The URL can be used to link to this page

Home My WebLink About1671 CALLIANDRA RD; ; CB100402; Permit03-08-2010 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB100402 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 1671 CALLIANDRA RD CBAD PLUM 2159000800 Lot#: Construction Type: SCHWAN RES REPLACE WTR HTR 0 NEW Status: ISSUED Applied: 03/08/2010 Entered By: KG Plan Approved: 03/08/2010 Issued: 03/08/2010 Inspect Area: Applicant: FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner: SCHWAN CHARLES A&CLAIRE R REVOCABLE TRUST 02-24- 1671 CALLIANDRA RD CARLSBAD CA 92011 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 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $27.00 Total Fees:$27.00 Total Payments To Date:$27 00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: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 vou 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 Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 • Fax:760-602-8558 Building Permit Application 482092 Plan Check No.' Est. Value Plan Ck.JDeposit Date JOB ADDRESS 1671 CALLIANDRARD CT/PROJECT # OF UNITS tt BEDROOMS tt BATHROOMS TENAHT&USINESS NAME DESCRIPTION OF WORK: Include Square Feat of Affected Ana(s) Remove/Replace Gas Water Heater EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE NQJ~~| AIR CONDITIONING I I RHE SPRINKLERS CONTACT Applicant)APPLICANTTAST WATER HEATER COMPANY ADDRESS12601 132NDAVENE ADDRESS 12601 132NDAVENE CITY KIRKLAND STATE WA ZIP 98034 CITY KIRKLAND STATEWA ZIP 98034 PHONE 425-636-7084 FAX425-636-7085 PHONE425-636-7084 FAX 425-636-7085 EMAIL juliec@fastwaterheater.com EMAIL.juliec@fastwaterheater.com PRO!CONTOACTORTOTWATER HEATER COMPANY ADDR'ESS1671 CALLIANDRARD ADDRESS 12601 132NDAVENE CITY CARLSBAD STATE CA ZIP CA 92011 CITY KIRKLAND STATE WA ZIP 98034 PHONE (760)929-1314 FAX PHO:'N425-636-7084 FAX 425-636-7085 EMAIL EMAIL juliec@fastwaterheater.com ARCH/0ESIBNER NAME & ADDRESS ; ub.t*1331237-£77 cuss C36 CfrY8US.LIC.fi 1222302 (Sec. 7031.5 Business and Professions Cade: Any City or County which requires a permit to construct alter. Improve, demolish or repair any structure, prior to Its Issuance, also requires theapplicant for 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 Section 70315 by any a pplicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars (1500)). Workers' Compensation Declaration: thereby affirm under penalty at perjury one o! the following declarations: LJI have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for Die performance of the work for which this permit is Issued. L2&I I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Truck Insurance Exchange Polcy No. A09304455 Expiration Date 12/1/10 This section need not be completed If the pern* Is for one hundred doJars ($100) or less. [_J Certificate of Exemption: I certify that In the performance of the work for which this permit Is issued, I shad not employ any person in any manner so as to become subject to the Workers' CompensaBon Laws of CaSfomia. WARNING: Failure to secure workers' compensate coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1M,000), In addition to the cost of compensation, Hama™* « nmuMwl fnr In Roriinn rms nf ih» Labor code, Interest and 8*1016/5 fees. jeTcONTRACTORSIGHATURE <3***/»7^^«^<^ DATE 3/2/10 / hereby aflSrm that I am exampf /ton CaoiractorS Utsnse La w for (he following reason: | | I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sals (Sec. 7044, Business and Professions Coda: The Contractor's sale If, however, the building or improvement is sold within one year of completion, the owner-bidder will have the burden of proving that he did not build or improve for the purpose of sale), | | I, as owner of Die property, am exclusively contracting with licensed contractors to construct the 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 with contractor(s) licensed pursuant to the Contractor's License Law). [ [ I am exempt under Section _ Business and Professions Coda for this reason: ' | lYes I iNo 2. 1 {have / have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following pereon (linn) to provide the proposed construction (include name address y phone / contractors' tense number): 4. 1 plan to provide porSons of the work, but I have hired the following r^ersm to roonSnsle, supervise arrtprovirfe the rnajorvrt^ 5. 1 w!l provide seme of the work, but I have contracted (hired) the following persons to r»ovide the wo* indicated (indude name /address /phone /type of worti): ^"PROPERTY OWNER SIGNATURE DATE te the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the Presley-tanner Hazardous Substance Account Ad? \ |Ygs |_J|No Is the applonl or future buMinn occupant required to obtain a penult from the air pollution control district or air Quality manaaemml district? LJYes (iNo Is the fad% ts be HxiBbircted within 1,C<)0 fee! of the outer iwundary of a school site? lives FlNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^i^^jB?&^K^ rj^^gfe jBBfgjBJ'j^gjw sfe ij fs J!^UBiijTt^frmrf[ffiftfWr;flOi i 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). Lender's Name Lender's Address I cerUryUiatl have read tf>e application and state that tht above tr^^ I hOTby authors icpresOTtaiiredlte AGAINST ALL UAKUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAD CITY IN CCJNSEQUF^CE OF Tr€BrWmi^ OF THIS PERMIT. OSHA:AnOSHA|»rmlisre£^rredrOTexmv^nsovCTOT EXPIRATION: Evr^permHtesuedtr)'the Builtf^ jgf APPLICANTS SIGNATURE DATE 3/2/10 City of Carlsbad Bldg Inspection Request For. 03/23/2010 Inspector Assignment:Permit* CB100402 Title: SCHWAN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address. 1671 CALLIANDRA RD Suite: Lot: 0 Location: OWNER SCHWAN CHARLES A&CLAIRE R REVOCABLE TRUST 02-24- Owner: SCHWAN CHARLES A&CLAIRE R REVOCABLE TRUST 02-24- Remarks. A M PLEASE Total Time: Phone: 7607291314 Inspector: Requested By: NA Entered By: CHRISTINE 25 Description Water Heater/Vents Act Comments AT f 1 Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments ^OOKIT CERTIFICATE OF LIABILITY INSURANCE PRODUCER lova Insurance, Inc. 19030 Lenton Place SE #546 Monroe, WA 98272 (866)244-4fiR7 INSURED FAST WATER HEATERS I, INC FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND, WA 98034 1(425)814-3124 X141 DATE(MM/DD/YYYY) 12/1/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER* TRUCK INSURANCE EXCHANGE INSURER B: INSURER C: INSURER D: INSURER E: NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A IDD'L NSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | | OCCUR GEN'L AGGREGATE LIMIT APPLIES PER:n rn PR°- rnPOLICY | | JECT | 1 LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY I ANY AUTO EXCESS /UMBRELLA LIABILITY (OCCUR 1 [CLAIMS MADE 1 DEDUCTIBLE | RETENTION $ WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE I 1 OFFICER/MEMBER EXCLUDED? 1 Y 1 (Mandatory in NH) ' • If yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER - 5- - - A0930 44 55 POLICY EFFECTIVEDATE (MM/DDATYY) 12/01/09 POLICY EXPIRATION DATE(MM/DD/YYYY) 12/01/10 LIMITS EACH OCCURRENCE LJ/Wl/\lJt 1 \J KtM 1 tLJ PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EAACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE „ 1 WC STATU- 1 IOTH-X ITORY LIMITS | | ER E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ * 1,000,000 * 1,000,000 * 1.000.000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate is issued as evidence of coverage in effect for the Named Insured. Policy excludes three officers of the corporation, that are not on job sites. *10 day notice of cancellation applies in the event of non payment of premium. CERTIFICATE HOLDER CANCELLATION Contractors State License Board Workers Compensation Unit P. 0. Box 26000 Sacramento, CA 95826-0026 i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTS ^^^^^ ACORD25 (2009/01) The ACORD name and logo are registered 11988-2009 ACORD CORPORATION. All rights reserved, marks of ACORD