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Home My WebLink About2861 ANDOVER AVE; ; CB072050; Permit08-02-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB072050 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2861 ANDOVER AV CBAD PLUM 1674801832 Lot# 0 Construction Type NEW TUTTLE RES- REPLACE WTR HTR Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 08/02/2007 LSM 08/02/2007 08/02/2007 Applicant FAST WATER HEATER COMPANY 12601 132NDAV NE KIRKLAND WA 98034 4258143124 Owner TUTTLE CARL H 1406924THAVENE SEATTLE WA 98125 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 PERMIT HAS EXHREQ IN ACCORDANCE Wm' -' C SECTJOW 106.4 4 AS AMENDED BY C M C 18 Ck , «| Inspector FINAL APPROVAL Date 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 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 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:08/01/2007 15:34 ttOID P 002/008 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 374665 rwrv wrrivrc woe v/ni-« PLAN CHECK NO fl& <Ty .OO St) EST VAL „ Plan Ck. Deposit. Validated By 2861 ANDOVER AVE Address (Include Sldg/Sulte #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total* of unite Assessor's Parcel #Existing Use Proposed Use Description of Work Remove/Replace Gas Water Heater so, FT # of Stories # of Bedrooms Name •lTUTTLE. CARL # of Bathrooms FAST WATER HEATER COMPANY Name Address cay Telephone* (Sec 70315 Business and Professions Code Any City 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 file a signed statement that ha Is fcensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for ttre afleged exemption. Any violation of Section 7031 £ by any appBcant for a permit subjects the applcant to a dvtl penally of not more than fhre hundred dollars $500]) FAST WATER HEATER COMPANY 12601 132ND AVE NE KIRKLAND. WA 98034 800-454-6955 Nama Address CHy State/Zip Telephone* State Llcensa* 877489 Ucenso Class C36 City Business License # 1222302 Designer Name - State Llcensatf Address CHy State/Zip Telephone # Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations1 O I have and will maintain a certificate of consent to selHnsure for workers'axnpcnsato as provMed by Secton 3700 of the LatasrCo^ for which this permit Is Issued. H I have and will maintain workers compensation, as required by Section 3700 of the labor Code, for (he performance of the work for which this permit Is Issued, My worker's compensation Insurance carrier and policy number are ,I«M//VT Insurance Company California State Fund Policy No. 1761660 ExdraltonData 12/1/07 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$tOO] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that In the performance of he work for which thb permit Is Issued. I shall ml employ any person In any manner so as to become subject to flis Workers' Compensation Laws of California WARNING FaBure to secure workers' compensation coverage Is unlawful, and shaO subject an employer to criminal penalties end civil fines up to one hundred thousand doUars(*100.0to), In addition to the cost of compensation, damages are provided for hi Section 3706 of the Labor Code, Interest and attornsy'e fas*. SIGNATURE ^^^^^^^^oss^^S^^- DATS 8/1/07 I hereby affirm that I am exempt from the Contractors License Uwfor the foDowing reason: 0 I. as owner of the property or my employees with wages as (heir sole compensation, wtt d the work and the structure Is not Intended or ottered for sate (Sec. 7044. Business and Professions Code The Contractor's License Law doss not apply to an owner of property who builds or Improves thereon and who does such work himself or through Ms own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, tto owner-buBder will have the burden of proving that he dd not build or Improve for the purpose of sate) D I, as owner of the property, am exclusively contracting with licensed contractors to construct fha project (Sec. 7044 Business and Professions Code. The Contractor's License Law does not apply to an owner of properly who buflas or improves thereon, and contracts for such projects with conbactor(B} Boansed pursuant to the Contractor's License Law) n I am exempt under Seetten Business and Prafanakma Curia far thb reason. 1 I personally plan to provide the major labor and materials for construction of the proposed property Improvement D YES O NO 2. I (have/have not} signed an appDcaHon for a buWng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed oonstrueDon (Include name / address / phone number / contractors license number). 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address / phone number / tontractors license number); ^____^______^^____^_____-___^^____^____^^^^^___—______________ 5. I wffl provide some of the work, but) nave contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE .DATE From"08/01/2007 15-35 ffOIQ P 003/008 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave, Carlsbad CA 92008 Page 2 of 2 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Seottons26B06,25533or25534ofthePre8lay-TannerHazardousSubstanc8AcoountAot7 a YES a NO Is the applicant or future building occupant required to obtain a permit from the air pollution control District or air qimllty management district' D YES D NO Is the fedDty to be constructed wimln 1,000 feet of the outer boundary of a school ate? D YES O NO IF ANY OP THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT MAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there Is a construction lending agency for the performance of the work tor which this permit Is Issued (Sec 3097(0 Civil Code). LENDER-SHAME LENDER'S ADDRESS . I certify that I have read the appBcatlon and state that the above Information Is correct and that the Information on the plans Is accurate T agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter 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 MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA. An OSHA permit Is required for excavations of S'O" deep and demolition or construction of structures over 3 stories In height EXPIRATION Every permit Issued by lha building Official under the provisions of this Code shafl expire by limitation and become nuB and void tf the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or If the bufldmg or work authorized by such permit is suspended or abandoned at any time after (he work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) APPLICANTS SIGNATURE . DATE.08/01/2007 From: 08/01/2007 15:40 VOID P 008/008 POLICYHOLDER COPY NO PO BOX 420807, SAN FRANCISCO.CA 94142.-0807 F=UND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE COMPENSATIONINSURANCE ISSUE DATE- 12-01 -2008 GROUP! POLICY NUMBER; 1781080-2003 CERTIFICATE ID- 10 CERTIFICATE EXPIRES1 12-O1-2007 12-01-8008/12-01-2007 CONTRACTORS STATE LICENSE BOARD NB LIC PERMIT*: 877488 WORKERS COMPENSATION UNIT INCEPTION DATE) 12-01-2006 PO BDft 26000 DOiNB SACRAMENTO CA 8BB2B-OO2B This Is to certify that we have Issued « valid Worker*1 Compensation Insurance policy tn a form approved by the. California Insurance Commissioner to the employer Turned below for the policy parted indicated This policy Is not subject to eancellattcfKby the Fund except upon 30 days advance written notice to ths employer. We will also ska you 30 days advance notice should this policy be cancelled prior to Its normal expiration. This certificate of Insurance Is not an Insurance policy and does not amend, extend or alter the coverage afforded by the policy fiststf herein. Notwithstanding any requirement, term or condition of any contract or other documentwith respect to which this certificate of Insurance may be Issued or to which it may pertain, the insurance afforded by ths policy described herein Is subject to all the terma. exclusions, and conditions, of such policy ^^v\FNTATIVE^JRIZED REPRESENTATIVE^) PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDZNO DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #206B ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2005 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER FAST HATER HEATER COMPANY (A CORP) NB 12801 132ND AVE NE KIRKLAND WA 98034 [B11.SGJ PRINTED : 12-O1-200B