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HomeMy WebLinkAbout2814 CHATSWORTH WAY; ; CB090761; Permit05-07-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB090761 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2814 CHATSWORTH WY CBAD PLUM 1674801937 Lot# Construction Type WOLFORD RES RE-ROUTE HOT WATER LINES OVERHEAD 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/07/2009 KG 05/07/2009 05/07/2009 Applicant ABLE ELECTRIC SERVICE 375 ACACIA AV CARLSBAD, CA 92008 000-000-0000 Owner WOLFORD ROBERT R&LILLIAN B BYPASS TRUST 11-24-97 5429 BARCLAY AVE SAN DIEGO CA 92120 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 1 0 0 0 $2000 $000 $000 $000 $700 $000 $000 $000 $3300 $000 $000 $000 TOTAL PERMIT FEES $6000 Total Fees $60 00 Total Payments To Date $60 00 Balance Due $000 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 City of Carlsbad 1 1635,Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2-J18 / 2719 Fax 760-602-8558 Building Permit Application Plan Check N Est. Value Plan Ck. Deposit Date JOB ADDRESS SUITE#/SPACE#/UNIT# CT/PROJECT »# BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP DESCRIPTION OF WORK -nAii EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YESO #NOD AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES Q NOD CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRE:' W> S ADDRESS 5 CITY STAT ZIP "EMAIL CONTRACTOR BUS NAME ADDRESS f ^- S F<. CITY STATE OA-- ZIP EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC #STATE LIC #CUSS CITY BUS LIC# (Sec 70311 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 (he Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant (or a permit subjects the applicant to a civil penalty of not more than five hundred dollars {{SCO}) Workers' Compensation Declaration / hereby affirm under penalty ol 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 NZj I have and will maintain wofkers' compensation as required bv Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers' compensation! insurance carrier and policy number are Insurance Co If "C{f\ (A fy *J tlA IQ \D/I^/\U fa?-/ff W, Tf? Policy No 2-0 c<3flff jj'^Ca 2>(o3 Expiration Dale ) / I /<P-Q1 O_,p j . This section need not be completed if the permit is for one hundred dollars ($100) or less D 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 (4100,000), In addition to the cost of compensation/damages as provided forjnJUettoinTOS of the Labor code. Interest and attorney's fees JS£ CONTRACTOR SIGNATURE \^\ j /"^— /„ ^ DATE *5^- I / hereby affirm that I am exempt from 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 does not apply to an owner of property who builds or improves (hereon 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 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 O 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) ^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? O Yes O No Is (he 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? O Yes D No IF ANY OF THE ANSWERS ARE YES, t 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 I 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 properly 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 slructures over 3 stones 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 wittiin 180 days from the date of such permit or ifro building or work autjignzejlbysuch permit is suspended or abandoned at any time after the work is commenced for a period of 160 days (Section 106 4 4 Uniform Building Code) ^APPLICANT'S SIGNATURE DATE UNSCHEDULED BUILDING INSPECTION DATE (I M&y *3«*>9 INSPECTOR W<> 5ERMIT# t& t>*) t>K°l PLAN CHECK # OB ADDRESS -2^4 DESCRIPTION ODE DESCMPTION ACT COMMENTS 01/12/2009 11 05 7607261273 PAGE 01/01 HANNPLU-01 MEP ACORDr CERTIFICATE OF LIABILITY INSURANCE PRODUCER (858)541-2900 Vanorsdale Insurance Services 4909 Murphy Canyon Road, Suite 510 S >iego,CA92123 INSURED Hanna Plumbing and Supply, Inc 643 Santa Fe Avenue Vista, CA 92083- DATS (MM/DD/YYYY) 1/7/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OP 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 Pennsylvania Manufacturers' Association INSURER 8 NAIC# v INSURER C I INSURER O INSURER E COVERAGES T Al M P \USKITR ^, A I HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER C AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED h 3UCIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID MfJBrJ TVMncHuinuure I POLICY NUMBER f JHjNERAL LIABILITY COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | | OCCUR GEWL AGGREGATE LIMIT APPLIE~~i POUCY n5B& r~ AUTOMOBILE L.IABILITY ' ANY AUTO AILOWNEQ AUTOS ! SCHEDULED AUTOS HIRED AUTOS NON-OVWED AUTOS SPCR LOG iGARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY I OCCUR I | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PRQPRIETOR/PARTNER/EXECIJTIVEOFFICER/MEMBER EXCLUDED? f yss, descrlUrj underSPECIAL PROVISIONS below OTHER • 2009003396363 NSURED NAMED ABOVE FOR THE PC XXUMENT WITH RESPECT TO WHIG EREIN IS SUBJECT TO ALL THE TERI CLAIMS POLlCYEFFECtiVE I POLICY EXPJRATICfNqAjeiMM/CHVYYl DATEIMMfflD/YYl 1/1/2009 1/1/2010 3LICY PERIOD INDICATED NOTWITHSTANDING H THIS CERTIFICATE MAY BE ISSUED OR WS, EXCLUSIONS AND CONDITIONS OF SUCH LIMITS EACH OCCURRENCE OAlVWie I U HtN I tUPREMISES (Ee occureneal MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPJOP AGS COMBINED SINGLE LIMIT(E.1 accident) BODILY INJURY (Per parson) BODILY INJURY(Per «caeeni) PROPERTY DAMAGE(Per leddem) AUTO ONLY EA ACCIDENT IVTHFR THAN *"* ^^AUTO ONLY A(SG EACHOCCURR5NCE A6GREOATE | wcsTATU- | iorm ! TO_RY LIMITS L. _LE8_ EL EACH ACCIDENT EL DlSEASR EA EMPLOYEE ELDJSEASE -POLICY LIMIT $ $ $ S t S $ J S S S 1 $ $ S, $ $ t , 1,000,000 S 1.000.00C s 1,000,OOC DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 day notice Is provided for non-payment of premium Re1 All Operations CERTIFICATE HOLDER CANCELLATION City of Vista P 0 Box 1988 Vista, CA 92085-1988 SHOULD AMY 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 LEPT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE <.-?/3__ ^^oAx^1 ~-f-^**~*>~~ ^*~' *-~K*-g?z£~'-*~ ACORD 25 (2001/08)© ACORD CORPORATION 1988