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HomeMy WebLinkAbout2703 VIA CARDEL; ; CB082139; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11 -24-2008 Plumbing Permit Permit No: CB082139 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2703 VIA CARDEL CBAD PLUM Status: Parcel No: 1673402400 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC #: Issued: Project Title: URAGI RES REPLACE WTR HTR Inspect Area: Applicant: FAST WATER HEATER COMPANY 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 0 0 0 0 1 0 0 Owner: URAG I TORU&MICHIYO 4405 SIERRA MORENA AVE CARLSBAD CA 92010 ISSUED 11/24/2008 KG 11/24/2008 11/24/2008 $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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL APPg ovAL Date: f--~ O' Clearance: ______ _ $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition' of fees. dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.• You have 90 days from the date this permit was issued to protest imposition of these fee$lexactions. 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 pro;ect. NOR DOES IT APPLY to any X i n f whi h h V r i I n iv n N T E i ii r hi r whi h h f limi ti n I h rwi Fax. # 760-602-8558 PERMIT APPLICATION I CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 r u n u rrl\.,c u~c v ,.,L, PLAN C H ECK NO. C\3 O~Ll ?> 9 EST. VAL.------+----- Plan Ck. Deposit -----=~'#-JL------ Validated By -----~-~---A-_./ Date ______ ___: _ __._.,__-=-_..__--= v 0 @~1~,, .... ON>i"""'"""'' -~.!'.L~,J!if~~w~~~~~~~q~B.M.!"· 'k'.:'! 2703 V IA CARDEL Address (Include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total# of units Assesso(s Parcel # Existing Use Proposed Use Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms Rem ove/Rep lace Gas Water Heater ~ .. &";c1!>~T~~,~~:&fIW1.f!L,m-t1~l~ili1 ,_IJ0~~~e~~ -• ~~~Si.~~~-!fl'~"i':-~1~i Name Address City State/Zip Telephone# !$,. ··Q..;.ttrffirut.filllm f1 . A}'I • '4" • ., ~' • ' -~ "'-"lll~ .. ,~2~H-~ :ii tJ (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 Contracto(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 vlolatlon 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]). FAST WATER HEA TER COMPA N Y 12601 132ND A V E NE KIRKLAND , WA 98034 800-454-8955 Name Address City State/Zip Telephone# State License# ..;8;..;7...;7_4.;..;8c.:9::..-___ _ License Class ......:C=3.:::6 _______ _ City Business License # _1;.;:2:.:2:.:2=.3.::..:;.0.::;2;,__ _____ _ Designer Name Address City State/Zip Telephone# State License# ________ _ (~!A-!!'.W0RK~~J~<il!f!!='N:S?{fioN ::' · • ~ t'<°i~~~~y .. ~-•·'«T"'\:'~¥~~~ ,,r,. Workers' Compensation Declaration: I hereby affinn under penalty of perjury one of the following declarations: □ I have end 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. JQ I have and will maintain workers compensation, as required by Section 3700 of the labor Code, for the perfonnance of the work for which this permit Is Issued. My workers compensation Insurance carrier and policy number are: Insurance Company C a lifornia S tate Fund Policy No, 1761660 Expiration Date._1_2_/_1_/0_8 ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) □ CERTIFICATE OF EXEMPTION: I certify that In the perfonnance 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 Catlfomla. 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 arc provided for In Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE. c:Jr;~h'}uJil..,~P DATE 1 1/19/08 tt~~~!a~~~A!~ ,,. """' -· ,_ .-,~~.-. "·"'!!!r..(,~,~~~m~#~~ -, I hereby affirm that I am exempt from the Contractors License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, wlll 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 bullds 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 w\11 have the burden of proving that he did not build or Improve for the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(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 Contractors License Law). □ 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 pennlt for the proposed work. 3. I have contracted with the fol lowing person (finn) 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 I address/ phone number/ /ontractors license number): ----------------------------------------------- 5. I wlll provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (Include name / address I phone number/ type of work): PROPERTY OWNER SIGNATURE _____________________________ DATE ___________ _ 4\ '1:1 City of Carlsbad Bldg Inspection Request For: 01/06/2009 Permit# CB082139 Title: URAGI RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2703 VIA CARDEL Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: URAGI TORU&MICHIYO Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604359862 Inspector: Requested By: GEORGE Entered By: CHRISTINE 25 Water HeaterNents ,4 ,o ______________ _ ~-1-I ------------------- ------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments