HomeMy WebLinkAbout1055 SEAHORSE CT; ; CB071133; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-19-2007 Plumbing Permit Permit No: CB071133
Job Address:
Permit Type:
Parcel No:
Reference#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1055 SEAHORSE CT CBAD
PLUM
2145304800 Lot #: 0
Construction Type: NEW
RODRIGUEZ RES REPALCE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
04/19/2007
KG
04/19/2007
04/19/2007
FAST WATER HEATER COMPANY RODRIGUEZ HECTOR M JR&SUSAN M
12601 132ND AV NE
KIRKLAND WA 98034
425 814 3124
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
Total Fees:
Inspector:
$27.00
0
0
0
0
1
0
0
1055 SEAHORSE CT
CARLSBAD CA 92011
$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 Payments To Date: $27.00 Balance Due:
Date: Clearance:
$0.00
NOTICE: Please take NOTICE t at 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
f h' Tl i ii hi whi h h limi h
From:
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Cartsbad CA 92008
1 Q§5 SEAHORSE CT
04/19/2007 11:33 1032 P.002/005
rvn vrr1va:; uoic:: v1,c:2:"7 /1/ L 3 PLAN CHECK No.C ...... ~---'-1 7 __ __
EST. V>J... ________ _
Plan Ck. Depoalt _______ -=-,_
ValldemdSy Z-i?J;
Date ½-If:-(/ 17
Bua1nea Name (Ill Ills acldNa)
L.agal 0escllpllon Lot No. SUbdMIIOn Nlllle/N1.111bor UnNNo. PhneNo. T01al t of unltll
~r'1Parcel#I
Oeea1ptton of Work SQ.FT. tofStorlll # rt Bedroom■ • of Balhfoomt
Remove/Replace Gas Water Heater
Name· Ad"-Cly SflltlllZlp Telephone# Fax#
FA~T "'ATER Hl'TER COMPANY 12601 132ND Ill NE
Name A.If"'-Cly
KIRKLAND;WA eaof:
SIIIIIZlp Tel9phonlt
,1~0)425-8~,,3R~ X ~53
RODRIGUEZ~ Y & SUSA~ ~AR~IBAD, CA ~009
✓ t-.' , ~ I _. ,·1 '••, t .J • • ~ • ' • , . • • ' ' ~ •: ll : ~,' ~:
(7~0,31-1~43
:,~ ... :. : ; ... ~ l :. --I • • • • --• • : •• .,. , ':
cs.:. 7031.5 Bualn8N end Pnl11'9111onl Code: Arr,~ or Co1111:V W1ldl Nqllla a penal ID aon11Nat, ..... ~-demolllh or...,._. my nuc1ure, pllor lo Ila--·
aim ~ the applcant for IUCtl perml 10 Ila a ligned utement 11191 he Is HClllllld pu..-t 10 lie plO\ltllonl of 11111 Connclllr's L1cer181 Law [Chlplar 9, commllldq with
S.cllon 7000 ot OIYtllon 3 ot the a.__ end ProtNelona Code] ~ that he Ill~ lhftl'lom, and thl basts far Iha 11111gec1 -,,p11on. Arr, Ylolallon ot Section 7031.5 by
any applicant for a pennlt IUbjectl the aJ)lllcanl ID • civil penalty or not men thin five hllndr9d dolJara [S500]).
FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND, WA 98034 425 814-3124
Name Adclreu City State/Zip . Telephone #
Stata UOOM!t, 877 489 UceMe au. C36 etty B~ Llcelme ,_1_222_3_0_2 ____ _
Dlllllgner Neme City Slale/Zlp Telephcnetl Stala Uce,.., _____ _
Workers' Compenerion Oedmdlon: I her.by atllrin under penally of perjury one of 118 fallowlng d111:la1111tor111:
c I have and wlU malnlaln • ceitmc:a. or m,-it tD ...,..,su,. for WOf1<ers' oompenatlon • provided by Section 3700 or the Labor' Code, for 1he performance of the work
for which 1h11 p111mlt Is IIMMICI.
