HomeMy WebLinkAbout2091 TRUESDELL LN; ; CB021478; Permit' Ci ty of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
()5-16-2002 Plumbing Permit Permit No: CB021478
Job Address:
.:>ermit Type:
Parcel No:
Reference#:
Project Title:
Applicant:
A&J FOSTER, INC.
3TE B
Building Inspection Request Line (760) 602-2725
2091 TRUESDELL LN CBAD
PLUM
1671802000 Lot#: 0
Construction Type: NEW
CHENE RESIDENCE
WATER HEATER REPLACEMENT
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
05/16/2002
MOP
05/16/2002
05/16/2002
CHEN CATHERINE AS TRUST 09-11-97
13706 HWY 8 BUS
c l CAJON CA 92021
:119-390-4477
2091 TRUESDELL LN
CARLSBAD CA 92008 7281 05/16/02 0002 01
CGP
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOT AL PERMIT FEES
Inspector:
Total Payments To Date:
0
0
0
0
1
0
0
$0.00
-,
,.XPIREDI '
1.4
\ t\,\~ SIG;" I
FINAL APPROVAL
Balance Due:
$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
M.
; JCE Wini
:_~Jw
$27.00
'•
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 . i I • . hi • • •
02
27-00
FOR OFFICE USE ONLY
Pt:RMIT APPLICATION PLAN CHECK NO. _____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave ., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated By ___________ _
Date _______________ _
1. PROjECT INFORMATION
2091 TRUESDELL LANE
Address (include Bldg/Suite /I) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Assessor's Parcel # Existing Use Proposed Use
167-180-20-000
Description of Work SQ. FT , #of Storios # of Bedrooms # of Bathrooms
Water Heater Replacement
2. CONTACT PERSON Ill dlffelent lrorll apP,J,ls;.n,Qt) CHEN, CATHERINE LU~.i TRUESDELL LN Carlsbad CA. 92008 760-729-7438
Nome Address City State/Zip Telephone II Fax II
3. APPLICANT ::cJ Contractor O Agent for Contractor D Owner Arlen Foster/Carol Foster 13706-B Hwy.8
D Agent for Owner Bus. El Cajon, Ca. 92021 (619)390-4477
Name Address City Stale/Zip Telephone II
4. PROPERTY OWNER
2091 TRUESDELL LN Carlsbad Ca . 92008 760-729-7438
Name Address City State/Zip Telephone #
6. CONTRACTOR -COMPANY NAME
!Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to const,uct. alter, improve, demolish or repair any st1uct11re, pdo, to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
!Chapter 9, commending with Section 7000 of Division 3 or the Business and Professions Codel or that he is exempt theref1om, and the basis for the alleged
exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicar~t to a civil penalty of not more than live h1u1dred dollvr.li'7$50011.
A & .J Easter pJ umbing 13706-B Hwy. 8 Bus. El Ca Jon CA. 92021 ( 6191390-441
Name Address City State/Zt210836elephone #
State License# 630120 License Class C-36 City Business License# --------
Designer Name Address City State/Zip Telephone
State License # --~N.,.,../-A~-----
6. WORKERS1 COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following decla,otions:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as p1ovided by Section 3700 of the Labor Code. for the performance
/ of the work for which this permit Is issued. i I have and will maintain workers' compensation. as requi,ed by Section 3700 of the Labo, Code, for the rerlormance of thfl work for which this p rmit is
\ issued. My worker's compensation insurance carrier and policy number are: ~ Insurance Company State Comp. Ins. Policy No. 467-01 0000713 xplr~tion Da1e __ o_4_-_0_1_-_0_2_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not emr,loy Any person in Any ma11nAr so As
to become subject to the Workers' Compensation Laws of California.
SIGNATURE
7, OWNER-BUILDER DECLARATION
I hereby affirm that I em exempt from the C rector's License Law for the fbllowing reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec, 7044, Business and Professions Code: The Contractor's License 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 that such improvements are not intended or offered for sale, If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of salel.
0 I, as owner of the property, am exclusively contracting with licensed contractors to cons1ruct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1, I personally plan to provide the major labor and mateiials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name/ address / phone number / contracto1s license numberl:
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 / address / rhone
number / contractors license number): ________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone n111nber / type
of work): __________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registretion form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution con1rol district or air quality management district 7 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site I O YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET on IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
B. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097fi) Civil Codel.
LENDER'S NAME NONE LENDER'S ADDRESS _________________________ _
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information is correct and that tho Information on the plans Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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.
JUDGMENTS. COSTS ANO 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 over 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit Issued by the building Olficlal under the provisions of lhis Code shall expire by limitation and become null 1111d void if the building or wo,k
authorized by such permit Is not commenced within 180 days from lhe dale of such permll or if the building or work aulhorlzed by sur.h permit Is suspended or abandoned
at any time afler the work is commenced r d of 180 s (Sec· n .4.4 Uniform Building Code).
DATE AY 16
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