HomeMy WebLinkAbout1013 FOXGLOVE VW; ; CB003100; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08/22/2000 Plumbing Permit Permit No:CB003100
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1013 FOXGLOVE VIEW CBAD
PLUM Status:
Parcel No: 2144101800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: WATER HEATER REPLACEMENT
Applicant:
A&J FOSTER
2819 CENTRAL AVE
SPRING VALLEY
619 697-4151
Plan Approved:
Issued:
Inspect Area:
Owner:
WAGNER ORPHA J TR
1013 FOXGLOVE VW
CARLSBAD CA 92009
ISSUED
08/22/2000
JM
08/22/2000
08/22/2000
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
TOTAL PERMIT FEES
Inspector:
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
6.00
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. i Lo.4.4
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 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 nreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has nreviouslv otherwise exnired.
PERMIT APPLICATION
•
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PRO,iE811.t,IFORMAT!ON l 3 Foxglove V i ew
FOR OFFICE USE 0N_1~? /.
PLAN CHECK NO. u_;> ...)/ l'.1)
EST. VAL·-~~~~~~~~~
Plan Ck. Depos~
~:~:_at-ed-By ___ ..:::.Vl&:_""_"-~--c:-=-:~:/-=£::~:;=· f//=
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. SFRubdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use
Description of Work
WATER HEATER REPLACEMENT
SQ. FT. #of Stories
2. CARLSBAD
Name Address City
3• ~AHos~:»RYtfi~TY 9d~r C°f1j87ij5_£]~r 8 ~~nt f°Eewa:roN'
Name
4. PROPERTY OWNER Wagner , Harry
Name
6. CONTRACTOR -COMPANY NAME
Address City
1013 Foxglove View CARLSBAD
Address City
Proposed Use
# of Bedrooms # of Bathrooms
CA. 92009 760-438-1300
State/Zip Telephone # Fax #
CA. 92021 (619 )390-4477
State/Zip Telephone#
CA. 92009 760-438-1300
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 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 fivf hll_n,2red dollars (j500)).
A & J F OSTER PLUMBING l37U6-B HWY 8 BUS. EL CAJON CA. 92021 (6 9 1390-4471
Name
State License # __ 6 _3_0_l_2_0 ___ _
Address
C-36
City State/Zi'J.200354elephone #
License Class----------City Business License # --------
Designer Name
State License # ___ N_/_A _____ _
Address City State/Zip Telephone
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
~ 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 coF~~su1aNS~C~ policy number are: _ N 2007_56_51 CONTINUOUS
Insurance Company Polley No. Expiration Date _______ _
(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 of California.
unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred
: .. =~~=~~~~&~~!_lJ;i:-z~;s~a~t'~~2a=g~e=s~a=s~p=r=o~vi=d=ed~fo=r~i~n~S=e=c~ti~on. 3706 of the Labor code, interest and attorney's fees.
SIGNATURE_ DATE AUG 2 2 2000
7.
I hereby affirm that I am exempt from the Contract 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 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 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, 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 the proposed property improvement. 0 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 provide the proposed construction (include name I address I phone number I contractors license number):
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 I address I phone
oomb•/~ntracto~l~eMeoom~~:----------------------------------------------
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 I type of work): _______________________________________________________ ~
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
DATE _________ _
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? 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? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 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 com~on lending agency for the performance of the work for which this permit is issued (Sec. 3097(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 Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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" 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 nol commenced wi 180 day~fro the d ch ermit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is commenced pe of O • (Seclio rm Building Code). A LJ G 2 2 2000
APPLICANT'S SIGNATURE DATE
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