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Home My WebLink About2852 AVENIDA VALERA; ; CB061109; Permit04-25-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB061109 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2852 AVENIDA VALERA CBAD PLUM 2164610800 Lot#: Construction Type: DELGADO RES REPLACE H2O HEATER 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/25/2006 KG 04/25/2006 04/25/2006 Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 Owner: DELGADO SHARON G TR 2852 AVENIDA VALERA CARLSBAD CA 92009 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 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27.00 Balance Due:$0.00 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 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(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 exDJred. PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE QMJ.YPLAN CHECKEST. VAL.Plan Ck. De^osiValidated ByDateAddress (include Bldg/Suite *)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total i of unitsAssessor's Parcel *yA lAflV Existing Use Proposed UseDescription of Work SQ.FT.#of Stories i of Bedrooms t of Bathrooms City State/Zip Telephone * Fax # ^M^S^ttJiPi»^!5f3^^^^^l;|f^"d!^' V-::'*± Name Address fthUMMttttt^^ City State/Zip Telephone $«B$l«»^ V;i: Name Address MilEH! City State/Zip Telephone # (Sac. 7031 .5 Business and Professions Code; Any City or County which requires a permit to construct, alter, improve, demolish or repair any atructure, prior to its Issuance, also requires the applicant for auch permit to file • 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 Code) or that he la exempt therefrom, and the basis for tha alleged exemption. Any violation of Section 7031 .6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (tSOOJ). Name Address /^\*"lOfP /^i *3 fState License * (& er f ptoo License Class C- 5 * City State/Zip Telephone * Cltv Business License 9 1 A 1 7-3 7 / Designer Name Address State License * City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm undw penalty of 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 la Issued. Of I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of tha work for which this permit is Issued, My worker's comoenaatfon ir»<i»nca carrier end policy number are: Insursnce Company _ Tl/\ t t tf\_'i-Tt\ Polloy No. L 0fa7 ^§'701 Expiration Oate____( (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) O 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 to unlawful, and shaJI subject en employer to criminal peneltlea end civil flnea up to one hundred thousand dollars (S100.000), HI addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE . Jf&Fl' DATE V ~LC'' Cfr I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, BS owner of tha property or my employees with wages as their sole compensation, will do tha 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 throuoh 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). O '< »» owner of the property, am exclusively contracting, with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'* Uc«n*« Lew does not apply to v\ owner of property who builds or Improves tlwreon, and contract* for such projects with conUactortsJ licensed pursuant to the Contractor's License Law). D I •*" exempt under Section Buslneas and Professions Code for tills reeson: 1. I personally plan to provide tha major labor snd materials for construction of tha proposed property improvement. Q YES QNO 2. I (have / have not) signed en 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 / contractors license number): 5. I will provide some of the work, but I have contracted (hired) tha following persona to provide the work Indicated (Include neme / address / phone number / typeof 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 25605, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or sir quality manao.ement district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q 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. fctt&fiftll^^ ,.;.; -.. I hereby affirm that there is a construction landing agency for the performance of the wort for which this permit Is issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above Information is correct snd thst ths Information on the plane is accurate. I agree to comply with all City ordinances snd State Iswa relating to building construction. I hereby authorize 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 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 excavation* over B'O" deep and demolition or construction of structures over 3 stories in height. EX.?^AT1{1N: Ev.ery perm" lMUfld by thfl bulldtnfl Ofllclal undar °* Pravte*™ •* «• Code shall expire by limitation and become null and void If the building or workauthorized by such permit la not cwnnw^ at any time after the work is commenced for a period of/180 days {Section 106,4.4 Uniform Building Code). APPLICANT'S SIGNATURE A&ffii~ DAT£ H' &> ~ Off ' WHITE; File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/23/2006 Permit* CB061109 Title: DELGADO RES REPLACE H2O HEATER Description: Sub Type: 2852 AVENIDA VALERA Lot 0 Type: PLUM Job Address: Suite: Location: APPLICANT AFFORDABLE WATER HEATER Owner: DELGADO SHARON G TR Remarks: Inspector Assignment: Phone: 7604315057 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comment Requested By: SHARON Entered By: CW Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments TheZeni! ZENITH INSURANCE COMPA Company No.: 1 21255 CALIFA ST WOODLAND HILLS, CA <: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE ITEM1 INSURED NAME AND MAILING ADDRESS PHYSICAL LOCATION PRODUCER 091177A 100 ITEM 2 ITEM 3 ITEM 4 Renewal of: NEW BUSINESS Policy Number: Z067898701 AFFORDABLE WATER HEATERS AND PLUMBING INC TVroT7/TT OT¥ ¥ 24707 SAN FERNANDO RD LJlJvLC 1 151UL SANTA CLARITA, CA 91321 Policy Type: WN 24707 SAN FERNANDO RD Line: NON-PARTICIPATING SANTA CLARITA, CA 91321 Entity: CORPORATION Billing Type: PAYROLL Frequency: MONTHLY FEIN: 95-4660066 HOGAN INSURANCE SERVICES, INC. P.O. BOX 7419 THOUSAND OAKS, CA 91359-7419 The Policy Period is from: 01/01/06 to: 01/01/07 12:01 A.M. standard time at the insured's mailing address A. Workers Compensation Insurance: Pan One of the policy applies to the Workers Compensation Law of the states listed here: CALIFORNIA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3. A. The limits of our liability under Part Two are: Bodily Injury By Accident $ 1,000,000 Each Accident Bodily Injury By Disease $ 1,000,000 Each Employee Bodily Injury By Disease $ 1,000,000 Policy Limit C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except states listed in item 3. A and NORTH DAKOTA, OHIO, WASHINGTON, WEST VIRGINIA, WYOMING D. See attached list for endorsements and schedules. The premium for this policy will be determined by our manuals of Rules, Classifications, Rates and Plans. All information required below is subject to verification and change by audit. See endorsement WC-99-00-01: RATING SCHEDULE Total Estimated Annual Premium $ 130,208 Minimum Premium $ 1,360 Deposit Premium $ 28,676 Rating Countersigned At: Woodland Hills, CA On: 12/09/05 By: WC-00-00-01A (Ed. 07-00)INSURED COPY Authorized • Representative