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HomeMy WebLinkAbout290 CHINQUAPIN AVE; ; CB081921; Permit10-10-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081921 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 290 CHINQUAPIN AV CBAD PLUM 2060203501 Lot # Construction Type OLSEN REPLACEWTR HTR 0 NEW Status Applied Entered By Plan Approved issued Inspect Area ISSUED 10/10/2008 JMA 10/10/2008 10/10/2008 Applicant ANDERSON PLUMBING INC.WALTER 11 SON MARSHALL EL CAJON, CA 92020 619-449-3852 Owner GREEN FAMILY TRUST 10-30-90 290 CHINQUAPIN AVE #C CARLSBAD CA 92008 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 applicabon 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 City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718/2719 Fax 760-602-8558 Building Permit Application Plan Check No C6>Q<S* Est. Value Plan Ck. Deposit CT/PROJECT # DESCRIPTION OTWORK pec 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 Code} or that he is exempt therefrom and the basis (or the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})Seen mit is issued My workers compensation insurance caijner and D I Expiration Dale O~7 hi CPlI l T *" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued S(j,have and will maintain workers'compensation as required by Section 3700 of the Labor Code for the performance of the work forwjjich this permit is issued My workers compensation insu^ance_c /number are Insurance Co "7_$ V\ \~\~Y\ \ I/O 5> Policy No "7 Q(/? ^O ^ 11 f) fo \ Expi This section need nol be completed if the permit is for one hundred dollars ($100) or less CI Certificate of Exemption I certify thai iri California WARNING Failure to secure/w addition to the cost of compensation dama J&£ CONTRACTOR SIGNATURE and policy IB performanse 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 rkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (8,100,000), in ibor tdde, interest and attorney s fees DATE I hereby affirm fhaf I am exempt from Confracj s License Law for the following reason Q I as owner of the properly or my emrjlpyees with wages as their sole compensation will do the work and Ihe structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does nol apply to an owner of property who builds or improves Ihereon and who does such work himself or through his own employees provided thai such improvements are nol intended or offered for sate If however the building or improvement is sold withm one year of completion the owner buildei will have the burden of proving thai he did not build or improve for the purpose of sale) O I as owner of Ihe property am exclusively contracting with licensed contractors lo construe! the proiecl (Sec 7044 Business and Professions Code The Contractor s License Law does not apply lo an owner of properly who builds or improves Ihereon and contracts for such projects with conlractor(s) licensed pursuant to Ihe Contractor s License Law) Cl I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide Ihe major labor and materials for construction of Ihe proposed properly improvement G Yes C7I No 2 I (have f have not) signed an application for a building permit for the proposed work 3 I have contracted with Ihe following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 I plan lo provide portions of the work bul I have hired the following person to coordinate supervise and provide Ihe major work (include name 7 address / phone / contractors license number) 5 I will provide some of Ihe work bul I have contracted (hired) Ihe following persons lo provide the work indicated (include name / address / phone / typo of 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 managemenl and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Acf D Yes O No Is Ihe applicant or future building occupani required lo obtain a permit from Ihe air pollution control district or air quality managemenl district' O Yes D No Is Ihe facility lo be constructed within 1 000 feel of the outer boundary of a school sile1 O Yes D No IF ANY OF THE ANSWERS ARE YES EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name Lender s Address 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 thereby authorize representative 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 excavations over 5 0' deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the/tli ilding Official uffdeli 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 orf trjfe building or ^APPLICANT'S SIGNATURE by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 10644 Uniform Building Code) City of Carlsbad Bldg Inspection Request For 02/02/2009 Permit# CB081921 Title OLSEN REPLACE WTR HTR Description Inspector Assignment 290 CHINQUAPIN AV Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER GREEN FAMILY TRUST 10-30-90 Owner Remarks Phone 6194493852 Inspector Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act >-. Comments Requested By JENNA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/02/2008 Phone (858)751-5888 Konecki Insurance Brokerage 4858 Mercury Street, Suite 214 San Diego, CA 92111 License # OE61914 Andersons Plumbing, Heating and Air Cond 1150 North Marshall Ave El Cajon, CA 92020 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 Golden Eagle Insurance Company INSURERS Zenith Insurance Company INSURER C INSURER D INSURER E NAIC# COVERAGES 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 LTR INSRD TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY , CLAIMS MADE OCCUR GEN L AGGREGATE LIMIT APPLIES PER PRO POLICY jFnr LOC A Y AUTOMOBILE LIABILITY B A 838341 9 X ANY AUTO X ALL OWNED AUTOS X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS X Comp $1,000ded X Coll SLOOOded GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR \ ] CLAIMS MADE , DEDUCTIBLE . RETENTION $ i B WORKERS COMPENSATION AND Z069891 601 EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS below POLICY EFFECTIVE POLICY EXPIRATION DATE IMM/DD/YYI DATE (MM/DD/YYI LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED .PREMISES (Ea pccurence) .. $ MEOeXP(Anyqne_petspn) ; $ PERSONAL & ADV INJURY • $ GENERAL AGGREGATE S PRODUCTS -COMP/OPAGG $ 02/01/2008 02/01/2009 COMBINED SINGLE L,M,T . (Ea accident) * BODILY INJURY , (Per person) * BODILY INJURY , (Per accident) * PROPERTY DAMAGE , (Per accident) J AUTO ONLY EA ACCIDENT $ OTHER THAN ?A ACC * AUTO ONLY AGQ $ EACH OCCURRENCE $ AGGREGATE J $ : s $ 07/01/2008 07/01/2009 X TORYUMITS °E™ EL EACH ACCIDENT J E L DISEASE EA EMPLOYEE $ EL DISEASE POLICY LIMIT $ 1,000,000 1,000,000 1,000,000 1.000.000 OTHER : i *10 Days notice of cancellation for non payment of premium Certificate Holder named as additional insured CERTIFICATE HOLDER CANCELLATION City of Carlsbad 1200 Elm Avenue Carlsbad, CA 92008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 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 AIITHr>RI7Fn PFPBFSFNTATIVE CUJS 4&^ (TNT) ACORD 25 (2001/08)© ACORD CORPORATION 1988 Printed by TNT on July 02 2008 at 04 40PM