The URL can be used to link to this page

Home My WebLink About2277 BOCA ST; ; CB071825; Permit07-09-1007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB071825 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2277 BOCA ST CBAD PLUM 2163530500 Lot #: 0 Construction Type: NEW YELLEN RES REPLACE WTR HTR Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2007 KG 07/09/2007 07/09/2007 Applicant: FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner: YELLEN ROSS H&CAROLE A 2277 BOCA ST CARLSBAD CA 92009 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: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:07/09/2007 11:44 »468 P. 002/005 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 372630 rvrv wrrivm VIOC < PLAN CHECK NO.. EST.VAL. Plan Ck. Deposit. Valli 2277 BOCA ST Address (Include Bids/Suite *)Business Name (at this address) Legal Deseriplion Lot No. Subdivision Name/Number Unit No.Phase No.TotslSof units Assessor's Parcel*Existing Use Proposed Use Description ofWork Remove/Replace Gas Water Heater SQ.FT.#of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone*Fax* FAST WATER HEATER COMPANY 1260T132ND AVE NE KIRKLAND. WA 98034 800-454-8955 X 153 Name Address City Telephones YELLEN. CAROLE Name Address Telephone* (See. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar. Improve, dsmollsti or repair any structure, prtor to Its Issuance, also requires the applicant for such permit to ffle a signed statement Wat he Is Hcartsad pursuant to the provisions of Iha Contractor's Uleenae Law (Chapter^ oomrnendlrBwah Section 7000 of DMslon 3 of the Busfaess and Professions C^w Any violator of Section 7031.5 by any applicant for a permit subjects the applicant to a dvD penalty of not mow than five hundred deters [$5001), FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 425 814-3124 Name Address City State/Zip Telephone* ' License Class £36_ c«y Business License #_2±±f£?±State Ucensetf 877489 Designer Name State Licenses. Address (Sty Slate/Zip Telephone # Workers' Compensation Declaration: I hereby afllrm under penalty of perjury one of the Wtowlng declarations: O I rrave six! will malrrtah a certftatB of consent to selfHnsure for workers' com pensafion as prodded by for which this permit Is issued. J( I have art v«l rnaintain worker's compensation, as requn^ My worker's compensation Insurance carrier and polcy number are: ... ,n_ Insurance Company California State Fund _ _ Poto No. 1761660 _ BqJBltenDate 12/1/07 _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLLARS [»100] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that to the performance of fte work tor which this permK is Issued. I shal not employ any person hi any manner so as to became subject to the Workers' Compensation Laws of Calfomta. WARNING: Failure to secure worker*' oompansattoii coverage te unlawful and «hafl subject an employer to criminal penaffiea and clvfl fines up to one hundred thousand dollars($1 OOJOOO), m addition to tha east of compet»aBon. ttamages are provided for In 8«ctlon37OT of the Later Cc^,Woi«t ami attomsy'ifeis. SIGNATURE ^Sfe^^^feSs^il^iJ^feSSi _ ; _ DATE 7/9/07 _ __ I hereby affirm that I am exempt from ttie Corrtractor'e License Law for me fbDowSig reason: Q I, as owner of the property or my employees with wages as their sole compensation, wffl d the work and tha structure to 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 bulds or Improves thereon, end who does such work himself or through his own employees, provided that such improvements are not Intended or offered for sate. K, however, the buHdlng or improvement Is sou wHhh one year of completion, the ownar-builder will have the burden of proving that he did not build or Improve for Bis purpose of sate). D I, as owner of the property, am exclustv^y contracting v^floensed contractors to constr^ The Contractor's License Law does not apply to an owner of property who bulds or Improves thereon, and contracts fcr such projects with eonniaotor(6)lloefi8edpur8uarttBmBCoritrafl»ort License La*). D lam exempt under Section _ Business and Professions Cods for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvemerrt. D YES D NO 2. I (have/have not) signed an application for a bulMlnfi permit for the proposed work. 3. I reve contracted with fr»foflc>whgperaonfj!m) to provW^ 4. I plan to provide portions of the work, but I have htedfliBfeDowkip, person fDcoontOnate, supervise and provide tramaJorwortflncludenarMi/address/prraneruirnber/ fontractors license number): ^ ~^ — _ -•— _^ .