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Home My WebLink About2567 ARUNDEL AVE; ; CB062049; Permit07-18-2006 \~~- City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB062049 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2567ARUNDELAVCBAD PLUM 2131702800 Lot#: Construction Type: VIERNES RES GAS/ELEC TO BBQ 0 NEW Status: ISSUED Applied: 07/18/2006 Entered By: KG Plan Approved: 07/18/2006 Issued: 07/18/2006 Inspect Area: Applicant: WILLOW LANE GROWERS Owner: VIERNES MATTHEW E&KIM S 2567 ARUNDEL AVE 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 0 1 0 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Total Fees:$47.00 Total Payments To Date:$47.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date 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 vou 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 OflLY PLAN CHECK N(ff n^-* r^^x' EST. VAL. _____^_ Plan Ck. Deposit Validated, By Address (include Bids/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel i Proposed Use Description of Work #of Stories # of Bedrooms * of Bathrooms Name State/Zip Telephone f Fax* State/Zip Telephone 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 tho 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 exemption. Any violation of Section M31.5 by any applicant for apermt subjects the applicant to a civil panalty of not^nora than five hundred dollars l$50Ql|, ,.fc,. , . „ „ „ __ ., tate/Zjp Telephone* ^r\ I f\ J^—x 1 ~^~^ ] r * * 1 *"^1 1 ^\ 1 "~ \ *~\ *^2State License # C/ KJ , J | 1 License Class ( ,, f^L \ City Business License # * C*, ' Ijfc^CV-r-3 Designer Name Address State License # City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. W*iav ' navB and wi" ""'"tain 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 wlicy number are: Insurance Companyxl \ ('gyC\ Ck dVXAJLJVji VA^MQtVM policy No.UJVOl^^ '^ O(J1 Expiration Date_,\ PER(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONfHUNDRED DOLLARS 1*100) OR LESS) Q CERTIFICATE OF~£XGMPTION: 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 Darken' compensation coverage !• unlawful, and ahal aiibjact an employer to criminal penalties and dvH fine* up to one hundred thousand djgJtaiJ410a^O£DhVw'fUtion to **» 4»»* offwlmpeijlkatkm, damages as provided lot In Section 3706 of the Lotxu/«0de, Jntu«u and attorney'* fets. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 doe* 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 ia 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 sate). 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). 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. Q YES QNO 2. I (hav« / 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 malar work (include name I address / phone number / contractors license number): 5. l will provide some of the work, but I have contracted (hired) tha following parsons to provide the work indicated (Include name / address / phone number / type of work); PROPERTY OWNER SIGNATURE DATE 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? C3 YES Q NO Is the applicant or future building occupant required to obtain a permit from the eir 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 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. ^ffl»iSli^^^iMi^iiili^^^^M_^^ „- _ * „ . ^ . ,i 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 Codel. LENDER'S NAME LENDER'S ADDRESS ---,_- ,-._- _™ ,- -,,~™ .*.