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Home My WebLink About2376 ALTISMA WAY; ; CB101514; Permit08-16-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB101514 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2376 ALTISMA WY CBAD PLUM 2152401813 Lot#: Construction Type: WALZ RES- REPLACE WATER HEATER 0 NEW Status: ISSUED Applied: 08/16/2010 Entered By: RMA Plan Approved: 08/16/2010 Issued: 08/16/2010 Inspect Area: Applicant: ARS STEA 9895 OLSON DR SAN DIEGO CA 92121 858 457 6557 Owner: RODARTE CECILIA C REVOCABLE LIVING TRUST 04-01-0 2376 ALTISMA WAY #K 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:$27.00 Balance Due:$0.00 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 twe 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. Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 Fax 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit r JOB ADDRESS 2376 Altisma Way CT/PROJECT DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) SUITES/SPACES/UNITS tt BATHROOMS TTENAN'1 BUSINESS NAME TCONSTR. TYPE TOCC. GROUP replace water heater EXISTING USE PROPOSED USE GARAGE (SF) condo CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME ... . _Walz, Terry ADDRESS 2376 altisma way, unit J CITY STATE 7IP carlsbad ca 92009 PHONE I FAX 7609181654 | EMAIL ARCH/DESIGNER NAME & ADDRESS STATI LIC. II PATIOS (SF)DECKS (SF) APPLICANT NAME ADDRESS CITY PHONE EMAIL san dieqo FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES| [* N0[~~| YES[^NOQ YES[~~]NO| [ veronica maier 9895 olson drive, a STATE ZIP ca 92121 [FAX 858 677 5455 858 677 5479 CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LIC.* vmaier@ars.com ars 9895 olson drive, a STATE ZIP san dieqo ca 92121 FAX 8586775455 8586775479 vmaier@ars.com I CLASS CITY BUS. LIC « 791820 | C36 1030700 (Sec. 7031.5 Business and Professions Code: Any City or County wh ch requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to tile a signed statement that he is licensed pursuant 10 the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: I 11 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued L/J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co liberty mutual Policy No 7631508631019 Expiration Date _ "™™ This section need not be completed it the perr | | Certificate of Exemption: I certify that in V California WARNING: Failure to secure wotke s' compensation co: addition to the cost of compensation, damage' J&$ CONTRACTOR SIGNATURE irone hundred dollars ($100) or less. erformance 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 ige is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundi 706 of the Labor code, interest and attorney's fees. ^vi I 0AGENT DATE 0\\ U IP thousand dollars (8,100,000), in / hereby affirm that I am exempt from Contractor's License Law for the following reason: \ I, as owner of the property or my employees with wages as their solo compensation, will oo '.ho woi( 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) [ ] I, as owner of the property, am exclusively contracting with licensed contractors to consiruct 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) I am exempt under Section Business and Professions Code for this reason 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement | |Yes | |No 2.1 (have / have not) signed an application for a building permit for the proposed work 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): .^PROPERTY OWNER SIGNATURE QAGENT DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration torm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-1 anner Hazardous Substance Account Act? | | Yes I JNo ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? I JYes I I No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site' I IYCS I |NO IF ANY OF THE ANSWERS ARE YES, t EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work 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 representative of the City of Carlsbad to enter upon the above mentioned properly for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPANSES 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' dee • and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official i 180 days from the date of such permit or if the building or v >£f APPLICANT'S SIGNATURE ie provisions of this Code shall e; )1zed_by such permit is su: A) illation and become null and void if the building or work authorized by such permit is not commenced within at any time after the work is commenced for/jjeriod of 18j) days (Section 106.4.4 Uniform Building Code) DATE City of Carlsbad Bldg Inspection Request For: 08/25/2010 Permit* CB101514 Inspector Assignment: Title: WALZ RES- REPLACE WATER HEATER Description: Type: PLUM Sub Type: Phone: 7607074075 Job Address: 2376 ALTISMA WY Suite: "T Lot: 0 Location: ^ Inspector: OWNER RODARTE CECILIA C REVOCABLE LIVING TRUST 04-01-0 Owner: Remarks: Total Time: Requested By: ROXANNE / TERRY WAHLS ^Entered By: CHRISTINE CD Description Act Comments 25 Water Heater/Vents Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of2 Department of Consumer Affairs •a* _ Contractors State License*&Lf~card Contractor's License Detail - License # 791820 &B DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. » CSLB complaint disclosure is restricted by law (B&P 7124,6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. » Per B&P_7Q71J.7 , only construction related civil judgments reported to the CSLB are disclosed. -* Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entity: Issue Date Expire Date License Status Additional Status: Classifications: 791820 Extract Date: 8/16/2010 Bonding: Workers' Compensation: A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC dbaARSOFSAN DIEGO 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, TN 38120 Business Phone Number:(858) 457-6558 Corporation 02/27/2001 02/28/2011 This license is current and active. All information below should be reviewed. CLASS DESCRIPTION C20 WARM-AIR HEAIING, VENIILAIING AND AIR-CQNDITIQNJNG C36 PLUMBING CONTRACTOR'S BOND This license filed Contractor's Bond number K07649551 in the amount of $12,500 with the bonding company Effective Date: 07/01/2007 Contractor's. Bonding History BOND OF QUALIFYING INDIVIDUAL 1. This license filed Bond of Qualifying Individual number K08274411 for POSCHARSCKY FRED HERBERT in the amount of $12,500 with the bonding company WESTCHESTER FIRE INSURANCE COMPANY. Effective Date: 04/02/2009 BQj's Bonding History 2. This license filed Bond of Qualifying Individual number K07554746 for KELLINGTON KEVIN GLEN in the amount of $12,500 with the bonding company WESTCHESTER FIRE INSURANCE COMPANY. Effective Date: 03/10/2007 BQI's_BoDd,ing. History This license has workers compensation insurance with the LIBERTY INSURANCE CORPORATION Policy Number:7631508631019 Effective Date: 10/01/2009 Expire Date: 10/01/2010 https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=7... 08/16/2010