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HomeMy WebLinkAbout1237 GOLD FLOWER RD; ; CB091974; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-24-2009 Plumbing Permit Permit No: CB091974 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1237 GOLD FLOWER RD CBAD PLUM Status: Parcel No: 2145603300 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: CARROLL RES REPLACE WTR THR Inspect Area: Applicant: FAST WATER HEATER COMPANY 12601132ND 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: CARROLL PHILIP H 1237 GOLD FLOWER RD CARLSBAD CA 92011 ISSUED 11/24/2009 KG 11/24/2009 11/24/2009 $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: j $27.00 Balance Due: lnspector:-f'.:-•tL.::> 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 pennit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government~ode Sectiorf&fi020{a), and file the protest and any other required infonnation with the City Manager for processing in accordance wtth Carlsbad Municipal co& 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 imposttion. 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 x i n f i I i h r i I h • Cit~ of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS CT/PR Remove/Replace Gas Water Heater EXISTtNG USE PROPOSED USE GARAGE (SF) ADDRESS 12601 132ND AVE NE CITY KIRKLAND STATE WA ZJP 98034 PHONE 425-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com ADDR~237 GOLD FLOWER RD CITY CARLSBAD STATE ZIP CA CA 92011 PHONE FAX (619)339-8241 EMAIL ARCH/DESIGNER NAME & ADDRESS ST/\lE UC. f 465972 Est. Value Plan Ck. Deposit SUrTE#/SPACU/UNmr PAT OS (SF) DECKS (SF) FIRE CE AIR CONDITIONING YESQI N<(J YES•No• APPLICANTNArAsT WATER HEATER COMPANY ADDRESS 12601132ND AVE NE CITY KIRKLAND PHONE STATE WA FAX ZIP 98034 425-636-7084 425-636-7085 EMAIi. . Juhec@fastwaterheater.com CONTRACTOR~~ATER HEATER COMPANY ADDRESS 12601 132ND AVE NE CITY STATE ZIP KIRKLAND WA 98034 PHON~25-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com STATE UC.-CLASS CITY BUS. UC.# 877489 C36 1222302 FIRE SPRINKLERS YES•No• (Sec. 7031.6 Business and Professions Code: Arr, City or County which requires a pennlt to COJ16lrucl. a Iler, Improve, demolish or repair en~ structure. prior to Its Issuance. also r~ulres the applicant for such permit to file a &IJ!ned statement that he IS licensed pursuant lo the provisions of the Contractor's License Law !Chapter 9, commending wtth Section 7000 of Division 3 of the Business and Professions Code} or fhat he IS exempt therefrom, and the basis for the alleged exemptlon. Any violatlon of Section 7031.5 by any appllcanffor a permit subjects the applicant to a clvll penalty of not more than five hundred dollars (S600}1. Workers' Compen11Uon lltdemlon; I hereby Bffitm under pen.ry of petjury one of the fDlowing ded.!tallolls: , 0 I have and will maintain a certificate or consent to self~naura lot workers' aimpensaUon as pmvidl!d by Section 3700 of Ille Labor Code, for lhe perfomlllnce of lhe work for which lhis pemvt 1, Issuad. l]J I haYlt and will maintain workers' compensation. as required by Seclfon 3700 of the labor Code, lor the perfomumce of the work for~ this permit Is lssul!d. My wlllier.;' corrpensation lnsurallce tarrier and policy numbetsnr.Ins11BnceCo Truck Insurance Exchange PoicyNo. A09304455 E,pirationDate_1...,2.,_/_...1/..,.0~9 ___ _ Jm. section need not be compleled If lhe permit Is for one hi.ndred dolars (S100) or less. LJ Certlllcata of Exemption: I canl[y1hat n the perfcrmance cl the w0lk for which this permit Is issued, I shan not employ any pelSOl1 In any IIWll18f soas lo become &Ubject to the Workn' Campensalion Laws of Calfomla. WARNING: Fallura to IIRUra worker&' compensa!lon coverage 11 unlawM and ehaU subject an employer to crlmfnal penalties and civil fines up to one hundrad thousand dollar& (&100,000), In addition to the cost of compenutlon, rl•m•""· .. nmvlrlo<f fnr In Sadlnn ~7nR nf lh• Labor code, Interest and attorney's fees . .ft5 CONTRACTOR SIGNATURE da,~ u:Jjlt,..~f7 DATE 11/19/09 I hereby 11/r,rm /h8I / am exemp/ from Con/taciot'3 Uclnse Law forlhe fo/iowlng IBBSIIII: D I, as owner of lhe property or my employees l'oilh wages as lhelrsole compensalion, will do the wor1< and the struclure Is not Intended or offered forllllfe (Sec. 7044, llu&iooss and Prnfes!ioos Code: The Conlractor's Li::ense Law does nol apply to an !Miler of property who bt.ilds or Improves thereon, and who does such wlllk himself or lhrough his own employees, provided lhsl $UCh lnl>rovemenls ant not Intended or offered for sale. I(, however, the buidrtg or lmpmvemenl Is l!Old within one year of car.,ieMon, lhe owner-buider will have the burden of proving that he lid not buid or impllMI (or the Pll'JlOSB or sale). • • I, as owner or lhe propefty, am exclullivefy conlracting l'oith licensed eoolractoni IC conslruct lhe project (Sec. 7044, Business 811d Proresslons Code: The Contradol's License Law does not apply to an owner of property who buids or Improves lheleon, end cmnict5 ror such projects with conlrlldll{s) llcansed pinuant to the Contractor's Ucenre law). I am exer11>I 11\der Section ____ usiness and Professions Code (or this reason; t. I personally plan lo provide the major labor and msteriaJs for CXlllSl1ucllon or lhe propo$ad ~Y lll'()rovement. Oves Do 2. I (have/ have not) s!gned an applcillion for a bulling permil for lhe proposed work. 3. I haw contracted with the rollowing person (firm) to proYide the proposed constnJctlon (Include name address/ phone/ con11111:tm' lcense number): 4. I plan to p-ovile portions of the work, but I have hired the foll1,'llng pen;on ID CIJOrtinale, a~e and p!OYide the major wori< finctide name I address/ phone/ conllllc1ors' license number): 5. I will provide some of the WOik. but I hllYII aintraded (hired) the (ollcMtng perscm to provide the work Indicated ~nclude nane I address/ phone/ type of work): ,J!5 PROPERTY OWNER SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 01/07/2010 Permit# CB09197 4 Title: CARROLL RES REPLACE WTR THR Description: Type:PLUM Sub Type: Job Address: 1237 GOLD FLOWER RD Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: CARROLL PHILIP H Remarks: Total Time: CD Description Act Comments Inspector Assignment: Phone: 6193398241 los_,_f!__ Requested By: NA Entered By: CHRISTINE 25 Water HeaterNents JJL ______ _ ---------------·-··---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments