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Home My WebLink About2703 WATERBURY WAY; ; CB070987; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-13-2007 Plumbing Permit Permit No: CB070987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2703 WATERBURY WY CBAD PLUM Status: Parcel No: 167 4411 300 Lot #: 0 NEW Applied: Construction Type: Entered By: Reference #: Plan Approved: Issued: Project Title: MILLER 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: MILLER MARILYN H TR 2703 WATERBURY WAY CARLSBAD CA 92010 PENDING 04/13/2007 LSM $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 A PROVAL Date: 5 t • Clearance: $0.00 pproval 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 From: PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Car1sbad CA 92008 2703 WATERBURY WAY Addm■ (Include Bldg/Sulla#) Buslnau N1me (et 1his add,_) Lot No. S«AlclYlalon Ntme/N\IT!bar unttNo. Aales■or's Parcel fl ElddngUta Deaalpllon of Work SQ. FT. Remove/Replace Gas Water Heater Name ~ Cly 04/13/2007 07:43 1833 P.005/008 run vr-r,"'" uoa;; unL. 1 PLAN CHECK NO. (f_f> t>7 0 ~ 'l7 EST. VAL. _________ _ Plan Ck. Deposit ~-. Validated By _......,..,1_~~.:...;., ___ _ Date ill i 7 PhueNo. T0111 # of Irita Propo98d UM #oflledtooms # of Ba1hr0om1 Fax# ~W& -·-· F'AST WATErn@..TER COWWiY ~601 132ND "'AVE NE KIRKLAND, WA 98034 Name Add-Clly 811111/Zlp Telephone# ,ft~~,,~e-ffl,ffl'-153 MILLE&,iARILYN "'LSBAD, ~I !!010 ,18),~!ffl also requires the applicant for such pennl 10 flle a.lfunad stetemant that he 11 llc■nl9d pu,__ 1111he provisions of the Contn■clol's License Law [CNpblr 9, commencing with secaon 7000 of DMllion 3 of tho e.-end Proraalorw Code) or that he la -pt ttwrarmm, and 1111 ballS fortha alleged BICBfflpllon. Any vlolllllon ot Section 7031.5 by • any lllPllcant for a permit wubjec:tl 1111 applfcllnl 10 a c:IYII l)IMlb' of not mon, than 11w hundnld dollara l$500D, FAST WATER HEATER COMPANY 12601132ND AVE NE . KIRKLAND, WA 98034 425 814-3124 Name Addre• City Sia~ Telephone# state Llcenee, 877 489 Ucenee Claes C36 City Butlneea Ucenae ,_1_2_22_3_0_2 ____ _ Designer Neme City Telephone# State Ucense # ______ _ Workerl' Compenatlon Dldlrallon: I hereby alllnn undlr penalty <JI pllljuly one of the foltowtng declalallona: a J h....., and wtll maintain a c■fllflc■t■ of -nt to Hlf-lneull for wol1ceis' comJ)8n■atlon u pl'Ollkled by Section 3700 of lhl Labllr Codi, for lhl perfonn9nce of the WOiie for which 1h11 permit II lllued. J{ I "-end wll malntllln WOlkate compentallon, 11 niqun<I by Seolon 3700 ot the labor Code, b' lhl pBlfolmlnce ·of lhl worlt for which lhla permit IS l&sUld. My worker'• compenaacton lnlurallce camer and polc;y number "9: 1nsurancecompeny California State Fund ~No 1761660 Explrdon~._1_21_1_/_07 ____ _ (THIS SECTION Nl!:l!!D NOT BE COMPLETED If' THE P&RMIT 18 l'OR ONI! HUNDIW> DOLLAR9 l,S1D0J OR L.e88) 0 CERTIFICATE OP !XBMPTION: I ~ 11181 In b performance d Iha work for WhlCh 1h11 parmlt 11 IAUed, I ■hall not employ any person In any mllllflel' 10 ■I to beCOme subject to the Workera' Compensation Lawll of caHfomla. WARNING: FaDur■ to Mcur■ woltclr■' COIIIP9flllldon -■tie is unlewflll, and ahllll aul,Joct en emp(oY9r to crtmlnal penal!lls and civil !In■■ up to one bundn!d thouund dollar■(t100,000), In adcllllon to Illa 009tof ao,npellAllon, d■ma .. .,. pc-ovlded for In Sadlon 3701 of the Labor Code, lntarNt and atlllrMY■ re-. SIGNATURE ~~~?.""~ :.~~ · ·DATE 4/13/07 NIIFIIW 9 W SJ 321 A • IDll 3 !IBSIJ I hereby alllrm that I em .-npt from the Conlraclor's Ucense Lew for th• falowtrlg ,-: ti J, • 0'MIIH' of 1be PRIP9fly or my employNs with W11Q11 • Mt 1011 c::ompenutlon, wtl d the WOik and lhl llrucWre II not tntand■d or olrwld 1br ale (Sac. 7044, Busln-and Pror-tonJ COde: The Co111rac:111n Lfcl"'8 Law do89 not apply to en owner of PIOP•~ who bulldl or lml)t'IMl8 lhel'IQl'I, ond who doN auch work hlmaelf or through his own omployees, pro¥1ded the! auch lmpro1111m■nta era not lntanded or offered fct ..... If, "-'9r, the bulldlng or· lmpnwement ll IOld wlll1ln on• year ot completlon, Iha owneH>uilder wll ha..,. Iha bilrden ol provlrlg that he did not buld or lmpme for lie purpolB of sale). C I, • -of the prope~, am 81Cdullllely conncllrG 'M1h lc8nlld conlnlCtoll to conll!Uct the projec;t (Sec. 7044, BullnNI end ProfMalons Code: The Contraclors u-Lew dooe not apply to an owner of property Who bulld, or lmpnwee thereon, and oontracla for auc:11 projeela wllh con1rllclol(s) llclln■■d pumiant to the Contraciofs Ucen■e Law). a I am exemptl.llder Sactlon ______ Buel_and Pnlf■ltlonaCodeforthll n■■10n: 1. I per,onally plan 110 plOlllde the major labor and m•larlal• for conl1!Uctlon of the pn,posed property lrnprOINlffl■l1t. C YES ti NO 2. l (h~ not) llgined an appllcdon for a bullding pe,mlt ~ Iha p,opo■ed work. 3. I have oonlr■Ctld with Iha fvllowlng per■on ·(11,m) 110 pnMCle Ille propoaed c:onstndlon (tndude name/ edd-1 phone number/ aontraclora lice"" n..-nber): 4. I plan to provtds portion■ ri( the work, but I haw hired 1he followlng po-, 110 coonln■fll, super;lae and prollld■ Iha major work (Include nane / lddrHs / phllne number I /ontr■c1orsllca""n1.mbafl: -----------------------------------5. I wtl pr'Qllfda 10me ollhework. but I hllVII contrKllld (lllted)lhe~no per10nsto pl'OYldethework lndlceted (lnolUde nam,,.,_1phon1 nwnllllrlb'P• of work); PROPERTYOWNERSl13NATURE _______________________ DATE _________ _ From: --""' ~ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 04/13/2007 07:44 1833 P.006/008 , ,.,' • , •~ 1 r 1 ,i ' " ' I I I , • -, • • 1 I• the applcant or fulura building ~ 19qUnd to IUlllnlt a bulln.a plan. allllllly '-110118 111atlllala r9glsnUon u or rlak management 11111 pnivenllon program WICler Sections 26606, 26633 or 215534 of 1h11 PrNllly--Tannar HazaRIOul s~ ACCOll'l!Act? C YES lJ NO ts the appllcent or futunl blJldtng oc;c:upent reqund to oblain • permit from the lllr pcllu1lan COfl1IOI dllllrfct or air quality management district? □ YES O NO Is the facility to be C0netruc:19d wllhln 1.000 fMt of Iha OUlllr bola'1dmy of• IChool lite? lJ YES lJ MO IF ANY OF THI! ANSWERS ARI! Ylll, A FINAL CERTIPICA11! OP OCCUPANCY MAY NOT IIE ISSUED UNL.1!118 Ttte APPLICANT HAIi MET OR 18 Ml:ETINO THE NiQUIREMENTI OF THE Ol'FICI! OF INIIRGENCY aaMCE8 AND THE AIR POU.UTION CONTROL DISTRICT. I I hereb'f lllllrm lhal"819 II aoona\don landing agenc,yforlhe p!lffonn-otlhewarkforwhklh 11111 pannlla IQ.«! (Sec:-3097(1) Clvll Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS I cartllY that I have ,-d Ille applcadan and Sllllla that 1h11 above lnbmdon II CGll1ICl .and 111111 lht !nl'l)rmatlan on lhe ,_. la accu,.._ I ~ to 00111ply wllh all City ordlnllncu and Sta ,_ re1at1no to bulldlng conaltudlon. I hereby IIUlholtza re~ ot lie Clt)I or Cartlt>ad ID enter upon the aballe mendoned property for lntpectlon purposes. I ALSO AOltEE TO SAYE, INDEMNll'Y AND KEEP HAIIMl.1588 me CITY OF CARLSBAD AGAINST AU. UABll.lrlES, JUDGl!IIENT8, COSTS AND l!XPEN8E8 WHICH MAY IN ANYWAY ACCRUE AGAINST llAID CITY IN CONaQ\JeNCE OP~ ORAN'llNO OF THIii Pl!JIMiT. OSHA: An OSHA pennl la requfled fer lllll:IIVIIC!ons at 5'CT dHp 1111d demolllllln or constucaon ot llructunla OYllr 3 l1D!les In height. liXPlRATION: Every parmM laJ41d bylha bulldlng Ofllelal undar tha proYlalo1111 of1hleCode lhlll upklt byOmltllllon and beclOme nul and void lftiebUPding orworilauthollzad by such permK II not commonced YAthln 180 days from lht dale atauoh pe1111ltorlflh1 luldlng or WOik authortllld by such parmltls IIJ9l)llll(lad or abandoned at anytime lft•r 11w work II commenced fora per1od of 180 daya (Section 108.4.4 Unlb'm Bulldlna COde). APPLICANT'SSIGNAT\JRE __ • ..;,·~ ... ;•'."";;'"'-:.;.,.;~·-.._;,:.a,;:~.:..;"";._\"-'.•~ ... :?""·· ... :.._~-.._.\""-:':::::~:,:.;'..;.,,.'::.;..;t.:.;,i:'.-"'". ________ oATE __ 04_/1_3_/2_0_0_7 ______ _ City of Carlsbad Bldg Inspection Request For: 05/03/2007 Permit# CB070987 Title: MILLER RES-REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 2703 WATERBURY WY Suite: Lot: O Inspector Assignment: Phone: Location: Inspector: ---- OWNER MILLER MARILYN H TR Owner: MILLER MARILYN H TR Remarks: P M PLEASE Total Time: Requested By: MARILYN En;;;tered By· CHRISTINE CD _D_e_s_c-rip-t-io_n _______ lf:d Commen~/1 25 Water HeaterNents ~ ~~ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments