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Home My WebLink About1721 CATALPA RD; ; CB081839; Permit09-25-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB081839 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # PC# Project Title 1721 CATALPA RD CBAD PLUM 2155120900 Lot# Construction Type MALLORY RES REPALCE WTR HTR 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/25/2008 KG 09/25/2008 09/25/2008 Applicant FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner MALLORY TROY T&SUZANNE D 1721 CATALPA RD CARLSBAD CA 92011 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 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Total Fees $27 00 Total Payments To Date $27 00 Balance Due $000 Inspector 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 m accordance with Cahsbad 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 09/25/2008 08-58 H616 P 002/005 416953 PLAN CHECK NO EST.VAL. Plan Ck. Deposit Validated By 1721 CATALPA RD Address (Include Bids/Suite #)Business Name (at this address) Legal Descripffon Lot No Subdivision Name/Number Unit No Phase No Total # of unas Assessor's Parcel #Existing Use Proposed Use Description of Work Remove/Replace Gas Water Heater SQ.FT # of States # of Bedrooms * of Bathrooms Telephone*Fax* Name Address Sate/Up Telephone* MALLORY. TROYName Address Stale/Zip Telephones (Sec 7031 £ Business and Professions code. Any CHy or County which requires a permit to construct, alter, 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 licensed pursuant to the provisions of me Contractor's License law [Chapter S, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he ts exempt therefrom, and the basis for the staged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects ma apptoant to a cMl penally of not more than five hundred dollars [$500]) FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-8955 Name _.-. -Address -• - C9y StataBlp Telephone* State License* 877489 License Class C36 Qly Business License #1222302. Designer Name State license* Address dty State/Zip Telephone* Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations. D I have and wffl maintain a cerdfkata of consent to self-Insure for workers' compensation as provided by Section 371X1 of the Labor Code, for the performance of BIB work for whloh this permit Is Issued X t have and will maintain worker's compensation, as required by Section 3700 of Die labor Code, for the performance of the work for whloh this permit Is Issued My workers compensation Insurance earner and policy number are. Insurance Company California State Fund PoaevHo.1761660 Expfraflon DateJ2/1/08 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT 18 FOR ONE HUNDRED DOLLARS {$100] OR LESS) n CERTIFICATE OF EXEMPTION I certify that In the performance of me work for which this permit Is Issued, I shall not amptoy any person In any manner so as to become subject to the Workers' Compensation Laws of CaOfomla WARNING FaBura to seam workers' compensation coverture Is unlawful, and shal subject an employer to criminal penalties and eMI fines up to one hundred thousand don«re<$100,000), In toYTrflon to 8w cost irf compensation^ SIGNATURE.DATE 9/24/08 that I am exempifrorn the Contractor's Ucensa Law tor file a I, as owner of the property or my emptoyaas with wages as 8wrr sole compensation, wffi d tha work and the structure Is not Intended or offered for cab (Sac. 7044, Business and Professions Code The Contractor's Ucanso 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 mat such Improvements are not Intended or ottered for sale. If, however, Hie buldtng or hiprovement Is sold within one year of completion, the ovmer-buBder wl! have the burden of proving ftat tie did not build or Improve for Bie purpose of saleX D I, as owner of the property, am exclusively contracBng 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 buloa or rtnproves thereon, and contracts far such projects v^ oonbaotor(8) Roansed pursuam to we Contractor's License Law) 0 I am exempt under Section Business and Pmfemtons Coda far Bite mason. 1 I personaly plan to provide the major tabor and materials tor construction of ttw proposed pn^r^ Improvement O YES D NO 2. I (have/have nol) signed an applcafionfbr a building permit tor the proposed work. 3 I have contracted with the foBowtop, person (firm) to provide the proposed eflrtsInicVon(hetaoe name/address/phone fiumber/owta^ 4. I plan to provide portions of the work, but I have hkadttie (blowing person to ooordlnata, supervise and provfcteth! major work Ondudenaim/address/phone numte^ /onbactors license number): ^____^^^^______—^_——-^—^_—— & I vMpe^romeofthewc^ bull have contracted (hlr^ PROPERTY OWNER SIGNATURE .DATE. From:09/25/2008 09-04 ft616 P 003/005 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 Is the applicant or future buHhig occupant required to submit a busmace plan, acutely hazardous materials registration for or Secttons25(OT. 26633 or26634 of the Presley-Tanner Hazardous SubEtance Account Aof? D YES D NO la the applicant or future bunding occupant required to obtain a permit from the air pollution control district or air quality management district? lsthefadHyt0feeconstiucfBdwifnm1,0001eetrfto^ D YES Q NO REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT rnsnagBTirant and prevention PIQQRUII under Q YES D NO of the work for whteh this permit Is Issued (Sec. 3097(0 CM! Code).that here b a construction tending agency for the I certify that I have read the application and state that tha above Information Is comet and (hat the Information on the plans Is accurate. I agree to comply wtth all City ordinances and State laws relating to bidding construction I hereby authorize representatives of tm Cfty of Carlsbad to (inter 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 HAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit Is required for excavations of 5'0" deep and demottBon or construction of structures over 3 start as In hafeht EXPIRATION Every panrilt Issued by the bifldlry Official urrierfhspm^ by such parmR is iwt comment within 180 days from fto date of s^ the work is commenced for a period of 160 daya (Section 106.4 4 Uniform Building Code) APPLICANTS SIGNATURE.DATE.09/24/2008 City of Carlsbad Bldg Inspection Request For 10/15/2008 Permit* CB081839 Title MALLORY RES REPALCE WTR HTR Description Inspector Assignment 1721 CATALPARD Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT FAST WATER HEATER COMPANY Owner MALLORY TROY T&SUZANNE D Remarks A M_P_LEASE Total Time CD Description 25 Water Heater/Vents Act Comments Phone 7608049004 Inspector Requested By SUZANNE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments From:09/25/2008 09:06 H616 P 005/005 POUCYHOLDER COPY P.O. BOX 420807, SAN FRANCISCO.CA 84142-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 12-01-2007 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT PO BOX 26000 SACRAMENTO CA 95826-0026 NB GROUP: POLICY NUMBER: 1761660-2007 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 12-O1-2008 12-01-2007/12-01-8008 LIC PERMIT)?: 877489 INCEPTION DATE:12-01-2007 DO:NB NB ! *S we,haye fcsued a valid Workers' Compensation insurance poBcy in a form approved by theInsurance Commissioner to the employer nsmed below for the policy period Indicated This policy Is not subject to c»>cellaUon fay the Fund except upon 80 days advance written notice to the employer. We will also give you so days advance notice should this policy be cancelled prior to Its normal expiration, m "8^8"66 ««• *>« not amend, extend or alter the coverage afforded ,tnt',tfln",or condjtton <?f «r «•*•* pr ««»r documentj» j j of insurance msy be Issued or to which ft msv aertatn. the insuranceafford by the policy described herein Is wbjfet lo ail the terms,; excluS. and^ondStteSs, flESENTATIVEjRBflESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #20BB ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 112-01-