JC I naw and wll lllM'!llltn -ic.te oornpenee11on, u raqu1n1c1 by SeollDn 3700 or Iha labor Code, tor tt1e penbrmanca of the work fOr wHah thlll permit 1, 15&ued. My
work•f• compenNllan lnann0e CIIIT1'r and policy number erw:
1Mur1nce0ompany California State Fund PollcyNo. 1761660 exp1ra11on0a1e._1_21_1_/_07 ____ _
(THIS S&CTION NEBD NOT ■I! COIIPLfflO F TH■ PIIRMIT II FOR ON■ HUNOHD D01.LARt ($100] OR LEU)
□ CERTIJIICATE OF IXIMPTION: I certify 1hlll In the 'pedormance of the Wlllk tor which -permM II lllued, I shall not lllnploV any person In any mannar IO -ID
become IIUbjeGt ID the Workers' Coml)lllllallon ~ of Ctllfomla.
WARNING: ~-Dure lo HCUIII __,.. -penulton ~ le ulllawllll,,and sltall sui11eCt 1111mplo,er10 c,1,nlnal fl9lllllllu ■nd dvll 11 .... vp to one bundrscl lliouund
dollen($1GG,H0), In llddlllon lo Iha coet of ooq,111111111011,._,...,. pn,vlcled for kl 8ec1kin 370hflhe Labor'Codl, l~■nd attomeystll-.
SIGNATURE ~~ ·-~~ DATE=4:::/1=9=/0-=7=====
I hentb!I lllllnn that I 1111 ~ from 1h11 ConlraclDl'a Ucalllll Law for 1h11 falowlng reason:
C I, M awner of 1he P11JP11tY or my ~ wllll WIQIS a ll8lr eolt CDITIPlnNIIOn, wit d the WOik and Chi llruclure II not lnblndlld II' of'lerwd 1br lllle (SIC. 7044,
BUiin-and Pn>faalocoa Code: TIie Conlracmr"a Ucena Law dow not apply ID U\ -°' plllpllll)' WhO bUllda Of lmprovee llereon. end Wllo. dofl IUCII work hlmd Of
through lu .,.... am~ pt'CMded that euch 1m.,_...111a .. nat lnllndtid or o«.nid to, ...._ II, howawr, Iha buldlng or lrnpl0¥9l!Mlll la oold within one ~ of
complellon, lhl -~llclanAII heve h burclan of pmvlng lhllt he did not bullcl or Improve for lie purpoee of Nie).
□ I, • °""19r of tha prope,ty, am a:i•fllely conlrdng WIii llcal1Nd conllacfDrl to conetruct 11,e project (Sec. 7044, Bualneee Ille! Profullona Code: Thi Canncti,r's
UcenM ~ doel not apply tD an owner al property Who bulcls or hllP10Yt1S 1hlleon, and~ IOI' IUCh p/lljedl wllll contrwctor(s) Ncenled puniuant tD the contnlCtO(&
UOenaelaw).
□ I am exempt under Sec:11on ______ Buslneu and Profelalonl Cod• for thlt MSOn:
1. I Pffl(lnaly plan IO l)l'Ol,1da the llllljor labor and malllrlall for conalnJcllon of the propoaed prope,ty lmpnMl!l'lnt. C YES C NO
2. I (hlrlelhaYe not) 1918d an appltcdm for a bulldlnO pennltb' the propoeed work.
3. , ........, oonncllld wllll 1h1 followlng pe11101'1 (!Inn) ID pnMde the piopoHcl oonmJllllon (Rllude -, •~/phone numbW / contnactcn Hcenaa number):
4. I plan lo provlcll pcx8onl at lhe wort, but I haW hired 1111 ~ plll80l1 to ooonllnaa, ■upeMN and praYlde 1ht llllljor Wlllk (lnclucle nana / add~ I phone numbar /
/on1rac;tonU01n•nL1111ber): ----------------------------------5. I wlll pnwlde 1011111 of1heWOllt, In.ti have conlnlcl8d (hhd)lhafo~ peraons to pnwldelhework lncllclltad(lndude n1ma/llddrea/phon1 nwnber/typeot'wor11):
PROPERTY OWNER SIGNATURE ______________________ DATI ________ _
FrOII:
. 'PERMlT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Csrlsbad CA 92008
Page 2 of 2
04/19/2007 11:35 1032 P.003/005
le U. ■ppbrt or Mlrt building occupant l9qlJnd 1D lllbmlt ■ ~ ,-i, eoutely 1-daua malert■l1 regllhllon for or rlak rmlllllll■fflW and·~ progr■m under
Secllon1 265011, 215533 or 215534 of 111■ ~Tamer ~ &at■noe MIIOll'1t Act? C VES CJ NO
la Ila lll)lllc■nt orfubn bul(ttq occupaM r■qulr■d 10 obllirl a P■11111t fnlfl Ille 11r poblan contal clllltctor arqu■lty rn■nagllMl1t dJAfct? D YES CJ NO
,. U. fldly ID be canllluclleh,111m 1,000 fNt of 111■ 111-■r lxuldllry ot ■ IIChool ■1111? Cl YES Cl NO
P ANY 01' THR AN&WUI ARE VIII, A PINAL ClllnV'ICATII 01' OCCU"ANCY MAY NOT BE 1UU1!D UNL.111 THI! APPLICANT HAI IDT OR II MHTING THB
lleQUIRDH!HTI 01' THI Ol'l'ICI! Of' lllmtGeNOY IBMCl!II AND 1M1 AIR POWJnON OONfflOL D181111CT.
LENDER'S NAME _______________ _ l.ENOeft'SADD~-----------------
I oerUfy flat I MW rut! Iha appladon and ... that the abcM Wormallon la C0INCt and 1h■t .. lnfomlllon on Ille pllr1II la --. I IGIM ID comply wlll d City
ordinances 1111d Slala!l'M ..i■~ ID bulclng canlWCIIDn. I haraby■Ulholtm rapresenlat1¥■1 oflhll Cllyofe■rllbad ID enter upon the above menlloned pmpertyforlnlf)lellon
purpoalll. I AUICl AGRO TO IIAW, S,Dl!IINl'Y AND KeP HARWJ!a THI CffY 01' CAIU.IIAD AOAINIT ALL LIA8IUTIEI, JUDORIENTS, COSTS AND
EXPENll!.8 WHICH MAY st ANYWAY ACC!tta AGAINIT MID CffY IN CONUQUENC.OPTHliGRANTINQO"Tift Pl!IWIT.
08HA: An OSH.\ permit la AICIIAnld far-■oons dlrlfl' ctaep and cfemollCloll orconafruclklll ofllrucllna over a.,_ In hel;ht.
l!XPIRATION: Every pennlt llluacl by 11\e bi.tclng Offlcl■l ll'ldlrlha J)l0Y!tlclflS of lhla Code ahlll uplre by lllnftlltiOn and beoolna nlJI and void If the buthflng orWOlll eulhollad
by IUCII pennH la not commenced within 180 days from lheclatll of IUllh pennlorfthe ~ or wort aullorlmd byauch pennlt II auapendld orabardanecl atqlma llftar
U. WQic Is 0011'1ffle!IC9dfor■ pellDd of 180 days (Saellon 108.U Unfonn 8Ullllng Code).
APPLICANrSSIGNAT\JRE __ <~_-:·_i ,_. _,-,:~.:~-'~-::--:·_:._.,; ~·";_-~:~_::_/_. ·~<~\-':-/=: .... ::,' __ ~:~< _________ DATE __ 04_/1_9_/2_00_7 _______ _
City of Carlsbad Bldg Inspection Request
For: 05/22/2007
Permit# CB071133
Title: RODRIGUEZ RES REPALCE WTR HTR
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
1055 SEAHORSE CT
Lot: 0
Inspector Assignment: uf.l--
Phone: 7604319139
Location: Inspector: ----
OWNER RODRIGUEZ HECTOR M JR&SUSAN M
Owner: RODRIGUEZ HECTOR M JR&SUSAN M
Remarks:
Total Time: Requested By: SUSAN
---------Entered By: CHRISTINE
Ao Commeom~ t CD Description
25 ___ -~aterHeaterNents -----~ -~----'"G~-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments