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Home My WebLink About281 ACACIA AVE; ; CB063188; Permit11-07-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB063188 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 281 ACACIA AVCBAD PLUM 2042400600 Lot# Construction Type 0 NEW REPLACE WATER HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/07/2006 JMA 11/07/2006 11/07/2006 Applicant ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858 677 5455 Owner RHODES T L&EDITH M 1993 TRUST 05 27 93 1840 AVOCADO RD OCEANSIDECA 92054 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 1 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 PERMIT HAS frXPIREn ft MCTPDANCE WITH C 8 C SECTION 10b 4 4 Ab AMF.VQLG BY C M C18 04 030 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 ' PROJECT INFORMATION, . J&\ MAtSuMO A\J^ FOR OFFICE USE ONLY PLAN CHECK NO CCvO 6> EST VAL Plan Ck Deposit Validated By . Date 11 7 ( 0 Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No bdivision Name/Number Unit No Phase No Total # of units Existing Use Proposed Use CONTACT pfRStiNlff tofafifit Wom1ip¥licBht) ,_ SQ FT 4 #of Stories # of Bedrooms # of Bathrooms Name 3t APPLICANT D Contractor* Address City .gentTfoir&htractof r/t!3"®n8li3f Q^Agenl foi*!Qwni State/Zip Telephone #Fax # Name 4 Address City State/Zip Telephone ff Name Address City State/Zip Telephorfe (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 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 exempjjon Any violation of^ection 7031 5 by any app/htjan^for a perffjjt^ubjeijts^he applicaig^a civil penalty Dnmofe han ive hundred dollars I$500I) Name -»x? 5 State License # MlCxZJ0 License Class LID (1^>>k> # City State/Zip Telephone # City Business License # /DJ5O 1OO Designer Name State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued >Q_ | have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are /) / 2 j r\ I f Insurance Company Lj ,f9l£>%Cj^X/ Policy No /(c7^.?l^?LV(? fe?_x / v I ^ Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) l~1 CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to/secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 16rf 0001 in addition to thfe^pAsUrt compensation damages as provided for in Section 3706 of the Labfcr codkinterest and attorney s fees SIGNATURE ^ ]Lj3Ax3Vly( /| | rvfXjL_ DATE // I [) [( } W 7 * OWNER"BUlLdER!DECLfAtAfiON ' !'tJ * * «' * *' U "f t * -,:'*• ]^ , I ^ * 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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) 0 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) n 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 l~l YES l~lNO 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 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 major work (include name / address / phone number / 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 number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDI^PERMItS ONlf?' ^ ' * ? "~ ' ' '"~ " *"" rt *•"* 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? (D YES 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? l~] YES l~) 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 $ CONSTRUCTION LENDING AGEM6Y^ > *"" - m' i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER S NAME ,_ LENDER S ADDRESS 9 "APPLICANT CERTiFtCATlbN r T^'fti"t ~ * 1 * v'™ "VT "" s * * ' •* 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 CitV 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 issue/by tine-building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized hy such permit is not at any tim pr the work is con APPLICAl SIGNATURE nmencea within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned fenced forja periodtof 180 jJays^Section 106 4 4 Uniform Building Code) \ fa^i DATE .pplicant PINK Finance ACORD™ CERTIFICATE OF LIABILITY INSURANCE 09/29/2007 PRODUCER , , „ Lockton Companies 7 Times Square Suite 3802 New York NY 10036 "Jn""™ ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA lU/dUbb DBA ARS OF SAN DIEGO 61 62 NANCY RIDGE DR SUITE 100 SAN DIEGO CA 921 21 DATE (MM/DD/YY) 10/17/2006 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 LIBERTY MUTUAL FIRE INSURANCE CO INSURER B LIBERTY INSURANCE CORPORATION INSURER c ACE AMERICAN INSURANCE COMPANY INSURER D INSURERS COVERAGES RB THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 INSR 1 TR A A C B TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | CLAIMS MADE I X | OCCUR GEN L AGGREGATE LIMIT APPLIES PER — I r~n PRO I 1 I POLICY I I JECT j I LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS H RED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY X | OCCUR | CLAI 1 r~Y~l UMB DEDUCTIBLE I 1 FOR RETENTION $ •AS MADE IELLA M WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER TB2631508631026 AS263 150863 1036 NOT APPLICABLE G23716197 WC763 150863 10 16 POLICY EFFECTIVE DATE (MM/DD/YY) 09/29/2006 09/29/2006 09/29/2006 09/29/2006 POLICY EXPIRATION DATE (MM/DD/YY) 09/29/2007 09/29/2007 09/29/2007 09/29/2007 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) 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 EA ACCIDENT nTHFR THAN ^A ^CC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE V WCSTATU OTH •* TORY LIMITS ER EL EACH ACCIDENT E L DISEASE EA EMPLOYEE E L DISEASE POLICY LIMIT $ 2,000,000 * 1,000,000 $ 10,000 $ 2,000,000 $ 4,000,000 $ 4,000,000 $ 2 000 000 * XXXXXXX * xxxxxxx * xxxxxxx $ xxxxxxx $ xxxxxxx * xxxxxxx $ 5 000 000 $ •> 000 000 * xxxxxxx a XXXXXXX $ xxxxxxx $ 1 000 000 $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE GENERAL LIABILITYPOLICY SGENERAL AGGREGATE LIMIT APPLIES PER LOCATION AND IS SUBJECT TO A $20 000 000 GENERAL AGGREGATE POLICY LIMIT TOR INFORMATION PURPOSES ONLY CERTIFICATE HOLDER ADDITIONAL INSURED, INSURER LETTER CANCELLATION 2700036 EVIDENCE OF INSURANCE i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ,^~\ j ACORD 25 S (7/97) For questions regarding this certificate contact the number listed in the Producer sect on above and specify the cl e tcode AMERE(fe O ACORD CORPORATION 1988 State Of California , CASK- CONTRACTORS STATE LICENSE BOARD | TV— ACTIVE LICENSE Con&umtr .^791828 «,CORP »«.„. A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC DBA A R S OF SAN DIEGO C20 C36 Q2/28/2007 S 'tr 14 QJ "S-s U TO xn O C C3 o O oj — S £ Si OJ OJ c €^ u D- — II in 1? * -E OT ^ u S 2 3 ^ 3 % "— (^) "^ en ru >~ ^3 i -O TD r- XL) U en -CO £ o u-> — m 5^^ OJ £ j_ a. ra ™ J= S "^ ^ "5 g3 _g as: ce _ 0) QJ 00 O -~XJ U Bi 52s >— < CO ^ JO LJ TD u --D Si^ ^ u LJ noto n « ^in r^ OJ O ^ OJ 0)ao TO QD OJ O ;-s• *ri* « s TO -D OJc ON