^ • _»^ — -p-^ .^ . & I wfflpTwWesDirwtftevro*. tail 1 rave contracted (htad) the «^ PROPERTY OWNER SIGNATURE..DATE From:07/09/2007 11:46 H468 P.003/005 PERMIT APPLICATION , * CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 \e the applicant or future bunding occupant required to submit a business plan, acutely hazardous materials registration f 5eoSons25508,2S533or25534ofthePrBS^T8nrwHa2ardM8SubBtancBAooountAot7 D YES D NO te theepploant or future building occupant required to obtain a peimftfrom the air poDuttoncontroldisWctOTalrqualltymanagBmentdlsWct? O YES D NO lsthefactlytobeconstnjctedwllhln1,OOOfeetofttieouterlX)un£Jaryofasohoolslte? D YES n NO IF ANY OF THH ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR (8 MffiTING THE REQUIREMENTS OP THE OFFICE OP EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^•fljB||^^I hereby affirm that them Is a construction lending agency tor the performance of the work for which Wspamilt 1st LENDER'S NAME LENDER'S ADDRESS. I certify that I have read the application and state (hat the above Information Is correct and fart the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to taunting construction. I hereby authorize momenta!^ of the C^ of Ceifeb^ to ei^ purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AOAJNST ALL UABfLTTIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CWfOt CONSEQUENCE OF THE QRANTWa OP THIS PERMIT. OSHA: An OSHA permit Is required for excavatoris of ffcfdeep and demolition or construction of structaM over 3 stofes In height EXPIRATION: Every pemtt Issued by the buMrg OfflcM uno^ the provisions of IhteCoaesral expiredby such rjermtt Is not <»mrr«r«dwtthin 180o^ from tethe work is commanced for a period of 180 days (Section 108.4.4 Unfcrm BiftOng Cods). APPLJCAMTS SIGNATURE .DATE.07/09/2007 City of Carlsbad Bldg Inspection Request For: 08/14/2007 Permit* CB071825 Title: YELLEN RES REPLACE WTR HTR Description: Inspector Assignment: Type: PLUM Sub Type: Job Address: 2277 BOCA ST Suite: Lot: 0 Location: APPLICANT FAST WATER HEATER COMPANY Owner: YELLEN ROSS H&CAROLE A Remarks: after Sam Phone: 7606349839 Inspector: Total Time: CD Description 25 Water Heater/Vents Act Comments Requested By: CAROL Entered By; CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments From: 07/03/2007 11:47 MB8 P. 005/005 POLICYHOLDER COPY MB STAITE P.O. BOX 420807, SAN FRANCISCO,CA 941 42.-OS07COMPENSATIONINSURANCE FUNIO CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-01-2006 GROUP: POLICY NUMBER: 17B1060-2OOB CERTIFICATE IDs 10 CERTIFICATE EXPIRES: 12-01-200? 12-01*2008/12-01-2007 CONTRACTORS STATE LICENSE BOARD MB LIC PERMIT*: 877489 WORKERS COMPENSATION UNIT INCEPTION DATE; 12-O1 -2006 PO BOX 28000 DO:NB SACRAMENTO CA 96826-0026 This is to certify that we have Issued a valid Workers' Compensation insurance" policy in a form approved by the California Insurance Commissioner to the employer framed below for the policy period Indicated This policy Is not subject to cancellation by the Fund sxcept upon 30 days advance written notice to the employer, We will also flhis 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. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of Insurance may be issued or to which it may pertain, the insurants afforded by the policy described herein Is subject to all the terms, exclusions, and conditions, of such policy. IZED REPRES0JTATI\)O PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-200E IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER FAST MATER HEATER COMPANY (A CORP) MB 12BOi 132ND AVE KB KIRKLAND WA SB034 [811 .SG] mEV.,-06) PRINTED : 12-01-ZOOB