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Home My WebLink About2402 ALTISMA WAY; STE. G; CB092168; Permit12-22-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB092168 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2402 ALTISMA WY CBAD St: G PLUM 2152401709 Lot#: 0 Construction Type: NEW GRACE: REPLACE WATER HEATER Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/22/2009 JMA 12/22/2009 12/22/2009 Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner: ROMERO LUIS A 133 ALICIA WAY 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. (f[ I jl Clearance: NOTICE: Please take NOTICE thai 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. Print Form City of Carlsbad Plan Check No. Q&O^t 2\ 1635 Faraday Ave., Carlsbad, CA 92008 W ^?f%0 760-602-2717 / 2718 / 2719 ^^16^ Fax: 760-602-8558 xJ***'^ Building Permit Application JOB ADDRESS2402 Altisma Way Unit G CT/PROJECT* LOT» PHASE » 0 OF UNITS » BEDROOMS ja Eat. Value ^ Plan Ck. Deposit Date ^[#1,10*1 VsJtfWf SUITE»/SPACE*/UNIT» APN 0 BATHROOMS TENANT BUSINESS NAME CONSTR.TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Ar«»(sJ Replace water heater, same size, same location. EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If DMtrtnt Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME Candice Grace ADDRESS 2402 Altisma Way Unit G CITY STATE ZIP Carlsbad Ca. 92009 PHONE FAX 949-456-5928 EMAIL ARCH/DESIGNER NAME 4 ADDRESS STATE LIC. * PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YESQ# NO!"") YES QUO Q YE:S| |NO| | APPLICANT NAMEJosh Keating ADDRESS 30300 Puerto Vallarta Way CITY STATE ZIP Menifee Ca. 92584 PHONE FAX 800-727-0977 95 1 -245-6366 EMAIL CONTRACTOR BUS. NAME . ,. . ... . .. .All Star Water Heaters ADDRESS 30300 Puerto Vallarta Way CITY STATE ZIP Menifee Ca. 92584 PHONE FAX 800-727-0977 95 1 -245-6366 EMAIL STATE LICJ CLASS CITY BUS. LIC.# 812894 C36 1221418 (Sec: 7031.5 Business and Professions Code: Any City or County which requires a permit to_construct alter, improve, demolish or repapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawfCnapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031,5 by acivil penalty of not more than five hundred dollars {S500J}. WO R K ERS' COMPENSATION Ir any structure, prior to its issuance, also requires the——1, commending with Section 7000 of Division 3 of - -any applicant for a permit subjects the applicant to a Worken' Compensation Declaration: / nereoy affirm unOer penalty ofpei]ury one of fie IWtowfng Declarations: \ 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 1$ Issued. Ixl I have and will maintain worker*' computation, 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 canter and policy number are. Insurance Co PolicvNo. 01 DKRM1 2007455 Expiration Date 08/02/10 This sect™ need not be completed If the permit is for one hundred dollars ($100) or less. |~1 Certificate of Exemption: I certify thai in the performance of the work for which this permit is issued, I snail 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 (4100,000), In addition to the cost of compensation, damages as provided for in Section 3706 oijhe LabeLQfige, Interest and attorney's fees. JiZ CONTRACTOR 8IONAfu5Lx</^ "S^__——^_— *£^~ ^> DATE O W NEK-BUILDER OECLAR AT I O N / nere&y afflroi that I am exempt from Contractor's License Law tor the /Wowing reason; f~] 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, nowever, 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 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). 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 I JYes I INO 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): ! jOt PROPERTY OWNER SIGNATURE DATE PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., 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 risk management and prevention program under Sections 25505. 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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 D NO 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 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. 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). 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, 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 stories in height 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 APPLICANT'S SIGNATURE •n 106.4.4 Uniform Building Code). DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For. 05/28/2010 Permit* CB092168 Title: GRACE: REPLACE WATER HEATER Description: Inspector Assignment: 2402 ALTISMA WY G Lot: Type: PLUM Sub Type: Job Address: Suite: Location: ^ OWNER ROMERO LUIS A Owner: Remarks: Phone: 949573J3645 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Commei Comments/Notices/Holds Requested By: RYAN Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 2009-NOV-24 01:07 PM IOA INSURANCE SERVICES 9254167869 1/1 AGQB& CERTIFICATE OF LIABILITY INSURANCE PKOOUOIX CW5J416-7862 FAX (925)416-7«69 Insurance Office of America, Inc. DBA KM insurance Services 3S7S Hopymrd Road, Suite 240 Pleasanton, CA 9458S INSURED All Star Water Heaters, inc. 30100 Puerto Valletta Henlfee, CA 92584 Fax No. 051.245.6366 fiATC(UM/M/ftYV) 11/24/2009 THIS CERTIFICATE 13 ISSUED A* A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A peerless Insurance Company INSURER* DELOS Insurance Company INSURER ft INSURER* INSWWK ft NAIC* COVBRAQgS ANY REQUIREMENT. TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AfiQREGATE LIMITS SHOWN MAY HAVE 01EN REDUCED BY PAiO CLAIMS. OMCWPTTONOFOPERATIONS/ LOCATIONS / VBHICLMInOLUSIONS ADDED BY ENDORSEMENT/SPECIALPROVISIONSears RodbucK ma Co. and Its affiliates ana subsidiaries are listed as Additional Insured on tha eneral Liability and Automobile coverage. VII Star Water Heaters Federal 10*48-1257374 :ancellat1on notice 1s 30 days except for the reason of non-payment which 1s 10 days. CERTIFICATE HOLDER CANCELLATION Sears Roebuck end Co. 1590 Cable Rmnch Rd Building A San Antonio, TX 78245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 01 CANCELLED BEFORE THE EXPIRATION DATE-THEREOF. YHI ISSUIMO INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRimtN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Ltrf, BUT FAILUM TO MAIL SUCH NOTICE SHALL IMPOSE NO OBI48AT10N OR LtABIUTY OF ANY KIND UPON THE INSURER, ITfAdgMTS OR REPRSSINTATWES. . J1M Rabbltt ^7^-^ ( J^Mv^/ ACORD 29(2001/08) FAX! (407)677-3306 (CACORD CORPORATION 1988