The URL can be used to link to this page

Home My WebLink About2355 CARINGA WAY; 03; CB052938; Permit08-11-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB052938 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2355 CARINGA WY CBAD PLUM 2152400511 Lot#: 0 Construction Type: NEW MOUNT RESIDENCE WATER HEATER REPLACEMENT Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Status: ISSUED Applied: 08/11/2005 Entered By: MDP Plan Approved: 08/11 /2005 Issued: 08/11/2005 Inspect Area: Owner: MOUNT JACKIE 2355 CARINGA WAY CARLSBAD 92008 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 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 $27.00 Total Fees:$27.00 Total Payments To Date:$0.00 Balance Due:$27.00 > m AGC04QANC£ WTTH C.B.C. SE(n^10R4,4M^»fi:,H!Ja^8VCl^52i.(B&8M/05 0002 01 02 CGP 27.DOTE .Qfe SIGNATURE .L 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 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 FOR OFFICE USE ONLY PLAN CHECK NO.. EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.division Name/Number Unit No.Phase No.Total ff of units Existing Use Proposed Use Description of Work SO. FT. #of Stories Jzpi'eoNf^ ^~* •- f of Bedrooms * of Bathrooms Name Address AfpflCANT D Contractor Address City State/Zip Telephone If i Name 5. 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 exeffip^i^n^ Any violation of Section 7031.5 by any applica^itjor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name State License It i^ j ^5 t^Lj Address License Class C- 2-O Cs£ City r» City Business State/Zip License * I'D Telephone # dcnco Designer Name State License f 5. WORKERS' COMPENSATION " Address ,, .,.„ J - , , , v ;„ City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: f~l I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ted. My worker's compensation insurance carrier and policy number are: Insurance Company \ir&&n (X$>Ac Policy No. ff\ ^J T^v^T^y ~O» Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) [~l CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to tbaJ/Vorkers' Compensation Laws of California. WARNING: Fallurt/o secWe workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($Wocy*Cp),Jn addition to the cos»ol,coiip«n^ation, damages as provided for in Section 3706 of the Labwricfd^interest and attorney's fees. SIGNATURE ^\JL/\A^(\y<^^ 'I I \_M^-&\ DATE! ^^ . . I / """''„ ', 7.'OWNER-BUILDER DECLARATION I hereby affirm that 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 ha did not build or improve for the purpose of sale). 0 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 and materials for construction of the proposed property improvement. C] 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 I 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 I address / phone number / type of work): . PROPERTY OWNER SIGNATURE DATE C^MPLETE^HIS SECTiON FO*^ ''"*""* """""" 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? d YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O 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 • •-. -"> f,,jg^i.^$t>,t;"f *>*""«"«-"'"-' -~ •' - 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9; . APPLICANT CERT iFicATiONffS? i:*r:: wws v. m m; -'" ^ ••••-.-•' I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued bylhebuilding Official under the provisions of this Code shall expire by limitation and bec*ne null and void if the building or work authorized by such permit is not cfcrnfnencea] within 180 days from the date ofAuch permit or if the building or work authorized$jjj^@f permit is suspended or abandoned at any time after the work is comfrWicecyprJa fJeripjl of 180 days (Seo^on\1/J6|4^H:)niform Building Code). l\jL0yjy/L<a IA^C^~ l\ } A A^J^\ DATEAPPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance MARSH CERTIFICATE OF INSURANCE PRODUCER , S ervi cetvt asier C erti S cate. Team MARSH USA. Inc. 500 W Monroe St. Chicago. IL 60661 Attn. Fax: 877-732-7799 8112 THIS CERTFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED W THE POLICY. THIS CERTFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 3Y THE POLICES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE A ZURICH AMERICAN INSURANCE COMPANY MSUREO (#8112)ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC. dbaARS OF SAN DIEGO 860 RIDGE LAKE BLVD. MEMPHIS, TN 38120 B ' ILLINOIS NATIONAL INSURANCE COMPANY COMPLY c COVPANY 0 COVERAGES ^^Tn.S IS TO CERTIFY THAT POLICES CF INSURANCE DESCRIBED riSREN HAVE 3E=N ISSUED TO THE INSURED NAMED HEREIN FOR THE POL ICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE VAY 3E ISSUED OR MAY PERTAIN. THE .NSURANCS AFFORDED BY THE POLICES DESCRIBED HERBN ISSUBJECT TO ALL THE TERMS CONDITIONS AND SXC.U3ONS OF SUCH POLICES AGGREGATE LIMITS SHOW MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR !TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE | OAJEQIMIOOttV) POLICY EXPIRATION DATE (M,IIIOO«Y)LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE |X| OCCUR OWNER'S & CONTRACTOR'S PROT GLO 2938645-01 01/01/03 01/01/06 GENERAL AGGREGATE 5,000,000 PRODUCTS - CCMP/OP AGG PERSONAL & ADVINJURY 1,000,000 1,000,000 EACH OCCURRENCE FIRE QAM AGE (Any °"« er«) MEO EXP (Any on« p€r«cn) 1,000,000 1,000,000 5,000 AUTOMOBLE LIABILITY ANY AUTO ALL CWNEO AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BAP 2938646-01 (AOS) BAP 2938647-01 (VA) TAP 2938646-01 (TX) 01/01/03 01/01/03 01/01/03 fc 01/01/06 01/01/06 01/01/06 COMBINED SNGLE LIMIT 1,000,000 BODILY INJURY (P«r pa-son) BODILY INJURY PROPERTY DAMAGE OARAOE UIMHJTY ANY AUTO I AUTO ONLY - E A ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE j EXCESS LIABILITY i X i UMBRELLA FORM ! OTHfR THAN UMBRELLA FORM BE 309-79-07 04/01/01 04/01/04 EACH OCCURRENCE 5,000,000 AGGREGATE 5,000,000 WORKERS COMPENSATION AND EMPLOYERS-LIABILITY TH= PROPRIETOR/ ! X I 'NO. PARTNERSeXECUTVS • 1 GF= CERS ARE '• =XCL WC 2938643-01 (AOS)i01'01/03 01/01/06 ( WC STATU-i TORY LIMITS I .' OTH I ER EL EACH ACCIDENT 1,000.000 ia. DISEASE-POLICY L.MIT 1.000.000 irL 3SEASE-SACH =MPi.OY5=j $1.000.000 OTHER OESCRPTK3N OF OPERATIONS'LOCAHONSWEHICLEStSPECIM. ITEMS , CERTICICATE HOLOBK CANCELLATION SHOULD *W Of THE =O. C!S 3?SCS 350 HE««-N ?= G»NC?..=0 ?5BC«« THf S TVP NSlflfl «=»C«DNG COV«*«<B V»'._ =I«E«VCH fQ M"- 3B D»TS CS*TC OTf H0.jr^ N*Ht? H!«S N »l/T " .Iflf TO M*'. 3X> NOT CS a**-.. . »• . T» O= »M» < «) IPCW THF Na»5=< NOT'Cf TO TH= NO t». CATCM Ol :MARSHUSAMC. 3Y: C^nsly N. ,=tioeous VMJP AS OF: 10/26/02