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HomeMy WebLinkAbout1023 DAISY AVE; ; CB991334; PermitCity of Carlsbad 04/06/1999 Plumbing Permit Permit No CB991334 Building Inspection Request Line (760) 438-3101 Job Address 1023 DAISY AV CBAD Permit Type PLUM Status ISSUED Parcel No 2144011700 Lot# 0 Applied 04/06/1999 Construction Type NEW Entered By DT Reference # Plan Approved 04/06/1999 Issued 04/06/1999 Project Title WATER HEATER REPLACEMENT Inspect Area Applicant Owner A&J FOSTER, INC MCDANIEL JOHN D&BEVERLY J STEB 1023 DAISY AVE 13706 HWY 8 BUS ' •" CARLSBAD CA EL CAJONCA 92021 : . 92009 ,, 619-390-4477 ' ': Total Fees $2700 . Total Payments To Date $000 Balance Due $2700 Plumbing Issue Fee ,'". '-•-/ , - : ; $2000 Fixture or Trap 0 • ;j $000 Building Sewer . ,' ' ' :-<Q. " :: " $000 Roof Dram 0 : i ' ' $000 Install/Repair Water Line 6' ;•... •':•.'.'•:' : /' $000 Water Heater and/or Vent ' 1 \/ $700 Gas Piping System ' •-.' 0 ' y" •• ' $000 Vacuum Breaker 0 ''"'.'. •','./ $000 Other Plumbing Fees ,.-.',;, $000 Master Drainage Fee --... ••••' ; '• :. .','•' $000 Sewer Fee $0 00 TOTAL PERMIT FEES $27 00 FINAL APPROVAL Inspector -^ ^ 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired CITY OF CARLSBAD 2075 Las PalmasDr, Carlsbad, CA 92009 (760)438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE O PLAN CHECK NO _ EST VAL Plan Ck Deposit_ —. Validated Bv l llr\> Date 1 PROJECT INFORMATION1023 Daisy Ave Address (include Bldg/Suite #)Business Name (at this addres Legal Description Lot No SFR Subdivision Name/Number Assessor s Parcel #Existing Use Proposed ! Description of Work WATER HEATER REPLACEMENT 2. CONTACT PERSONJf different from iMcDaniel, Beverly SQ FT #of Stories # of Bedrooms Da CARLSBAD CA. 92009 760-438-7576 Name 3. APPLICANT SHELLY JOHN Address n Contractor Q Agent for Contractor Q Owner • sISON/KRISTY FOSTER 1370£-B HWY City for OwnerS. EL CAJON, State/Zip Telephone . CA. 92021 (619)390-4477 Name + PROPERTY OWNER MCDaniel, Beverly Name Address 1023 Daisy Ave Address City CARLSBAD City State/Zip CA. 92009 State/Zip Telephone tt 760-438-7576 Telephone 9 5. CONTRACTOR - COMPANY NAME (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 five huncred dollars I*500j) t. .T wncypRR PTiiMRTWS 13706-B HWY 8 BUS. EL CAJ011 CA. 92021 (619)390-4477 Name State License #630120 Address License Class C-36 City State/Zip Telephone # Citv Business License # 1 2 U I) J D 4 Address City State; Zip N/A Designer Name State License S __ 6. WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coae, for the performance of the work for which this permit is issued ]Q 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 msurance company FARMER INSURANCE Pol,cv NO --___,-,N2007-56-51 ^-.,-Marn-rn-n-TnrTOExpiratlon DK£CNTIMJOUS (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 cnmmal penalties and civil fines up to one hundred thousand dollars ($100,000) In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE DATE 7 - OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason Q 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) n >> 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) CD 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 Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I hava contracted with the following person (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 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 / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE rtanagem^nt district' Q YES IP? -•,•' ^, ^ J '^'3flCANT HAS MET OR IS MEETING 5 1999 NO COMPLETE THIS SECTION FOR NON-RSSIDENTJAL 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? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualit Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C] YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE Aprf 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(0 Civil Codej 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 CitV 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" 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 365 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>forT5p9/iod of 1§0>days (Sectjori" 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE PINK Finance City of Carlsbad Inspection Request For 4/14/99 Permit# CB991334 Title WATER HEATER REPLACEMENT Description Inspector Assignment ^ V Type PLUM Sub Type Job Address 1023 DAISY AV Suite Lot 0 Location APPLICANT A&J FOSTER, INC Owner MCDANIEL JOHN D&BEVERLY J Remarks Phone 7604387576 Inspector Total Time CD Description 25 Water Heater/Vents Act Comments Requested By BEVERLY Entered By CHRISTINE 4 Inspection History Date Description Act Insp Comments