The URL can be used to link to this page

Home My WebLink About1004 MERGANSER LN; ; CB030793; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-19-2003 Plumbing Permit Permit No: CB030793 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1004 MERGANSER LN CBAD PLUM Status: ISSUED 03/18/2003 SB Parcel No: 2157600400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: HUANG RES NEW H20 HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 Total Fees: $27.00 0 0 0 0 1 0 0 Owner: HUANG EDWIN Y&CLAIRE C 1004 MERGANSER LN CARLSBAD CA 92009 0711 03/19/03 0002 01 CGP $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 02 Total Payments To Date: $0.00 Balance Due: $27.00 EXPIRED PERr~1iT' PERt'"', ''•.~' r . ,·::;:·.u 1(1 (·. r:ORDANCEWITH U.9.C SEC1101J 11.W.•i.4 DA.TE a-,,l.\-s\o'\ SIGNATURf -··•-··nlw___ __ 27. 00 PERMIT APPLICATION . ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ·1. p_BQjECT INFORMATION ;i> 1004 Mer ganser Ln FOR OFFICE USE ONL V PLAN CHECK NO. OJ 7 Cf/ EST. VAL. _________ _ Plan Ck. Deposit ,----------- Validated By_'7....::, '-------'7}=-------- Date 's '/@. 03 Address (Include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number SFR Assessor's Parcel # Existing Use 215-760-04-00 Description of Work SO. FT. #of Stories Wa er Hea ter Re placement , \:l .• ,1t:WJ~;R~'ff~'·'Uftere t·i /im a1ipfiy8tf 1·i~!if~~~~~~itl~1~rt~~~- Name 3 .. , , APPLICANT, d!Ct::J Con~ra,ctor Arlen Foster;, (',,arol Address , (JA,.gent, f.o~,tqontraRtor• • Foster 13706-B City Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # 4. , ·" Pf:lOPERl'y QW~l;R Huang Edwin Name 5. COt.lTR.ACTOR -COMP~NY NAME°' Address Merganser Ln Carlsbad City " .. r-~ Ca. 92 009 760-929-8683 State/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 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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). A & J Foster P]umbinq 13706-B Hwy a BJJS E) ca200 CA 92021 (619)390 4477 Name Address ity State/Zip Telephone # State License # 630120 License Class C-36 City Business License # 1210836 Designer Name Address City State/Zip Telephone State License # ---'NJ1o""-"A._ ____ _ 6. _ WORKERS' CQMPENSAI IQN "' 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, for the performance of the work for which this permit is issued. X] 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 compensation insurance carrier and policy number are: Insurance Company St ate Comp. Ins. Policy No , 467-0] 00007] 3 Expiration Date 04-01-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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 Worke ompensatlon Laws of California, WARNING: Failure to s Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 ages as provided for In Section 3706 of the Labor '11/f· interest and attorney's fees. SIGNATURE. _____________ ,,_ ______________ -:::----_ DATE _ ___._....._..:ba..... ___ _ 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 thl'>t 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 tho burden of proving that he did not build or improve for the purpose of sale). D I, as owner of tha 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 thereon, end contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). D 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. D YES ONO 2. I {have I have not) signed an application for a building permit for the proposed work, 3. I have contracted with the following person (firm} to pr~vlde the proposed construction {include name I address / phone number / contractors license numberl: 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 (hired) the following persons to provide the work Indicated (include name I address I phone number / type of work): __________________________________________________________ _ 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? O 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? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 18, (,QNSTRl,ICTI0N .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 OONE 9. Al1PLICANTi:"CERTIFICAT[OriJ -iii I certify that I have read the application and state that the above information is correct and thet 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 Citt,, 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" deeo and demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit issued by lhe buildln fflclal unde• '' , provisions of lhis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commence n 1 ys !~~date o ennit or if lhe building or work authorized by such permit is suspended or abandoned at any time alter the work Is commence 8 ~ ~ •~lion 1 .. 4 r3'Bullding Code). 3/jd APPLICANT'S SIGNATURE -------------·---------------DATE ___ _,__...__O~------- WHITE: Fi PINK: Finance