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Home My WebLink About1777 NERINE WAY; ; CB111692; Permit08-03-2011 1 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB111692 Building Inspection Request Line (760) 602-2725 1777 NERINE WY CBAD PLUM 2158812613 Lot#: 0 Construction Type: NEW GODDARD RES-REPLACE WTR HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/03/2011 LSM 08/03/2011 08/03/2011 FAST WATER HEATER CO GODDARD FAMILY INTERVIVOS LIVING TRUST 05-12-92 12601 132ND AV NE KIRKLAND WA 98034 425 636 7084 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Waler Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 1777 NERINE WAY 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: Inspector: f'11, ~ FINAL APPR'°VAL Date: op,{ I 8 I ( Clearance: $0.00 NOTICE: Ptease take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, 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 ,A_,.,AxA"'i-n--f whirh '"'r-vi'"'SI i...--n niv"n a NnT1r.E c:.jmil::r.r .... ,i...;,. nr .. ,. ·-whit':h thn f jmj•-·;-n,.' . " . . _; 543189 ' . City of Carlsbad C .,,Iii!., 'I ~-:, Plan Check No. 0~ I l l(eq~ 1635 Faraday Ave .• Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit . ' Building Permit Application -Date'3'1.3/ I\ I JOB ADDRESS 1777 NERINE WY SUITE#/5PACD/UNIT# APN . . . CT/, .. .,.-,,, ILOT# r·-·· I , ... uNnS I " ......... ooMS II""" RUOMS I ,_,_, ICun.:uR, lYPE I OCC.GRuu,- DESCRIPTION OF WORK: Include ~quant Feet o.-HrlGcted Atea(•) Remove/Replace Gas Water Heater EXISTING USE I PROPOSED uSE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIRtPLACE IAIR CONDITIONING ]FIRE SPRINKLERS YESO NcCJ YES □No□ VEs□•o□ CONT4m" N.IMI::' 111 ."'"'"'-d ,r •vpllcant) APPUOANTNA~AST WATER HEATER COMPANY = ress·,ca Pi., ( )> ' ADDR~601 132ND AVE NE ADDRESS 12601 132ND AVE NE CITY KIRKLAND STATE ZIP CITY KIRKLAND STATE ZIP WA 98034 WA 98034 PHONE425-636-7054 I 'l25-636-7055 PHONE IFAX 425-636-7054 425-636-7055 EMAIL EMAIi Jess\ C9. \I @ ~s-\;wo..¼ 'M ~ . CoM PROP'"&'d'5'm.~5" MARSHALL ' CDNTRACTOR~~ATER HEATER COMPANY ADDR"'f777 NERI NE WY ADDRESS 12601132ND AVE NE CITY CARLSBAD STATE ZIP CITY STATE ZIP CA CA 92011 KIRKLAND WA 98034 PHONE [FAX PHON~25-636-7054 l'AX 425-636-7055 (760)602-9587 EMAIL .~i \J \(B ·@fastwaterheater.com ARCH/DESIGNER NAME & ADDRESS ISTATEUC.# STAlEUC.# !°LASS I 0 1222302 931237 C36 (Sec. 7031.5 Business end Professions Code: Any City or County which requires e permit to construct alter, Improve, demollsh or repair eny structure, prior lO Its lssuanC9. also ~ulres the applicant for &uch permit to file a sb!ned statement that he Is licensed pursuant to the P,:rovlslons of the Contractor's License LawJChaptsr 9, commending with Section 7000 of Division 3 of the Business and Professions Gode) or fhat he Is exempt therefrom, and the bulS for the alleged eKemptlan. Any vlOlatlOn of Section 031.5 b'; any appficanffor a permit subjects the applicant to e clvll penalty of not more then tlve hundred dollars (55001). Worker&' Compen11Uon DadaraUon: / hereby Bflirm under psmJty <X petJury one of lhe following declarations: D I hev• and will mabitaln a cartlRcate of collHIII to aeH-llllure fotM:JrkefS' canpensallon as provided by Section 3700 of lhe Labor Code, for the perfomiance of the WOfk for IM'lich this permit Is Jss1111d. (&11 hen and will maintain workars' compensation. as requhd by Section 3700 of the Labor Code, far lhe performance of the worll: for which lhis permit Is Issued. Mywtlrkers' c0ff1)tlnsallon 1ff1n carrier and pollcy .,-,"' 1as111SnceCo Truck Insurance Exchange Poley No. A09304455 E,phslloll 0.1s. \~ I \. \ __ _ J!!§.secli)n need not be r.ompleled if lhe permit Is for one hundred clolars ($100) or less. LJ CertlRcata of Exemplk>n: I certify that In the perfarrn&l1ce oflhe w0lk forYttilch this pem'lil Is issued, I &hall not employ any plllSOll in any manner so as to become subj eel to the Wotkera' Comp1msation Laws of CeUFomla. WARNING: Fallura to eecure worfl:ers' compantatlon covarage Is unlawful, and ahaU subJad an amployer to crlmlnal penal Hes and 1;:lvll Rnes up lo ona hundnid thousand dollarv (&100,000), In addition to the cost of1;ompensaU011, d11m1111as 111l nmvlrl...t fnr In s..,,11nn ~7l'IR nfthn Labor <Wde, lnlerasl andattomay'& fHI, £:. CONTRACTOR SIGNAl\JRE I hereby affilm that I am exempt from Conlradota Ucensa Law for the fa/owing masa,: D I, as owoarof lhe property or my employees with wages as thelnole rompensallon, ~I do the work and the slnlclure Is not lnleneled or offered for sale (Sec. 7044, Busioestl ernl Professions Code: The Contractor's Uceose Law does not apply to en owner of property who builds or improves thareon, aod who does such work himself or lhroogh his own employees, provided that such Improvements ant ool lntanded or offered for sale. If, howevf!I', the buldlng or Improvement Is sold wltlin one year of compleUon, Iha owner•buHder will heve the burden of proving lhal he did not buid or Improve for lhe purpose or sale). D I, as owner of the property, am eKclualvely contracllng with bnsed conlmctors lo consbucl the project (Sec. 7044, Business and Profession& Code: Tha Contraclots License Law doea not apply to an 0'M18l'Of property who buUds or lmprovas thereon, end oontracl5 for soch J)llljecls with contractor(s) Hcensed pLJSuiJll lo the Contractor's Ucen&e Law). □ I am exempt undar Section ____ Rosiness end Professloos Code for this reason; 1. I personally plan lo pro-vfde Iha major labor and malerials lorc:onsbucllon oflhe propo$ed ~ lmprov&ment 0Yes Oc 2. I (have/ have not) signed an appllcalion for a bwldlng permit for the proposed 1,wrlt 3. I have cont,acled with the folb,ring Jl8fSOfl (finn) lo ,nvvlde the proposed coostnrdlon (Include name address/ phooa/ c:ontraelcrs' Bcense number): 4. I plan IQ provide portion& of the work, but I haw hired the fol owing person lo coorcinate, &l4)0rvi&e end provide the major work (incklde Mme/ address/ phone/ cantractm' Ucense number); 5. I will provide sane of the WOik, but I haw conbacted (hired) the following persons to provide the work Indicated (Include name / address/ phone I type of work}: ...@S° PROPERTY OWNER SIGNATURE DATE 543189 -~ " , 0 • ' COMPLETE TH-1S SECTION FOR NON-RESIDENTIAL BUILDING P"ERMITS ONLY , , , ' ,c - Is the applicant tN' fulure building occupant required to submit a busiOOSUl!l, acutely hazardous maleriala registrali:Jn form or risk menagamenl and prevention program under Sedlons 25505, 25533 a-25534 af lhe Prealey-lannerHazardousSlbatunceAcc:ountkl.7 0Yes Wl'fo la the apJml'll or fuUa buiklilg OCOJpanl required to oblal11 a pennlt f1001 lhe air pollution coolro!..!ll!!rlCt Ol'aiI,JL.tmlty management dlslricl? Dves 0No Is Iha facility lo be CClllitrucled within 1,000 feeloflhe outer boundary or a school slle? LJYes LJNo IF ANY OF THE ANSWERS ARE YES, A FIHAL CERnFICATE OF OCCUPANCY MAY NOT BE ISSUED UNJ.ESS THE APPLICANT HAS MET OR ts MEETING THE REQUIRENIENTS OF THE OFFICE OF EMERG_EHCY SERVlCES AND THE AIR POLLUTION CONTROL OISIRJCT. I cartlfythat I have "8dthe ■pplk:allon and state that the above lnformaUon Is correct and thattl>e lnfonnatlnn on the pf&ll$ Is accu111te. I agmeto complywtth all Cltyonllnanc:esand State IBWS relatlngto buldlng consuuctlon. I 00100Y aulhorize""'"""""'1dlhe City o!Cadsbad ID"11ef-lheebove men-propelly lornspedion f>JPOSOS-1 ALSO AGREE TO SAVE, INDEIIHIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAllll.lTIES, .AJDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 1HE GRANTING OF THIS PERMIT. OSHkh> OSHApemil Is l"IJied for°""""""" owr5'0' deep and-orconslrudi:)n of sfrudoo,s CNflf3-ln heq,l EXPIRATION: E""l' penril Issued by lhe B\Jlfug Clffidal underlhe pm,islons ol lhls COde shal e,pie by imffalion and b<oome nul and ,oij [ ~• bulding or.,,. authorizsd by suclt pennil Is not Olll1lllel10ad .;tt;n 180 days from the dale of suclt pemil orWlhe builclng or.,,. authorizsd by such pemil Is suspe-or -at any lure after Ito .,,. Is commenced fore period ol 180 days {Sedion 106.4.4 Unllam Buldlng COde). A:.S' APPLICANT'S SIGNATURE ~ DATE '7 /;). "6 I 11 City of Carlsbad Bldg Inspection Request For: 08/17/2011 Permit# CB111692 Title: GODDARD RES-REPLACE WTR HTR Description: Type:PLUM Sub Type: Job Address: 1777 NERINE WY Suite: Lot: 0 Location: Inspector Assignment: Phone: 7606029587 Inspector: M~ OWNER GODDARD FAMILY INTERVIVOS LIVING TRUST 05-12-92 Owner: GODDARD FAMILY INTERVIVOS LIVING TRUST 05-12-92 Remarks: GATE CODE IS 2879 Total Time: Requested By: MARSHALL GODDARD Entered By: CHRISTINE CD Description Act Comments 25 Date Water HeaterNents ~ E.-.:1s'fl¾ Lc:01·-!?>J, $.E.L.<t-11'-.s~AB t l'...-.1."' IN-Fl~ 1 .fl ~ ~l,l!i ~ ~~=l>J:~i~ . ···~····· Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Comments I ( 'f'L,~e. 6~, -> a>c->'( bF ~1iJAL--~ ~ \"O .t-{.o. t'f-1-AtJ,c..<,,