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Home My WebLink About2277 MASTERS RD; MULTI-PERMIT FILE; CB111691; Permit,. If • City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-03-2011 Plumbing Permit Permit No: CB111691 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2277 MASTERS RD CBAD PLUM Status: Parcel No: 2121401200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: DOHERTY RES-REPLACE WTR HTR Inspect Area: Applicant: FAST WATER HEATER CO 12601 132ND AV NE KIRKLAND WA 98034 425 636 7084 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: DOHERTY FRANCIS E&DONNA L 2277 MASTERS RD CARLSBAD CA 92008 ISSUED 08/03/2011 LSM 08/03/2011 08/03/2011 $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: $27.00 Balance Due: Inspector: }"Ill, ~S FINAL APPROVAL Date: l1-{1Y1(11 Clearance: $0.00 NOTICE: Please take NOTICE that approval cl 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. 11 you protest them, you must follow the pro1est procedures set forth in Government Code Section 66020(a), and fife 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 wa1er and sewer connection fees and capacity changes, nor planning, i.oning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i h h v r vi n i n N Tl imil r hi w i h f limi i n . . 549292 Cif:y Qf Carlsbad Plan Check No.C!e:>\ t l Lf. q I 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 211s / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS 2277 MASTERS RD r;f/ OT# Dl;SGRIPTION OF WORK: ln11lude Sqaa,a Feat o Remove/Replace Gas Water Heater EXISTING USE PROPOSED E Est. Value Plan Ck. Deposit 5UIT£/I/SPACU/U tT# GARAGE (SF] PATIOS (SF) DECKS (SF) Fl REPLACE AIR CONDITIONING YESQ NcCJ YES □No □ FIRE SPRINKLERS VES□No□ CONTAc;r~i,~c--::...\"c'~"'tnrccl'iA;.,.n:/_.i:a..,n'---'t'---'----------------+-:-:AP""P'""Le=ICA=-NT-NA_llll_~ ______________________ 4 }Jt...<'.::>'-' ~ o-\I.;' t-AST WATER HEATER COMPANY ADDR~601 132ND AVE NE ADDRESS 12601 132ND AVE NE cr1Y KIRKLAND PHONE425-636-7054 EMAIL STATE WA FAX ZIP 98034 425-636-7055 CllY KIRKLAND PHONE 425-636-7054 EMAIL STATE WA ZIP 98034 CDNTRACTOR~~ATER HEATER COMPANY ADDR~277 MASTERS RD ADDRESS 12601 132ND AVE NE CITY CARLSBAD STATE ZIP CITY STATE ZIP CA CA 92008 KIRKLAND WA 98034 PHONE (760)804-1948 FAX PHON.a25-636-7Q54 FAX 425-636-7055 EMAIL ARCH/OESlliNER NIIME &AODRESS STATE UC.# EMAJL &;SiCa\J@fastwaterheater.com ATE UC.# CLASS 931237 C36 CITY aus. UC.# 1222302 [Sec. 7031.5 Business end ProfflS!IIDnS Code: AB/ City or County which requires e permit to construct. alter. Improve. demolish or repair en11 structure, prior to Us Issuance. also re<1ulres the applicant fer such pennlt to file a sll!ned siatement tnat he ls licensed pursuant to the provisions ofthe Contractor'5 License Law !Challler 9, commending with Section 7000 of Division 3 of lha Business end Professions Code) or 'lhat he Is e11empt therefrom. and the basis for 1h11 allEll!ad eemptlon. Any violation or Section 7031.5 by any appllcanffor a permit subjects the eppllcant lo a cMI penalty or not more than five hundriid dolla111 (5500]]. Workers' Co111j1ensaUu Daclarallcm: I heivby llfirm u,ider penllllyofpflljIRy CJ1111 of the li:ilDllliilg declaraJions: DI have and will 11111lnlaln a cartlffcale of consent lo 1elf-ln1ure brwor11ers' compensallon &$ provid!ld by Section 3700 of 1h11 Labor Code, for the perforrneri,;e of lhe work 1Dr lllllict, this permit Is Issued (&11 have and will maintain workers' compensation. as ieQuinld by Sedlon 3700 ol lhe Lebof Code, for the perfOlllla~ oltha woill forwhlch this permit is Issued. My Wlll1ce111' c0111111nsallon ~nr caniar and policy numberarD: lnainnceco Truck Insurance Exchange Policy No. A09304455 EzpirationDate_, 2..J l ._I_.\ __ _ Jm.section nead not be compleled ff the pennll ls for 0J1U hundnid dolars 1$100) Dr less. LJ Certlncai. Df l!lemplion: I certll'y thul n the perf 11T11B11ce af Iha WOik lar whlcll this permit Is Issued, I aha§ not employ eny pfliOO In any 1TiilllOOr so as lo become &ubfacl b lhe Workffl' Compensalion laws DI Ca6Fomla. WARNING: Fallu .. to oew .. workars' comp1M811on ,;ov,raga 11 unfawfut and ahall subject an employarto criminal penal~e5 and clvll Hnea up to one hundred U,Qusand doll a"' (& 100,000), In addlllOll to Iha cost ol compensation, d•m-~ n nmvl ,,.. i.. S....llnn ~lnR nllha Labor cvdt, lnlel'Hl and attomey'& laes. JE5 CONTRACTOR SIGNATURE I henlby utr11m Jhaf I am 1»1emp/ from Cootmtors 1./cel!Sfl Law farlhe folJowlng nrason: D I, 11B IIWTlBI 0rthe property or my employees with wagti; 11!1 lheir sole C0111pensation, wllt do the work and the struclure Is not intended or l!lfllfed for sale (Sec. 7044. Businen end Profe&slans Coda: The Contractor's Ucense Law does not apply lo en DYmer of p,opurty who builds or improves thereon, and who does such work himself or lhmogh hi5 own employees. prowled lhat such improvemenl& am nol inlelldea ar offorod for a.le. Jr, roweirer, the buidlng or impruvemenl is sold within one year of c:ampletion, the owner•twllder wllf have the bullleo of pro Ying Iha! he did not build or imp ro\'!I for lhe purpose of ule). 0 I, es 17Mlllf ur the pruperly, um exclu&lvely conlraCllng with lcensed cootraciOIS ID construct Iha projeel (Sec. 7044, Business and Prolessions Code: The Contrador's Licen11e Law doll5 1101 apply to ari owner of property who builds Of Improves !hereon, and COlllll!ds lor such projects Yoith ccnlraclor(sl llcensed pll'liuanl 10 the Contr.cic{'s Llcen&e Lew). □ I am e..empl under Section ____ Buslnus and Profeslllons Code for this ll!ason: 1. t personelly plan to provide the majo!'labir and malerials for con5lnu;tlon Df the propcud p,:iper1y lrnpro.-ement 0Yes Da 2. I (have I have not) signed an epplcaliorl lore building peimll lcr Iha proposed wcrk, 3.1 have conllllcled wllh the following pellOII (finn) to provlda the pltljlll&ed conslruciion (lncude name address/ i:oone/ C011lracl0!8' bnse numl:re~: 4. I plan to proville pclllions Df the WOik, but I have hired the folowlng pe1110n ID cooninale, 81410M51l end provide the major work (incl.lde name I address I phone/ corlllK\or..' Ucen,e num'aer): 5. I will pmyide some of the work, 11111 I haw conlradad (hired) the folkffllng pen;ons to proYlde the WDrk lndlcaled ~nclude name/ addrm I phQoe / lype olwork): ,,§$ PROPERTY OWNER SIGNATURE DATE 549292 11 the appli(:ant c;,rfUIU!e building o=ipant requlreG to 5ubml a buslnesu!l!D, aculsly hazanlous materials reglstralion l\mn or risk flllllllQlllllentand preYenUcn p,ogram under Slldions 255115, 25533 Dr 25534 al lhe Pmslay-lanner Hazardous Swstance ActountAcl7 D VII$ LJ!io Is the applicant or fuue bulldklg OCQJJ)illlt 1equ!md lo obtain a peunll rrom tfle air pollutlon conll'Dl.!!!!lrict or air..&..llillity management dlslrict? Oves D No Is the faclllty lo be constructed w!lhln 1,000 feel al the outer bwndaiy or a lidlcol site? LJVes LJN~ IF NIY OF THE ANSWERS ARE YES, A FINAL CERTll'ICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 16 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT, I certlfylhatl haw llidthe appllcalJan ll!1d GIBt8 ltR1tthuho'le lnbmaUon Isconect and lliatthe lnfonnatlon on the plans ls accurate. I ilPBf!to eompt,w!th all Cllycnllnancesand Slale IDWi rvlallltgto buldlng construction. I hereby dlorize ~ d h Cllyof Cadsbad loenlllr~ lheabc!Ve menlloned pn;iperty forinspedkio JUposes. I ALSO AGREE TO SA\IE, lfllOEM'llFY AND KEEP HARMLESS 1llE CITY OF CARLSBAD AGAINSTAl.lUABILmEs,.AJDGMENTS,COSTSANDE>:PENSESWHICHMAYINANYWAYACCRUEAGAINSTSAIOCITYINCONSEOUENCEOFTHESRANllNGOFTl-llSPERMIT. OSHA: An OSHA peimlls requred tire.vawtlcns 0\'1!1'5'0' deep anddemoilkm or IXillSlrul;liJn of strudu'es owr 3&ble51n ~ EXPIRATION; Eveiy permit Issued by lhEt Btiklng OllidPI !Rief the