HomeMy WebLinkAbout1716 TAMARACK AVE; ; CB090135; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
02-05-2009 Plumbing Permit Permit No: CB090135
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1716 'TAMARACK AV CBAD
PLUM Status:
Parcel No: 2072604700 Lot#: 0
NEW
Applied:
Construction Type: Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: POLLARD RES-REPLACE WTR HTR Inspect Area:
Applicant.
FAST WATER HEATER COMPANY
12601 132ND AV NE
KIRKLAND WA 98034
425 814 3124
Plumbing Issue Fee
Fixture or Trap
Builcing Sewer
Roof !.'rain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vae;•Jum Breaker
Other Plumbing F'ees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
1
0
0
Owner:
POLLARD AUBREY L TRUST 10-11-99
PO BOX 1093
CARLSBAD CA 92018
ISSUED
01/26/2009
LSM
02/05/2009
02/05/2009
$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 Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
L
Inspector: Clearance
$0.00
NOTICE Please take NOTICE that approval of your proiect includes the "Imposition" of fees. ded1cat1ons, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this penmit 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(al. 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
le s/exaction of which ou have r vi I b en 1ven a NOTICE similar to this or as to which the s a(ut of limit tions has revio sl otherwise x ired.
427772
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 9200B
760-602•2717 / 2718 / 2719
Plan Check No, C!.f.:>09 0 \ 6 S
Est. Value
Fax: 760-602-8558
Building Permit Application
JOB ADORE!IS
DESCRIPTION Of'WO
Remove/Replace Gas Water Heater
EXISTINll USE PROPOSED e GARAGE (SF)
/IOORESS 12601132ND AVE NE
cnv KIRKLAND STATE ZlP WA 98034
PHONE 425-636-7084 FAX 425-636-7085
EMAIL jul i ec@fastwaterheater.com
AOOllESS PO BOX 1093
CITY STATE ZIP CARLSBAD CA CA 92018
PHONE FAX (760)729-5486
EMAIL
Anc, VOCSIBNEn I/AME & ~DDRESS STAT!! UC. fl
Plan Ck. Deposit
Date ;;tra 09
SUlrol/SPACEll/UtllTt AP/I
PATIOS (SFJ OEC115 (Sf) FIREPLACE AIR NDITIONINll
YESCJn NcQ YES □No□
Al'PUCANTNA~AST WATER HEATER COMPANY
ADDRESS 12601132ND AVE NE
CITY KIRKLAND STATE WA
FAX
ZIP
98034
PHONE 425-636-7084 425-636-7085
EMAi[, Juliec@fastwaterheater.com
CDNTRAOTORf,8.;~f'wATER HEATER COMPANY
ADDRESS 12601 132ND AVE NE
CllY STATE ZIP KIRKLAND WA 98034
PHONl25-636-7084 FM 425-636-7085
EMAIL juliec@fastwaterheater.com
STATEUC.t cv.ss CITYOt/5. Uc.H
877489 C36 1222302
RRE SPRINIILERS
vesorro□
(SQ<:-7031.5 Business un~ Prallllmlons Codo: Any C1l)I 0rCc11nly wlilch roqulres n ~rmlt lo construct. allor, Improve, demolish orr~palr an[st11Jclufa, prior lo 1111 lu\lllnco, al&o Al!lulres tl1e applicant for such permit tn Ill~ n slenod $1.lltnmont Ui(ll he 15 llcensod purauont to the pravlSlans al tho con1111ci.Dr'5 Ucenstt Lllw fCIIHUlr 9, commcmllnll with Secllon 7000 of Dlwllan 3 of lhe Business and flrof""5hlns Coda) or Iha! h& I& cwimlll t/lornln:im, onu me bllSl:l ror U10 lflloSod e~empllon. Any vlolstlon or Section 7031.5 by any rppllcanrfor II psnnll subjects lhrt 1ppllcant to a civil panoUy al not moro than ff YB hundrud do~a<& 155001).
ii6' . ' fu¥.t ~ "?.i;.' .•. Jl:. *~ .;!:' ~-
Worl!,m;' Compensadon Ooc.la111Uon: f ha111by afil!nuna1r panlllly ofpotftn)'ono ol 1111! tclowli1g dedamllans: D I have and will malnlllln • conlfici~ or consent lo $e!f.lnsuni fornvrker.;' compens~Uon as prnv!d!lll by S&cllan 3700of Iha LaborCode. lcrlhe ponMllMC!! o!Um Wlldc 101 Mlfth 1h19 perm/1 is lssu,d.
