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HomeMy WebLinkAbout2811 AVENIDA VALERA; ; CB091206; Permit07-2'1-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB091206 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2811 AVENIDA VALERA CBAD PLUM 2164603400 Lot# 0 Construction Type NEW HOCHHALTER RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/21/2009 KG 07/21/2009 07/21/2009 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner HOCHHALTER KENNETH&BARBARA REVOCABLE TRUST 07-01 2811 AVENIDA VALERA CARLSBAD CA 92009 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 InspectOi FINAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition1 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 Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No.1 Est Value Plan Ck. Deposit Da.e - JOB ADDRESS'ASM | SUITE#/SPACEtt/UNlT# Cf/PROJECfS DESCRIPTION OF WORK LOT*#PHASE »'S'BATHROOMS I TENANT BUSINESS NAMEKOF'I-NITS 7TBEDROOMS TS'BATHROOMS I TENANT OCC GROUP (fVt-er/'ur FIREPLACE YES D # NO D EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES D NO D CONTACT NAME (If Different Fom Applicant)APPLICANT NAME !ADDRESS ADDRESS CITY STATE ZIP CITY .Bel_<>uJ_ STATE ZIP PHONE FAX PHONE FAX EMAIL EMA'L Scott @ i PROPERTY OWNER NAME i ADDRESS CONTRACTOR BUS NAME ADDRESS CITY STATE ZIP CITY STATE ZIP ; PHONE EMAIL I FAX PHONE EMAIL FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC #CLASS . CITY BUS LIC H (Sec 7031S Business and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure prior to itslicensed 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}Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}) issuance also requires the applicant for inch permit to file a signed statement that he isor that he is exempt therefrom and the basis for the alleged exemption Any violation of Workers' Compensation Declaration / hereby affirm under penally of perjury one of the following declarations LT] 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 (Hi 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 workars' compensation insurance carrier and policy number are Insurance Co.. Policy No >rk for which thisperr Expiration Date I " / " (' & This section need not tie 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 (&100 000), in addition to the cost of compensation, damagetfas provided for in Section 3706 of the Labor code, interest and attorney's fees JSH CONTRACTOR SIGNATURE XCffit . DATE "7 - / 5"' 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) n 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 tor this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement n Yes O 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) >£f 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 j Presley Tanner Hazardous Substance Account Act' D Yes n No j Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 O Yes D No i Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 OYes C) No i EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I I 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 I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representative of the City of Cartebad 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 sttuctiires over 3 stones m height EXPIRATION Every perniit issued by the Building Official under the provisions of Bis Code shall expire by limitation and become null and void if the building or wort authonzed by such permit is not commenced within 180 days from Ihe date of such penmit or if the build™ or work authonzed by such permit is suspended or abandoned at any tome after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) iW.^APPLICANT'S SIGNATURE DATE ,•<? CITY OF Unscheduled Building Inspection Building Department 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE INSPECTOR PERMIT CONTACT PHONE# JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS Inspection Form Page 1 of 1 Rev 06/09 WMI 023140pm 01-06-2009 2/3 CERTIFICATE OF LIABILITY INSURANCE OATE(IOtfOCJYYYY) 01/06/2009 PRODUCER C661)948-1003 FAX (661)948-1533 Walter Kortensen Insurance ticefcse #0044424 1113 Vtest Ave H-4 *C Palmdale, CA 93SS1 WSUREO Affordable Water Heaters & Pluittnng, Inc. 24663 Railroad Avenue Newhall. CA 91321 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 NAICtf INSURER*. Zemth Insurance Conpany INSURER B- INSURER C' INSURER O INSURER E. COVERAGES THE POLICIES OF INSURANCE USTEO 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 MSR LTR A wo\ HSRl TYPE OF INSURANCE GENERAL LIABILITY COI/MERCIAL GENERAL LIABILITY [ CLAIMS MADE | j OCCUR GEN L AGGREGATE UWT APPLIES PER.~~lp°LK*n5!S r-j^ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRCD AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | Cl AIVS MADE 3 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/UXECUTIVE OFFICER-MEMBER EXCLUDED'' 1* yes describe unoer SPECIAL PROVISIONS iwlcw OTHER POUW NUMBER Z067898703 POLICY EFFECTIVEDATE IMM/DO/YY1 01/01/2009 POLICY EXPIRATIONDATE (VM/DD/YYl 01/01/2010 UNITS EACH OCCURRENCE DAMAGE TO RENTEDPftFUI<^ If a rvyiiffw*) MED EXP (Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Eaaoxfent) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EAACCIDENT OTHFR THAN ^ **•*• AUTO ONLY AGG EACH OCCURRENCE AGGREGATE WC STATU- OTH. TORY UMTS FR £ L EACH ACCIDENT E.L DISEASE EAE'.'PLOYEE EL DISEASE POIICYHMIT t s s t I t t s t s t s I % $ s t t $ 1,000,000 $ 1,000,000 j 1,000,000 DESCRIPTION OF OPERATIONS ' LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS lertifncate of Insurance CERTIFICATE HOCDER CANCELLATION Affordable Uater Heaters & Plumbing Inc 24707 Railroad Avenue Santa Clarita, CA 91321 SHOULD A*Y OF TH£ ABOVE DESCRIBED POLICIES BE CANCELLED BEF ORE THE •1XPIRA1ION DATE TnEREOF THE ISSUING INSJRL'R WLl F.NIIEAVOR TO MAM. 10 DAYS WRJ17EK NOTICE TO THE CERTIFICATE HOLDER NAMED TC THC Ltf7 BUT FAJLURE TO MAJL SUCH NOTICE SHA1L IMPOSE NO OBLIGATION O« LIABILITY OF ANV KIND UPON THE INSURER ITS AGENTS OR REPRESfcNI AIIV6S AUTHORIZED RF.PRCSCNTATiVE ^.-, / Mark Heyne/MJN ' ' ^ ACORD 25 (200-H08)©ACORD CORPORATION 1988 State Of California •s* CONTRACTORS STATE LICENSE BOARD — ACTIVE LICENSE 627368 ^ CORP AFFORDABLE WATER HEATERS AND PLUMBING INC :36 09/30/2010