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HomeMy WebLinkAbout2727 WATERBURY WAY; ; CB012960; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-13-2001 Plumbing Permit Permit No:CB012960 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B Building Inspection Request Line (760) 602-2725 2727 WATERBURY WY CBAD PLUM 1674321200 Lot#: 0 Construction Type: NEW GALLAGHER RES/NEW WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: GALLAGHER STEPHEN C ISSUED 09/13/2001 CB 09/13/2001 09/13/2001 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 2727 WATERBURY WAY CARLSBAD CA 92008 9816 09/14/01 0002 01 CGP 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 TOT AL PERMIT FEES Total Payments To Date: 0 0 0 0 1 0 0 $0.00 lnspector:;1.,,4./?-/J4c1L FINAL APPROVAL Date: JI! /4 r /41 I Balance Due: Clearance: $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 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 permij 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 Ca~sbad 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 oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. (I.Lb 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NCL..,00 :2 q (RO CITY OF CARLSBAD BUILDING DEPARTMENT 1635 F araday Ave., Carlsbad, CA 92008 EST. VAL. _______ _ Plan Ck. Deposit .....,..,,,------- Validated By -'C,......., . ._B.:::....~---- Date q... I 3 -0 { 1. PROJECT INFORMATION 2727 WATERBURY WAY CARLSBAD CA 92008 2727 WATEF <Name> Address (include Bldg/Suite#) <Legal Descr> <Lot> Business Name (at this address) <Subdivis ion Name/No> <Unit> <Phase> <Total> Legal Description <Assessor No> Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units <Existing Use> <Proposed Use> Assessots Parcel # Proposed Use WATERHEATER INS TALL Existing Use <SQ FT> <Stories> <Bedrooms> <Bathroom> Description of Work SQ. FT. 2. CONTACT PERSON (if different from applicant) <N ame> <Address> Name 3. APPLICANT NetCle rk Inc Name C Contractor 4. PROPERTY OWNER ~ Address Agent for Contractor C Owner 720 Dubuque A v e Address # of Stories # of Bedrooms <City> ST <Zip> City State/Zip C Agent for Owner South San Free-A 94080 City State/Zip STEVE GALLAGHER 2727 WATERBURY WAY CARLSBAD CA 92008 Name Address City State/Zip 6. CONTRACTOR -COMPANY NAME # of Bathrooms <Phone> <Fax> Telephone# Fax # 8883301777 Telephone# 7604348955 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 ~s 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 exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). A & J Foste r Incorporated PO Box 2758 El Cajon CA 92021 6193904477 Name Address City State/Zip Telephone# State License # ..,6::..:3:,.;O,c.1.:.c2=O ____ _ <Na m e> License Class _c:..3:..6.:.... ______ _ <Address> City Business License # 12 10836 <City> ST <Zip> <Phone> Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe~ury one of the following declarafions: 0 I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work tor which this permit is issued. i2J I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. My workets compensation insurance carrier and policy number are: Insurance company State C omp Ins. Fund Policy No. 00506395 Expiration Date 05/01/2002 (THIS SECTION NEED NOT BE COMPLETED If THE PERMIT IS FOR ONE HUNDRED DOLLARS [$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 thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Secfion 3706 of the Labor code, interest and attorney's tees. SIGNATURE ________________________ DATE-'O'--'9-'-/1_1-'-/_2-'-OO-'-1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law tor 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 tor 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 tor the purpose of sale). D 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 threreon, and contracts tor such projects with contractor(s) licensed pursuant to the Contractots License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES D NO I (have / have not) signed an applicant for a building permit for the proposed work. I hay~ contracted with the following person (firm) to ~rgvipe the proposed construction (include name ~ ?Qdr!/ss / phone number I contractors license number): <Name> <Aaaress> <WorK Phone> <State Ucense> 4. I plan to provide porfions of the V{Qrk, but I have hired the following person tp cqordinate, supervise and provide the m_aj9r work (include name / adqress / P.h.one number I contractors license number):<Name> <Aooress> <work Phone> <State License> 5. I will pJQvide some of the work, but I have contracted (~ir~d) the following person to provide the work indicated (include name/ address I RIJ.qne pu.ij!ber / type of work): <Name> <Aaaress> <Work Phone> <worK I ype> 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 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? D YES O NO If ANY OF THE ANSWE~S 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. 3087(i) Civil Code). LENDER'S NAME ______________ LENDER'S ADDRESS ______________________ _ 9. APPLICANT CERTIFICATION 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 City 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, JUDGEMENTS, 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANTS SIGNATURE __________________________ _ DATE 09/11/2001 . ll /JD" 3~ City of Carlsbad Bldg Inspection Request For: 09/28/2001 . Permit# CB012960 Title: GALLAGHER RES/NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: 2727 WATERBURY WY Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: GALLAGHER STEPHEN C Remarks: OR HOME 434-8955 IJPTeR I ; 3o Total Time: CD Description 25 Water HeaterNents Associated PCRs Inspection History Date Description Act Comments Act lnsp Comments Inspector Assignment: A C/!J Phone: 8588744065 1-~s-;1 -31'{-'I O ,s- 1nspector: /{ l/!7 Requested By: STEVE Entered By: CHRISTINE