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2850 AVENIDA CEREZA; ; CB110444; Permit
03-01-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB110444 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: 2850 AVENIDA CEREZA CBAD PLUM 2552823900 Lot #: Construction Type: SELLE RES REPLACE WTR HTR 0 NEW Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/01/2011 KG 03/01/2011 03/01/2011 Applicant: FAST WATER HEATER CO 12601 132NDAVNE KIRKLAND WA 98034 425 636 7084 Owner: SELLE FAMILY TRUST 04-09-02 2850 AVENIDA GEREZA 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: FINAL APPROVAL Date: 3 '37* "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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 • 760^02-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS 2850AVENIDACEREZA BUrTEW/SPACtS/UMtTtf CONSTH.TYPE locciGftbiicr/PROJECT*»OPUfflTS'|!>BEtlt)DOM5 * BATHROOMS 1 TENANT BUSINESS iWHC DESCRIPTION OF WORK: Include Square Feat of Affected Areafs Remove/Replace Gas Water Heater FIRE SPRINKLERSEXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE AIR CONDITIONING CONTJ Fom Applicant)APPLICANT NAf AST WATER HEATER COMPANY ADDRE 132NDAVENE ADDRESS 12601 132NDAVENE CITY KIRKLAND STATE WA ZIP98034 CITY KIRKLAND STATE WA ZIP 98034 PHONE:425-636-7054 FAX425-636-7055 PHONE425-636-7054 FAX 425-636-7055 EMAlt carolrfastwaterheater.com EMAIL.j u I iec@fastwaterheater. com PROPI CONTRACTORf-WwATER HEATER COMPANY ADDRIK2S850 AVENIDA CEREZA ADDRESS 12601 132NDAVENE CITY CARLSBAD STATE CA ZIP CA 92009 CITY KIRKLAND STATE WA ZIP 98034 PHONE (760)943-7191 FAX PHONl'425-636-7054 FAX 425-636-7055 EMAIL EMAIL STATE LJC. # carolr@fastwaterheater.com ARCH/DESIGNER NAME & ADDRESS STATE UC.#931237 CLASS C36 CITY BUS. LICJ 1222302 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct alter. Improve, demolish or repair any structure, prior to its issuance, also requires theapplicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more thanflve hundred dollars $500)). il^^ Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: LJI have and will maintain a certificate of concent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, far the performance of the work for which Ihls permit is issued. yy I have and will maintain workers' compensation, as required fay Sedan 37QO at the Labor Code, far the performance o( the work for which this permit is issued. My writers' compensation insurance carrier and policy number are: Insurance Co Truck Insurance Exchange Policy No. A09304455 Expiration Dale 12/1/10 This sscuon need not be completed if the permit is for one hundred dollars (S100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this pemii is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damans: as nmuirfiHf far in Soriinn iTnfi nf IKB Labor code, Interest and attorney's fees. ^TCOHTRACTORSIBNATURE <3***&?&J&»r£*4f' DAT(= 2/22/11 I ftereoy affirm f naf / am erernpf from Con/racfor's Ifcensa iaw for the Mowing reason: j J I, as owner of Uie property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sac. 1044, Business and Professions Code: The Contractor's License Law does not apply 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 ate not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). [ J 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, and contracts for such projects with contractors] licensed pursuant to the Contractor's License Law). I [ I am exempt under Section ...... _ Business and Professions Code for this reason: \. I personally plan to provide the major labor and materials lor conslruction of BIB proposed property improvement. QYes 2. 1 (have I have not) signed an application for a building permit for the proposed work. a I have contracted wilh the following person (firm) to provide the proposed construction (include name address /phone / contractors' license number): 4. 1 plan to provide porSons of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address /phone / contractors' license number): 5. 1 wBI provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): jEfpROPERTY OWNER SIGNATURE DATE 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 Hazardous Sifpstanoe Account Act? [ I Yes L_JNo Is the applicant c/future building occupant required to obtain a permit from the air pollution control district or airjj Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? f~|Y 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 POLLUTION CONTROL DISTRICT. I hereby affirm that (here is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify toll have read the application and state that the abwefa^^ I hereby aulhorize representative of ihe City of Carlsbad to enter upon the above rr^nedprc^forinspHtopuipos^ 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 forexravafas aver 5'0' deep and demolition or construction of structures over 3 stems in height EXPIRATION: Every permH issued by Uw Biitfing Official urxier the prmisiorts tf 180 days from the date of such pern* or If the building or work authorized by such permit is suspended or aban&ned at any tirre after the vi^ is comiren^ >£f APPLICANTS SIGNATURE ^^t^^}It&St-xP&igf* DATE 2/22/11 City of Carlsbad Bldg Inspection Request For: 03/31/2011 Permit* CB110444 Title: SELLE RES REPLACE WTR HTR Description: Inspector Assignment: 2850 AVENIDA CEREZA Lot: 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT FAST WATER HEATER CO Owner: SELLE FAMILY TRUST 04-09-02 Remarks: Phone: 76094371,91 Inspector; Total Time: CD Description 25 Water Heater/Vents Act ^Comments Requested By: ANN Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments Check a License - Contractors State License Board Page 1 of 1 of Consumer Contractors License Board Contractor's License Detail - License # 931237 ai& DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••>>> CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -» Per B&P 7071.1Z, only construction related civil judgments reported to the CSLB are disclosed. ••» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. * Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Extract Date: 3/1/2011 Business Information FASTWATER HEATER PARTNERS I L P 12601 132ND AVENUE NE KIRKLAND, WA 98034 Entity: _ _J?5rtnership jMuette^"" . 04/14/200EL JExpireJDate __ _ License status This license is current and active. All information below should be reviewed. Additional Status: Classifications: CLASS C36 DESCRIPTION PLUMBING Bonding: CONTRACTOR'S BOND This license filed Contractor's Bond number 359745C in the amount of $12,500 with the bonding company DEVELOPERS SURETY AND INDEMNITY COMPANY. Effective Date: 03/12/2009 BOND OF QUALIFYING INDIVIDUAL 1. A qualifying partner is not required to post a bond of qualifying individual. BQi:s.Bondjna..History Workers' Compensation: This license has workers compensation insurance with the IBUCKJMURANC££XCHANGI Policy Number:A09304455 Effective Date: 12/01/2010 Expire Date: 12/01/2011 Workers' Compensation History Personnel listed on this license (current or disassociated) are listed on other licenses. Conditigns^of.. Use | Privacy-Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=9... 03/01/2011