HomeMy WebLinkAbout2532 ABEDUL ST; ; CB091638; Permit10-05-2009
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB091638
Building Inspection Request Line (760) 602-2725
Job Address;
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2532 ABEDUL ST CBAD
PLUM
2152702600 Lot#: 0
Construction Type: NEW
MACCOLLAM RES REPLACE WTR HTR
Status: ISSUED
Applied: 10/05/2009
Entered By: KG
Plan Approved: 10/05/2009
Issued: 10/05/2009
Inspect Area:
Applicant:
FAST WATER HEATER COMPANY
12601 132NDAV NE
KIRKLAND WA 98034
4258143124
Owner:
MACCOLLAM JOEL A&JANN S TRS
2532 ABEDUL ST
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 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.
City of Carl*bad
ri635 Faraday Ave., Carlsbad, CA 92008
.760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
459828
Plan Check 1
Est. Value
Plan Ck. Deposit
JOB ADDRESS 2532 ABEDUL ST
1 CT/PRQJECT It It BEDHOOMS
S U FTEtf/S PACES/ U N ITS
tt BATHROOMS TENANT BUSINESS NAMEPHASES
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CONSTH. TYPE
Remove/Replace Gas Water Heater
FIRE SPRINKLERSEXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SR DECKS (SF)FIREPLACE
NQf~~I
AIR CONDITIONING
CONTACT N,im Applicant)APPL1CANTNA]f AST WATER HEATER COMPANY
ADDRESS12601 132NDAVENE ADDRESS 12601 132NDAVENE
CITY KIRKLAND STATE
WA
ZIP
98034
CITY KIRKLAND STATE
WA
ZIP
98034
PHONE 425-636-7084 FAX425-636-7085 PHONE
425-636-7084
FAX
425-636-7085
EMAIL juliec@fastwaterheater.com EMAIL.juliec@fastwaterheater.com
PROPi , JANN CONTRACTORfA'sTwATER HEATER COMPANY
ADDREf532 ABEDUL ST ADDRESS 12601 132NDAVENE
CITY CARLSBAD STATE
CA
ZIP
CA 92009
CITY KIRKLAND STATE
WA ZIP
98034
PHONE (760)438-7429 FAX PHONl425-636-7084 FAX 425-636-7085
EMAIL EMAIL juliec@fastwaterheater.com
ARCH/DESIBNER NAME & ADDRESS STATE LJC, (*STATE UC.»
877489
CLASS
C36
crrv BUS. LIC.»
1222302
(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 thea pplicant 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 theBusiness 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 permit subjects the applicant to a
civil penalty of not more than five hundred dollars (5500)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one oHte Mowing declarations:
I j | 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 (his permit is issued.
|j(| | have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, far the performance of the wort for which this permit is issuod. My workers' compensation insurance carrier and policy
number are: Insurance Co Truck Insurance Exchange Policy No. A09304455 Expiration Date 12/1/09
This section need not be completed if the permit is for one hundred dollars ($100) or less.
[_J Certificate of Exemption: 1 certify that in the performance of the work for which this peimit is issued, I shall nol employ any person in any manner so as to become subject to the Workers' Compensalion Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer!*) criminal penalties and civil fines up to one hundred thousand dollars |&1QO,000), In
addition to the cost of compensation, riamanes as nmulriw) fnr in Spriinn T7nn nf iho Labor code, Interest and attorney's fees.
DATE 9/30/09
I hereby affirm Inaf / am exempt from Contractor's Ucense taw for the fo/tomng reason:
| | I, as owner of the property or my employees with wages as their sols 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 compfelicm, Die owner-builder will have the burden of proving thai he did not buffd or improve for She purpose of sale).
|~~] I, as owner of the property, am exclusively contracting with licensed contractors to construct Hie project (Sac. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with conlractor(s) licensed pursuant to the Contractor's License Law).
