Loading...
HomeMy WebLinkAbout2708 VIA COLIMA; ; CB021350; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-02-2002 Plumbing Permit Permit No: CB021350 ,.!ob Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-44 77 Building Inspection Request Line (760) 602-2725 2708 VIA COLIMA CBAD PLUM 1673502500 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Plan Approved: PONTEROTTO RESIDENCE WATER HEATER REPLACEMENT Owner: PONTEROTTO LAURA 2708 VIA COLIMA CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 05/02/2002 MDP 05/02/2002 05/02/2002 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 $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 $27.00 ~:~XPIRED PERM T Inspector: t ~ -• ·: -~;,;i ;0 trH ~CORDANCE ':~17 ~ 'j 3.C • • 4,D 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 • • ·mil r • I • PERMIT APPLICATION FOR OFFICE USE ONLY 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 2708 Via Colima Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units SFR Assessor's Parcel # Existing Use 167-350-25-00 Description of Work SO. FT. water Heater Replacement 2. CONTACT PERSON (if dlffereni lrorh appJl,a!).tl. Poterotto, Laura L/U8 Vi a Colima Name Address 3. APPLICANT KJ Contractor O Agent for Contractor O Owner Arlen Foster/Carol Foster 13706-B Hwy.8 Name Address 4. PROPERTY OWNER Ponterotto ,Laura 2708 Via Colima Name Address 5. CONTRACTOR · COMPANY NAME I/of Stories Carlsbad City 0 Agent for Owner rr-us. El Cajon, City Carlsbad City Proposed Use II of Bedrooms CA. 92008 State/Zip Ca . 92021 State/Zip Ca. 92008 State/Zip II of Bathrooms 760-720-0996 Telephone I/ Fax II (619)390-4477 Telephone I/ 760-720-0996 Telephone I/ (Sec. 7031.6 Business ond Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair einy structure, prior 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 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applican_t to a civil penalty of not more than five hundred dollars L$5001). A & .J Easter Plumbing 13706-B Hwy . 8 Bus. El Ca1on CA . 92021 ( 619) 390-4477 Name Address City State/zt210836elephone II State License II 630120 License Class C-36 City Business License # Designer Name State License # __ _.N ... ,1--/.,_A~----- 6. WORKERS' COMPENSATION Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one or the following declarations: -------- State/Zip l elephone 0 I have and will maintain a certificate of consent to self-insure for workers· compensation as provided by Section 3700 of tho Labor Code, for the performance /'ot the work for which this permit Is issued. ljil I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is \ issued. My worker's compensation insurance carrier and policy number are: 04_01-02 • Insurance Company State Comp. Ins. Policy No. 467-01 0000713 Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNORED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred :~;:;~~::liars ($100, ddition t rnpensa'.:'."· damages as provided for in Section 3::6T:f "AAAicode.~te2u ~n~ attorney'• fees. 7. OWNER-B actor's Uc·ense Law for the following 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 sale). 0 I, as owner of the property, am exclusively contracting 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 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 materials 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 / 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 / ~rldress / pho11e 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 number/ type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ COMPLETE THIS SECTION FOR NON-Rl:SIDENTIAi. BUILDING PERMITS ONLY DATE _________ _ Is the applicant or future building occupant required to submit a business plan, acutely helardous materials registration fo,rn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control 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 site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. '8, 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. '.3097(i) Civil Code), LENDER'S NAME ----------------- 9. APPLICANT CERTIFICATION OONE LENDER'S ADDRESS. __________________________ _ I certify that I have read the application and state that the above information is correct and that the 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 Cit\' 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 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 IBr excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRAT)ON: Every permit issued by lhe building Official under the provisions of lhis Code shall expire by limilation and become null and void if the building or work authorized by such permil is nol commence • • 80 da~s fro lhe d uch permil or if the buildrng or work aulhorlzed by such permil Is suspended or abandoned al any time after lhe work is commenc ~18 •s (Seclio 106 4 Uniform Building Code). MA y Q 2 2002 APPLICANT'S SIGNATURE __ ....:.._ _________ T --------------DATE PINK: Finance