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HomeMy WebLinkAbout2718 YORK DR; ; CB021988; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-11-2002 Plumbing Permit Pe rmit No: CB021988 Job Address: Permit Type: Parcel No: Reference#: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Building Inspection Request Line (760) 602-2725 2718 YORK RD CBAD PLUM 1673924100 Lot #: Construction Type: ARNOLD RESIDENCE WATER HEATER REPLACEMENT 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ARNOLD THOMAS K&DIANA M 2718 YORK RD CARLSBAD CA 92008 ISSUED 07/03/2002 MDP 07/03/2002 07/03/2002 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 Inspector: 0 0 0 0 1 0 0 PERMIT HAS EXPIRED h\l , ' $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 ir ~IRMIT . ANCE WITH U.B.C. SECTION 106.4.4 SIGNATURE --'-"'oW~--*'-- 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 i • • • FOR OFFICE USE ONLY PER.MIT ,!\PPLICA TION PLAN CHECK NO. _____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date, _______________ _ •1. PR0jEcT INFORMATION 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 167 392 41 00 Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms Water Heater Replace.ment 2. CONTACT PERSON (If different from applicant) ARNOLD, THCl-1AS 2 718 YORK RD Nome Address '3. APPLICANT x.(J Contractor O Agent for Contraotor• 0 Owner Arlen Foster/Carol Foster 13706-B Hwy .8 Name Address 4 . PROPERTY OWNER ARNOLD TBCMAS Name ' 2718 YoRK RD Address carlsbad City D Agent "ror Owner Bus. El Cajon, City Carlsbad City CA. 92008 760-434-8855 Stale/Zip Telephone II Ca . 92021 (619)390-4477 Slate/Zip Telephone II Ca . 92 008 760-434-8855 State/Zip Telephone # Is . CONTRACTORf!,COMPANY NAME • ,:rr ••~ .~l!'l:f~,,! ,,.. '·'/ ' '; '"l!) ' 'f'~' ,f,, \f::t'' ,. ,'!"J"' ~ ' Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pormit 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 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars J$500)). 11 & J Foster Plumbing ame H706 B Hwy. 8 Bus dress EJ ca::ro CA 92021 (619)39 0-4477 ity State/Zip Telephone /I Stat'e License /I -1J6t..31J0.1.J.u:2..lQL-___ _ License Class .....,C,_-~3....,,6'--------City Business License /I 1210836 Designer Name Address City State/Zip Telephone State License /I --1~~J1,t/'ll\-\.,------ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby afrirm under penalty of perjury one of tho following declarations: I . 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 . . 0 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 t ~sued. My worker's compensation insurance carrier and policy number are: Insurance Company Stat~ Comp Ins Policy No-46 7 OJ 000071 3 Expiration Date 04-01-03 (THIS SECTION NEED NOT BE C0MPLETE0 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 of California. WARNfNG: Faifure to secure workers' compensation coverage Is unlawful, and shall subject on employer to crlminol penalties and civil fines up to one hundred thousand dollors ($100 dditlon t 1pensation, damages as provided for In Section 3706 of bor od , Interest and ottornay's fees. SIGNATURE•--:;:---:J~~~~~~~~:,-,-"7~c;~;~--;;::-,;--;;;---:-:;:;:--:;--:---;:----=:=--:-- 7. 0WNER·B ',' • ' r ii', 1{ • ' ' actor's License Low for the following reason: 0 t, 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 tho 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 tho 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 porson (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 hava hired the following person to coordinate, supervise end provide the major work (include name / address / phone number/ contractors license number): _________________________________________________ _ 5. t 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):. ____________________________________________________________ _ Is the applicant or future building occupant required to submit a business planr 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 1 □ YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 on 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 NONE rg _ '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 Cill' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA0 AGAINST Al l 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 permit issued by the building Official under the provisions of lhls Code shall expire by limitation and become null and void if lhe building or work authorized by such permit is nol commenced within 180 days from the date of uch permit or if the building or work authorized by such permit is suspended or abandoned al any lime after the work is commenced f I of 180 (Secti .4.4 Unifonn Building Code). APPLICANT"S SIGNATURE DATE JUL 03 ou· PINK: Finenr6