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Home My WebLink About2355 CARINGA WAY; 02; CB071007; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-16-2007 Plumbing Permit Permit No CB071007 Building Inspection Request Line (760) 602-2725 Job Address 2355 CARINGA WY CBAD St 02 Permit Type PLUM Status ISSUED Parcel No 2152400511 Lot # 0 Applied 04/16/2007 Construction Type NEW Entered By LSM Reference # Plan Approved Issued Project Title NAVARRO RES- REPLACE WTR HTR Inspect Area Applicant Owner JUST WATER HEATERS INC CASELLA GLORIA J 3400 INVESTMENT BLVD 2636 PONCE AVE HAYWARD CA 94545 BELMONT CA 94002 800-909-9483 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $27 00 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $0 00 PERMIT HAS EXPIRED U* ^CCQflBANCE WITH G B C SECTION 106 4 4 A& AME^fcD 3Y C M C18 04 030 FINAL APPROVAL Inspector Date Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit . Validated By _ Date _ '1 V-^^S^^ ^.._"3JTJ \-*\l !• ' Address '(include Bldg/Suite #) ' Legal Description Assessor s Parcel # Business Name (at this address) Lot No Subdivision Name/Number Existing Use Unit No Phase No Total # of units Proposed Use Description of Work SQ FT 0 of Stones »9SM3t^^JSi^W.35S^ <,:,S£lMkKj;>~;^'&Sbi,;i!^^ 'iXi.^.-.Sfc -.,'i. ***$&>) £$-0- TTZ?/ (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 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]) Name State License # Address License Class City State/Zip City Business License # Telephone # J'*~S'S? I Designer Name State License # Address City State/Zip Telephone # Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 issued My brker s compensation insurance carner.and policy number are .. ltC'IA>i>a I Insurance Company ^cC-^-^" Policy No t|;lt>H>C/^l I Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D 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 r.nucriiij«i» m\*^,.i 3r,rf eh^n subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100 000) in addition to the cost of^rrKelltehplipSttiages are provided for in Section 3706 of the Labor Code, interest and attorney's fees SIGNATURE f A^ IS I DATE 7 ^yJWNER^u^jBee^^ ?-"TV;T ~'*.-TSJ™.'^ I hereby affirm that I am exempt from the Contractor'scteertse Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will d the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors 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) 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 Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement D YES D NO 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 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 / /ontractors 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 WHITF Flip YFI I nw Annlirant PINK Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 buildTn'g^ccupant required to subrmTa business plan acutely hazardous materials registration for or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act9 D YES D NO is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D YES D 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 ^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit i's issued (Sec 3097(1) Civil Code) LENDERS 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 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, JUDGEMENTS, 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 of 5 0 deep and demolition or construction of structures over 3 stones 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 authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any time after the work is commenced for a periodloMefreteys (Section 10(^( 4 Uniform Buildjug-Code) APPLICANTS SIGNATURE DATE. UUHITP Fllo VPI 1 HVA/ Annli^ant ACOR& CERTIFICATE OF LIABILITY INSURANCE PRODUCER (925)934-0505 FAX (925)977-1591 Insurance Associates of Northern CA 2735 North Main Street PO Box 8070 Walnut Creek, CA 94596 INSURED Dust Water Heaters, Inc. 3400 Investment Blvd. Hayward, CA 94545 DATE (MM/DD/YYYY) 05/29/2007 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 INSURERS Sirius America Insurance Company INSURER B INSURER C INSURER D INSURER E NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 DOLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS MSR TR A IDOL NSBC TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY [ CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PERn»°ucrn?ERc°T n«* AUTOMOBILE LIABILITY 1 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY _J OCCUR [ ] CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY DROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? \' ves describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER 010KRM11001070 POLICY EFFECTIVE DATEfMHTOO/YYI 04/01/2007 POLICY EXPIRATION DATS «M/WVYY> 04/01/2008 LIMITS EACH OCCURRENCE DAMAGE TO RENTED POPMKCS (Fa orraimrwn) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN £* ACC AUTO ONLY AQG EACH OCCURRENCE AGGREGATE Y WC STATU- OTH-n TORY 1 lM,rrs FR E L EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E L DISEASE - POLICY LIMIT $ $ S $ $ s $ * i s $ $ s $ $ $ $ $ s s 1,000,000 s 1,000,000 $ 1,000,000 ! DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 'EVIDENCE OF INSURANCE" _ CERTIFICATE HOLDER CANCELLATION 'EVIDENCE OF COVERAGE" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL 'SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE