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