit No Phase No Proposed Use # of Bedrooms Total * of units # of Bathrooms aasaimttKiusB^ a*** Name Address City State/Zip Telephone ff Fax* CA Name Address City «fti!MU!BMEH^ A r\r» L0\h6V- State/Zip Telephone * fi% -^to"77 Name Address City State/Zip Telephone * (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 exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [4500]) uOofrgf UfrrtPfg Auiirt fa* rnftiulo /2J MtuJWuH f.fr Name State License * (t&~) 3\f>% Address License Class C3 City State/Zip City Business License » \£\ Telephone * Designer Name State License * Address City State/Zip Telephone ,, Workera Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 LH 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 comoensatlon in* i»nce carrier and policy number are , » Insurance Company _ 7"^ i_ 1 £0/ 7"«S Policy No T,0 fe? ^tilOl Expiration Date OyC-l/0'7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) 0 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 addl/on to Ae cost of compensation damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees SIGNATURE vfeftff-T DATE ^ - I 'CH-7 tattWNHltaU^^ :.:•,•/.- , ;!1 hereby affirm that I am exempt from the Contractor's License Law for the following reason D I as owner of the property or my employees with wsges 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 Contrector 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 improvementa are not intended or offered for sale If, however, the building or improvement is sold within one year of completion, the owner builder will heve the burden of proving that ha did not build or improve for the purpose of sale) D I *s 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) D I am 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 O 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 DATEfcgi«9aaui«Ufaidw^ Is the applicant or future building occupant required to submit a business plan acutely hazardous materiala reglatration form or risk management and prevention program under Sections 25505 2S533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q VES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality management district? D 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 iBtitififlmraynnwKiiB^^ i^S*^ WMsfr.^^ & Wfoto • * ^ /, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097(1) Civil Code) LENDER S NAME LENDER S ADDRESS I certify that I have read the application and state that the above Informetlon 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 S'O" 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 commenced within 180 days from the date of such permit or H the building or work authorized by such permit Is suspended or abandonedat any time after the work is commenced for a pafiod ofAOO days (Section 106.4 4 Uniform Building Code) APPLICANTS SIGNATURE ''""DATE WHITE Fila YELLOW Applicant PINK Flnancs ACORC?INSURANCE BINDER THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON AGENCY Hogan Insurance License #OC54750 P.O. Box 7419 Thousand Oaks CA rAJ&'No.&tl (805)379-2203 CODE. 91359 (A/C.NO) (805)379-5299 SUB CODE. c-ul&.D 00003784 INSURED Affordable Water Heaters and Plumbing Inc , 24707 San Fernando Road Santa Clarita CA 91321 COMPANY The Zenith EFFECTIVEDATE TIME X 1/1/2006 12 01 DATE(MWDD/YYYY) 12/9/2005 PAGE 2 SIDE OF THIS FORM BINDER « B0512900489 EXPIRATIONDATE TIME AM X 12:01 AM PM 3/1/2006 NOON THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY* DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY ( deluding Location) Water heater installation COVERAGES LIMITS TYPE OF INSURANCE MB GEI AU1 3PERTY CAUSES OF LOSS BASIC [~] BROAD |~1 SPEC 4ERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAMS MADE | | OCCUR rOMOKLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS AUTO PHYSICAL DAMAGE DEDUCTlBLE GAJ EXC COLLISION: OTHER THAN COL. %AGE LIABILITY ANY AUTO ESSUABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY SPECIAL CONDITIONS/ OTHER COVERAGES COVERAGE/FORMS RETRO DATE FOR CLAIMS MADE | ALL VEHICLES | | SCHEDULED VEHICLES RETRO DATE FOR CLAIMS MADE Policy #2067898701 01/01/06 - 01/01/07 DEDUCTIBLE COINS % EACH OCCURRENCE DAMAGE TORENTED PREMISES MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPAOP AGG COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE MEDICAL PAYMENTS PERSONAL INJURY PROT UNINSURED MOTORIST ACTUAL CASH VALUE STATED AMOUNT OTHER AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE SELF-INSURED RETENTION X WC STATUTORY LIMITS E L EACH ACCIDENT E L DISEASE EA EMPLOYEE EL DISEASE -POLICY LIMIT FEES TAXES ESTIMATED TOTAL PREMIUM AMOUNT $ S s t *J s S 1,000,000 S 1,000,000 j 1,000,000 $ *t NAME & ADDRES MORTGAGEE LOSS PAYEE ADDITIONAL INSURED LOAN* AUTHORIZED REPRESENTATIVE Robert Hogan/SH State Of California _., CONTRACTORS STATE LICENSE BOARD X^ i.« ACTIVE LICENSE CoBsunicr Afftun _^ 627368 ...CORP . AFFORDABLE WATER HEATERS AND PLUMBING INC C36 09/30/2006