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HomeMy WebLinkAbout2851 CEBU PL; ; CB051184; Permit03-31-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB051184 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2851 CEBUPLCBAD PLUM 2153302102 Lot# 0 Construction Type NEW VALLES RES NEW H20 HEATER Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/31/2005 SB 03/31/2005 03/31/2005 Applicant CALIFORNIA DELTA MECHANICAL SUITE # 27 12440 OAK KNOLL RD 92064 866-898-0008 Owner SANDERSON SUSAN 8584 VILLA LA JOLLA DR #339 LAJOLLACA 92037 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain 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 V ' $2000 SO 00 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $27 00' Total Fees $27 00 Total Payments To Date $0 00 Balance Due:$2700 5012 03/31/05 0002 OJ CGP .00 FINAL APROVA Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of/ees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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(3), and file the protest and any other required information with the City Manager tor 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 FOR OFFICE USE ONLY PLAN CHECK NO ^ EST VAL Plan Ck Deposit^ Validated By Date_ Address (include Bldg/Suite #)Business Name (al this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use Description of Work SO FT # of Stones tt of Bedrooms # of Bathrooms v-^CbNTACT- PERSpNlflf dffferervTfrofn "applicant) Fax# !!*•"• Name Address City State/Zip Telephone #'^^m^^^^^^^^^^^^^^^^^ Name Address City State/Zip Telephone # (Sec 7031 5 Business and Professions Code Any Crty 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 commencing win 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 7031 5 by any applicant fot a permit subjects the applicant tp a civil penalty of not more-than five hundred dollars [$500]) _x-_it-'_/ - : _ f . f'f _-,/_ •__/ ••>*—• vi .^ C ^ -'-Name / State License # K f f f Designer Name State License # . Address / V* License Class Address r 2 f-,•50 City City State&p City Business License # / Slate/Zip Telephone # Telephone # 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 work for which this permit is issued D I have and will maintain worker's 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 earner and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) P CERTIFICATE OF EXEMPTION I certify that in tha 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 wo/keW compwrTSSTton cptferagp is unlawful, and shall subject an employer to criminal penalties and civil fines up to cne hundred thousand dollars{$100,000}, m addition to thje cdstjpf compenjatioij,damaggs are provided for in Section 3706 of the Labor Code, interest and attorney' fees / SIGNATURE ^T10^^£t'£^^I hereby affirm that I am exempt ffofotrjp-ConffactoVs License Law for the following reason D I as owner of the property^rmy employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code/fhe 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 prowded !hat such improvements are rsot 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 arn exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals 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 provide the major work (include name /address /phone number/ /ontractors license number) 5 I will provide some of the work bull 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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY \', ' ' r<" '? •"' I*, ^ *\ '-- J »'tf^ " t V '> ^ Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? d YES Q NO Is the applicant or future building occupant required to obtain a permit from (he air pollution control distnct or air quality management distnct? d YES d NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT B.^CONSTRyCTION^LeNDINGAGENCY^^, * J'*; ^ "a IT1' ..'V^'* £!W> V^"*'' ~-\^'~< J'1*".:T if<-f>f ,'''O vZf-^V A/Xv: £' I hereby affirm that there is a construction lending agency for the performance of the work for which this permil is issued (Sec 3097(1) Civil Code) LENDER S NAME.LENDER S ADDRESS 9 r"^APPUCANT,CERTIFICATlQN < &%* ^, "^' - ^, ^ -*" Vi^Jl'^^ -yr> 'tt"'"** *ti.*t?i '(&^i."»«crX\?^ ->'-*" >.? ^V^TS ^^ 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 ! agree to comply witfi all City ordinances and State laws relating to building construction I hereby authonze representatives of the City 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, JUDGEMENTS, COSTS AND OSHA An OSHA permit is required for excavations of 5 0" deep atid demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the building Official^irTder tr eWovisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within 180 days frorrLtne date ot such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod oM80days(SeatfcrTTu§441:TiiformBuiWing Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance 'City of Carlsbad Bldg Inspection Request For 04/14/2005 Permit# CB051184 Title VALLES RES NEW H20 HEATER Description Inspector Assignment Type PLUM Sub Type Job Address 2851 CEBU PL Suite Lot 0 Location APPLICANT CALIFORNIA DELTA MECHANICAL Owner SANDERSON SUSAN Remarks Phone 7604318782 Inspector Total Time CD Description 25 Water Heater/Vents Act/^Comment Requested By MAUREEN Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments \ 0 A ACORD ppp-ripip-A-rp r\F 1 IARI™ L»>Cr\ 1 IrlwM 1 C. \Jr L.IMDI PRODUCER ALL COMMERCIAL INSURANCE SERVICES, LLC 6790 TOP GUN STREET #3 SAN DIEGO CA 921 21 Agency Lic# OC64552 INSURED CALIFORNIA DELTA MECHANICAL, INC 2500 SOUTH POWER RD , STE # 129 MESA AZ 85208 LITY INSURANCE ""S^T 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 LINCOLN GENERAL INSURANCE CO INSURERS INSURER C INSURER D INSURER E NAIC# 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 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 LTR A *gp|J TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GEN ] CLAIMS MADE ERAL LIABILITY X | OCCUR GEN L AGGREGATE LIMIT APPLIES PER— i i — i r~i1 POLICY | | PROJECT 1 1 LOC AUTOMOBILE LIABILITY ANY AUTO ALl- OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS HOW-OWNED AUTOS GARAGE LIABILITY "1 AN* AUTO EXCESS / UMBRELLA LIABILITY ~ "1 OCCUR CLAIMS MADE DEPUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR'PARTNEIUEXECUTIVE OFFICER/MeW!BEF< EXCLUDED? If yes describe untie'' SPECIAL PROVISIONS below OTHER POLICY NUMBER 6320014111 00 POLICY EFFECTIVE DATE 1MWI/OD/YYI OCT 30 04 POLICY EXPIRATION DATE (MM'DD/YY) OCT 30 05 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PRFMIPF1 (= = n™ „„„,„) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accideni) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY AHG EACH OCCURRENCE AGGREGATE I WC STATU QTHER EL EACH ACCIDENT EL DISEASE-EA EMPLOYEE EL DISEASE-POLICY LIMIT 5 1,000,000 $ 100,000 S 5,000 * 1,000,000 $ 2,000,000 3 1,000,000 $ $ $ $ s $ s $ $ s s s t s s 3 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY *10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION t Attention MARIE ROUTON 972 881-8317 SHOULD A.MY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 8UT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER IPS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ^7 ^^^^iv4k RubiTrf^^^ ACORD 25 (2001/08)Certificate # 40823 © ACORD CORPORATION 1988