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HomeMy WebLinkAbout2516 VIA ESPARTO; ; CB020121; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-10-2002 Plumbing Permit Permit No:CB020121 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2516 VIA ESPART~CBAD PLUM Status: Parcel No: 1674113600 Lot#: 0 Applied: Construction Type: NEW Entered By: ~eference #: Project Title: Applicant: A&J FOSTER, INC. STE B BEADLE RESIDENCE WATER HEATER REPLACEMENT 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Plan Approved: Issued: Inspect Area: Owner: BEADLE DAVID H JR&KAREN L 2516 VIA ESPARTO CARLSBAD CA 92008 ISSUED 01 /10/2002 MOP 01 /10/2002 01 /10/2002 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 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 $27.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carl sbad, CA 92008 11. ~ifo:JEc-r::lNFolilViAT10N 7 ,r ·• 2516 Via Esparto FoR oFFtcE usE oNL v c:>"2.'"> l '21 PLAN CHECK NO . ....,,G,c._~---- EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date _______________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. SFR Subdivision Name/Number Assessor's Parcel II 167-411-36-00 Existing Use Description of Work SO. FT. #of Stories water Heater Replacement ,2~ c:15.fJi'Ac~e.eifso};ijjt,.stW• eht tr'«fih /ii:ii!JJ~&jitl~j; ..,,., i , '. '.f, t',; Beadle, David. L'.:>.Lt> via .c,spar o Name Address ~ A PLICANT ~□ Conilaot~ •□ Agent7'or Cbnmctor ' Arlen Foster7Carol Foster 13706-B City 0 Owner ~ 'O'A'gen './Qr own11r ffwy.8 Bus. E.1 CaJon, Name '4, ·• pij~PEhTY'O.WN~if • Beadl e , David Address 2516 Via Esparto City Carl sbad Name Address City 6,-1 ~CON'l'R',11.e;rcf!iJ,'cpfu~ANYifJAME " ; i'.'''.";'~l. ':J!l.:"''' 1 .. '·', ,~ , ~ _., ~-• ,. • Unit No. Phase No. Total # of units Proposed Use # of Bedrooms 1 92008 State/Zip Ca. I 92021 State/Zip 92t'os State/Zip # or Bathrooms 760-720:..2961 Telephone # Fax # ( 619.) 390-4477 Telephone# 760-720-2961 Telephone # l ~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code( or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applic~nt to a civil penalty of not more than five hundred dollao;i: I$ 5001). A & J Foster P l umbing 1370 6-B Hwy.8 Bus. El CaJOn CA. 92021 (619)390-4471 Name Address City State/f'~lOS36 Telephone I/ State License # 630120 License Class C-36 City Business License# -------- Designer Name Address State License # -~N~/_A _____ _ City State/Zip l elephone s. WoRK1:1W ,coMPEt;ls~r10N ., :, r ;.; ·, • 1rr, r· · Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. xO 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: Insurance Company St ate Comp. Ins. Policy No467-0l 0000713 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 04-01-02 Expiration Date _______ _ 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 w orkers' compensation coverage la unlawful, and ,hall subject en employer to criminal penalties end civil fines up to one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor coda, Interest and attorney's fees. SIGNATURE_-=-===---:--::--:::::::-:-:::---:::-:::::-::::=-:---:::=-::::--::::::-:-:--:--===--:--:-:---:--=::-:--DATE _________ _ l -. ow1Je11-BUiFDER'DECl.!ARATION }' '"'"g.., f~r , ,... .: • 'l'\ji: ·,-· ,,•, , I hereby affirm that I am exempt from the Contractor's License 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. II, 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(sl 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 I 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 / address / phone 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 fcbMl!f~ijis~e:c:f!QNJl~;;;a:rn"!j;;--;;-RE'siis~m~'i.;;;.,r~tiA;;il~~m_p~1co~.triifJcm;~,~-eii:liMT~Ts~i1o;ufi;:;C;;;~m.;;:;;;.;~~;..-:;;:;::: -::1~: , !Ii • r; Is the applicant or futlJre building occupant required to submit a business plan, acutely hazardous materials registration 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 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 site 7 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. fa ... ~QN'sfR~IB~pirJWAGENC.'ii •• • ~;~".""J.-"ei' •' W,),, "'.l. ""; .~ .. .:.111r,tf.;}1:r.tr", .. ,' ,. ',4 !'I·,'.· : 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). OONE LENDER'S ADDRESS ________________________ _ t~h ,. "Ailli~ICA 'f.h, 'lti.t~; ,r 'it ;l;l, ~!.if, i!~;,;t)~JJ;.'µ~: <\'\ ~":\\ft' ,j II' •:f.Q: ,,r ' 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 ANO 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 for excavations over 6'0" deep end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit Issued by lhe building Official under lhe provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is nol commenced within 180 days from lhe date of such permit or If lhe building or work authorized by such permit Is suspended or abandoned at any time after the work Is commenced for a period ol 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/19/2002 Permit# CB020121 Title: BEADLE RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: Suite: Location: 2516 VIA ESPARTA Lot APPLICANT A&J FOSTER, INC. 0 Owner: BEADLE DAVID H JR&KAREN L Remarks: early am please Total Time: CD Description Act Comments 25 Water HeaterNents Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 7604384090 ex 100 w Inspector: ---- Requested By: KAREN Entered By: CHRISTINE