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HomeMy WebLinkAbout2821 VISTA MARIANA; ; CB021987; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2002 Plumbing Permit Permit No: CB021987 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2821 VISTA MARIANA CBAD PLUM Status: ISSUED 07/03/2002 MOP 07/03/2002 07/03/2002 Parcel No: 2164602300 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: RICHTER RESIDENCE Inspect Area: WATER HEATER REPLACEMENT Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Total Fees: $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 Inspector: Owner: RICHTER RUDOLPH S&OZDEN F FAMILY TRUST 06-03-97 2821 VISTA MARIANA CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: $27.00 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 EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH UJ.C. SECTION 106.4.4 DATE tzho(e~ SIGNATURE -4Q__.L ... 1..,_J --ec;.;..,. 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 . . . . . r . . . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BU ILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ________________ _ 1. PROjECT INFORMATION 2821 VISTA MARIANA Address (include Bldg/Suite #) 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 Description of Work SO. Fr. #of Stories # or Oedrooms # or Bathrooms Water Heater Replac~~n t 2. CONTACT PERSON (If different from oppllcant} I , ,, , ,, RICTHER 0. 2821 VI STA MARIANA Car lsbad Name Address 3, APP,LICANT xD Contractor O Agent for Contraqtor,, 0 0\.vner Arlen Foster/Car ol Foster 13706-B Hwy.8 Name Address 4 . PROPERTY OWNER City 0 4"iient for Owner Bu s . El Ca jon, City BICTHEB, Q 2821 VISTA MARIANA C arlsbad Name Address City 6. CONTRACTOR• COMPANY NAME -~ !, CA . 9200 9 760-931-0909 State/Zip Telephone # Fax# ., (619)390-4477 Ca. 92021 State/Zip Telephone # C a . 92009 760-931-0909 Sta to/Zip Telephone # (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 tho 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 or Division 3 of tho Ousiness end Professions Code) or that he is exempt therefrom, and the basis for the allegrd exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ~\ & J Foster Plumbing 13706 B Hwy 8 Bu s El Cajon CA . 92021 (619)390-4477 Address City State/Zip Telephone # Name State license 11 _6...__.3..._0...,]..,2.._0,.,__ ____ _ license Class C -36 City Business License# 1 210836 Designer Name Address City State/Zip Telephone State License II _ _.~ .. J,,-l~A-------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty or perjury one of the following declarations: 0 I havo 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 f or the work for which this permit is issued. iJ I have and will maintain workers' compensation, as required by Section 3700 or the Labor Codo, for tho performance or the work for which this permit is 1 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Stat e Comp. Ins. Policy No.467-01 0 0 0 0 713 Expiration Date 04-01-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 as to become subject to the Workers' Compensation Laws or Californio. WARNING: Failure to aec o ge Is unlawful, and shall subject an employer to crlmlnnl pennltles und civil lines up to one hundred 0 In ~~~~a,111o1111. damages as provided for in Section 3706 of th;,Jtfto~ ili}eresu nd attorney's fees. SIGNATURE. ___ ::::~_"_"""_"4~------,,--"-.. !""_~_"'_ "-___________ DATE V t.) (. UL 7. OWNER-BUILDER DECLARATION . ' ' I hereby affirm that I em 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 ownor or 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 snle. 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 (Soc. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contoocts 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 or 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 or the work, but I have hired the following person to coordinate, supervise and provide the major work !include name/ address / r,hone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide tho work indicated (include name / address / phone number/ type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE COMPLETE "THIS SECTION FOR N:;:O::N:;--R:E.~S:iiD:£::N:::T.:7A-.:-L;--B:U:;:1-;--:LD:l::iN:G-:;P::E:RM:-,;-:;::IT;;S;::O:N::L-::Y;:::;:;;;;;;:;;-:;:----::--:; DATE _________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous meterinls registration form or risk management end prevention program under Sections 26505, 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 tho •Ir pollution control district or air qu'atity management district? 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 TltE APPLICANT I-IAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 6. CONSTRUCTION LENDING AGENCY. I hereby affirm that there is a construction londing agency for the perforrnanco of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME NONE LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION ......... I certify that I have read the application and stato 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 Cltt of Carlsbad to enter upon the •bove 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permil issued by the building Official under the provisions of !his Code shall expire by limilallon and become null and void if the building or work authorized by such permit is not commence • n 180 days fro the such permit or If the building or work authorized by such permit is suspended or abandoned al any time after the work Is commenc :., 18 ys (Saeli 10 nilorm Building Code). J U {_ /") 20 02 APPLICANT'S SIGNATURE __ =::__ ______ ...:__-.,._______________ DATE !'INK: Finance