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Home My WebLink About1297 SHOREBIRD LN; ; CB112729; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-29-2011 Permit No: CB112729 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1297 SHOREBIRD LN CBAD PME Status: Parcel No: 2157800800 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: CARROLL RES-REPLACE WTR HTR WITH TANKLESS UNIT FAST WATER HEATER CO 12601 132ND AV NE KIRKLAND WA 98034 425 636 7084 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: CARROLL PHILIP H&JANE M 1297 SHOREBIRD LN CARLSBAD CA 92011 ISSUED 12/29/2011 LSM 12/29/2011 12/29/2011 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: J'lll-~~ 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 00 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 ff APPLY to any hi n i ·1 r 564259 City' of Carlsbad .. Cl,e 11 d-'~ 1B·~ Plan Check No. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 76D-602-2717 / 2718 / 2719 Fax: 760-602-8558 Plan Ck. Deposit •• Building Permit Application Date , ·z_.[ ~lij ( q I JOB ADDRESS 1297 SHOREBIRD LN SUfTE#/SPACE#/UNrT# I"" --- CT ,. ILOf# 1=•• I# OF UNITS I# t11<1.11100MS #HAIHR00MS I ,I•=-•• I...,.,..,.., ITPE . , OCC. GRUUI" DESCRIPTION OF WORK: lncluda Square Feet at Afflicted ANM(8) Remove/Replace Gas Water Heater w\ ¾t n ~lt ss 1,cn i+- EXISTING USE J PROPOSED u:,E I GARAGE (SF) PAT105 (SF) I DECKS (SF) FIREPLACE 1 r,R CONDITIONING : 1 FIRE SPRINKLERS YES[)# NcCJ YESONoO v••D•oD CONTA"!JMc!W"U!ffllfi'm Appl/o,ot) APPUCANTNA'rAST WATER HEATER COMPANY AOORESf'2601 132ND AVE NE ADDRESS 12601 132ND AVE NE CllY KIRKLAND WJe 9W'034 CITY KIRKLAND ST-WA 9&034 PHONE425-636-7054 l '~25-636-7055 PHON~25-636-7054 I FAX 425-636-7055 EMAIL permils@fastwaterheater,com EMA11permits@fastwaterheater,com PROPE"t!,'l_~~~ pH I LI p CONlRACTOR"""-!!ff''iNATER HEATER COMPANY AOOR"',297 SHOREBIRD LN ADDRESS 12601 132ND AVE NE CllY CARLSBAD STATE CA cl'•92011 Cl1Y KIRKLAND sr'%A ZIP 98034 PHONE (760)431-994 7 l'AX PHON".\25-636-7054 I FAX 425-636-7055 EMAIL EMAIL permits@fastwaterheater.com ARCI-VOESIGNER NAME & ADDRESS lSTATE UC.# STATEUC.t31237 !°LASS ,.,.~~2 C36 (Sec. 7031.5 Business ancl Professions Code: Arr; City or County which requires a permit to con&tru_ct. alter, Improve, demolish or repelr anr structure, prior tolls Issuance. also r~ulres the eppllcant for such permit to file a signed statement tnat he Is ffcensed pursuant to the provisions i;,f the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 oflhe Business and Professions Code) or that he Is e,wmpt therefrom, and the basiS for the alleged exemption. My violation or Section 1031.5 by any appllcanffor a permit subjects the applicant to a cMI penalty of not more Ulan five hundred dollaJB {$5001). Workers' CompenuUon DeclaraUon: / hereby Bfliml ooder pen,ny rl p,njury one of /he folJowfng declarations: D I have and wlll m11lntaln a cartllicale r,f coruent to self-lnsura for walkers' compensation as provided by Section 3700 oflhe Labor Code, for the perfonnsnce oflhe work for which lhis permit Is Issued l:2J I have and will maintain WOJU,l'I' COfnl>Pl!satlon, as required by Section 3700 of the labor Code, for the performarR,.Q[_Uul.»1lrfl.Fwwhich this permit Is Issued. My workers' compensajlgpJ!J&~ carrier and policy number are: lnaurance co I ruCK insurance t:.xcnange Poky No._ A_U!::J_1J_1U_44 __ oo_______ Exph-ation Date _cl.cc.. :.!,/-'-·1 ''-~-""'----- J!!!!.sec(i)ll need not be compleled If the permit ls for one hllldn1d dollars ($100} or less. LJ Certificate of ExempUon: J cerifythat kl the pedonnance ofthu work for which this pem,it Is illsued, I shall nat employ any peraon in any manner so as to become &ubjecl ID the Worlleli' Compensation Laws of ceDromle. WARNING: Fallu111 to nc:1:1111 work era' compensation cove111g111 unlawfu~ and sh11D subject an employer to crlmlnal penalties and clvll fines up to ona hundred thousand dollarv (&100,000), In addlUon to the cost of compenuUon, dama911 ! (). f {U ~ the Labor Ctlde, Interest and attorney's fees • .A!S'coNTRAcroRSIGNATIJRE V\Jl,JV\ \.J' '-.... DATE 1217111 I hembyatr11m lhat Ism ex1mpt from Conlraclonl Ucense I.aw for/he following mason: D I, as owner of the property or my employees 1'4111 wages as their sola compen&allon, will do the work and the struclUl'e ls not intended or offered for sele {Sac. 7044, Business and Professions Code: The Contractor's Ucenso Lawdoe& not apply to an owner of prtlplfrty who builds or improves thereon, end who does such work himself or lhrough his own employees, provided that sueh improvemenlS 1118 not lnt1111ded or offered for sale. If, however, the buidlng or improvement ls sold within one year of compluUon, the owner-builder will have Iha bwtlen af pro'llng Iha! he did not build or Improve for lhe purpose af sale). □ □ I, as owner of the property, am exclusively mntr&cllng with licell8ed contractors to construct the project (Sec. 7044, Business 811d Professions Code: The Contractor's License Law does not apply ID an owner of property who bulds or lmpro11BS lhereon. and mnlracis for such project$ with conlractor(s) llcansed pw-suanl lo ll-e Contractor's License Law). I em exempt ooder Section ____ Business and Professions Code foc this reascn 1. I personally plan 10 provide lh8 major labor and materials for consbUcllon of the propo&ed property Improvement 0Yos 011 2. I {have I have not) signed an appllcellon fclra building pemil for the proposed work. 3. I have conlnu:ted with !he fdming pefiOl"I (furn) lo provide Iha propo&ed conslruclloo Qneklde name address/ phone/ conlracloru' Ncense number}: 4. I plan to provide portion& of the work, but I haY8 hired the folawing peraon to coordinalu, supervise end provide lhe ma)or work Qnclude name I addre6S /phone/ contrac!Df5' Hwnse number): 5. I will provide some of 1he WOik, but I have contracted {hired) the fdkffllng persons to provide the work Indicated ~nclude l\8me / add ms/ phone / type of work): .£S° PROPERIY OWNER SIGNATURE DATE 564259 r,,,:C,,,C?'MPLETE,..~TfllS SECTION FOR NON--~ESID 0 ENTIAL BUILD,INCa_ 1;ERMliS ONLY. ~· Is the applcant or future bl.dfdlng occupant requlrad to subml a buslneS\l!i!D, acutely hazardous matarials registration fonn or risk management and prevendan program under Sections 25505, 25533 or25534 cflhe P-y-Tanner-SLl>s--.intAcl? □Vas LJNo la the applcanl. or full.re buidlng ocaipari ,aqtired to obtairi a pmilt rmm the airpolutlon conlrOl..!!i!,trlctor ai.[.!IUBlty management district? Oves D Mo lsthefaclftly tobeCOOiln.lcledwilhln 1,000feeloftheouler boondaryofa &ehool slle? UYes UNo IF ANY OFTHE ANSWERS ARE YES, A FINAL CERTI-FICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THC AIR POLLUTION CONTROL DISTRICT, I certify that I have Nad lhe epplk:ation and atatethatthe above lnfannaUon Is conectand lhetthe lnftmnatlon on the pllllS lseccu111te. I agieeto oomplywfth all CJlyomlnancesand State l11WS relating to bul(llng consbUctlon. I heraby---ollhe City olCarlsbadk>-""1 the above menlioned pn,pedy for11speclion P<JP0'B5. I ALSO AGREE TO SAVE, INDEM'IIFY AND KEEP HARMLESS THE CrlY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrlY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. OSHAh>OSHApemilis,.qu&edfor8'lalWIJon,;°""5'0'deepend-noroonslrudbtofsbudllloso,er3slorJeslnhei#Jl EXPIRATION: Ew,y pemiJ Issued by lhe Bulfug OffidaJ urderlhe jlltMSJons oflhl9 Code shel e.qi,9 bylinllalonand b<alme nul aoo ,o~f lhe bLilding or work-by,uchpenniti, JKJ1 """""'11<d v.ffl1ln 180 days from lhe deleol suchpemil orWlhe building orwork eulhorillid by&Uch penrilis suspended or abandoned al any fine allerlhework ls""'""""" for apalodol 1BO days (Sedioo 106.4.4 Unlfom Bul<flng Code) . ..€fAPPUCAHT'SSIGNATURE (J\J(lfJ(c,I\__ DATE 12/7/11 ______ ,,,.~, City of Carlsbad Bldg Inspection Request For: 01/18/2012 Permit# CB112729 Title: CARROLL RES-REPLACE WTR HTR Description: WITH TANKLESS UNIT Type:PME Sub Type: Job Address: Suite: Location: 1297 SHOREBIRD LN Lot: 0 APPLICANT FAST WATER HEATER CO Owner: CARROLL PHILIP H&JANE M Remarks: early as possible Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604319947 Inspector: t-,1 t. Requested By: PHILLIP CARROLL Entered By: CHRISTINE 25 Water HeaterNents ~---------------- ~ -----------fl Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments