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HomeMy WebLinkAbout2071 TRUESDELL LN; ; CB090345; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-03-2009 Plumbing Permit Permit No: CB090345 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2071 TRUESDELL LN CBAD PLUM 1671802200 Lot#: Construction Type: LEVY RES-REPLACE WTR HTR 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/03/2009 LSM 03/03/2009 03/03/2009 FAST WATER HEATER COMPANY LEVY FAMILY REVOCABLE TRUST 07-08-87 12601 132ND AV NE KIRKLAND WA 98034 425 814 3124 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 TOTAL PERMIT FEES Total Fees: Inspector: $27.00 0 0 0 0 1 0 0 2071 TRUESDELL LN CARLSBAD CA 92008 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27 .00 Balance Due: FINA Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Im sition" o fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this pem1it 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 ity 0 Carlsbad m--~1·~.; Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / '2718 / ;119 Est. Value Fax: 760-602-8558 :""'I' ' Plan Ck. Deposit ~ .. ~-- Building Permit Application -Date I C f 434499 JOB ADDRESS 2071 TRUESDELL LN SUITE#/SPACE#/UNIT# IAPN -. . i;r/·nw~"' U I LOT n j""""cQ I II OP UNrT~ I# ~cD•OOMS II D/\1,.,,..,..,,n ... I'"""" BUSl<'tlo= "1\01C ,~.,~•n. IYPE I CCC.GROUP DESCRIPTION OF WORK: lno/ude Square Feet or ,ureeted Area(s/ Remove/Replace Gas Water H eater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF] I DECKS (SF) ·, FIREPLACE IAIR CONDITIONING !FIRE SPRINKLERS YESO NcCJ YES □No□ YES□ NO□ CONTACT NJmfu(l~!i~1!lW'm ApplloDnt) APPLICANTNA~AST WATER H EATER COMPANY ADDRESS 12601 132ND AVE NE ADDRESS 12601 132ND AVE NE CllY KIRKLAND STATE ZIP CITY STATE ZIP WA 98034 KIRKLAND WA 98034 PHONE 425-636-7084 IFAX PHONE IFAX 425-636-7085 425-636-7084 425-636-7085 EMAIL j uliec@fastwaterheater.com EMAIi.. • Juliec@fastwaterheater.com PROPEl1W~'f:rA~ D CONTRACTOR f.R:~'rwATER HEA TER COMPANY ADDRESi071 TRUES DELL LN ADDRESS 12601 132ND AVE NE CITY STATE ZIP CITY STATE ZIP CARL SBAD CA CA 92008 KIRKLAND WA 98034 PHONE l"AX PHON!25-636-7084 ' FAX (760)729-7065 425-636-7085 EMAIL EMAIL juliec@fastwaterheater.com ARCIVOCSIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS !1222302 877489 C36 (Soc. 7031.5 Business and Professions Code: Any CIIY or County Which requires a permit to construct, alter. Improve, demolish or repair on'i structura, prior to its ls5uance. also requires the applicant for such permit to file a slgnod stalllmcnt that he ls licensed pursuant to the provisions of the Contraclor's Llcense 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 tho alleged exempllon. Any vloletlon or Section 7031.5 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars {$500)). "" ·~ ~ Jl}'~i ,, ¼: • ··: ·•· , , ,· 44t;!C~-~1f, zyW.i , ~J.,, . -~ ., . • ,f!;'"J.f .~)' .. Worxers' CompensaUon Declaration: / heroby affirm under penslty of peljury ans of the fo/Jowing declararions: 0 I have and will maintain a certlRcate of consent to self-lnsure for workers' CXlfTlpensation as provided by Secii011 3700 or the Labor Code, for the performance of the work for v.tuch this permil is Issued. [&I I have and will malnttln workers' compensation, as required bv Section 3700 ol lho Labor Code, for Iha performance of the work for l'ot!IGh this permit Is lssuod. My wor!(ers' compensallon insurance carrier and policy number era: ln1uranceCo Truck Insurance Exchange Policy No. A09304455 Expiration Date_1,.,2.._/..,_1..,/0~9~---- This secliln need not be co~leted lllhe permi1 Is for one hundred dollars ($100) or less. 0 Certlncato of Exempllon: I certify that" the perfonnance ol lhe WOik for which this pem,it Is Issued, I shah not employ any person In ony manner so as to become subfecl lo the Wori<crs' Compensation lows or Celilorrva. WARNING: Failure to secure workers' compensallon coverage Is unlawful, and shall subject an employer lo cnmlnal penaltles and clvll fines up to one hundred thousand dollara (& 100,000), In addition to the cost of compensatJon, tiJ1.m,in1ttt :uc. nrnvlrlnri fnr In SAr.Unn '.i7nR nf th,. Labor code, Interest and attorney's fees. J5 CONTRACTOR SIGNATURE {]a,~ uifk,.,,,,/df/f' DATE 2/23/09 I hereby etrvm /hat I am axe mp/ from Con/iactors Ucense Lsw for the following reason: □ □ □ I, ns ownor or the property or fl1'f employees Mlh wa!Ji!S es lhe~ sole compensation, wil do the work and u,e structure Is not inlcnded or ollered for sale (Sec. 7044. Business and Professions Codo: The Contractor's License Law does nol apply lo an ovmer or property who builds or Improves !hereon, and who does such \Wik hinsell or tlvwgh his CWT\ employees, provided that sueh Improvements are not Intended or ollerod for sale. If, however, Iha buiding or lmprovemenl is &Old wllhln one year of complelion, tho awnct·bulldcr will hove the burden o/ proving that he did not build or improve for the purpose or sale). I, as owner of Iha property, am exdusively conl/acting with ~censed contractors to constru<;1 lhe project (Soc. 7044, Business and Professions Code: The Conlracto,'s l.iccnse Law does nol apply lo an owner of property l'otlo buids or inproves lhcrCOll, and cxmtrads for such projects llith conlracta(s) licensed pursuant lo Iha Contractor's License Law). I am exempt under Section _____ uslness and Professions Code fO' this ronson: I. I personally plan to provide the major labor and materials for construction ol lhe propo,ed property Improvement O ves O o 2. I (have/ havu not) signed an application for a blilding permit for tho proposed wor1!. 3. I have contracted with the rotlolling per1on (firm) lo provide the proposed construdlon (include name address/ ph011e I conlractors' Dcense number): 4. I plan lo provide portions or the wor1<, but I have hired tho following person to coordinale, supervise 1111d provide Iha major work f111clude name I address I phono I contractors· llcenso number): 5. I will provide some of the work. but I have contracted (hired) the loUa,,ing persons lo provldo the work lndlcaled (Include name I address I phono I type of work): /5 PROPERTY OWNER SIGNATlJRE DATE City of Carlsbad Bldg Inspection Request For: 03/13/2009 Permit# CB090345 Title: LEVY RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2071 TRUESDELL LN Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: LEVY FAMILY REVOCABLE TRUST 07-08-87 Remarks: CALL H.O. WITH ETA Total Time: Act Comments Inspector Assignment: Phone: 7607297065 Inspector: Requested By: DAVID Entered By: CHRISTINE CD Description 25 Water HeaterNents ~----- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments