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HomeMy WebLinkAbout2352 ALTISMA WAY; 01; CB082072; Permit11-12-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB082072 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2352 ALTISMA WY CBAD St 01 PLUM 2152402001 Lot* 0 Construction Type NEW WEST RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/12/2008 KG 11/12/2008 11/12/2008 Applicant JUST WATER HEATERS INC 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 Owner WEST VIRGINIA I TRUST 08-07-08 2352 ALTISMA WAY #1 CARLSBAD CA 92009 Plumbing Issue Fee Fixtu.e or Trap Building Sewer ROOT Oiam 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 Inspector FINAL APPROVAL i-/ i //» a.Date [Zy /. ft/ 0 s>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 feeb>/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 nformation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will tnr 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 U>xw Wr I FOR OFFICE USE O.NLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bld #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Proposed Use 2. SF*;-*7*l«S^':ia»2:' -i.'-'-SSW^i~*f.&!&Sf,.. • '-,.. t- i*;•:.-^C^SS^S^-^eaw&^rfl-.t^ifclv^iM^s^J-^1" -v.-li (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure pnor 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 5 by any applicant for a permitjsubjects tbeapplicanl to a civil penaltyof notmgre than fivejiundred dollars [$500]; 1C UCI^IO IVI LI 1C CUICyC 00]) I BeoJUMm Name ef/\r~jf State License # O^-f / Jj Q Address fl I" I License Class VliDVJ^ City 1 State/Zip j _ . City Business License # \ L* 1 1 lTf '£Rn2ne * Designer Name State License # Address City State/Zip Telephone # Workers Compensation Declaration I hereby affirm under penalty of 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 ygf I have and will maintain worker's compensation as required by Section 3700 of the labor Code foi the performance of the work for which this permit is issued My r worker's compensation insurance carrier and policy number are f\ 1 \Cir\Q 1 f\^J C*^7 Insurance Company /L-^ Policy No V^>1 W U I *•* t»~ Qi (*~ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 t«fthe cosNM compensation, damages are provided for in Section 3706 of the Labor Code, interest and attorney's foes SIGNATURE ^-"^LJ^V \v ^-—" __ .._ DATE_ Jin lui wiuuii mo |jeiiiii 4-7-Q? I 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 wages as their sole compensation will d 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) 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) 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 D YES D NO 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 / /ontractors 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 WHITE File YELLOW Applicant PINK Finance 4. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635FaradayAve, Carlsbad CA 92008 Page 2 of 2 __ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act' D YES \f NO Is the applicant or future building occupant required to obtain a permrt from the air pollution control dis^fQ^Jr air quality management district? D YES Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES "^D, NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NO/BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 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) LENDERS NAME LENDER S ADDRESS I certify that I have read the application arid 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 budding 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, JUDGEMENTS, 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 of 5 0" deep and demolition or construction of structures over 3 stones 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 permrt or if the building or work authorized by such permrt is suspended or abandoned at any time after the work is commenced for a period of 180 daysTSecBoo 106 4 4 Uniform Building Code) APPLICANT S SIGNATI DATE ,11'5 v_ IL -~- WHITE File YELLOW Applicant PINK Finance " City of Carlsbad Bldg Inspection Request For 12/09/2008 Permit* CB082072 Inspector Assignment Title WEST RES REPLACE WTR HTR Description Type PLUM Sub Type Phone 7602715131 Job Address 2352 ALTISMA WY Suite 01 Lot 0 Location Inspector OWNER WEST VIRGINIA I TRUST 08-07-08 Owner Remarks Total Time Requested By VIRGINIA Entered By JANEAN CD Description Act Comments 25 Water Heater/Vents AP texte-qAu* Ux*£WuA. ^feU^Kl^ -5tfeAp*.* * l 29 Final Plumbing f^t ^>l46 AfT gUlU>(,Ntfe> 5QPPY Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments LPERTIFICATE OF LIABILITY INSURANCE ;WOC6R C92S)416-7S62FAX (925)416-7>69 Insurance Office of America, Inc. DBA IOA Insurance Services 3*75 Hopyard Road, Suite 240 Pleasanton, CA 94SS8 :KST^iig^^^Y%^gii°g^^ 1ITI ! •--•!—• "I ' . . TYPE OF INSURANCE j GENERAL LIABILITY r •• "^ X I COMMERCIAL GENERAL LIABILITY i CLAJMSMAOE fXl OCCUR * : GEN L AGGREGATE LIMIT APPLIES PER CBP9SS7432 AUTOMOBILE LIABILITY ' X I ANY AUTO I All. OWNED AUTOS i J SCHEDULED AUTOS X | HIRED AUTOS X ! NON-OWNED AUTOS 72UECHY310O 05/30/200*OS/^/2009 MUttNEOSMGLEUMT 1.000,000 PHOP€RTY DAMAGE GARAGE UAB4LJTY 1 : AMVAUTO AUTO ONLY - EA ACCIDENT OTHER THAM AjftOtiNLV CA*CC . EXCESS/UMUBREUA UABH.ITY '— I I !I OCCUfs CLAIMS MADE DEDUCTIBLE EACH OCCURRENCE AGGREGATE RETENTION i WORKERS COMPENSATION AMD , EMPLOYERS LIABILITY ANY PROPRieTOfVPARTNER/EXECUTWE OFFICER/MEMBER EXCLUDED? C4SO962S2 O4/01/20OS I if yes auente under SPECIECIAL PROVISIONS beto*E.L DISEASE-POUCYUMfT | » 1,000.OOC OTHER >E SCRIPT ION Of OPERATIONS / LOCATIONS IVEHCLES / EXCLUSWWS ADDED BY ENDORSEMENT / SPECIAL PMOWSUNS EVIDENCE OF INSURANCE*^ :ERTIF.CATE HOLDER SAMGSUJ&ISaL "EVIDENCE OF INSURANCE" SMOiaJJA*«YOFTME*80«0€SCWBB)POUCI6SeeCANC«U^>8eR»eTHe E3«RAT»WOATETMe«BOf.THE4SS«^»*8UBB«mL»llieAVORTOIIAM. BUT FAtt.i«E TO «U«. SUCH NOTICE SHALL OF AMY Kwpwow r« CORD 25 (2001/08)©ACORO CORPORATION 1383