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2625 COLIBRI LN; ; CB100153; Permit
01-22-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100153 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2625 COLIBRI LN CBAD PLUM 2155352200 Lot#: 0 Construction Type: NEW OCALLAHAN RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/22/2010 KG 01/22/2010 01/22/2010 Applicant: ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800-727-0977 Owner:QCALLAHAN EDWARD P&DEBRA J 2625 COLIBRI LNCARLSBAD 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 01 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 oesyiT H&<5 EXPIRED IN ACCORDANCE WITH C.B.C. BY C.M.C.1S.04.Q30 DATE 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. , ^5^ CITY OF CARLSBAD JOB ADDRESS . _ CT/PROJECT* LOT* - f Building Permit A 1635 Faraday Ave.,Carlsba 760-602-2717/2718 Fax: 760-602-85 www.carlsbadca. nnlirntinn Pla" Cheek N°^ppiicacion d,CA 92008 Est. Value/2tiy58 Plan Ck. Deposit BOV _ . ,uaie /_~2- 7 —/ j#^.*»*"~ ^ifcn Lo^e^ HASE « * OF UNITS * BEDROOMS SUITES/SPACES/UNIT* APN /(BATHROOMS TENANT BUSINESS NAME .ft/00 IS" 8 /f x^-/ CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: (nc/ude Square Feet of Affected Area(s) 1 1 } ' /" / f"? ' / EXISTING USE PROPOS CONTACT NAME (If Different Fom Applicant) 1 ED USE GARAGE (SF) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWJJER NAME \ /"")/• jl j ADDRESS^^P So^^.^s CITYx~ , . ~\ STAT MeL? I otZ^i ~5~7^> ~3 EMAIL ARCH/DESIGNER NAME & ADDRESS cJojU tfft&e^ STATE LIC.* PATIOS (SF) DECKS (SF) FIREPLACE AIR ( YES D # NO D Y APPLICANT NAME . « , . cJf^^lA. L-CdS^CXv/ f\- ;ONDITIONING FIRE SPRINKLERS -.SO NO D YES D NO D r ADDRESS ,. j^\ - l**.fi CITY STATE PHONE „ FAX &&0 72.7 ^?-77 EMAIL CONTRACTOR BUS. NAME / h /- L / !T\\ TzfroruJcc ADDRESS x-j , CITY A •*• f~* STATE PHONE FAX8607x1 n<\ 7? EMAIL <S ll GcQLJ f"^t. 75 /jiA-o / ' ^)\ Zlf>, f^r tfaoi&*> Morfa^ \3^S&~H t™fyzL MIS' (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 theapplica nt for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter a, commending with Section 7000 of Division 3 of the civil penalty of not more than five hundred dollars ($500}).'or a permit subjects the applicant to a Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of She following declarations: O I have and will maintain a certificate of consent to self-Insure for workers' compensation as prov ded by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. l have and will maintain workers' number are: Insurance Co._ pensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insura : '•II l"l « • •"".Policy No..Expiration Date ier and policy This section need not be completed if the permit Is for one hundred dollars ($100) or less. O Certificate of Exemption: I certify that In the performance of the work for which this permit is issuec, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall! object an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, i hereby affirm that I am exempt from Contractor's License Law for the following reason: O I, as owner of the 'property IDT myemployees with wages'asrthsir'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 lo 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). 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 lo 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). O 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. CJYes CJ 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 ol the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): JS$PROPERTY OWNER SIGNATURE OAGENT DATE ||ljjpl;S 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? DYes -S-No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O Yes D-No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes D No IF ANY OF THE ANSWERS ARE YES,/ 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. 