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Home My WebLink About1733 CATALPA RD; ; CB053905; Permit11-09-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB053905 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1733CATALPARDCBAD PLUM 2155120300 Lot# Construction Type VANDIVORT RES- REPLACE WATER HEATER Applicant ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Status 0 Applied NEW Entered By Plan Approved Issued Inspect Area Owner BRUBAKER 2003 TRUST 08-11-03 715 STRATFORD DR ENCINITAS CA 92024 ISSUED 11/09/2005 LSM 11/09/2005 11/09/2005 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 $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 PERMIT HAS EXPIRED IN ACCORDANCE WITH C B.C. SECTION 106 4 4 AS AMENDED BY C M C18 04 030 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactiors 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 NOTIC, E similar to {his, 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 FOR OFFICE USE ONLY PLAN CHECK NO QAoS EST VAL Plan Ck Deposit Validated By Date Address (include BJdg/Suite Business Name (at this address! Legal Description Lot No -. ^__Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #—\LfwPK DescriptioiTof Work USB Proposed Use SO FT ' | ffof Stories # of Biidrooms iSDfifi&ntr^JSilF^^ i"M;» -fry "',-":(BjipliCBmi,splits'.,1, "JtgQV &Ms^:Tv_, fas- "a.41*? M~t.tMM« iSu "L^-i.L i fin ,,? Ki •• >' ' !. of Bathroorns Name 'sTTAPTLfCANT ""f0[c7nlraDtoiv Address j } City Stata/Zip Telephone # .gSiFftlT:^^ ^j jOf^ X, " '' ' ' Fax Name Address Telephone * Address City Telephone (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, improve, damolrsh or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that ha 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 Codel or that he is exempt therefrom, and the basis for the alleged violation of Section 7O31 5 by any applicant for a permit subjects the applicant to fcivll penalty of not moie than five hundred dollars IS500]) Name State License # '=116-20 Address* ' City State/Zip ! License Class C- £-O O-^^ City Business License # VX Designer Name State License # Address Telephone tt£0-700 City State/Zip Telephone i|f^^^'^r^^^'^^^^^^^^a,'4^y' ^S^^r'^Tli-^t1 vli'r"ip T,*™^' • ' . ' ( Wotkers' Compensation Declaration 1 hereby affirm under penalty of perjury one of the following declarationsi fQ 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 [3* 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 compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS]i D CERTIFICATE OF EXEMPTION I certify that In the performance of the work for which this permit is issued, 1 shall not timploy any person in any manner so as to become subject to ttw^Workers' Compensation Laws of California o secVira workers' compensate , In addition tt the erage is unlawful, and shall subject an employer to criminal penalties and c&il fines up to one hundred ,Btlon|_damages as provided (or In Section 3706 of the Lnbo/ 5 Ofec-tn)6rest and attorney s fees DATE WARNING Fallur thousand dollars SIGNATURE \ 7"'' 'OWNERiBUILDER.DECLARATION _ _ I hareby affirm that I am exempt from the Contractor's License Law for tha following reason' |Q I, as owner of the property lor 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 rot 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 sate If, however the building or Improvement is sold withm one yaar of completion, th» owner buitdar will have tha burden of proving that ha did not build or improve for the purpose of sale) d 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 LawJ I Q I am exempt under Section _ Business and Professions Code for this reason 1 1 personally plan to provide the major labor and materials for construction of the proposed property improvement D YES QNO 2 | (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 / phont number / contractors license number) _ _ I _ i _ __ ___ 4 l 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 numberl _ ' _ _ ___ . - 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) _ ^ ______ _ . __ . — . DATEPROPERTY OWNER SIGNATURE ! 