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Home My WebLink About1590 CHESTNUT AVE; ; CB080249; Permit02-07-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB080249 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1590 CHESTNUT AV CBAD PLUM 2051302200 Lot# Construction Type BUCKLEY RES REPAIR SEWER LINE @ LAWN TO SIDEWALK 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 02/07/2008 KG 02/07/2008 02/07/2008 Applicant PIN POINT LEAK DETECTION 9800 INDIANA RIVERSIDE CA 92503 919-354-2276 Owner BUCKLEY TYLER&TRACY 1590 CHESTNUT 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 1 0 0 0 0 0 $2000 $000 $1500 $000 $000 $000 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $3500 Total Fees $35 00 Total Payments To Date $35 00 Balance Due $000 Inspector FINAL APPROVA 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 City of Carlsbad 1635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 Fax 760 602 8558 Building Permit Application Plan Check I Est Value Plan Ck Deposit EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES D #NO D AIR CONDITIONING YES D NO D FIRE SPRINKLERS YES a NO D NAME (If Differen APPLICANT NAME ADDRESS ADDRESS STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME . , ZIP CITY STATE ZIP PHONE PHONE FAX EMAIL EMAIL CITY BUS lLIC#i 77 Vi^l^A J^£^ ARCH/DESIGNER NAME & ADDRESS STATE LIC #CLASS (Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, pnor to its issuance also requires the applicant for such permiMq/lile a signed statement that he is licensed .pursuant to the provisions of the Contractors 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 w 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}) Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations L~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 TS5 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 issued My workers compensation insurance earner and policy number are Insurance Co ~VfV^.fc- XAS>UvW> Ca ^4k.<:^v. Policy No ft&ilC1^ LCr-?' Expiration Date t—fi~ Q^ This section need not be completed if the permit is for one hundred dollars ($100) or less n 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 is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees / hereby affirm that I am exempt from Contractors License Law for the following reason O 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) O 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 I personally plan to provide the major labor and matenals for construction of the proposed property improvement OYes ONo 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 / 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 / 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 / type of work) * >£fpROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' d Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution control district 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? 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 I hereby authorize representative of the City of Carbbad 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 stones m height -, EXPIRATION Every permit issued by (he Building Official under the provisions of this Code shall expire by limitation and become nun and void if the building or work authorized by such permit is not commenced within 18Qday City of Carlsbad Bldg Inspection Request For 02/13/2008 Permit# CB080249 Title BUCKLEY RES REPAIR SEWER Description LINE @ LAWN TO SIDEWALK Sub Type 1590 CHESTNUT AV Lot Type PLUM Job Address Suite Location OWNER BUCKLEY TYLER&TRACY Owner BUCKLEY TYLER&TRACY Remarks AM PLEASE Inspector Assignment Phone 9093767865 Inspect Total Time CD Description 24 Rough/Topout 29 Final Plumbing Act Comment vJC. Requested By NA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ACQRDru CERTIFICATE OF LIABILITY INSURANCE DATE(MM/QD/YYY1 1/11/2008 i PRODUCER JOSHUA YAGER 2627 W FLORIDA AVE STE 203 HEMET CA 92545 951-9258315 INSURED GAVIN SMITH ,DBA PINPOINT LEAK DETECTION 9800 INDIANA AVENUE SUITE 5 .RIVERSIDE CA 92503 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 TRUCK INSURANCE EXCHANG NAIC # 21709 JNSURERB_ JNSURERC_ IN SURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTA ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE iSSJE MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Oi POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IINSR ADOL, LTR INSRp TYPE OF INSURANCE 1 GENERAL LIABILITY I I POLICY EFFECTIVE | POLICY NUMBER DATE IMM/DD/YY1 POLICY EXPIRATION i DATEINIVWDD/YYI ' EACH OCCURRENCE LIMITS $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR GEN L AGGREGATE LIMIT APPLIES PER POLICY Jpry ' j LOC PREMISES (Eagccyrence) _ _* _ MEDEXP(Any one person) i_ PERSONAL &AOVJNJURY S LGENERAL AGGREGATE $ ' PRODUCTS COMP/OP AGG S AUTOMOBILE LIABILITY AN /AUTO ALL OWNED AUTOS SCHEDULED AUTOS H1REDAUTOS NON OWNED AUTOS 1 COMBINED SINGLE l 1MIT (Ea accident} BODILY INJURY (Per person) BODILY INJURY (Per accident) 1 PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE I AUTO ONLY EA ACCIDENT $_ 1 ~ AGG j OTHER THAN , AUTO ONLY EACH OCCURRENCE 'AGGREGATE DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR;PARTNER;EXECUIWE 3cFiCtR'M£MBEf) EXCLUDED1 M y s ntscr be uncltei SPEUAL PRO /ISIONS below i / ! WC STATU OTH Jf— I TORY LIMITS , _ _ £R_ A01109167 01/12/2008 ! 01/12/2009 ^L^c-HA-cy°-EfiT- OTHER E L DISEASE POLICY L MlT DESCRIPTION OF OPERATIONS/LOCATIONS (VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LICENSE #879699 CERTIFICATE HOLDER CANCELLATION .CALIFORNIA STATE LICENSE BOARD |PO BOX 26000 'SACRAMENTO CA 95826 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i HE CAP RA DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS rtR T NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO O sr-,. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER Is \ur-. i REPRESENTATIVES ~ AUTHORIZED REPRESENTATI' ACORD 25(2001/08)Tr?D CORPORA T ON 19