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 -------------------
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Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments