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HomeMy WebLinkAbout1225 GOLD FLOWER RD; ; CB090424; Permit03-16-2009 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB090424 Building Inspection Request Line (760) 602-2725 1225 GOLD FLOWER RD CBAD PLUM 2145603600 Lot#: 0 Construction Type: NEW KATHMAN RES REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/16/2009 KG 03/16/2009 03/16/2009 ALL STAR WATER HEATERS & PLUMBING KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06 17886 LAKESHORE DR 92530 1-800-727-0977 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 1225 GOLD FLOWER RD 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: FINAL Date: Clearance: $0.00 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 f s x c ion f hi h h v r vi t n iv n N Tl imil r hich h f ·m· i n h revi usl oth rwi e ex ir , City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 I 2718 / 2719 Fax: 760-602-8558 Building Permit Appllcatlon JOB ADDRESS 1225 Gold Flo w e r Rd. CT/PR JECT, LOT# PHASE# DESCRIPTION OF WORK: lnclu<H Squaro Feot of Affected AtH(I) I I . I Replace wat e r he ater, same size, same o catron. EXISTING USE I PROPOSED USE CONTACT NAME (If Different Fom Appllc.,,t) ADDRESS ICITY I STATE ' ZIP (i) ' . SUITE#/SPACE#/UNIT# J GARAGE (SF) PATIOS (SF) I DECKS (SF) APPU~NT NAME Jos Keating ADDRESS Print Form Est. Value I FIREPLACE YESO I AIR CONDITIONING J FIRE SPRINKLERS No[] YES 0 ND0 YES•No• 30300 Puerto Vallarta W ay CITY ~TATE ZIP I i Menifee Ca. 92584 ·---1 PHONE rAX PHONE IFAX 8 00-727-0977 951-24 5-6366 ! EMAIL EMAIL -----7 I PROPERTY OWNER NAME CONTRACTOR BUS. NAME All Star Water Heat e rs ! 1 Roger Kathman ' l •DDRESS ADDRESS -i : 1 225 Gold Flower Rd. 30300 Puerto Va llarta W ay i I !CITY STATF. ZIP CITY STATE '" 9 i Carlsbad Ca . 92011 Menifee Ca. 92584 I PHONE IFAX PHONE IF~51-24 5-6366 760-805-1837 800-727-0977 rEMAA-· EMAIL ~RCH/OESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# ICL>SS l CITY SUS. LIC.# I 8 12894 C36 1221418 Won<trt' Compensation Oeclaratlon: / hereby 8"irm un<Jer penalty of perjuryOllt of the following declaralfons: 0 I have and will maintain a cortincate of con•tnt to 1tlf.ln1ur1 for won<ers' compensation as provided by Sec1Jon 3700 of the Labor Code, !or Ille performance of the WOl1( for l\lli,;h this pennil 1s Issued. , [x] I hovt and will m1lnt1ln won<trt' c~m.,..,utlon, as r,,qulred bv Seclion 3700 of the Laoor Code, for the performance of the wortt for "'11th this pennlt Is lssuAd. My Y-Orlt&rs' compensallOn Insurance canter an,J policy I numter are: 1nsuiance Co Polk:yNo. 238000323508 Expiration Date 08/02/09 r This sectloo neoo not bl! completed W Iha pennlt is for one hundred aollars ($100) or less. I O Certificate of Exemption: 1 oonify thAt in the perio,mance or the wortt for wt,leh 111is permit Is lssood, I i.hall 001 emplot any pe/liOn In any manner so as to become sublect to 111e Wor~ers· Compensation Laws or Calttomla. WARNING: F1llurt to securo o,orl<e,~' c,,mptn11lion coverage Is untawlld, end lh1ll 1ubjtel en emplo1er to crin:11111 penalties and civil fin•• up to ont hundred thosund doll art (&100,000), In addtt1on to the co-&1 or compenu t!on, d1m1911 11 pro nd for In Section 3706 or the Labor codt, lntnst and 11tomey'1 f111. N5 CONTRACTOR SIGNATURE 1/~ DATE 3 ' I z. ~c!) 7 I hereby affirm that I am e,empr from Con&actor's Ucense Law fer me following reason; D I, as owner or tile property or my emplayee$ with wages as their sole compensation, will do the wortt and 111e structtre Is not Intended or offered fO< sale (Sec. 7044, Business and Professions Code: The Contracto(s License Law does 001 apply to an owner of property "'1o builds or Improves ther9on, and "'1o does such wortt hlmseff or thro<Jgh his own employees, provided that such improvements ace not Intended or offered for sale. 11, nowever; tne 0u11dlng or Improvement ts sold within one year or completion, the owner-builder WIii have the burden of proving that he d1d not build or Improve for the P<Jrpose of-sale). I DO I, as owner of 1118 property, am exckJslvely contracUng wtlh lleensed contractors to constnJct the project (Sec. 7044, Business and Professions Code: The Contractor's L:Cense Law does not apply to an owner or property whO builds or Improves thereon, and contracts for such projects wl111 contractor(s) lleonsed pursuant to the Contractor's License Law). I am exempt under Section Business and Professions Code for this reason: 1 I personally plan to provide the major labor and materials for construction of IJle proposed property lmprovemenl O ves O lo 2 I (have/ have not) slgned a,, application for a building pennlt for 111e proposed wortt. 3 I have contracted with the following person (firm) :o provide the proposed construction (incfude name adoress I ph,re / contractors' icense number): 4 I plan 10 prc,vide porticns of too wortt, but I nave Mred the following person to coordinate. superv1se a'ld provide the major WOl1l C,ncli,de name/ aadress / p;10nu I l.,Jnl actors' lloonse nun,ber)· · 5 I "N,11 provide some ol the wortt, :>ot I have contrictcd (hira<J) the fallowing pers<,ns bJ p,o,-kfe the v.,;irk Indicated (lnclL'de rn,me / ad~ress I phone / type c,; wort..): DATE I I i I -------------·---·-----------··-----·--' ~ • City of Carlsbad Bldg Inspection Request For: 09/02/2009 Permit# CB090424 Title: KATHMAN RES REPLACE WTR HTR Description: Type: PLUM Sub Type: Job Address: 1225 GOLD FLOWER RD Suite: Lot 0 Location: Inspector Assignment: Phone: 7604485935 Inspector: L OWNER KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06 Owner: KATHMAN ROGER T&AUDREY F LIVING TRUST 03-14-06 Remarks: a m please Total Time: Act Comments Requested By: ROGER Entered By: CHRISTINE CD Description 25 Water HeaterNents '2-4~ f1N'/}L ~------ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments