HomeMy WebLinkAbout2354 CARINGA WAY; A; CB072802; Permit11-06-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB072802
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
2354 CARINGA WY CBAD St A
PLUM
2152402934 Lot # 0
Construction Type NEW
VELLA RES REPLACE WTR HTR
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
11/06/2007
LSM
11/06/2007
11/06/2007
Applicant
FAST WATER HEATER COMPANY
12601 132NDAV NE
KIRKLAND WA 98034
4258143124
Owner
CAMEON CRAIG
2354 CARINGA WAY #D
CARLSBAD CA 92009
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 Jwv FINAL
Date
AL
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
Fron 11/06/2007 12 48 ff280 P 002/005
PERMIT APPUCAT10N
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
382358 rvrix wrrivc; uoc WKI.I
®& t>7d%0PLAN CHECK NO
EST VAL
PlanCk Deposit
Validated By
Date »
2354 CARINGA WAY #A
Address (Include Bldg/Sulte #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total* of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work
Remove/Replace Gas Water Heater
SO. FT # of Stories # of Bedrooms # of Bathrooms
Name Address State/Zip Telephone*Fax#
Name Address Telephones
VELLA. CELESTE
Name Address Slate/Zip Telephone*
70315 Business and Professions Code Any City or County which requires a permit to construct, altar Improve dsmoOsh or repair any structure, prior to Its Issuance,
also requires the applicant for such permit to file a signed statement that he te licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 commending with
Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.6 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955
Name Address City State/Zip Telephone #
State License # 877489 License Class _Q2§ CByBustnass license #J222302
Designer Name
State License #.
Address City State/Zip Telephone #
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations.
D J 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 of the work
for which this permit is Issued.
5{ < have and will 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 carrier and policy number are
Insurance Company California State Fund Poncv No. 1761660 Expiration DateJ2/1/07
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS $100] OR LESS)
D CERTIFICATE OF EXEMPTION ) certify that In the performance of the writ for which this permit Is Issued I shall not employ any perasn in any manner ao as to
become subject to the Workers' Compensation Laws of California.
WARNING Failure to sactn workers' compensation coverage Is unlawful and shall subject an employer to criminal penaCtwe Mid civfl fines up to one hundred thousand
dollare(*100 ODD) In addition to Hi* cost of compensation, damages an provided for m Section 3706 of the Labor Code, interest and attorneys fees.
SIGNATURE <3**&»?4<&~£*<&' DATE 11/6/07
I hereby affirm that I am exempt from tha Contractor's License Law for flie feHowlng reason
D I as owner of the property or my employees with wages as their sole compensator wD d the work and the structure is not Intended or offered for sate (See. 7044
Business and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or Improves fliereon and who does such work himself or
through Ms own employees provided that such improvements are not Intended or offered tor gate If nowsver the buBdlng or Improvement Is sold within one year of
completion the owner-twitter will have the burden of proving that he did not buld or Improve for me purpose of sale).
P I as owner of the property am exclusively contracting with loensed contractors to construct the project (See. 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)
D I am exempt under Section ___^_________ Business and Professions Code for this reason.
1 I personally plan to provide (he major labor and materials tor construction of the proposed property Improvement D YES O NO
2 I (have/have not) signed an appJIcafion fora building permit far (he proposed work.
3 I have contracted with the following person (firm) to provide the proposed construction (Include name / address /phone number / contractors license number)
4. I plan to provide portions of the work but I have hired the totaling person to coordinate supervise and provide tt» major wo* (Include name / address I phono number I
/ontiactoiB license number). . — . ,
5. I wBI provide some of tha work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / address / phone number / type of work)-
PROPERTY OWNER SIGNATURE .. DATE.
Fron 11/06/2007 12 49 8280 P 003/005
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad CA 92008
Page 2 of 2
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration for or risk management and prevention program under
Seetions25505 2S533or25534ofaiePra«ley-TannerHazaidousSubslancaAccountAct7 DYES D NO
(s the appfcanl or future buHdtag occupant required to obtain a permit from the air poflutfon control disWct or air quality management district? D YES d NO
Is the faclBty to be constructed wWiln 1000 test of ma outer boundaty of a school ate? D YES D NO
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE MR POLLUTION CONTROL DISTRICT
performance of tfm work tor which trite parmlt Is Issued (Sec. 3097(1) Civil Code)
I certify that I have read the appDcatton and state that the above Information Is correct and that the Information on the plans is accurate I agree to comply wttfi ail City
ordinances and State laws relating to buHdlng construction. I hereby authorize representatives of the City 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 OF THIS PERMIT
OSHA. An OSHA permit Is retired for execrations of S'O'de^ ami demons or (^dmcttonrf
EXPIRATION Every permit Issued by the building Official under the provisions of fhta Code shall expire by nmBaSon and become nuS and void If the bulWIra orwork aufhorized
by such pemftkrmlTOmmenoadwMiln 160 c^ from tneo^ of such p
the work Is commenced for a period of 180 days (Section 1014 4 Uniform Building Cods).
APPLICANTS SIGNATURE..DATE.11/06/2007
City of Carlsbad Bldg Inspection Request
For 01/08/2008
Inspector AssignmentPermit* CB072802
Title VELLA RES- REPLACE WTR HTR
Description
Type PLUM Sub Type
Job Address 2354 CARINGA WY
Suite A Lot 0
Location
OWNER CAMEON CRAIG
Owner
Remarks a m please - Samtonoon
Total Time
CD Description
25 Water Heater/Vents
Act Comments
A/0
Phone 7606135646
Inspector
Requested By NA
Entered By CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
From 11/06/2007 12 50 »280 P 005/005
POLICYHOLDER COPY
COMPENSATION
I N S URANCE
PO BOX 420807, SAN FRANCISCO,CA 94142-0807
FUND CERTIFICATE OP WORKERS' COMPENSATION INSURANCE
ISSUE DATE 12-01-2006 GROUP
POLICY NUMBER 1761660-200B
CERTIFICATE ID1 1O
CERTIFICATE EXPIRES 12-O1-2007
12-01-2006/12-01-2007
NB
CONTRACTORS STATE LICENSE BOARD
WORKERS COMPENSATION UNIT
PO BO* 26000
SACRAMENTO CA 95826-0026
NB LIC PERMIT* 877489
INCEPTION DATE 12-01-2006
DO NB
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 turned below for the policy period Indicated.
This 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 norms! expiration.
This certificate of Insurance Is not an insurance policy end does not amend extend or alter the coverage afforded
by the policy listeti 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 insurance
afforded by the policy described herein Is subject to all the terms exclusions and conditions of such policy
<^~*
THORIZED REPRESENTATIVE^ PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2006 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY
EMPLOYER
FAST WATER HEATER COMPANY (A CORP)
12601 132ND AVE NE
KIRKLAND WA 08034
NB
(REV 2 06)PRINTED
[611 SGJ
12-01-2006