[&I I have and will malnllln worl!en;' componsnllon, u toQuln!d by Secllllll 3700 of DI!, Lallor Cede, for !ho p111formance ol lhu woril lor l'iflkh lhi:; IIC(llllt Is ls.uoo. My 1111B11n;' cof1'4Jen101ion imlmlnoo carrier sr>d j!Oli;r number 0111: ln1urant11Ca..Ir.!.Lck Insurance Exchange Poicy No, A09304455 EJplratloo Onlo_1,...2.._/1,J,.J./,>(0:,>,<9 ___ _
Th!.& Hctlon noo~ not IHI cqloleil II Ur., pomlil 15 for ono hundred ®Uani (S10D) or le!!s. D Certmcato of EQmpllon: I Cllrilfy llmt ~ the parf o;manco of lha \'ID!k ror wt1ich this pM11U Is luued, I slmu not 0111plll'f IIIIY pl!IIIHI In any mwmer so a, to beC!l me ~ubJad III lhll Wotlll!n;' Cornpar>l•tlon Laws of
Cpllromla. WARNING: FnUu111 l<I HW1' worker5' comp111,ollon c:c,yar,1gu Is unlawkll, and shoU subject an 1m11toyorl0 crlmln•I penalU111 and civU fines up to 0110 hund11d lhou11nd doll,r11 [&101,DDOI, In
addition lo !ho cost of campansaUon, rlRm•""• •• nmvld•~ rnr lnl!nr.llr,n min nl lh• Lllbor codo, lnIor11st and altomoy'1 le11.
2f COlfTRACTOR SIGNATURE (Jg,~'? t,,t.Jfk, . .,/4fl(? DATE 2/5/09
;..-·~~::}\~·-··· ·~~i-•'. ""'' .. ,,,. :; ... %!w~~~ / ( 1 J_ m .~
I hero by sllirm thaf I am l!.'1llllpf from Conlnldots 1../r:tme I.JJi, for /ht (a/lllwJ/Jg 11N$llll: D I, a, Oll'llDtOI Um pmpertyo; mytmployc~ v.1111 W&ges flS lhelrsala compensation, will do lilt! wcrll alld Uta s!ructuie Is not!nlendod orotlered for 62!111 [Soc. 7044, Dusinm 111d Prale11ks11 Codo: The c .... 1ractor'1
Litenn lll'/I da~ not ;ipplr to en DW111:t or pmp11r1y Yl!lo buide arlmpRMl!I lhert!M, and whlJ dllcs &ud1\Wlk hm&clf ortt\lD\lgl1 lli:i own emplayoos. ll(llvldcd !hot &Lid! fltllrovemanll 11111 not ml!!ndod or o!forod !111
tlllo. II, howcvcr, lhobuidlng or~nwemtnllssold wllhln one yanr o/llllllploOon. lhe owner-bulldw wlll him! Iha bUlllon al proving lhlll ho did ml bu!d 01 lmpllMI fDf lhepurposo or :llllc).
□
□
I, o, 1111ner ol1lu! prnpetly, am 11dsJ&m11)' i:onlJilcilng fj\lh Utenm conlroclora to conslnn:tlha project(Soi:. 7044, lluslne55 end Prnf~klnsCode: The Conllllcllll'• Lico,,.e Lcrwaa .. not apply to on ovmernl
plll/lCrly Yl!,a buUd• or lmpmru 1/ll!l'oon, and tcnlrat:b [or sud\ prnJects v,llh ronlradllr(s) lltwad pursuonl la tho COll!ratllJts Ucm,so Lsw).
I am oiompl 1.11der SllCIJon Buslnes& and Prof11Gs:!Dru; Ciido for lhls raosor,;
1. t powu\illy ptin ID proYldo tho 11u1)lr 111111!1' and matennts tor ronslrucllon or lhe propgsed p,openy lmpmvl!l1lllnL □Yes Do
2. I lhol'II I hal'I! ru,t) muned an oppDc.ilbn ror a blJl!dlng pc mil ror U1o propCllled l'/UPI.
J. I haYD oollllildlld l'litb me ro1bllna pe11on 1ri1m) to provide tho p11Jj105Cd ai1151rucllon Unelulle n1111t address I phone/ conlraclora' lr:anse numbel):
~. J plan Ill pnmle porlione rj 1M W01k, bul I hal/0 hlll!d 1h11 lal17,'11ng peraon IP coDRlinalo, aupcr\-1$Q llnd pmlde th~ 11111jDr wllfll fllldudc nama I adlUl!!ll I phone I ~qr,.' liamse nurnb.rl:
5. I will pm vier a l!llllle ol lhe wnik, bul I hllYI! coo1raded (hhd} the followlng pelli<rllS lo pml"ido lhu YIOn\ lndlcatld (ini:Judo nmnc / nddr!!!S I phone J type or work):
£5 PROPE!tTY OWNER SIGIIATURE OATI:
I! the applicant ("ffulum bUilding DCCUpent required to submit a businesl\.ll.!ruJ, aculaly haznrllM maiefials regislralillll Jann or ri!k m11nagement and pievenUon program under Seciions 25505, 25533 or 25534 ol !he
Prest~y-fonner Haur~ous Subsiam:e Accoont Act7 D Yes l_JNo
ls l'id app!icanl or future buidlng 'oo:upant required lo oblein a pennlt rrom the RirpoUulion conlro!.Jlwrict or a~rtly management dlslrict? Oves D No
Is the faciRly lo be i:ooslrucied v.ithin 1,000 fuel of lhe outer boundaty of a !iChoof &lie? WYes LJNo
IF All'f OF THE ANSWERS ARE YES, A FJHAL Cl:RTl!'ICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS TIIE APPLICANT HAS MET OR IS MEETING Tl-IE: REQUIREMENTS 01' THE OFFICE OF
EMl::RGENCY SERVICES ANO Tl-IE AJR POLLIJTJON COIITROL DISTRICT.
lcertlfy!hatl hallll read the nppllcstlon and !!lllfe that theaho'le ln1tmnallon fsCO!lfflandthat!lKI lnfurmationan the pfansls:aCC1Jrate. I agree to oomplywttha!I Cllyoldlnam:es andStallllaws mlil1l11gw buildlnga:i1l!ilrucllon,
f haroby authorize represenlallve of 1he City of Carlsbad lo i!lllef upon Illa above menl/oned property for ruplC!lon pu,poses. I Al.SO AGREE TO SAVE. INOEMNlfY AND KEEP 1-MMLESS THE CJTY OF Cf\R!.SBAD
AGAINST All Lli\BILmES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAlD CffY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA perml Is requlred for exrava1Jons over 5'0' deep Bild dema6lk!n or oonslruclion of struciures over 3 stories In lvllghl.
EXPIRATION: EVB1Ypermll issued bylhe Bulkllng Offidnl urderlhe prnvisions of !his Code shal explll by rmHaUO!l and become nul aru:I vok:I ff the building orwcx1' auUiora:ed byBUdl pa«niiisnotoommenced wilhln
f BO days from Ille dala of such poonl or lf lhe bulldlng er oork aulhortzed lly such pemit Is Sllspended or abarrone<I al any liire after 1he wori( is oommem;ed lor a period of 180 days (Section 106.4.4 Uni loon Buildkig Coda).
,.€S' APPLICANT'S SIGNATURE {]a,~ U J:jk..~«p DA'rf. 1 / 1 9/09
City of Carlsbad Bldg Inspection Request
For: 02/24/2009
Permit# CB090135
Title: POLLARD RES-REPLACE WTR HTR
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
1716 TAMARACK AV
Lot: 0
Location:
APPLICANT FAST WATER HEATER COMPANY
Owner: POLLARD AUBREY L TRUST 10-11-99
Remarks: AFTER 1 PM PLEASE(NOT BEFORE)
Total Time:
CD Description
25 Water HeaterNents
d Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7607295486
Inspector:
Requested By: USREY POLLARD
Entered By: CHRISTINE