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Home My WebLink About2356 CARINGA WAY; C; CB041181; Permit04-07-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB041181 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2356 CARINGA WY CBAD St: C PLUM 2152402931 Lot#: 0 Construction Type: NEW TSINBERG RES NEW H20 HEATER Status: ISSUED Applied: 04/07/2004 Entered By: SB Plan Approved: 04/07/2004 Issued: 04/07/2004 Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Owner: TSINBERG PAVEL 2356 CARfNGA WAY #C CARLSBAD CA 92009 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 27.00 SECTION IGo.4.4 DATE.StGMATHRfc Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please lake 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 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONiY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Assessor's Parcel # Description of Work , Lot No. Subdivision Nai Existing Use . . SflJ FT. me/Number t5k-TZUYW VJ]s v tof Stories Unit No. Phase No. Proposed Use # of Bedrooms Total # of units # of Bathrooms ' >t"> (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 of Section. 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).. Q'. Name "V^o j /^ /" State License # f\ 1 O C Designer Name State License # \ /->> ^ Address i , *O License Class C3-O C^L/ Address City State/Zip ' City Business License # I t?~ City State/Zip Telephone # 50*7 CnO 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. j£jT~ 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: ^/OO-O/ t/2 / *+jl ' Insurance Company AA/uTS>\A. ^J ^A> Policy No. OVt "O& ll V 3" Of Expiration Date Of/ O ( (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 workan'-compensation coverage is unlawful, and shaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in additicfijto the cost of compensation, damages as provided for in Section 3706 of the Lab/rcode^lnterest^nd attorney's fees. SIGNATURE IV A> ^A--v^~V^ DATE ^j / ^/7) Y I hereby affirm that I Vm_^xempt 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 trie 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). Q 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). Q 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. 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 HOMPt^tfMISSECIfOtfrW^ , .. •- -~: r*f i".r > f ;,-,",,"_ ' ' .„", •- 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? O 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? 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. 941 COLNSTWJCtlONLENp|JN<rAGENCY;'• -'',-,_ ' - - ''•"' . ; 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 commenced within/TBO days from the date of such permit or if the building or work authorized by sucrf permits suspeded or abandoned at any time after the work is comnrjenchd for aperiic/of 180 days (Section 106.4.4 Uniform Building Code). ( J APPLICANT" SIGNATURE _ LJ/T V J(~/\/^~~\-^~\ /^ DATE I WHITE: File (.LOW: Applicant PINK: Finance Slate a Caiilornia CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSEijmiiiocr iBi. Affairs ^^ u-fc*- 791820 c,,, CORP ,>..-,„.« A R 3 AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC DBA A R S OF SAN DIEGO c..-.«^ C20C36HIC '••«-">•• 02/28/2005 *!lMsil U » *-*£?n» =3 in.a. cr-- _ m Er 5" 3" -n ST ~ '7J /a or- aa £- n-•s- ^ =r"S. « as. S °» "E" 2 STo a- -••-^ ja- ^-.n fo- Q- (a- oa i*.. v•3. c _,.. =? 5T SM CE <2. o <«•"9 5= Q:M a ^CL. —v. Ui~ §.. ? a^r u»- fu ' "*'37 n 3rra. o ^ (D- 2. ^^cr =^ c:-< M w> sr S- »' ' -' rr ^^HBflH^^^^^^a 3 -\ _. "WV£/^> ^Bi^Li^*Hrfa \ ^T'^•LFS !? C T- (/>" -. «" «-* t/i o» ^1-TJ n' C J 3 ID CO.35 a «j.<TJ "• — . 1., ra O S "3.9; n a-8..ro T " * ^^'^ t%- *<3.-55»^ o ££ 3^ MARSH ServiceMaster Certificate Team MARSH USA. Inc. 500 W. Monroe St. Chicago. II 50661 Attn. Fax: 877-732-7799 8112 WSUREO (*8112)ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC. dbaARSOF SAN DIEGO 860 RIDGE LAKE BLVD. MEMPHIS, TN 38120 CERTIFICATE OBINSURANCE CERTIFICATE NUMBER CHI-000949417-01 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 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIE S DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COV^AV A ZURICH AMERICAN INSURANCE COMPANY ILLINOIS NATIONAL INSURANCE COMPANY COVERAGES TOs certificate supefgedesandrepiacesany previooaly is^edcertffcate for8ie policy periocl notedbeiow. Tn:S IS TO CERTIFY THAT PCLiCES Or INSURANCE DESCRIBED nERSN r-iAVE 3E=N iSSoSD TO THE INSJRED NAMEO rlEREIN .=OR THE Pa ICY PERIOD INDICATED NGTWTHSTANOING ANY REQUIREMENT TERM OR CONDITION OF AN* CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE WAY 3EISSUED OR MAY PERTAIN THE :NSURANC5 AFFORDED BY THS PODGES DESCRIBED HERSN ISSUBJECT TO M-l THE TERMS CONDITIONS ANO EXG-USONS OF SUCH POLICES AGGREGATE LIMITS S-OWJ MAY HAVE BEEN REDUCED BY PAD a AIMS *?£ TYPE OF INSURANCE.TR | * Si GENERAL LI ABILITY , i f X COMMERQ/H. GENERAL LIABILITY I CLAIMS M/OE I X I OCCUR OWNER'S & CONTR ACTOR 3PROT AUTOMO8I.E LIABILITY X *IY AUTO ALL OWED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO j EXCESS LIABILITY X j LIMSREUAFCRM I OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TH =A ': CF = C=90PRIETORI J X i -NO. •=!CSRSARE '' • EXC. POLICY NUMBER GLO 2938645-01 - BAP 2938646-01 (AOS) BAP 2938647-01 (VA) TAP 2938648-01 (TX) BE 309-79-07 | WC 2938643-01 (AOS) i POLICY EFFECTIVE QATE(HI«;00)YY) 01/01/03 | 01/01/03 01/01/03 01/01/03 i 04/01/01 I 01/01/03 P CL Kf EXPIRATION DATE (HMIDDfYY) 01/01/06 01/01/06 01/01/06 01/01/06 i j 04/01/04 01/01/06 LIMITS GENERAL AGGREGATE ! * 5,000,000 PRODUCTS - CCMP«P AGG 5 1,000,000 PERSON/*. A AOVINJURY I $ 1 ,000,000 EACH OCCURRENCE FIRE DAMAGE (AnyonaCre) MED EXP ( Any <n a a arson) COMBINED SNGLE LIMIT BODILY INJURY (Par person) BODILY INJURY (Per accident) PROPERTY D/MAG5 fUTO ONLY - E A ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT ! AGGREGATE EACH OCCURRENCE AGGREGATE $ 1,000,000 $ 1,000,000 $ 5,000 $ 1,000,000 $ $ 5 $ J"*^" *• "** tj" ' $ $ $ 5,000,000 $ 5,000.000 S i v i WC STATU- ! ! OTH-,[X | TORY LIMITS I | 5H [ EL EACH ACODSNT j S 1 ,000.000 =!. •5IS5ASE-PO.ICYL..VIIT $ 1 .000.000 ;=,. jsztacffCH =ViPI.Qv==! $ 1 .OQO.QOO OTHER ESCRIPTION OF OPERATIONSfLOCATIONS/VEHICLESISPEaAL ITEMS :£RTfftCATE HOLDER,CANCELLATION «O^O NG CCV?^*Ge .V-.. r^S*VCT T0 M* .^5^ N»K«3 H»^= N ?I/T r» LR5 "O »,**•. .=5UCH f^OT CS I TT5N NOTC£ TO ' O9E NO O3_ C«*rC7^ CR MARSH USA MC. ,3Y: Chnsiy N. ,=r,oeous M«1(3H«V V*UD AS Oft 10(26/02