«„* i UH ia|i|i| nun H HI*! i|iBj|iiiniaia:|iai|Hiti 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 alt City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit* 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 perfrntjsjeqyired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Ever/permit issuetyy 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*>ermit Is not corrfmenced within 180 days from t*e date of such permit or if the building or work authorized by such permitls suspended or abandoned at any time after thB^efiHwajmmirfncedfo^r a period of 180 days (^ection 106.^(4 Uniform Building Code). * "~ APPLICANT'S SlGwWlRE need for a_ri City of Carlsbad Bldg Inspection Request For: 12/20/2006 Permit# CB062049 Title: VIERNES RES GAS/ELEC TO BBQ Description: Inspector Assignment: RB 2567 ARUNDELAV Lot Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT WILLOW LANE GROWERS Owner: VIERNES MATTHEW E&KIM S Remarks: Phone: 7608400280 Inspector: Total Time: CD Description 29 Final Plumbing 39 Final Electrical Requested By: HENRY Entered By: JANEAN Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 07/20/2006 21 Underground/Under Floor AP RB 07/20/2006 23 Gas/Test/Repairs AP RB 07/20/2006 24 Rough/Topout WC RB 07/20/2006 31 Underground/Conduit-Wiring AP RB From:lP!S INC.9169239286 05/24/2006 09:39 #533 P.002/002 Wll.UAN-04 TAAM ACQgfiL CERTIFICATE OF LIABILITY INSURANCE Vnoouctft («0| 888-2777 Armstrong ft A»$ociat»» Iniurtnce 8«rvlcM Ucenw #0960301 P.O. Box 1270 Woodland, CA 95778-1270 HWJMB Willow Lan* Orovwn, 753 Rvqutt* St. Enolnltu, CA 92024- oATi(»w0wmv) S/24f200« THI3 CERTIFICATE IS fMUCO AS A MATTER OP INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. TH» CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NCUMM* Virginia Surety Company, Inc. 1N6UURI; HSUMftC: iHfUWRD; MWUKEi NAtC* COVERAQM THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IflSUBD TO THE INSURED NAMED ABOVI FOR THE PQUCY PERIOD INDICATED. NOTWITHSTANDINQ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OH OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE WfiUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES. DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY FAID CLAMS. HUTLTH A kWt.MI iir TVH «p niiinrtip^" (HNMAL LIAMUTV •Vl^qptf COMMERCIAL OENEMLUABILITY _] CLAIM! MUOS | ~\ DCCUA OTN-L AOGRI QATE LIMIT WfLttt PRft "lpOL«n» HLOC AUTOMOHLI LMMLITV AKYAUTO ALL OWNED AUTO* SCHEDULEO AUTO» HHUOMJTM NOM-QWSO AJUTO> OAnAOtUAHUrV AMVAIHO CXCEMfUMBmLUUMMUTr _J OCCUR L_Jci>IMIM«i6 OEOUCTMLE WTENTION S WOMKIM COMPENSATION ANDnmoYiw uAWUTY ANT PriomaTOfvpANTNcwixKCunveWRCCIUMiMnR EXCLUMOT If MI, tf N«lbi uMirJBPECIAL PFIOVtllONI Iwtow OTHKK ••••••••VffiMT^biiiiMiv.vrii'if^ ^:,- Jb :**^/ •'^i-^: JiiiiiiiiiiiiiiiiiiT^^viiiiiiiiiiiiiiit: WVS0011 74301 9/9/2008 9/B/20D6 EACHQCCUmCNCE jJ^BMlri lUtWniBBnuMUUMJffHunpori , MeOENPtAnyonipvWfi} PCMONAL » WV IHJUWT OCNEIULAOOREdATe PHOOUCT* • OOMf «r AGO COMBINED «tHGL« LIMIT|i« •«*<**} MOILV WJURV(Pwpwwn) BOOtLYWJUMV(FwMBhMnQ pMremvDAMAet(TtrMMMl) AUTQ OM.Y • EA ACClHNT (jTHfiRTHAW K**CC,AWOtJST ^j BACH DCCUKHENCI AOQRCOATC X l«t£wTAJS!" I l^™1 LLSAOHACCIOBNT EX, D«EA» - KA EMPLOYEE tU DMBAK - «UCY LIMTT 1 1 » I 1 4 % 1 1 I 1 I 1 1 1 1 1 1 | 1,060,00f , 1.0CO.OW » 1, 000,0 W Ott^lPTONOrWilWnOW/LOCATWW/WMKLWfBXCLWWM CERTIFICATE HOLD6R CANCELLATION Proof of Cov*r*g«WOULD ANY Of THI AMW MMNHD POUCH* K CANGILtJD HKME TNI RXPIIUTION DATt THIWOf , TM( H9UWO RMUMH WH.L ENMAVOt TO MAM, 00. OAVt WWTTIN NOnCC TO THi CWTWCATB HOLDIH NAHKO TO THi LfPT. IUT rAMM m DO 90 WfAU IMP01E W Oi UOATION Oft IfAWJTY Of AMY KIND WOWTMfl INUftfR, m AOWTf Od RCPMlBNTATIVn. MtTHOKia&mPmMMTATNE n^j. _ *- - S~\ • ~ I ^TV^ oJdUvk^ \^_t A'^"^» iA^."-M<n1ft ACORD 25 (2001/OS)OACORO CORPORATION IMS 657 fs*