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HomeMy WebLinkAbout1331 CHINQUAPIN AVE; ; CB070816; Permit03-26-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB070816 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1331 CHINQUAPIN AV CBAD PLUM 2061403600 Lot# 0 Construction Type NEW MCFADDEN RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/26/2007 KG Applicant AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA CA 91321 661 2597131 Owner MCFADDEN FAMILY TRUST 02 07-97 1331 CHINQUAPIN AVE 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 FINAL APPROVAL Date $~'*Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 A FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By~ Address (include Bldg/Suite tt} Legal Description Assessor & Parcel #w$acJL lOfc Description of Work Business 1 Lot No Subdivision Name/Number , ( Existing Use SQ FT 'AM\JL A ttof Stories Name (at this address) Unit No Phase No ' j Proposed Use tt of Bedrooms Total tt of units tt of Bathrooms fent from applicant) %*<„ Name Address City ontraotor " Q Owner JD Aaent torJ3wner * e,AV $ Fax tt Name Address City State/Zip Telephone if (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 Code] or that he is exempt therefrom and the basis for the alleged Anyjriolatipn 9f Sectipn 793,1 f by any. applipa/tt for a pj}nm subjects the applicarrt to ajjivil^nalty of rjpunore than five hundred dolj^fp l^jSOOl NameU / nO —7 *2. / C/ Address ^- State License it <-£ ^^ / \^\J" 0 License Class ( . ^j i City ' State/Zip Telephone # /~ )Pr~£\ (^ j _? 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City Business License tt j LA 1 2-~7 1 Designer Name Address State License tt City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~) 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 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 ed My worker s compensation irjsyrance carljer and policy number are , _,,-,,-, ^.^-—,/^^ I 1 ^/-t. <") or the N?f I /issued Insurance Company Dispensation insurance carfier an Policy No Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) Q 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 thousand dollars ($100 SIGNATURE compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred ie cost of compensation damages as provided for in Section 3706 of the LaboF-cj^de'] jnteiesy ajid-e^torney s fees DATE I hereby affirm that I am exemprftojrf the Contractor s License Law for the following reason Q 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) Q 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) O I am exempt under Section Business and Professions Code for this reason 1 2 3 I personally plan to provide the major labor and materials for construction of the proposed property improvement f| YES I (have / have not) signed an application for a building permit for the proposed work 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) the following persons to provide the work indicated (include name / address / phone number / type 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 management and prevention program under Sections 25505 25533 or 25534 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 air quality management district? CD YES Q NO Is the facility to be~£onstructed 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 "ftuLi CCLNSTRgCIIOri'LENDING'AGENlCY > _, f *'« ~ > L _ t , -'»." ' , 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 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 at any time after the work is cornmeAcexMor a/f enod/efNl80 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 05/01/2007 Permit* CB070816 Title MCFADDEN RES REPLACE WTR HTR Description Inspector Assignment 1331 CHINQUAPIN AV Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER MCFADDEN FAMILY TRUST 02-07-97 Owner MCFADDEN FAMILY TRUST 02-07-97 Remarks! Phone 7607297432 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By JEAN Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments LETTER OF AUTHORIZATION "I, undersigned, give permission to accept any of the signatures that appear below, on a permit being issued, in lieu of my signature at the counter I hereby certify under penalty of perjury, that I will comply with all declarations and agreements on the permit, which bears my signature or my representative signature, and as required by this city " The following authorized representatives have my permission to sign and take receipt of construction permits m thejiangp<ff my company Leonce Roux Contractor Name Katie LaKamp Cpnteactoj; Signature Authorized Representative Ai iresentative Signature Undersigned Contractor Information Leonce Roux X>V^ ^ <5/3~/ /£>Ci Contractor's Name // Affordable Water Heaters and Plumbing Incf Company Name x 24707 San Fernando Road, Santa Clarita CA 91321 Company Address The Zenith Worker's Compensation Insurance Carrier 627368 C36 Contractor's State License Number and Class Signature 661-259-7131 Phone Number 661-259-9556 Ysx. Number #2067898701 Policy Number 09-30-2006 Expiration Date Date c 01/01/2007 Expiration Date CMNUKT ACTIVE LICENSE 627368 CORP AFFORDABLE WATER HEATERS AND PLUMBING INC —*> C36 t,..»o. 09/30/2008 TheZenith ZENITH INSURANCE COMPANY Company No 13145 21255 CAL1FA ST WOODLAND HILLS CA 91367 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE ITEM1 INSURED NAME AND MAILING ADDRESS PHYSICAL LOCATION PRODUCER 091177A 100 Renewal of Z067898701 AFFORDABLE WATER HEATERS AND PLUMBING INC 24707 SAN FERNANDO RD SANTA CLARTTA, CA 91321 Policy Number Z067898702 DIRECT BILL 24707 SAN FERNANDO RD SANTA CLARTTA CA 91321 Policy Type WN Line NON-PARTICIPATING Entity CORPORATION Billing Type PAYROLL Frequency MONTHLY OTHER WORKPLACES NOT SHOWN ABOVE FEIN 95^660066 See WC-00-99-05 - ADDITIONAL LOCATION ENDORSEMENT HOGAN INSURANCE SERVICES, INC PO BOX 7419 THOUSAND OAKS CA 91359-7419 ITEM 2 The Policy Period is from 01/01/07 to 01/01/08 12 01 A M standard time at the tnsured's mailing address ITEM3 A Workers Compensation Insurance Part 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 arc 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 ITEM 4 The premium for this policy will be determined by our manuals of Rules, Classifications, Rates and Rating 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 $ 141977 Minimum Premium $ 500 Deposit Premium $ 24 470 Countersigned At Woodland Hills CA On 12/29/06 By WC-OO-OO-OIA rr»ov