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HomeMy WebLinkAbout2883 CAMINO SERBAL; ; CB090577; Permit04-08-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB090577 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2883 CAMINO SERBAL CBAD PLUM 2552813300 Lot #: 0 Construction Type: NEW FIORE RES-REPLACE WTR HTR Status: ISSUED Applied: 04/07/2009 Entered By: LSM Plan Approved: 04/07/2009 Issued: 04/07/2009 Inspect Area: Applicant: FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner: STAMOS DEAN&FIORE JUSTINE M 2883 CAMINO SERBAL 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 ?*% PERMIT mH FX^FiO m ACCORDANCE WITH C.B.C. SECTION iOS.i.4 AS A'*1£MDEO BY C.M.C.18.04.830 DATE 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. 439201City of Carlsbad ^9% 1635 Faraday Ave., Carlsbad, CA 92008 HllP!^H 760-602-2717 / 2718 / 2719 ^^^KwB ' ' ^'760-602-8558 ^g^ Building Permit Application JOBADDRESS 2883 CAMINO SERBAL CT/PROJECTK LOTH PHASi-« It OF UNITS » BEDROOMS sunwspACEvunrr* Plan Check No.OBO^ 01D~? Est. Value Plan Ck. Deposit Date i4(O7 /Oft ^'<^r^J APN *6ATHfiOOMS 'tfflWJtStjSlNeSSNAMe CbflStft.tYPE '"dcaGROliP" DESCRIPTION OF WORK: Include Squats Feet of Affected Araa(sl Remove/Replace Gas Water Heater EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAMEj/WJjffgreMftm Applicant) ADDRESS12601 132ND AVE NE C(1Y KIRKLAND VVA 98034 PHONE 425-636-7084 F425-636-7085 EMAIL julierj@fastwaterheater.com PROPEW6f31!^ TONTINE & DEAN ADDRE2883 CAMINO SERBAL CITY STATE ZIPCARLSBAD CA CA 92009 PHONE FAX(760)632-1829 EMAIL ARCH/DESIGNER NAME&AQDRESS STATEUC.# PATIOS (SF) DECKS (SF) '••FIREPLACE AIR CONDITIONING FIRESPRINKLERS YES|T~|S NC|~~| YESQNOQ YE$| |NO[~~] APPUCANTN?AST WATER HEATER COMPANY ADDRESS 126Q1 132ND AVE NE CITY KIRKLAND PHONE 425-636-7084 STATE ZIP WA 98034 FAX 425-636-7085 juliec@fastwaterheater.com CONraAOTOR rWOvATER HEATER COMPANY ADDRESS 12601 132NDAVENE CITY KIRKLAND ™N|25-636-7084 STATE ZIP WA 98034 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com STATE UC.*877489 CLASS CfTY BUS. LIC.fl C36 1222302 (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 theapplicant for such permit to file a slgnod 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 Wat 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 penalty of not more than five hundred dollars ($500)). 1 £*;r - * Workers' Compensation Declaration: ' /wB6y affirm under penalty at perjury one o! the blowing declarations: LJ 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sect on 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1^1 1 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 workers' compensation insurance carrier and policy number are: Insurance Co Truck Insurance Exchange Policy No. AO 9 3 044 5 5 Expiration Date 12/1/09 This section need not be completed if the permit is for one hundred doBara (S100) or less. {{ Certificate of Exemption; I certify that in the performance of the work for which this peimit is issued, i shall no! employ sny person in any manner so as to become subject to the Workers' Comperttmiion 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 ona hundred thousand dollars (&1 00,000), In addition to the cost of compensation, damano* as nmulrfoi) fnr In Roniinn 3TOB nf )h« Labor code, Interest and attorney's fees. ^COrrmACTORSIGNATtJRE <3***&7&&~4*4r DATE 4/1/09 lltereby affirm that lam ex | [ I, as owner oF the prc — License Law does IK sale If, however, the | | I, as owner of the pre property who builds | [ I am exempt unto S 1. 1 personally p; 2.1 (have /have 3.1 have contrac ; 4. 1 plan to provk 5. twill provides f, er PI>l b f>or rfX an nc la ie on npf from Contactor's Lfcense Lew forth jrty or my employees with wages as the apply to an owner of property who builds uilding or improvement is sold within on arty, am exclusively contracting wi!h lies improves thereon, and contracts for sue ion Business and PrafE to provide the major labor and material, t) signed an application for a building pc t with the fotowing person (firm) to provl portions of the work, but I have hired tfx ne of the work, but 1 have contracted {Mr JSS PROPERTY OWNER SIGNATURE e tattooing reason: \f sole compensation, wll do the work and the structure Is not Wended or offered for sale (Sec, 704'), Business and Professions Cods: The Contractor's or improves thereon, and who does such work himself or tough his own