HomeMy WebLinkAbout2390 VIA PELICANO; ; CB003504; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09/26/2000 Plumbing Permit Permit No:CB003504
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC.
STE B
Building Inspection Request Line (760) 602-2725
2390 VIA PELICANO CBAD
PLUM
2155712900 Lot#: 0
Construction Type: NEW
MAHROIAN RES NEW WATER HEATER
REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
MAHROIAN SHAHIN
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
2390 VIA PELICANO
CARLSBAD CA 92009
ISSUED
09/20/2000
CB
09/26/2000
09/26/2000
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
TOTAL PERMIT FEES
Inspector:
0
0
0
0
1
0
0
FINAL APPROVAL
Date: 10 / \ 6/0o Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
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 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 Cartsbad 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 capactiy
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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
~ \17
City of Carlsbad Bldg Inspection Request
For: 10/13/2000
Permit# CB003504
Title: MAHROIAN RES NEW WATER HEATER
Description: REPLACE WATER HEATER
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2390 VIA PELICANO
Lot
APPLICANT A&J FOSTER, INC.
Owner: MAHROIAN SHAHIN
0
Inspector Assignment: ~
Phone: 8587550772
Inspector: s~
'
Remarks: AM PLEASE -1ST INSPE OF THE DAY PLEASE
Total Time:
CD Description Act Comments
25 Water HeaterNents ~F~
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Requested By: SHAHIM
Entered By: CHRISTINE
FOR OFFICE USE ONLY , .
PERMIT APPLICATION PLAN CHECK NO. C,8(m3S"0 4
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ---::::.--::--------
Validated ByLJt:2
Date 1/.J (2E,rn._
1. PROJECT INFORMATION ./} Z~@g u1~ re h cano AddrmH~ u~ Bldg/Sil'ite #I
. 1
Business Name (at this addressl
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Address
3. APPLICANT O Contractor ~gent for Contractor VUtcJ tlf r ,1V) C -'JW Qu½ k,AW.
Name Address 71
Fax#
'D Owner.•, D Agent for Owner ,
t~ut I c;·u Seth fvunus0 1 c4 q qo Bo
City State/Zip Telephone #
4 i PROPERTY OWNER
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 construct, alter, Improve, demollsh 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 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 the alleged
e"/1ptioll. violatioV'of Section 703 t' any appli1l for ermit subjects the applicant to •c ivil penalty of not more tu ?ve hundred dollars ~5~011. 1
State License # {I ~{) I "l-0 City Business License II _______ _
Designer Name Address City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION ,
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, f or the performance
of thr-,ork for which this permit is issued.
g/' 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 com nsat~or;nsu\ance cvar:ie;,and ~licy nu,:er are:}) t O (JI
Insurance Company --4-V~~~l'-'1,,,-~~ ....... ~-V\~~-v~~-.......,~~--~ Policy No. N 1.JJ/Jt $" W S / QQ Expiratron Date :J -•
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 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 es
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 crlmlnal penalties and civil fines up to one hundred
thousand dollars ($100,0001, In addition to the cost of compensation, d as provided for In Section 3706 of the Lab r code, terest and attorney's fees.
SIGNATURE _________________ -J.,i4rgjJ!!Zl'J!,,.._ ____ _
7. OWNER-BUILDER DECLARATION
DATE ---+--+....,_-· -=u'--""<-
I hereby affirm that I am exempt from the Contractor's License Law for the f
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 ihereon, and contracts for such projects with contractor(sl licensed
pursuant to the Contractor's License Lawl.
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 notl signed an application for a building permit for the proposed work.
3. I have contracted with the following P,erson (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 / address / phone
number/ contractors license number}: ________________________________________________ _
5. I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number / type of work I:. ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDiNG PERMITS 00NL y .::f :' ,-_._.; 1:,
DATE
' ''
------------
Is the applicant or future 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 Act7 0 YES O NO
Is the appllcant or future building occupant required to obtain a permit from the air poliutlon control dis11ict or air quality management district7 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.
B, CONSTRUCTIOt,I LEI\IDING AGENCY•.·•. ' ... t . i ·;!f,Vi•'•,•1( ;-,_; ··:r-,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30971il Civil Code).
LENDER'S NAME ______________ _
9; • APPI.ICANT CEIHIFICATIDt,lr! ',:
LENDER'S ADDRESS _________________________ _
I cenify 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 for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the building Olficlal under the provisions of this Code shall expire by ilmitation and become null and void If the building or work
authorized by such permit is not commenced within 180 days from the dat of such permit or if lhe building or work aulhorized by such permit Is suspended or abandoned
at any time alter the work is commenced for a period of 180 days (Sectlo 1 4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE ----------------WHITE: File PINK: Finance