HomeMy WebLinkAbout155 CHESTNUT AVE; ; CB110143; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-20-2011 Plumbing Permit Permit No: CB110143
Building Inspection Request Line (760) 602-2725
Job Address: 155 CHESTNUT AV CBAD
Permit Type: PLUM Status: ISSUED
Parcel No: 2042341500 Lot#: 0 Applied: 01/20/2011
Construction Type: NEW Entered By: LSM
Reference*: Plan Approved: 01/20/2011
PC#: Issued: 01/20/2011
Project Title: MORAVE.C RES- REPLACE WTR HTR Inspect Area:
Applicant: Owner:
FAST WATER HEATER CO MORAVEC FRANKLIN R TRUST
12601 132ND AVNE .; 155 CHESTNUT AVE
KIRKLAND WA 98034 CARLSBAD CA 92008
425 636 7084
Plumbing Issue Fee $20.00
Fixture or Trap 0 $0.00
Building Sewer 0 $0.00
Roof Drain 0 $0.00
Install/Repair Water Line 0 $0.00
Water Heater and/or Vent 1 $7.00
Gas Piping System 0 $0.00
Vacuum Breaker 0 $0.00
Other Plumbing Fees $0.00
Master Drainage Fee $0.00
Sewer Fee , $0.00
Additional Fees ,...,;•• $0.00
TOTAL PERMIT FEES i ": * $27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00
FINAL APPROVAL
Inspector: M •; Pate: -3/2-'?/v J Clearance:
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
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
City of Carlsbad
1635 Faraday Ava, Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax: 760-602-8558
Building Permit Application
522138
Plan Check No.
Est. Value
Plan Ck. Deposit
Date \\2J0f 1 1
JOBA0DRESS
155 CHESTNUT AVE
WrwSSH&ti"
MfeetaaA
#OF UNITS SBtdtUWMS
SUrrEK/SPACEff/UNITO
* BATHROOMS I TErJAtJT BUSINESS NAMt=COHSttttYPE IOCC.GROUP
DESCRIPTION OF WORK: Include Square feet of Affected Area(s)
Remove/Replace Gas Water Heater
EXISTING USE PROPOSED USE GARW3E (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YESQf NQJ~|
AIR CONDITIONING
YES DUO ("1
RRE SPRINKLERS
WPUCANTTAST WATER HEATER COMPANY
132NDAVENE ADDRESS
CITY ..,,,-,..,. AKir.KIRKLAND STATE
WA
ZIP
98034 KIRKLAND 981)34
PHONE425-636-7054 F425-636-7055
PHONE
425-636-7054
FAX
425-636-7055
EMAIL
carolrfastwaterheater.com juliec@fastwaterheater.com
FRANKLIN HEATER COMPANY
ADDRESS ADDRESS 12601 132ND AVE NE
K.RKLAND
PHONE (760)729-2023 FAX PH°N425-636-7054 "**425-636-7055
EMAIL EMAIL carolr@fastwaterheater.com
ARCH/DESIGNER NAME & ADDRESS STA1EUC,#STATE LJC.O
931237 CLASS
C36
CtTYBUS. LlC.ff
1222302
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter. Improve, demolish or repair any structure, prior to Its Issuance, also requires theapplicant far such permit to 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Sectioncivil penalty of not more than five hundred dollars (1500)}.i by any applicant for a permit subjects the applicant to a
Workers' Compensation Declaration: I hereby affirm under panatty of peijury one of Hie fbBaw&ijj declarations:
LJ I have and will maintain a certificate of consent to self-insure for workers' compensation as provided fay Section 3700 of Urn Labor Coda, for the performance of the work far which this permit is issued.
I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, hi the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy
- •' ~ ' apwonDate J2Z1/'/ / _number are: insurance co Truck Insurance Exchange A09304455
TWs sacfai need not be completed if Ihe permS is for one hundred dollars ($100} or less.
| I Certificate of Exempfion: I certify that In Ihe pafmance of the work far which this peimii Is issued, I shail not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
CaSfomla, WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&10fl,OfJO), in
addition to the cost of compensation, damanm: an nmvlrt«f «M In s»!«nn SOTS »f iho Labor code, Interest and attorney's fees.
(fteraoy attna tftsf lam exempt ton Contactors License Law for the (Wrjiftos reasofl:
r~[ I, as owner of the properly or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Coda: The Contractors
^""^ License Law does rot apply to an owner of property who builds or improves thereon, and who does such work himself or tough riis own employees, provided that such improvements are not Intended or offered forsale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving thai he did not build or improve for Ihe purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct Ihe project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or Improves thereon, and contracts for such projects wifii conlracta(E) licensed pursuant to the Contractor's License Law).
[j I am exempt under Section Business and Professions Coda for this reason;
2.1 (have / have not) signed an application for a bulding permit for the proposed work,
3.1 have contracted with Ihe follonmfl person (firm) to provide the proposed construction (include name address I phone / contractors' license number):
4. loten to provide porfonsotftevmrk.buU have hired ^
5.1 will provide some of Ihe work, but I have contracted (hired) the following persons to provide the work indicated (include name / address /phone / type of work):
jgf PROPERTY OWNER SIGNATURE DATE
522138
Is the sppfcanl or future tafldhg occupant required to submit a business oto, acutely hazardous materials registralton fora or risk management and prevention program under Sections 25505,25933 or 25534 of lite
Presley-Tanner Hazardous Substance Account Act? :C3Yes C--lNo r—i ,—,
fe Bis awflcani or future building occupant required to obtain a penult from the air poltolion control district or air quality management district? LJYes [~JNo
[ElhefadlitytobeconstructBtlwithml.OOQfeeloftheDUlefboindaryoraschoolBite? LJYes FlHo
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTtHCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIRPOLUITION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (i) Civil Code).
Lendar'sName Lender's Address
I certify that I have mad UK apptetlon and state that th* above Information Is corr^and that the Inftmn^on on the plans Isareurale-lagmetorximplywfth all CHyonjInancesand State
1 hereby auttemze representative!^
OSHA: An OSHA penti Is required brewaiatons over SO1 deep and drnnoWDnorixmstruianofstnjduBsoverSsfoifesinhefehL
EXF1RATIC3N:EveiypErmHissu8d by the BiiMngOicffllureto the provisions of this CcriesW
1 BO days (ram the date of such permi or if Ite building or WDfkauthotiZBd by such perrrit is suspend
jgfAPPUCANT'S SIGNATURE DATE 1/11/11
Building Department
Unscheduled 1635 Faraday Avenue
CITY OF r* .... , «. Carlsbad CA 92008Building inspection 7506022700
DATE: INSPECTOR:
PERMIT #: \V_ CONTACT:
PHONE #:
JOB ADDRESS:
DESCRIPTION:
CODE DESCRIPTION ACT COMMENTS
Bldg Inspection Form Page 1 of 1 Rev. 06/09