employees, provided that such improvements are not intended or offered for > year of oomptelion, the owner-builder will have the burden of proving that he did not buld or improve for toe purpose of sale). nsed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of i projects with conlrador(s) licensed pursuant to the Contractor's License Law). .ssions Code for this reason: for construction of the proposed property improvement I |Yes 1 No rtnit for the proposed work, da the proposed construction (include nans address/ phone / con [factors' license number): ! Wowing person to coordinate, supervise and provide Ins major work (include name / address /phono / contractors' license number): ed) the following persons to provide the work indicated (include name / address / phone / type of work): DATE Is the applicant or future building occupant required to subrattabusiness ojsn. acutely hazardous materials registration farm or risk management and prevention program under Sections 25505,29533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? j I Yes | mo __ Is Ins applicant or tulure buadino occupant required to obtain a permil from the sir pollution conlro! district or air malty management district? L-jYes LJNo lslhe(8d»tytobeconshictedwilhin1,QOOIeeloflhB(«terto«)Bryofas*ool_68e? Q^es ("jlto EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm ttiat there is a conslnjclton lending agency for the performance of the work this permit is Issued (Sec. 3097 (i) CM! Code), Lender's Name Lender's Address I hereby authorize representative of Ire City of Cartsted to enter upon the atoarrenfionfrf property fehspectapupo^ 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:AnC£HApem3ferequInxiforaBvafora^ EXPIRATION: Eveiy perms Issued by 8ie Btikfing Official under the provisions of trfe Cote sha! expire by fer^ and beow^ 160 days from the date of such petmJ oriflhe biifcg or work aulhorfeed by such permit is suspended or abarxtor^ at affirm after the vra*^ ^APPLICANT'S SIGNATURE DATE 4/1/09 City of Carlsbad September 23, 2009 JUSTINE FIORE & DEAN STAMOS 2883 CAMINO SERBAL CARLSBAD CA 92009 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: PLUMB Building Department Permit Number: CB090577 Issue Date: 04/07/2009 ADDRESS: 2883 CAMINO SERBAL PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 10/04/2009. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. No fee extension requested for 180 days, (attach a letter of explanation) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760)602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. Christine Wauschek Office Specialist 1635 Faraday Avenue « Carlsbad, CA 92008-7314 « (760) 602-2700 • FAX (760) 602-8560 CERTIFICATE OF LIABILITY INSURANCE UAI t IWilVl/ULVY r Y T J 1/14/2009 RODUCER S I ova Insurance Agency PO Box 981' Twin Peaks, CA 92391 1-866-244-4682 ISURED FAST WATER HEATERS I, INC ~~ FAST WATER HEATER PARTNERS I, LP DBA: FAST WATER HEATER COMPANY 12601 132ND AVENUE NE iKIRKLAND, WA 98034 THIS CERTIFICATE IS 1SSUEDAS 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: TRUCK INSURANCE COMPANY INSURER B: INSURER C: (NSURER D: INSURER E: NAIC# IOVERAGES THE POLICIES OF INSURANCE LISTEDBELOWHAVE 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. sir m A kbb'u N$RD TYPE OF INSURANCE GENERAL LIABILITY = GEh COMMERCIAL GENERAL LIABILITY | CLAIMS MADE | [OCCUR 1 AGGREGATE LIMIT APPLIES PER: POLICY 1 1 JECT 1 | LOC AUTOMOBILE LIABILITY ANY AUTO ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXC ANY AUTO ESS/UMBRELLA LIABILITY OCCUR 1 | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifyes. describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER A09304455 DATE (MM/DD/YY) 12/1/08 POLICY EXPIRATIONDATE (MM/DD/YY) * 12/1/09 LIMITS EACH OCCURRENCE LjMiviAVjt i u Ktrv i fcu PREMISES (Ea occurence) 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 accident) AUTO ONLY - EAfAGeiDENT OTHER THAN EAACC AUTO ONLY: AQG EACH OCCURRENCE AGGREGATE ., 1 WUyiAlU- 1 IOTH-X 1 TORY LIMITS | | ER E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ $ $ $ « $ $ $ $ $ $ $ $ J J S $ s l.OOO.OC * lrOOO.OO( $ 1,000,001 ESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS •-ERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ',, > DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITKN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .CORD 25 (2001/08) © ACORD CORPORATION 1988