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