Loading...
HomeMy WebLinkAbout2689 COVENTRY RD; ; CB090123; Permit01-22-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090123 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2689 COVENTRY RD CBAD PLUM 2081330205 Lot# Construction Type FARRUK RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 01/22/2009 KG 01/22/2009 01/22/2009 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA CA 91321 661 259-7131 Owner FARRUK TAREQUE O&MEREDITH G 2689 COVENTRY RD CARLSBAD CA 92010 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPROVAL Date q Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations o other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City ot Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 7606028558 Building Permit Application Plan Check No Est Value Plan Ck Deposit JOB ADDRESS - ^ . CT/PROJECT# LOT# PWSE# # OF UNITS 1 # BEDROOMS SUITE#/SPACE#/UNIT(* APN ((BATHROOMS TENANT BUSINESS NAME - (f— CONSTR VfPE b'CC GROUP DESCRIPTION OF WORK fcfePlaCe, ye «Allo/s ytf UJd/f-er Neo-ttr S<*f*)€ /OCA'f'/O^s /_c\.ut'vAri/ ^-i?ot'v\ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME . T-txrrvA K (VsC-Tn^S ADDRESS (-y f\»v\ t. CITY STATE ZIP fll£-$[ (p PHONE FAX UV°v- S'Vi-- 1 ^MH EMAIL ARCH/DESiGNER NAME & ADDRESS STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE YES D # NC APPLICANT NAME .Stttt U'Vf/e.fTc./tx AIR CONDITIONING FIRE SPRINKLERS ) D YES D NO D YES D NO D ADDRESS BtletJ CITY STATE ZIP PHONE FA> fc6/ -«J5^ 95T* EMAIL -.Scott @ /?tJf/4£ CorvN CONTRACTOR BUS NAME . /^P^ArcXo.ble U/c*.tcr ngocr€-r«5 ADDRESS JV707 Rai/rcftd /9Vt CITY STATE ZIP \f£tohA// ^^* ^/3J.f PHONE FAX EMAIL STATE LIC (» CLASS CITY BUS LIC# • ^^ /^- 1 7A7 / (Sec 70315 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 islicensed pursuant to the provisions of the 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 ofSection 7031S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollan {$500}) j Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 Cfl I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which thispermit is issued My workers compensation insurance carrier and policy number are Insurance Co pfefMTK Policy No jLQp7y°» I&3 Expiration Date I * / " /? This section need not be completed if the permit is for one hundred dollars ($100) or less n Certificate of Exemption 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 workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (S100 000) m addition to the cost of compensation damagei?as provided for in Section 3706 of the Labor code interest and attorney s fees UE5" CONTRACTOR SIGNATURE AG^l DATE I- / (f - 0C'] I hereby affirm that I am exempt from Contractor s License Law for the following reason D 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 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) H 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 1 personally plan to provide the major labor and materials for construction of the proposed property improvement d Yes D No 2 I (have / 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 /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 major work (include name / address / phone / contractors license number) 5 I 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) 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? OYes O 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 O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes O No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT sifeiAKi^B*^PSP|ppiS^^Mi^^Bi^^^BS|ip|p«iplfi I hereby affirm trial 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 Icertifythatlhavereadtheapplicationandstatethattheabove Information iscorrectandthattheinformadonontheplansisaccurate I agree toMmplywim all Cityordinancesand State laws relating to buildmgwnstructon 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 stwctures over 3 stones in height 180 days from the date of such permit or if the buildirn or work authorized by such permit is suspended or abandoned at any time after the wo* is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code)w^APPLICANT S SIGNATURE DATE f City of Carlsbad Bldg Inspection Request For 02/11/2009 Permit* CB090123 Title FARRUK RES REPLACE WTR HTR Description Inspector Assignment Type PLUM Sub Type Job Address 2689 COVENTRY RD Suite Lot 0 Location OWNER FARRUK TAREQUE O&MEREDITH G Owner FARRUK TAREQUE O&MEREDITH G Remarks before 2pm Phone 6195347344 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments ft? Requested By MERIDITH Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 16619481533 WMI 02 31 40pm 01-06-2009 2/3 ACORQ. CERTIFICATE OF LIABILITY INSURANCE PRODUCER (661)9*8-1003 FAX (661)948-1533 Walter Mortensen Insurance License #0044424 1113 West Ave M-4 #C Palmdale, CA 935S1 INSURED Affordable Water Heaters & Plumbing, Inc 24663 Railroad Avenue Newhall. CA 91321 DATE (MM/DD/YYYY) 01/06/2009 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 A. Zenith Insurance Conpany INSURERS INSURER C INSURER 0 INSURER E. NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING 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 INSRLTR A «JD'HSBI TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | [ OCCUR GEN L AGGREGATE LIMIT APPLIES PERn^icYn^ ru°c AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ] ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | | Cl AIMS MADE 1 DEDUCTIBLE | RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER'EXECUTIVI: OFFICER'MEMBER EXCLUDED' I yes describe uncrerSPECIAL PROVISIONS below OTHER POLICY NUMBER Z067898703 POLICY EFFECTIVEDATE fMM/DD/YY\ 01/01/2009 POLICY EXPIRATIONpATE (MM/OD/YYI 01/01/2010 LIMITS EACH OCCURRENCE DAMAGE TO RENTEDPRFHISFS«=a,™:r«n(v.\ MEDEXP(Anyoni person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Pa accident) AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE WC STATU TORY LIMITS OTHFR El. EACH ACCIDENT E.L DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT $ s i $ ( I $ s s $ $ s $ $ s $ $ $ s l.OOO.OOC $ 1,000,000 t 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONSlertificate of Insurance CERTIFICATE HOLDER CANCELLATION Affordable Water Heaters & Plumbing Inc 24707 Railroad Avenue Santa Clanta, CA 91321 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^/ x5/5%>'-Mark Heyne/MJN ^' "& ACORD 25 (200^08)©ACORD CORPORATION 1988 State Of California . CONTRACTORS STATE LICENSE BOARD _ _ — ACTIVE LICENSEConsumer 627368 ^ CORP AFFORDABLE WATER HEATERS AND PLUMBING INC •- C38 09/30/2010