1 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 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 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 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE City of Carlsbad June 11,2010 EDWARD & DEBRA OCALLAHAN 2625 COLIBRI LN CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: WATER HEATER Building Department Permit Number: CB100153 Issue Date: 01/22/2010 ADDRESS: 2625 COLIBRI LN PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 07/21/2010. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 180 days from the date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended mpre than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760)602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (760) 6O2-27OO • FAX (760) 602-8560 2009-NOV-24 01:07 PM IDA INSURANCE SERVICES^254167,869 1/1 AGQBR. CERTIFICATE OF UABIL PROOUCIX (9(25)43,6-7862 FAX C9Z5)416-7869 Insurance Office of America, Inc. DBA IDA Insurance Services 3875 Hopyard Road, Suite 240 Plwsanton, CA 94585 INSURED All Star Water Heaters, inc. 30300 Puerto Vallarta M«n1fee, CA 92584 Fax No. 951.245.6366 TY INSURANCE DATS(MM/DDWYYY) 11/24/2009 THIS CERTIFICATE IS ISSUED AS 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* peerless Insurance Company INSURER HI DELOS Insurance Company INSURER C: INSURER D! INCUfUm ft NAIC# COVERAGES THE POLICIES OF INSURANCE LI$TgD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND1N3 ANY REQUIREMENT. TERM OR CONDITION OP 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. Tfif A A B m ' TYPeOPINSURANM aiNIRALUAlJUTY X COMMERCIAL GENERAL LIABILITY __ "~| CLAIMS MADE fX~l OCCUR am ASSREBATE LIMIT APPLIES PER.YiMu«n!8& r~u°° AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON.OWNEO AUTOS QARAaHUABlUTY ANY AUTO 9XCRSIAIMIMLLA UABIUTV ~~| OCCUR [""1 CLAIMS MADE 1 DEDUCTIBLE | RereNTiON s WORKERS COMPENSATION ANDEMPLOYER*- LIABILITYANY PHQPHIpTOR/PARTNKWHXBCUTIVeJP«Ce»M8MBER EXCLUDED? ipl&l&^WoWiw OTHER ••m^^^m&mim^BmmmmH!MM&ivat i I'll \t 'Alii'i'"1!1 l^^^M^HBIIia CBP8032624 BA8477294 01DKRM12007455 flS/lS/2069 05/22/2009 08/02/2009 05/15/2010 08/22/2010 08/02/2010 UMIT8 EACH OCCURRENCE DAMAGE TO RENTEDpneMiKpfe \p* AAmMrtMl MED£XP(Anyen»pimn] PERSONAL »ADV INJURY fiENERALAOQREGATE PRODUCTS • COMP/OP AGO COMBINED SINGLE LIMIT(SB Bteimnt) BODILY INJURY (P«rp*r»on) BODILY INJURY(Per iBeldanl) PROPERTY DAMAGE(Per««l«oru) AUTO ONLY . £A ACeiDSlJT nTHVRTHAM .,?*.Aj'0AUTO ONLY: M9 EACH OCCURRENCE AGGREOATB X I WCSTATU- I1 TfinYLIMlTH 1 e.u BACH ACCIDENT w E.L DISEASE • EA EMPLOYEE E.L DISEASE . POLICY LIMIT • 1,000,000 s 100,000 s 5,000 * 1,000,000 * 2.000.000 s 2,000,000 * 1,000,000 s s s s s s s s t s s • 1.000,000 a 1,000,000 * 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / V6HICLHS / WBLU.SIONS ADDED JY ENDORSEMENT /8PKCIAL PROVISIONS . . ,:>ears Roebuck ana Co. and its affiliates and subsidiaries are listed as Additional Insured on tha General Liability and Automobile coverage. Ml Star Water Heaters Federal ID#4S-1257374 :ancellation notice 1s 30 days except for the reason of non-payment which is 10 days. CERTIFICATE HOLDER CANCELLATION Sears Roebuck and Co. 1590 Cable Ranch Rd Building A Sin Aatonlo, TX 78245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THB EXPIRATION DATE THEREOF. TMB ISSUIMa INSURER WILL ENDEAVOR TO MAIL 30 BAYS WfilfTBN NOTICE TO THB CERTIFICATE HOLDER NAMED TO THfi L6(rr, BUT FAILURE TO MAIL SUCH NOTICE 1HALL IMPOBK NO OBU3ATION OR LIABILITY OP ANY KIND UPON THE INSURER, IT* AOgWTS OR MPP.BMNTAT1VE*. , AUfHORIZBBREPRBBENTATlVS S/ J^"] 3 ffj -f}j^" J1m Rabbltt ^~?6~» ( MMwJ AeORDM(?Q01/OB) FAX! (407)677-3306 L^ ©ACORD CORPORATION 1988