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HomeMy WebLinkAbout2822 AVENIDA VALERA; ; CB072886; Permit11-19-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB072886 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2822 AVENIDA VALERA CBAD PLUM 2164601300 ~ Lot# Construction Type LINKE RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/16/2007 KG 11/16/2007 11/16/2007 Applicant ALL STAR WATER HEATERS & PLUMBING 17886LAKESHOREDR 92530 1-800 727 0977 Owner LINKE FAMILY TRUST 03-07-06 2822 AVENIDA VALERO 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 Inspecto' FINAL APPROVAL Date -S^ ' / f ' ^C 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 proceduie will bar any subsequent legal action to attack review sot 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 ior 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 FOR OFFICE USE ONLY PLAN CHECK EST VAL PlanCk Validated By Date " '*• ."*•••."••:# !-73svv-!'-':s3!iiv;ft'."*"' ;sjf#^j?K^.iWi:':*}w*;^^^ ''ii™ ** '•••''•iV^5;.^ jr-1^.''"*- !"; 'X!"^i'^* .' 'i1-"-,1--'1" '*-."" •• "" «\ -•: , "i.lip03iyiAT)ot^ .;£; : rjnin&u^ Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Existing Use 'Description of Work SQ FT # of Stories Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip ''Telephone # (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 ,:s issjanc<. 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 witn 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 of Section 70jl 5 oy any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001) Name State License # Address License Class City State/Zip City Business License # Designer Name Address City State/Zip Telephone ti State License # : ;:>.fr..^. y , Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 worr. for which this permit is issued *3# I have and will maintain workers compensation as required by Section 3700 of the labor Code for the performance of the work for which this perm;! is issuec M, worker's compensation insurance carrier and policy number are . Insurance Company O ^_\t^ f-fJf\fX Policy No < T (s\ (s TiO^f' Expiration Date & "2, O ffi (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 i> issued I shall not employ any person in any manner so as ;c 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) in addition to thrtost opjompeniation damages are provided for In Section 3706 of the Labor Code interest and attorney s fees SIGNATURE // ^— " ^T DATE |f I Z O 7~ I hereby affirm that I am exempt from the Contractor's License Low for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7C4 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon and who does such work himself through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold withm one year completion the owner builder will have the burden of proving that he did not build or improve for the purpose of .ale) D I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Coae The Co.-r.rac-.or 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 License Law) - •• a 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 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 number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and piovide the major work (include name / address / phone number, /ontractors 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 WHITE File YELLOW Applicant PINK Finance •-ERMIT APPLICATION CiTY OF CARLSBAD BUILDING DEPARTMENT 1535 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS^ECTION FOR. xWQN:8eS/0£NJML_BUJjiDJNg,pERMITS ONLY ! ..,„'• .., ,/••'..,::./- v ;' is 'j'.e applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management 3"d prevt.-:v.io.-i :;r;.r,rD • .'-::.o.-is 255C5 25533 or 25534 of the Presiey Tar.ner Hazardous Substance Account Act' 3 YES D NO s n._ up^.ica.T. or future Qjild.-ng occupant required to oaiain a permit from the air polktion control district or air qualr.y .-'lanagt-ir.!.1-1. aisuia? i'.i VE 3 C :• •_•• i TIC raci'r.y ic ue constructed within 1 COO feet of the outer boundary of a scnooi sue' D YES D NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR ib ME-L^ REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8 CONSTRUCTiqN LEND|NJA0E^^ -f^"-f •*?*" ; .P'-'^^i • " .- ' I nereo; ar'f.rm :,riat there is a construction lending agency for the performance of the work for which this perm;t is issued (Sec 3097;,) C.vi: Cede-) LE.'JQEK S ,K,.-.M = _____ LENDERS ADDRESS _____________ ...... ________ ___ ...... _._ ........ 9 APPLICANT CERTIFICATION' .. ?i-l •• : .... ;li: •' : ...... _;„. > ':..,- _^.£" ..;,,.. ' icr.-r, ':'u\ I na/e reac the appl. cation and state thai the above information .s correct and that the information on me uia.-is is accurate . ag'c-c :;• :-jr: ;:!. i : cr-.njnces anc S:ate laws relating to builc'.ng const'uci.cin I hereby authorize representatives of the City of Carlsbad to e::'.<=r .pon '.ne above .-iienlionea p'opr-.,- ::• i Pi. p.: E=S I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB/SD AGAINST ALL LIABILITIES JUDGEMENTS COS EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA .--.r- GS-HA perm:: is required for excavations of 5 0 deep and demolition or constructor! of structures ever 3 stones •* "u cjlii EXPIRATION Eve.-)1 pormii .ssued by me build. .'iy Or'ficia.1 under the provisions of mis Code shall expire ay iin-isatic." ar\a becoi-ie • u.! ii-.o L, s._c i ^e.':n.; :s r.or conime.':cec with.n : 60 days from :i-e aate of sucn perin.t or if the ou..d;,rig or worn authorized .;>•• sjci: pc.Ti ' s s-sp re Off 15 c:cr"i,mencec for a period of 180 days (Section ''06 4 4 Uniform ouilcmg Code) SAT. //..... ..... WHITE File YELLOW Applicant PiNK Finance City of Carlsbad Bldg Inspection Request For 05/19/2008 Permit* CB072886 Title LINKE RES REPLACE WTR HTR Description Inspector Assignment 2822 AVENIDA VALERA Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT ALL STAR WATER HEATERS & PLUMBING Owner LINKE FAMILY TRUST 03-07-06 Remarks 12-2 PLEASE Phone 7609310464 Inspec Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By DIANE Entered By JANEAN Y Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments FILE No 735 08/02 '07 10 05 ID INSURANCE ASSOCIATES FAX 925 977 1591 PAGE 1 ACQRD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER (925)934-0505 FAX (925)977-1591 Insurance Associates of Northern CA 2735 North Main Street PO Box 8070 Walnut Creek, CA 94596 INSURED All Star Water Heaters, Inc 30300 Puerto Vallarta Mem fee, CA 92 584 Fax No 951 245 6366 DATE (MM/DDflfYYY) 07/17/2007 THIS CERTIf ICATE 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. peerless Insurance Company INSURES B State Compensation Ins Fund INSURER C INSURER 0 INSURERS NAICtf COVERAGES 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 TH6 INSURANCE AFFORDED BY THE POLICIES DESCRtSet) HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSfTLYfr A A B wo iNftRC X X TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ~] CLAIMS MAOE [~X~| OCCUR GEN L AGGREGATE LIMIT APPLIES PERTI POL™ n ?& n«« AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS -• GARAGE UAKUTY ANY AUTO EXCESS/UMBRELLA LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION * WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNeRJEXECUTIVE OFFICER/MEMBER EXCLUDED? It yet aesenoeundur SPECIAL PROVISIONS botow OTHER DESCRIPTION Of OPERATIONS / LOCATIONS ' VEHICUZertificate holder - "Lowe's C ire named "Additional Insured* lot ice is 30 days except for 1 POLICY NUMBER CBP8032624 BA81801S7 176164107 B$ / EXCLUSIONS ADDED BY ENDORSEDlompanies, Inc., and ar ' as respects to genera :he reason of non-payn* •SHftffiHL 05/15/2007 08/22/2007 08/02/2007 'H&tSgW' 05/15/2008 CIS/22/2008 08/02/2008 mans EACH OCCURRENCE DAMAGE TO RENTED pHp|^ll9F^ If ft (ff^ in>^r^\ MEO EXP (Any art* panson) PERSONAL & ApV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (£a acdflanl) BODILY INJURY (Per pnon) BODILY INJURY (Pwacoaeni) PROPERTY DAMAGE (Per accident) - - - AUTO ONLY EA ACCIDENT OTHFBTHAXI 6AACC AUTO ONLY AQG EACH OCCURRENCE AGGREGATE X TwCSTATU- 1 IOTH1 TORY 1 IMITS 1 1 ER El EACH ACCIDENT E L DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT i 1.000,000 * 100,000 * 5,000 * 1,000.000 s 2,000,000 s 2,000,000 1 , 000 , 000 5 $ $ > $ $ s s s $ i 1,000,000 * 1,000,000 s 1,000,000 ENT/ SPECIAL PROVIS40KS iy and ail subsidiaries" il liability and automobile liability Cancellation snt which 1s 10 days CERTIFICATE HOLDER CANCELLATION Lowes Companies, Inc IS Insurance P 0 Box 1111 North Wilkesboro, NC 286S6 SHOULD ANY OF THE ABOVE DESCRJBEB POLICIES BC CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAV3 VWTTEN NODCB TO TMB ceKTOHCATE HOLDER NAMED TO THE LBFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Oft LIABILITY OF ANY KIND UPON THE (NSUlfeA, ITS AGENTSpR-REfRE^EffrATIVEy AUTHOttZeO R6PR6SENTATWe" j f\/ /_/_/? _£- Jim Rabbi ttr^L/- • (iC^nd^f ACORD 26 (2001/08) FAX (356)903-3616 ^/ ©ACORD CORPORATION 1988 * * - - 872894 -'" C3B