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Home My WebLink About2849 CACATUA ST; ; CB080337; Permit02-25-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080337 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2849 CACATUA ST CBAD PLUM 2153702100 Lot* Construction Type SMITH RES REPLACE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/25/2008 LSM 02/25/2008 02/25/2008 Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA CA 91321 661 2597131 Owner LAFLIN SMITH TRUST 12 06-89 2849 CACATUA ST 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 Inspector 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 OP CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By. Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Assessor s Parcel » e ft) a at i Description of Work J ~ Ov<\ 0)65<*, Lot No Existing : IxX-T-e. SQ Subdivision Use f $4J\- FT Name/Number \l $JT *- #of «jfi\fv>€_ Stones Unit No (oca-h # Proposed Oh - Phase No Use f^^rdcii? of Bedrooms S Total it of units # of Bathrooms 2V , CONTACT! PERSONA different trorifl applicant! SCOTT Li trl£.fie.(A Name Address City 3 APPLICANT Q Contraotof jGSt'Ag.ent for Contractor Q Owner Q Agent for Owner 1-krx-K.rr _ .3M7Q-7 W State/Zip Telephone # Fax #[&w; " 7131 Name 4 1 1 PROPERTY OWtiER NJt>r £«vMf h Address City State/Zip Telephone Name Address City State/Zip Telephone # CONTRACTOR! COMPANY NAME ^ * * *• ^ ,.> * i V V •<•• \ $ *» (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 Codel or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penal'y of not more than five hundred dollars [$500]) uJocrXLT U<LrX-Hjr^ MlO? 5<M fftf AfWp gJ NJgiJKtxU (1/4-9(331 I. Ll ' Name State License # Address License Class City State/Zip City Business License # /o? I Telephone # Designer Name Address City State/Zip Telephone State License # 6 WORKERS COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 issuedijPq 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 permit is issued My worker s compensation insurance carrier and policy number are „ {— Insurance Company TT>L "ZjLrM'TK Policy No Z-Ok7 jffi?" 7 63 Expiration Data / " /~ 0^f_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) d CERTIFICATE OF EXEMPTION I certify that m 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 0004 in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE StfoH- . DATE £ ~ > H ~ <fr I hereby affirm that I am exempt from the Contractor s License Law for the following reason „ _ _ , , — CD 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) f~l 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) CD 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 CD YES f~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 maior-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 BUILDING PERMITS ONL'Y ' , t , , f ^ 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? Q YES CD NO \ n Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES [~] NO Is the facility to be~c~onstructed within 1 000 feet of the outer boundary of a school site? CD YES Q 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 <• •8 - CONSTRUCTION LENDING AGENCY * 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 f APPLICANT CERTIFICATION , * 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 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced f<* a.periodrof J 80 days (Section 106 4 4 Uniform Building Code) APPLIC/ ITS SIGNATURE ..-^Cjfetf'.i- _ DATE *?*WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request T For 03/10/2008 Permit* CB080337 Title SMITH RES- REPLACE WTR HTR Description Sub Type 2849 CACATUA ST Lot Type PLUM Job Address Suite Location OWNER LAFLIN-SMITH TRUST 12-06-89 Owner LAFLIN-SMITH TRUST 12-06-89 Remarks Inspector Assignment Phone 7607035193 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Fs Requested By NORMAN Entered By CW Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 11 11 "ACORD^ CERTIFICATE OF LIABILITY INSURANCE PRODUCER (605)279-2203 r^X (805)279-5299 Hogan Insurance License #OC547SO P 0 Box 7419 Thousand Oaks CA 91359 INSURED Affordable Water Heaters and Plumbing Inc , 24707 flan Fernando Road Santa Clarita CA. 91321 COVERAGES I*"--- , 1A/200E 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 NAIC * INSJRERA Zenith Insurance Co 13269 INSURER B INSURER C INSURER D INSURERS 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 RFWJftPn RY PAIR CLAIMS INSR ITR A ADDL NSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL CENERAL LIAB1ITY 1 CLAIMS WADE | ] OCCUR GENT. AGGREGATE LIMIT APPLES PERn POLICY n^ r~iLoc AUTOMOBILE LIABILfTY -ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON 0>MJED AUTOS OARAQE UABIUTY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR 1 ) CLAIMS WADE r _J DEDUCTIBLE 1 RETENTION ( WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/WEMEER EXCLUDED? if yes oesci^e unoe " i 5»ECIAi_ FROVISIOf 50. lew OTHER POLICY NUMBER * Z0678987Q3 POLICY EFFECTIVE DATE (MM/DOW) 1/1/2008 POLICY EXPIRATION DATE (MM/DD/W 1/1/2009 Liturrs EACH OCCURRENCE DAMAGE TO RENTED l ppPMjgt^ (Pg OWJTelC*) MED EXP (Aw one person) PERSONAL fi AD/ INJJRY GENERAL AGGRESATE PRODUCTS COt<<0«PAGG COMBINED SING ELIWT (Ee ecdoent) BODILY INJURY (Per person) BODILY NJURY (PeraoBflerf) PROPER'Y DWAG= (Peracdderk) AUTO ONLY EA ACCIDENT OTHPRTHAN E.»-A£C AUTO ONLY A56 EACH OCCUPR^NTE AGGREGATE „ WC STATU OTHX TORY LIMITS ER E L EACH ACCIDENT E L DISEASE Efi EMPLOYE •f 1 I-E L DISEASE POLICY LIMIT t ' r 3uJ 00 i __ t * « « $ e $ t $ t $ $ s i 1,000,000 ? 1 000 0_00 e 1,000,000 DESCRIPTION OF OPERATlONSILOCATtONS/VEHICLES/EXCLUSIONS ADDED BY ENOORSEMENT/8PECIAL PROVISIONS •Only 10 daya notice of cancellation will be given for nan payment of premium ****rviDENCI ONLY**** CERTIFICATE HOLDER CANCELLATION Wntex Heatcm and Plubing 24707 San Fernando Road Santa Clarita, BC 91321 Inc ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORc THE EXPIRATION DATS THeRSOf TH5 ISSUINS INSURS^ WLL BNDBAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HO DCR NAMED TO TH LE EUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OH LIABILITY OF ANY KINO UPON TH<= INSURER ITS AGENTS OR REPRtSSNTATIVES ^ AUTHORIZEa REPRESENTATIVE Rooert -ogap/sG 0 ACORD CORPORATION 1988 State Of California UVS^CONTRACTORS STATE LICENSE BOARD Consumer \CUltTv ACTIVE LICENSE ,„,_ 627368 ,„„ CORP , «„ AFFORDABLE WATER HEATERS AND PLUMBING INC C36 09/30/2008