'COMPLETE THIS SECTfONrFOR^O/V^fi/DBV^ffiBUI^ 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? [D YES D NO Is tha applicant or future building occupant required to obtain a permit'from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES [J 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 8.,, CONSTHUCTION^ENDING AGENCY. I hereby affirm that there is a construction LENDER S NAME ^_^ lerldmg agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S ADDRESS 1 csmfy that I hava rearf tha application and stata 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 CARISBAD 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 EXPtRATION Every permit issued h/iheWliing Official under (he provisions of this Code shall expire by limitation and become null add void if (he building or work authorized by such permit is not commenced within 180 days from the date ofiuch permit or il the building or work authorized by •SM at any time after the work is com APPLICANT S SIGNATURE (, Building Code) DATE // suspended or abandoned WHITE File • YELLOW Applicant PINK Finance ^ MARSH CERTIFICATE OF INSURANCE ™™°»* «*>**** >-H!-OGC943'll2-ni PRODUCER Ser/iceMaster Certificate Team MARSH ^SAJnc 500 W Monroe St Chicago IL 6C661 Attn Fax 377-732-7799 3112 I '.HSU RED (MH21ARS AMERICAN RESIDENTIAL SERVICES OF CALIFORNIA INC dbaARS OF SAN DIEGO 860 RIDGE LA KE0LVD MEMPHIS TN 38120 THIS CERTF1CATE IS ISSUED AS AHATTEa OF INFORMATION CMLf AHO CONFERS NO RtGHTS UPON THE CERT1FIC-TE HO.QER OTHER THAM THOSE PROVIDED M THE POLICY THIS CERTIFICATE DOES HOT AMEND EXTEND OR ALTER THE COVERAGE «=FCRDEO 5T THE POLICES DESCRIBED HEREIN COMPANIES AFFORDING COVERAGE A ZURICH AMERICAN INSURANCE COMPANY 1 CGVrf," B ILLINOIS NATIONAL INSURANCE COMPANY COMPANY C CCMPAN" D COVERAGES ^ This certificate superaedeaandrepiacesany previcxjaly issued certificate Ibrtftepxriicy period noted below. Tn S IS TO CERTIFY Tr>AT ?O-iCES O= INSURANCE DESCRIBED nrSEiN nAVc SEEN rSSL.ED TO THE !N3jSED NAVeO ^E^E'N FOF Ti-E PCLICY =E3IOO INDICATED VGTMTi-i STAN DING ANY qgQj-"REM6NT TE=rM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RE3>ECTTOWH Ol THE CERTIFICATE VAY HE IS3LED OR MAY CERTAIN Trig NSURANC? V'ORQED 3Y THE POLICES DESCH'BED -iS^SIv. IS SUBJECT TO *U THE TERMS CONDITIONS AND EXC.U3ONS CF SUCH POL^CcS AGGREGATE LIMITS S-OVMM MAY H AVS 3E^N RSDUCEO 8Y o AID aAlMS CO ',„ ! TYPE OFtHSURANCc ^ 3ENEHAL LIABILITY X ' COMMERGAL GENERAL LIABILITY ^ j CLAIMSMAOE [_^J OCCUR Otweft S i CONTRACTOR S PROT i A 1 AUTOMOBILE LIABILITY i ]I X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS OARAGE LIABILITY ANY AUTO 1 g EXCESS LIABILITY nUMERELLAFCRM OTHER THAN UM8RSLLA ^ORM A [ WORKERS COMPENSATION *«0 EHPLOYERS-LIABlLrTY k ** NCL POLICY NUMBER GLO 2938645-01 BAP 2938646-01 (AOS) BAP 2936647-01 (VA) TAP 2938648-01 (TX) BE 309-79-07 WC 2938643-01 (AOS) POLICY EFFECTIVE DATE(MHIDO/YY) 01/01/03 01/01/03 01/01/03 01/01/03 X 04/01/01 101/01/03 POL ICY EXPIRATION DATE(MH/DDfrY) 01/01/06 01/01/06 01/01/06 01/01/06 04/01/04 01/01/06 purrs GENERAL AGGREGATE PRODUCTS COMP^OP AGG , c^RSONAL ft ADVINJURY EACH OCGJfiRENCe 1 r!SH 0AM AdE (Any cnatre) MED SXP (Anv m« oerscn] CCMBNED SNGLE LIMIT aODILvINJJfiY (P« persen) BOOlLYINJJRY (Per acodent) PROPERTYD/MAGE AJTOQNUY EAACOOENT OTHER TV AN AUTO ONLV eA(3H ACODENT AGGREGATE EACH OCCURRENCE AGGREGATE- $ 5,000,000 $ 1,000,000 $ 1 ,000,000 $ 1 000,000 $ 1 ,000,000 5 5,000 $ 1 ,000,000 $ $ $ S f t,- , (," i'( ; ' #>( •,,, •, -."V.S $ S J 5,000 000 $ 5,000 000 $ v ' WC STATIN OTM-j " ' ,* 1 TCRYI'MtnS 1 GR 1 '• '• EL EACH ACQOf^T '=' TSFASC-aa IC^ ! VliT .=' -)»£**:.£*:- =MP,0«~ 3 1 QOO 000 $ 1 000 000 $ 1 QQOOOO OTHER OE5CRIP11QH Cf <_PFRftllQNSIL<5«iTlOI'i3lv£HVa.ES>SPEC1*L ITEMS CERTIFICATE HOLDER CANCELLATION- SIARSH USA WC 3Y CV.SIVN VAL1PA3OP