HomeMy WebLinkAbout1225 GOLD FLOWER RD; ; CB090424; Permit03-16-2009
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB090424
Building Inspection Request Line (760) 602-2725
1225 GOLD FLOWER RD CBAD
PLUM
2145603600 Lot#: 0
Construction Type: NEW
KATHMAN RES REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/16/2009
KG
03/16/2009
03/16/2009
ALL STAR WATER HEATERS & PLUMBING KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06
17886 LAKESHORE DR 92530
1-800-727-0977
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
1225 GOLD FLOWER RD
CARLSBAD CA 92011
$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:
FINAL
Date: 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 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
f s x c ion f hi h h v r vi t n iv n N Tl imil r hich h f ·m· i n h revi usl oth rwi e ex ir
, City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
Building Permit Appllcatlon
JOB ADDRESS
1225 Gold Flo w e r Rd.
CT/PR JECT, LOT# PHASE#
DESCRIPTION OF WORK: lnclu<H Squaro Feot of Affected AtH(I)
I I . I Replace wat e r he ater, same size, same o catron.
EXISTING USE I PROPOSED USE
CONTACT NAME (If Different Fom Appllc.,,t)
ADDRESS
ICITY I STATE
'
ZIP
(i) ' .
SUITE#/SPACE#/UNIT#
J GARAGE (SF) PATIOS (SF) I DECKS (SF)
APPU~NT NAME Jos Keating
ADDRESS
Print Form
Est. Value
I FIREPLACE YESO I AIR CONDITIONING J FIRE SPRINKLERS
No[] YES 0 ND0 YES•No•
30300 Puerto Vallarta W ay
CITY ~TATE ZIP
I
i Menifee Ca. 92584 ·---1 PHONE rAX PHONE IFAX 8 00-727-0977 951-24 5-6366 ! EMAIL EMAIL -----7
I PROPERTY OWNER NAME CONTRACTOR BUS. NAME All Star Water Heat e rs ! 1 Roger Kathman ' l •DDRESS ADDRESS -i
: 1 225 Gold Flower Rd. 30300 Puerto Va llarta W ay i I !CITY STATF. ZIP CITY STATE '" 9 i Carlsbad Ca . 92011 Menifee Ca. 92584 I PHONE IFAX PHONE
IF~51-24 5-6366 760-805-1837 800-727-0977
rEMAA-· EMAIL
~RCH/OESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICL>SS l CITY SUS. LIC.# I 8 12894 C36 1221418
Won<trt' Compensation Oeclaratlon: / hereby 8"irm un<Jer penalty of perjuryOllt of the following declaralfons:
0 I have and will maintain a cortincate of con•tnt to 1tlf.ln1ur1 for won<ers' compensation as provided by Sec1Jon 3700 of the Labor Code, !or Ille performance of the WOl1( for l\lli,;h this pennil 1s Issued.
, [x] I hovt and will m1lnt1ln won<trt' c~m.,..,utlon, as r,,qulred bv Seclion 3700 of the Laoor Code, for the performance of the wortt for "'11th this pennlt Is lssuAd. My Y-Orlt&rs' compensallOn Insurance canter an,J policy
I numter are: 1nsuiance Co Polk:yNo. 238000323508 Expiration Date 08/02/09 r This sectloo neoo not bl! completed W Iha pennlt is for one hundred aollars ($100) or less.
I
O Certificate of Exemption: 1 oonify thAt in the perio,mance or the wortt for wt,leh 111is permit Is lssood, I i.hall 001 emplot any pe/liOn In any manner so as to become sublect to 111e Wor~ers· Compensation Laws or
Calttomla. WARNING: F1llurt to securo o,orl<e,~' c,,mptn11lion coverage Is untawlld, end lh1ll 1ubjtel en emplo1er to crin:11111 penalties and civil fin•• up to ont hundred thosund doll art (&100,000), In
addtt1on to the co-&1 or compenu t!on, d1m1911 11 pro nd for In Section 3706 or the Labor codt, lntnst and 11tomey'1 f111.
N5 CONTRACTOR SIGNATURE 1/~ DATE 3 ' I z. ~c!) 7
I hereby affirm that I am e,empr from Con&actor's Ucense Law fer me following reason; D I, as owner or tile property or my emplayee$ with wages as their sole compensation, will do the wortt and 111e structtre Is not Intended or offered fO< sale (Sec. 7044, Business and Professions Code: The Contracto(s
License Law does 001 apply to an owner of property "'1o builds or Improves ther9on, and "'1o does such wortt hlmseff or thro<Jgh his own employees, provided that such improvements ace not Intended or offered for sale. 11, nowever; tne 0u11dlng or Improvement ts sold within one year or completion, the owner-builder WIii have the burden of proving that he d1d not build or Improve for the P<Jrpose of-sale).
I
DO I, as owner of 1118 property, am exckJslvely contracUng wtlh lleensed contractors to constnJct the project (Sec. 7044, Business and Professions Code: The Contractor's L:Cense Law does not apply to an owner or property whO builds or Improves thereon, and contracts for such projects wl111 contractor(s) lleonsed pursuant to the Contractor's 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 IJle proposed property lmprovemenl O ves O lo
2 I (have/ have not) slgned a,, application for a building pennlt for 111e proposed wortt.
3 I have contracted with the following person (firm) :o provide the proposed construction (incfude name adoress I ph,re / contractors' icense number):
4 I plan 10 prc,vide porticns of too wortt, but I nave Mred the following person to coordinate. superv1se a'ld provide the major WOl1l C,ncli,de name/ aadress / p;10nu I l.,Jnl actors' lloonse nun,ber)· ·
5 I "N,11 provide some ol the wortt, :>ot I have contrictcd (hira<J) the fallowing pers<,ns bJ p,o,-kfe the v.,;irk Indicated (lnclL'de rn,me / ad~ress I phone / type c,; wort..):
DATE
I I i I -------------·---·-----------··-----·--'
~ • City of Carlsbad Bldg Inspection Request
For: 09/02/2009
Permit# CB090424
Title: KATHMAN RES REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address: 1225 GOLD FLOWER RD
Suite: Lot 0
Location:
Inspector Assignment:
Phone: 7604485935
Inspector: L
OWNER KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06
Owner: KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06
Remarks: a m please
Total Time:
Act Comments
Requested By: ROGER
Entered By: CHRISTINE
CD Description
25 Water HeaterNents
'2-4~ f1N'/}L ~------
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments