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Home My WebLink About2234 VISTA LA NISA; ; CB090303; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-23-2009 Plumbing Permit Permit No: CB090303 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2234 VISTA LA NISA CBAD PLUM Status: Parcel No: 2552700200 Lot #: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: HERMANN 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: HERMANN EDWARD P&ROBIN A 2234 VISTA LA NISA CARLSBAD CA 92009 ISSUED 02/23/2009 KG 02/23/2009 02/23/2009 $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: Date: Clearance: $0.00 t approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y u 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 City of Carlsbad ,_ 1631'-Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 • Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2234 VISTA LA NISA CT/P J • LOTn # DESCRIPTION OF WORK: Inc udo Square Feet o Affected Area/s HO UNITS # R emove/Replace Gas Water Heater 433995 Plan Check NcC 6q 07;6 Est. Value SUITE#/SPACE#/U ff# EXISTING USE PROPOSED SE GARAGE (SF) PATIOS (SF) DECKS (SF) FIRE CE AIR CONDITIONING FIR SPRINKLERS ADDRESS 12601 132ND AVE NE CllY KIRKLAND PHONE 425-636-7084 EMAIL STATE WA FAX ZIP 98034 425-636-7085 j uliec@fastwaterheater.com ADDRESi234 V ISTA LA NISA CITY CARL SBAD STATE ZIP CA CA 92009 PHONE (760)634-1431 FAX EMAIL ARCIV=IGNER NAME & AOORESS STATE UC,# YESQ No[] YES □No□ YES□No□ APPLICANTNA~AST WATER HEATER COMPANY ADDRESS 1260 1 132ND AVE NE CllY KIRKLAND STATE WA PHONE FAX ZIP 98034 425-636-7084 425-636-7085 EMAIL. Juliec@fastwaterheater.com CONTRACTORf,!:~~ATER HEATER COMPANY ADDRESS 12601 132ND AVE NE CllY STATE ZIP KIRKLAND WA 98034 PHON~25-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com STATE UC.# CLASS CITY DUS. LIC.H 877489 C36 1222302 (Soc. 7031.5 Business and Professions Code: Arr-/ City or County which requires a permit to construct. altor, Improve, demolish orrepalr oni,-structure, prior to Its Issuance, also requires the applicant for such permit lo 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 basls for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ol not more than five hundred dollars (55001). -. ? c j ;rt❖JJ.1 ... ;~ .• Wori<ers' Compensation Oeclarallon: I lfflroby sf/inn Ullder penally of pe,juryone of the fo6'Jwirrg declilrBlions: D I have and will maintain a certlncat• of content to sell~n,ure for worker.;' compensation os provided by Seclion 3700 of the labor Code, for the performance of !he WOik for v.hich !his pennil is issued. [&I I have and will main lain workers' compensation, as reQUired by Section 3700 of 1he l abor Code, for Iha pelformance of 1he worll lor whk;h this permit Is Issued. My worters' cornpenselion Insurance carrier 8n<I polity numberare:lnsuraneeco..Ir.!.!.Ck Insurance E xchange PolicyNo. A09304455 E,plralionDate_1.._.2 .. /_.1,../0.,.9"------ This section need not be completed If the pe11T111 Is for one hundred dollars ($100) or less. 0 Certlficato of Exemption: I cenify 1hat i't lhe pelfo,mance o/ Iha work for which this pem,lt Is Issued, I sh.l:: nal c;rnploy any per.en in ony manner so a5 to become subject to the Wooers' Campl!nsetion Lows of Ca9fomia. WARNING: Fallun, to secure workers' compensallon coverage Is unlawful, and ,hall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollani (&100,000), In addition to the cost of compens.oUon1 rb1m,-ru,1t :.tt nmulrt.,uf FN" In Snr..ffnn :nn,; nf th11o Labor code, Interest and attorney'& fee&. ,/!S CONTRACTOR SIGNATURE ~ LLJfk,.