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