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Home My WebLink About2140 BASSWOOD AVE; ; CB081123; Permit06-12-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081123 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2140 BASSWOOD AV CBAD PLUM 1671303500 Lot# Construction Type KINGHORN RES REPLACE WTR HTR 0 NEW Status ISSUED Applied 06/12/2008 KG 06/12/2008 Entered By Plan Approved Issued Inspect Area 06/12/2008 Applicant FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner KINGHORN JAMES&JOANNE FAMILY 2000 TRUST 2140 BASSWOOD AVE CARLSBAD CA 92008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram 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 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector FINAL APPROVAL Date 0 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 From: Fax # 760-602-8558 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 406852 OB/12/2008 07:43 rwr\ wrrivrc uoc PLAN CHECK NO EST VAL Plan Ck ValidatedBv ftOSI P 002/005 2140BASSWOOD AVE Address (include BldgfSutte 1}Business Name (at fhto address) Legal Description Lot No SubdMsbn Name/Number Unit No Phase No Total # of units Assessor's Pa reel*Existing Usa Proposed Use Description of Work Remove/Replace Gas Water Heater SO. FT # of Stories # of Bedrooms # of Bathrooms Address City State/Zip Telephone* ffij^ ilRKLAND. WA 98034 Fax# KINGHORN. JOANNE & JIM Address Telephone # (Sec 7031 S Business and Professions Code Any City or County which requires a permit to construct alter, Improve, demolish or repair any structure, prior to to Issuance, also requires the applicant for such permit to fQa a signed statement fiiat he Is Bcensed pursuant to the provisions of he Corrtractor'e License Law [Chapter 9, commendhg with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt fterefram, and the basis for the alleged exemption. Any violation of SecBon 7031JS by any applicant for a permit subjects the appfcant to a dvf I penally of not more man five hundred dollars EE500]} FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955 Name State License #.877489 Address City State/Zip Telephone # Uoanae Class C36 dlv Business License * 1222302 Designer Name State License # Address City Telephone # Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of me Labor Coda, tor Bie performance of the work for wHch tola permit Is Issued. X 1 have and win maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit Is Issued My worker's compensation Insurance earner and policy number are Insurance Company California State Fund PaBev No. 1761660 Expiration Data 12/1/08 (THIS SECTION NEBD NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION1 I certBy that In Jhe performance of fte work for which this permit Is Issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. WARNING Failure to eeeura work*!** compensation coverage to unlawful, and shall subject art employer to criminal penalties and oMI fines up to one hundred thousand dollan($100,000), hi addition to the east of compensation, damages am provided for m Section 370v of tna Labor CoA,lnlsrKt and attorney* fees. SIGNATURE. <3»*i*»&J&~4*>i!f' DATE 6/12/08 I hereby affirm that I am exempt from the Contractor's License Law for the following reason. n I, as owner of Die property or my employees with wages as their sole compensation, wll d Ae work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who buOds or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Mended or offered for sale If, however, the butdtng or Improvement Is sold within one year of completion, the owner-bulkier wB nave the burden of proving that He did not build or Improve far the purpose of sale) D I, as owner of the property, am exclusively contracSng with Icensed contractors to construct the project (See. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of properly who builds or Improves thereon, and contracts for such projects with contractors) Bcensed pursuant to the Contractors License Law). D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide Ihe major labor and materials for construction of the proposed property rmprovemenL D YES a NO 2. 1 (have/have not) signed an appficaflon for a bufldlng permit for the proposed work. 3 1 nave contracted with the following person (firm) to provide the proposed conslrucBon (Include name/address/ phone number /contractors license number); 4. lplantopR>vlderwrllonsofOiewDfk.taitlhaventad1te^ /ontractors license number)- - __ 5. I will provide some of the work, but I have contracted (hked) the following persons to provide the work Indicated (Include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE..DATE. From1 OB/12/2008 07-45 8051 P 003/005 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 Page 2 of 2 ion for or risk management and prevention program underla the appScant or Mure building occupant required to submit a business plan, acutely hazardous materials Sections 25606. 25533 or 25S34 of toe Presley-Tanner Hazardous Substance Account Act? D YES d NO Is the applicant orfutumbulldlrigoccupattrao^jM to obta^ n YES D NO !smeTadmytobeoc)nstructBdwlthln1,OQOfeBtofttieout8rbounclaryofaschDol3lte? D YES a NO REQUIREMENTS OP THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT _ I hereby affirm that fiwre Is a construction lending agency for the performance of the wartc for which this permit Is Issued (Sea 3097(0 CMI Code). LENDER'S NAME _ LENDER'S ADDRESS I certify that I have read the application and state that the above kifbrmaSon is comet and that the Information on trie plans Is accurate I agree to comply with an City ordinances and State laws relating to buldtng construction I hereby authorize representatives of the CRy of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OP THIS PERMIT. OSHA. An OSHApemitt Is i^ulred for excavalfons of OTdeapafridemolirbn or construe EXPIRATION Every permit issued by the bunding Official under the provisions of this Code shaB expire by Bmltation and become null and void If the building or work authorized by such permit Is not commenced within 180 days from Ina date of such permit or If the bu the work Is commenced fore ported of 180 days (Section 108 4.4 Uniform Bunding Code) APPLICANTS SIGNATURE,. DATE.06/12/2008 City of Carlsbad Bldg Inspection Request For 07/03/2008 Permit# CB081123 Inspector Assignment Title KINGHORN RES REPLACE WTR HTR Description Type PLUM Sub Type Phone 7607291502 Job Address 2140 BASSWOOD AV Suite Lot 0 Location Inspector APPLICANT FAST WATER HEATER COMPANY Owner KINGHORN JAMES&JOANNE FAMILY 2000 TRUST Remarks EARLY AM PLEASE Total Time Requested By JAMES Entered By CHRISTINE CD Description Act Comments 25 Water Heater/Vents Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments From. OB/12/2008 07-48 «051 P 005/005 POLJCYHOLDERCOPY MB COMPENSATION P>°' BOX 420807' SAN FRANCISCO,CA 94142-0807 ISURANCE • CERTIFICATE OP WORKERS' COMPENSATION INSURANCE ISSUE DATE: 18-01-2007 GROUP; POUCY NUMBER: 1761680-2007 CERTIFICATE ID: 10 CERTIFICATE EXPIRES- 12-01-ZOOB 12-O1-2007/12-01-2008 CONTRACTORS STATE LICENSE BOARD NB LIC PERMITS: 877488 WORKERS COMPENSATION UNIT INCEPTION DATE: 12-01-2O07 PO BOX 26000 DO:NB SACRAVENTO CA 9B828-002B This IB to certify that we have issued 8 valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. TMs policy Is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to Its normal expiration. This certificate of Insurance Is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein, Notwfths landtag my requirement, term or condition of any contract or other documentwith respect to which this certificate of Insurance may be Issued or to which it may pertain, the insurance afforded by the policy described herein is subject to alt the terms, exclusions, and conditions, of such policy. \0UTHORIZED REPRESENTATWtJ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER FAST WATER HEATER COMPANY <A CORP) NB 12601 132ND AVB NE KXRKLAND MA 88034 (REV.a-OSI pn.se] PRINTED : 12-03-2007