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Home My WebLink About2335 CARINGA WAY; 18; CB020213; Permit01-17-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No:CB020213 Building Inspection Request Line (760) 602-2725 Job Address: ; Perm it Type: .Parcel No: ^Reference #: project Title: 2335 CARINGA WY CBAD PLUM 2152402718 Lot#: 0 Construction Type: NEW CRONE RES-REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/17/2002 R,A 01/17/2002 01/17/2002 Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner: LODRUP TRUST 05-29-80 14351 MAGNOLIA BLVD #2 SHERMAN OAKS CA 91423 01/17/02 0002 01 02 CGP 27-00 Total Fees: $27.00 Total Payments To Date:$0.00 Balance Due: $27.00 - Plumbing Issue Fee ^ Fixture or Trap / Building Sewer j 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 IRED PERMIT !T HAS EXPIRED IN ACCORDANCE WITH U.B.C. FINAL APHHUVAL Inspector: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 you 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 t. PROJECT INFO 7-^6 RMATION FOR OFFICE USE O PLAN CHECK NO EST. VAL. n Plan Ck. Deposit Validated By_ Date I ^sApi VM^LLJUu oAddress (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No.Phase No.Total # of units r's Parcel #"Existing Use Proposed Use Description of Work 2. CONTACT PERSON Iff dlffSf»nt;fromitipllcantl SQ. FT.#of Stories # of Bedrooms tt of Bathrooms Address Agent for Contractor City OAgenr-fir Owner * State/Zip Telephone <Fax Address City State/Zip Telephone tt v* \I\taor\ rwx\NQJJI uari&fcyM low* X I City State/Zip — * i\ ne *TelephoneName Address S. CONTRACTOR - COMPANY NAME (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 exeinntion. Any violation of jjggtion 7031J hy any^ applicant for a permit subjects the applicant to a civil penalty of not more than fjve hundred dollars J$500])^ Name State License * City sj St&e/Zip C> Z-O City Business License # I Telephone tt Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: l~l 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 he work for which this permit is issued. 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 soed. My worker's compensation insurance carrip' »nd policy number are: . ,_ __ insurance Company J^GLfetL ft^ft I V\C^ Policy ^^\?^O^^> "CO Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) UJ^-GERTIFICATE OF EXEMPTION: 1 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^'&ornpensation Laws of California. rkeri' compensation coverage is unlawful, and (hall subject an employer to criminal penalties and (dvil fines up to one hundred ffin addition to the cost of compensation, damages as provided for in Section 3706 of the Laboyrade. interest and attorney's fees. *~ _ DATE / / /r~0 £ r which this per 1 1 I e f & I / ' WARNING: Failure to sec thousand dollars ($100.0 SIGNATURE _ 7, owNER-BujttJER D&CLARATION • •• -->1~*» " -. . . f f -/ • I hereby affifjp-tfiat I am exempt from the Contractor's License Law for the following reason: 0 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 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 arid 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 COMPLETE THIS SECTION ,_.,.,.,. 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 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. 8. CONSTRUCTION LENDING AGENCY - -y . •*'•'* ;.„.•'--•''• 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 9. APPLICANT CERTIFICATION - "-' * Y" " """ V1 '< "" '-V > • 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 CitV 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 commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 jJays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance -"MARSHUSAiNC. C ERT1 Fl C ATE 0 F 1 N S U RAN C E c*™o?7^M."SR PRODUCER Marsh USA Inc. •500 W. Monroe Chicaoo. IL 60661 Attn: LOLA DAVIS 312627-5379 INSURED ARS American Residential Services of California, Inc. dba 860 Ridge Lake Blvd. Memphis, TN 381 20 THIS CERTIFICAfE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY A ZURICH AMERICAN INSURANCE COMPANY COMPANY 3 ILLINOIS NATIONAL INSURANCE COMPANY COMPANY C COMPANY D COVERAGES 7Tfi«ceftfficatasuperaedesandr^lac€*anypre^ THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. MAY HAVE BEEN REDUCED BY PAO CLAIMS, CO LTH A A a A TYPE OF INSURANCE GENERAL LIABILITY X AUT COMMERCIAL GENERAL UABUTY I CLAIMS MADE | X | OCCUR OWNER'S 4 CONTRACTOR'S PROT OMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HWEO AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO EXCESS LIABILITY X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS" LIABILITY THt PAI OFI ; PROPRIETOR/ X iNCL ONERS/EXECUTIVE :CERS ARE: EXCL OTHER POLICY NUMBER GLO 2938645-00 BAP 2938646-00 (AOS) BAP 2938647-00 (VA) TAP 2938648-00 (TX) BE 309-79-07 WC 2938643-00 POLICY EFFECTIVE DATE (MM/DOSYY) 01/01/02 01/01/02 01/01/02 01/01/02 01/01/00 01/01/02 POLICY EXPIRATION DATE (MMIOO/YY) 01/01/03 01/01/03 01/01/03 01/01/03 01/01/03 01/01/03 LIMITS GENERAL AGGREGATE PRODUCTS - COMP/OP AGO PERSONAL & AOV INJURY EACH OCCURRENCE FIRE DAMAGE (Any on. lira) MED EXP (Any on. p«nonl COMBNED SINGLE LIMIT BODILY INJURY (Porpmxi) BOOLY INJURY (Pwaeadwit) PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE v WC STATU- I OTH-X TORY LIMITS I ER EL EACH ACOOENT EL DISEASE-POLICY LIMIT EL DISEASE-EACH EMPLOYEE S 5.000,000 $ 1.000,000 S 1.000.000 S 1,000.000 $ 1,000.000 S 5.000 S 1.000.000 S S S S $ S S 5,000.000 S 5.000,000 S S 1,000.000 S 1.000.000 S 1,000.000 DESCRIPTION OF QPERATlONSILOCATIOMS/VEHICLESfSPECIAL ITEMS {LIMITS MAY BE SUBJECT TO DEDUCT1BLES OH RETENTIONS) CERTIFICATE HOLDER - - "- -CANCEUATIOJ* SHOULD ANT O» THE POUOC9 DESCRIBED HEREIN 9E CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE INSURER AfFOflOWG COVERAGE WILL ENDEAVOR 'O UAH. Jfl CAYS WRITTEN NOTICE TO --* CEitmcATE MXDefl rrrrpT neatm. aur FAILURE TO MA«- SUCH NOTICE SHALL IMPOSE NO OHUOATKX c« LIABILITY OF ANY KNO UPCN THE INSURER AFFORDING COVERAGE. :T5 AGENTS OR REPRESENTATIVES HARSH USA INC. - •Y-. Baa M Lynch C.««J^'?-<J7yT*cA^ ' MMK9/99) VALID AS OF: '2/VW01