[ [ I am exempt under Section Business and Professions Cods for this reason: ^_^
1.! personally plan to provide the major labor and materials for construction of Ihe proposed property improvement I jYes I |Np
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 Ihe proposed construction (include name address I phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired trie following person to coordinate, supervise and provide Ihe major work (include name I 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 DATE
Is the applicant or fature building occupant required to submit a business plan, acutely hazardous materials registration farm or risk management and prevention program under Sections 25505,25533 of 25534 of ihe
Presley-Tanner Hazardous Substance Account Act? I I Yes I (NO
Is the applicant or future building occupant required to obtain a peimit from the air polfulion control district Of ajnjuality management district? L_jYes I I No
Is the facility to be constructed within 1,000 fee! of the outer boundary of a school site? I |Yes
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm lhat there is a construction lending agency far the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
'SJ^jj^TlGDO*" !T?5S*jaK?-J-'jk&:ir']-®iTrf "" " ' „ <- "> " ^
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 wilhallCttyonilnances and Statelaws relating to building constniction.
I hereby authorize representative of Ihe City of Carlsbad to enter upon the above mentioned property for inspection puiposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CFTY 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'Q" deep and demolition or construction of structures over 3 stories in heighL
EXPIRATION: Every permit issued by Ihe Building Official under the provisions of this Code shall expire by Imitation and become null and void if Ihe building or work authorized by such permit is not commenced within
1BO days from the date of such peimit or if ihe building or work authorized by such permit is suspended or abandoned at any tirre after the wotk is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
.^APPLICANTS SIGNATURE DATE 9/30/09
City of Carlsbad Bldg Inspection Request
For: 01/11/2010
Permit# CB091638
Title: MACCOLLAM RES REPLACE WTR HTR
Description:
Inspector Assignment:
2532 ABEDUL ST
Lot:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
APPLICANT FAST WATER HEATER COMPANY
Owner: MACCOLLAM JOEL A&JANN S TRS
Remarks:
Phone: 7604387429
Inspector:.
Total Time:
CD Description
25 Water Heater/Vents
29 Final Plumbing
Act Comments
Requested By: JAN
Entered By: JANEAN
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
™ CERTIFICATE OF LIABILITY INSURANCE I t IIVIIVI/UU/T f 1
1/14/2009
RODUCER *
I ova Insurance AgencyPO Box 981"
Twin Peaks, CA 92391
1-866-244-4682
JSURED FAST WATER HEATERS I, INC "*""
FAST WATER HEATER PARTNERS I, LP
DBA: FAST WATER HEATER COMPANY
12601 132ND AVENUE NE
iKIRKLAND, WA 98034
THIS CERTIFICATE IS ISSUEDAS 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: TRUCK INSURANCE COMPANY
INSURER B:
INSURER C:
INSURER D:
INSURER E:.
NAIC#
lOVERAGES
THE POLICIES OF INSURANCE LISTEDBELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
&R-m
•»
A
U.V
kbfa-L
NSRD TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE |_ | OCCUR
GEN1 AGGREGATE LIMIT APPLIES PER:
POLICY 1 1 JE CT | LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXC
_l
ANYAUTO
ESS/UMBRELLA LIABILITY
OCCUR | 1 CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Jfyes, describe under
55>ECIAL PROVISIONS below
OTHER
POLICY NUMBER
A09304455
SMBM6
12/1/08
POLICY EXPIRATIONDATE (MM/DD/YY)
»
12/1/09
LIMITS
EACH OCCURRENCE
LtfMVlWJt 1 V-> Ktw 1 CLJ
PREMISES (Ea occurence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS -COMP/OPAGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EAfAGGIDENT
OTHFR THAW EAACC
AUTO ONLY: AGG
EACH OCCURRENCE
AGGREGATE
_, | WCSIAIU- 1 iorn-X (TORY LIMITS | | ER
E.L. EACH ACCIDENT
E.L. DISEASE- EAEMPLOYEE
E.L DISEASE- POLICY LIMIT
$
$
$
$
$
S
«
$
$
$
$
$
$
$
$
S
I
$
S
J 1.000, Oti
* 1,000,001
s 1,000,00)
- . - - ~
EECRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
:ERTIFICATE HOLDER CANCELLATION
1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION './ j
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRlfffiN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
REPRESENTATIVES.
TO DO SO SHALL
ITS AGENTS OR
AUTHORIZED REPRESENTATIVE