pll)'visals d 1hls Code shel BJqjre by imllalion and become nul ard vokl II the builci1l a MXk authoiiZl!d by such pennt t Jllll ~ wi1111n 180 days from the dale cf Sl.dipemi aiflhe l:illiJg orwak authorized by 1111111 permit is suspended or abandoned el any liml after the wakls tDMlllnced loraperiodof 180 days (Section 106.4.4 Unifam Buldrlg Cede). £S APPLICANT'S SIGNATURE ~ DATE 12-sll , City of Carlsbad Bldg Inspection Request For: 12/06/2011 Permit# CB111691 Title: DOHERTY RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2277 MASTERS RD Lot: 0 OWNER DOHERTY FRANCIS E&DONNA L Owner: DOHERTY FAMILY TRUST 11-10-09 Remarks: PM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7608041948 Inspector: fA, L Requested By: FRANCES Entered By: JANEAN 25 29 Water HeaterNents Final Plumbing _E!f.._ bi? ..,log 41'2o J L;;.¼t.:snd~ L-£>CA"t"1.cNi _ft_ _________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-18-2002 Plumbing Permit Permit No: CB022122 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Building Inspection Request Line (760) 602-2725 2277 MASTERS RD CBAD PLUM 2121401200 Lot#: 0 Construction Type: NEW DOHERTY RESIDENCE WATER HEATER REPLACEMENT Owner: Status: Applied: Entered By: Plan Approved: lss~; Inspect /'tr/tit'! DOHERTY FRANCIS E&DONNA L 2277 MASTERS RD CARLSBAD CA 92008 ISSUED 07/18/2002 MOP 07/18/2002 ofi7{W'B~0fuo2 )1 CC];p Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 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 Inspector: 0 0 0 0 1 0 0 FINAL APPROV~ Date: 7-1rJ .Q Clearance: $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 NOTICE: Please take at approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/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 lees/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 . . . ' . ' ' ' FOR OFFICE USE ONLY PERMiT APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date _______________ _ ,1. ' PROJi:CrtNFORMATION 2277 MASTERS RD Address !include Bldg/Suite II) Business Nerne lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units SFR Assesso,·s Parcel II Existing Use Proposed Use 212-140-12-00 Description of Work SO. FT. llof Stories II of Badroorns ti of Bathrooms Wa_t~r Heater R~}_;)lacE"~ent _ . . 2,,· CONTACT Pl:RSON'(lfdlfferel)Urom-appllcilntFi.,i-. . . ·. OOHERI'Y, DONNA 2277 MASTERS RD Name Address 3, APP[iCANT g:}contracitor □.Agent ftir C6ntrector, 0 dwner Arlen Foster/carol Foster 13706-B Hwy.8 Name 4, P'1di>el'lrV.(lWNEt:i'," OOHERTY, OONNA Name 6. CONtRA·CTOR;~,COMPANY NAME1.; Address 2277 MASTERS RD Address ··:, ~~~fL\} City 0 Agent rorownar Bus. El Cajon, City Carlsbad City .. 92o'08 '7'60-804-1948 CA. State/Zip Telephone # Fax ti Ca. 92021 (619)390-4477 State/Zip Telephone II ca. 92008 760-804-1948 Stata/Zip Telephone # (Sec. 7031 .5 Business and Professions Coda: Any City or County which requires a permit to construct, niter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement thst he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of tha Business and Professions Code) or that he is exempt thernfrorn, end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars !$500)). A & J Foster PJ11robing 13706-B Hwy 8 Bus. El Cajon CA. 92021 (619)390-4477 Name Address City State/Zip Telephone # State License II 630120 License Class C-36 City Business License II 1210836 Designer Name Address City State/Zip Tolephona State License # -~N-/~A~-~~ 8, WORKERSt cbMPi;NSAtlON Wo1kers' Compensation Declaration: I hereby affir~ under penalty of perjury one of the lollo,,;,,lng declaratioris: J, 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f or the work for which this permit is issued. xJ 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 worker's compensation insurance carrier and policy number are: Insurance Company State Comp. Ins. Policy No.467-01 0000713 04-01-03 Expiration Date ______ _ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100! OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so ;,s to become subject to the Workers' Compensation laws of California. WARNING: Fa!lura to sec age Is unlawful, nnd sh11!1 subject 11n employer to crlmlnat penaltl'?j' and civil fines up to one hundrF!d thousand dollnra ($10 m on, damages as provided for In Section 3706 of ''dt.ftcor· Bte~Of8ttorney·• fees. SIGNATURE' __ _J.~~~~~~~~_L~~~1_~~~~~:-;;,,-;; __ -::_,,-;-;,-,---------~ DATE _________ _ 7, +' 0WNl:R"BUl(tieli·oECl.AliATloN ;.. I · I hereby affirm that I am exempt from tha Con actor's License law for the following reason: D I, as owner of the property or my employees with wages es their sole compensation, will do the work end the structure is not intended or offered for sale !Seo. 7044, Business and Professions Code: The Contractor's License Law does not applv to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one veer of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the 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, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business end Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I [have I have not) signed an application for a building permit for the p10posed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number I contractors license number): 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name I address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ !cbMPLEt~tftfs!sdcfiONfFQRlivt)fJifjlisJ"fJjfi.fi;U,Ujf:IIU'biNii1PERMjiffto'.N11V,lfJ!~ff~:~i!IIJfiliilll!:n~'~l[•'llllffi!lli!!ffil~l!'firl/;:;~\Bi'-t;::ilj,\1t -,:,;,·!!::;·_ ;-:I?'• ···'"'"!11'"'"'•"·1,.: Is 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 Hazardol1s Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qu'ality management district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO 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 P0ll.UTI0N CONTROL DISTRICT. (8 ;:'>; ·; CQN$'.:ttIU<n:iQN.0LE'l!PINQiAGENC,Vj'.I~~t:•:•:,•-r{,t,\t;~Jf7/;i,:1 •1I;!(~lf~4il,11~f11.i~~1:fiilt,{t~j~]:fj;'(!',\ltl-!!'lfif\itr~t~i"~~rit!C:i;):;',li'1\ti!\,•iifilii'.ii'f:,;· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec, 3097111 Civil Code). LENDER'S NAME _____ ID __ NE _______ _ LENDER'S ADDRESS ________________________ _ •e.,;·,·•· Aplfii.lc'liiittctif'.rl!'ICA"tibl'.fiil!?;i' '1•1:•,wtt•'_::1,l!{lf,itmiT,fi',i/I/if!;;:~;~~ll:~'il~~~liffi~i\llre;11~~~l1i:~itlf11f;ttf\l1i1M;iii:r;J1~~1~)11!~'l'8:(1~·•::~;illi;f:t;\~iffl',,,,:':.•;:: I certify that I have read the application and state that the above Information Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby at1thorize representatives of the Citt of Carlsbad to enter upon the above mentioned propertv for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THI: CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bulld!ng Official under the provisions ol lhis Code shall expire by llmltallon and become null and void if lhe building or work authorized by s11ch permit ls not commenced In 180 days from the I such permit or 11 lhe building or work authorized by such permit Is suspem1Pd or abandoned al any time alter the work Is commence ~d oJ 1 ~s (Sect,.,;,~. , -·• Uniform Building Code). .J I ! I l s ;,::1_; !'. ! 2 APPLICANT'S SIGNATURE V /) • . DATE " ~, .,__ - YELLOW! Applicant PINK: Financ" . ' • . . City of Carlsbad Bldg Inspection Request . . Permit# CB022122 For: 07/29/2002 Title: DOHERTY RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: 2277 MASTERS RD Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: DOHERTY FRANCIS E&DONNA L Remarks: PM PLEASE Total Time: CD Description Act Comrhents 25 Water HeaterNents fW ~t..£1\.\ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: ::J"[ Phone: 7608041948 Inspector:~ Requested By: MR DOHERTY Entered By: KAREN . ,,. : .t -.-' • \