~fZ/7 DATE 2/20/09 ==,=======~~======~~:;:r-- I hereby ~ff'llm that I em exempt from Conlrac!or'4 License La .. forlhe following roason: D I, ns ownor or the property or my employees v.ilh wages as !heir sole compensalion, wil do the wOlk and u1e structure Is not intended or offered for sale (Sec. 7044, Business and ProfesslOns Codo: The Contraclor's License Law docs nol apply lo an owner of properly who builds or improves thereon, and who does such WOik himself or through his own employees, provided thot such improvements are not Intended or offered for sale. If, however, the buiding or Improvement is sold within one year of complelion, tho OWOCl•buildcr will have the burden ol proving 1hat he did not build or Improve for the purpose o/ sale). □ □ I, as owner or the property, am exdusively con trading with licensed conlmctOB to construct lhe project (Soc. 704{ Business and Professions Code: The Conlrador's License Law does not apply to an owner of property who buUds or Improves thereon, and conlracts for sudl projeels v.ilh contrador(s) licensed pUlliuant to !he Contractor's Ucense Law). I am exempl 16\der Sectlon ____ ,Business and Professions Code for this reason: I. I personally plan to provide tho major labor and matctinls for oonsll\Jcllon of the pmJX>$ed property lmprovemenl 0 Yes O o 2. I (have/ have not} signed an applicalion ror a building pennit for lho proposed WOik. J. I have contracted with the fOlloY.ing person (finn) lo provide the proposed amstrvction Qncludc name address I phone I oontractors' lcense number): ◄. 1 plan to provide portions ot the work, but I have hired the foDowing person to ooordinate, supervise end provide the major work [include name/ address I phono I contractors' license number): 5. I wtll provide some of them, bu! I have contracted (hired) the following peraons to provide the work Indicated (Include name/ address/ phone/ type of work}: J!S PROPERTY OWNER SIGNATURE DATE Is the app!:-.,nt or~ building ocrupant required lo submit a busines~. acutely hoznnlous malorials reglslralioo form or risk management and J)levenUon program under Seciions 25505, 25533 or 25534 of the Prcsley-T1'1ner Hazardous Substance Account Act? D Yes LJNo Is the appllcant or fulure buidiog ocaJpant reQ!Jfred to obtain a permit rrom tile air pollution conlro!.QWricl or a~ity manegemenl dislllct? O Yes D No Is lhe raci!lly lo be construcfi!ll within 1,roo feel or lhe ouler boundary or a school silo? lJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FIHAL 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 AJR POLLUTION CONTROL OISTRICT. I hereby affirm Iha! there Is a conslructlon lending agency for the perfo1mance of the work this permit is Issued (Sec. 3097 (i) Civil Code). Londer's Name Lender's Address I certify that I have read the nppfil:lltlon and Slnlilthet thaabove lnformatlon ls correct and that the lnfonnatlon on the pf ans lua:ura1e. I agree to comply with all Cllyordlnonces and State law.; relating to buUdlngco11s11Uctlon. I horoby atAhortze rep1e5enta1ive o/ lhe City of Csrisbad lo enter upon the above menlloned property for lnspedlon pwposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CfTY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Am WAY ACCRUE AGAINST SAlO CfTY IN CONSEQUENCE OF THE GR<\NTING OF THIS PERMIT. OSHA: An OSHA perml Is requred for eiwavations over 5'0' deep and demoitlcn or conslrudion of structures over 3 sbries fn helghl EXPIRATION: Every pem'II Issued by Ille 81.iklilg Offidnl urder the proyisions of !tis Code shat exp re by imitation and berome nul and voij W the buidng or 11m< aulhoriz.ed by sud1 penm is not commenced wilhin 160 days from lhe dale of such pemli or if the buldlng or work oulhorized by such perrrlt Is suspended or abardoned at any tirre al\er the worl( is commenced for a period of 180 days (Sedlon 106.4 .4 Unlfonn Buildng Code). ,i!S' APPLICANT'S SIGW. TURE Ck;,,~ £L Jfk.,-./4-.t?/? DATE 2/2 0 /09 City of Carlsbad Bldg Inspection Request For: 0 8/24 /2009 Permit# CB090303 Title: HERMANN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2234 VISTA LA NISA Suite: Lot 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: HERMANN EDWARD P&ROBIN A Remarks: AM PLEASE Total Time: Inspector Assignment: Phone: 7606341431 Inspector: ---- Requested By: ED Entered By: CHRISTINE CD Description 25 Water HeaterNents Act Comm~,C/ Af-=_____ - Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments