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Home My WebLink About2845 AVENIDA HELECHO; ; CB081112; Permit06-11-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081112 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 2845 AVENIDA HELECHO CBAD PLUM 2552814000 l_ot# 0 Construction Type NEW RASSEY RES REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 06/11/2008 KG 06/11/2008 06/11/2008 Applicant FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner RASSEY ALEX J JR 2845 AVENIDA HELECHO 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 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $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 -?/Clearance NOTICE Please take NOTICE that approval of your project includes the "Impo/tion" 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 405109 06/10/2008 07-30 ffSBB P 002/005 rv/rx vrrrivic uoc V/IMUI PLAN CHECK NO. EST. VAL Plan Ck Deposit Validated By Date 2845 AVENIDA HELECHO Address (Include Bids/Suite #)Business Name (at fills address) Legal Deacrtpfion Lot No Subdivision Name/Number Unit No Phase No Totals of unite Assessor's Parcel #Existing Use Proposed Use Description of Work Remove/Replace Gas Water Heater SO. FT # of Stales # of Bedrooms # of Bathrooms State/Zip Telephone »Fax* KIRKLAND. WA 98034 RASSEY, ALEX Name Address State/Zip Telephone # .Sec, 7031 5 Business and Professions Code. Any City or County which requires a permit to construct, attar, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to Die a signed statement that he Is Bcensed 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 trie alleged exemption My violation of Section 70315 by any appScant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1*500]) FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955 Name Address City State/Zip Telephones State License # 877489 License Class C36 catv Eluainsaa License # 1222302 Designer Name State License* Address CHy State/Zip Telephone # Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance of the work for which ails permit is Issued X I have and wfl 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 Policy No 1761660 Expiation Pate 12/1/08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$100] OR LESS) D CERTIFICATE OF EXEMPTION I certify that In the performance of 8ie work tar which this permit Is Issued, I shall not employ any person In any manner BO as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage Is unlawful, and shaB subject an employer to criminal penalties and chrH fines up to one hundred thousand dollaraffioajwo), In addition to the cost of compensation, damages are provided for hi Section 3706 of the Labor Cod a, interest and attorney's has SIGNATURE. <3~~**7*J&~^0>* DATE 6/10/08 1 hereby affirm that I am exempt from the Contractor's License Law for the (Mowing reason n I, as owner of the property or my employees with wages as their sole compensation, wit d the work and the structure Is not Intended or offered fur sale (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who buBds 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 year of completion, the owner-bulkier wQ have the burden of proving that he did not build or Improve tor the purpose or sale). D I, as owner of the property, am exclusively contacting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code The Contactor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Coda farthls reason 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement n YES D NO ' 2 I (have/have not) signed an application for a building permit for the 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 following person to coordinate, supervise and provide the major worn Qndude name / address / phone number / /ontractors Deems number) _ 5. I win provide some of (he 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. From:06/10/2008 07-32 ft966 P 003/005 PERMIT'APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad CA 92008 Page 2 of 2 Is the applicant or Mum building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sscaons25505,28533or25534of8isPresley-TannerH8KrdousSub3tanceAccountAct7 DYES D NO Is the applraniorfuturebuMhg occupant raqulred^ O YES D NO IsthBtadBtytoberanstnjctedwitfihl.OaOteetoftheouterbaurKlaryofaachoolste? D YES D NO IF ANY OP THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there IB a construction lending agency far the performance of the work for whleh this permit is Issued (Sea 3097(1) Civil Cade). LENDER'S NAME LENDER'S ADDRESS . I certify that 1 have read 9» application and state that the above Information is correct and that the InfbrmaOon on the plans IB accurate I agree to comply with all City ordinances and State lam relating to bidding construction I hereby authorize representatives of the City of Carlsbad fo 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 O8HA. An OSHA permit is required for excavations of ffO" deep and demolition or construction of structures over 3 stories In height EXPIRATION Every permit Issued by the bulking Official under the provisions of this Code shaD expire by Imitation and become null and void If the building or work authorized by such permit Is not commenced within ISO days from the date of such permit or If the building or work authorized by such permit IE suspended or abandoned at any tone after the work is commenced for a period of 180 days (Section 106 4.4 Uniform Bunding Code) APPLICANTS SIGNATURE _. DATE.06/10/2008 City of Carlsbad Bldg Inspection Request For 07/10/2008 Permit* CB081112 Title RASSEY RES REPLACE WTR HTR Description Inspector Assignment JM 2845 AVENIDA HELECHO Lot 0 Type PLUM Sub Type Job Address Suite Location OWNER RASSEY ALEX J JR Owner RASSEY ALEX J JR Remarks Phone 0000000000 Inspector Total Time CD Description 25 Water Heater/Vents 29 Final Plumbing Act Comments Requested By NA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 07/02/2008 25 Water Heater/Vents CO JM NO ONE HOME - NOTIFIED From: 06/10/2008 07:33 ffSBB P 005/005 POUCYHOLDER COPY NB COMPENSATION P° B°X 42°807< SAN FRAIMCISCaCA 94142-0807 I NSURANCB CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE. 12-01-2007 GROUP POLICY NUMBER. 1761660-2007 CERTIFICATE ID- 10 CERTIFICATE EXPIRES 12-01-ZOOS 12-01-2O07/12-01-Z008 CONTRACTORS STATE LICENSE BOARD NB LIC PERMIT*. 877483 WORKERS COMPENSATION UNIT INCEPTION DATE • 12-O1-20O7 PO BOX 26000 DQ.NB SACRAMENTO CA 95828-0036 This is to certify that w« have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period Indicated This policy i$ 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 prfor to its normal expiration This certificate of insurance is not an insurance policy and does not amend, extend or alier 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 insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions, of such policy THORI2ED REPRESENTATIVSj PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2063 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. SWPLOYER FAST WATER HEATER COMPANY (A CORP) NB 12601 132ND AVE NE KIRKLAND HA 98034 (REV 2-061 IB11.SG] PRINTED : 12-03-2007