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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