HomeMy WebLinkAbout1029 DAISY AVE; ; CB020475; Permit02-14-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB020475
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1029 DAISY AVCBAD
PLUM
2144012000 Lot*
Construction Type
0
NEW
MC BRIDE RES-NEW WATER HEATER
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
02/14/2002
RMA
Applicant
\ & J FOSTER
2819 CENTRAL AVE
SPRING VALLEY
619697-4151
Owner
Total Fees $2700 Total Payments To Date $000 Balance Due $2700
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Dram
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
0
0
0
0
1
0
0
EXPIRED
$2000
$000
$000
$000
$000
$700
$000
$000
$000
PERMIT HAS EXPIRED IN ACCORDANCE WTTH U.B.C.
SECTION 106.4.4 $27 00
DATE ^iisfl^_ SIGNATURE
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 lees/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
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
1 PROJECT INFORMATION
10_29_Daisy Avenue
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Sune tt)Business Name (at this address)
Legal Description Lol No Subdivision Name/NumberSFR Unit No Phase No Total it of units
Assessor's Parcel #
__ 214-401-20-00
Description of Work
Water Heater Replacement
2 CONTACT PERSON (if different from applicant)McBride,'John n""'
Existing Use Proposed Use
SO FT
I9 Daisy Ave.
#of Stories
Carlsbad
it of Bedrooms tt of Bathrooms
CA. 92009 760-438-9284
State/Zip TelephoneName Address City
3 APPLICANT IS Contractor Q Agent for Contractor Q Owner Q Agent for OwnerArlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Cajon, Ca. 92021 (619)390-4477
Fax #
Name
4 PROPERTY OWNER
Name
Address
1029 Daisy A
Address
City
ve. Carlsbad
City
Ca.
State/Zip
92009
State/Zip
Telephone #
760-438-9284
Telephone tt
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 tor the alleged
exemption Any violation of Section 7O31 b by any applicant tor a permit subjects the applicant to a civil penally ot not more than five hundred dollars IS500J)
A & J Foster Plumbing ___ 13706-B_Hwy.8_ Bus. El Cajon CA. 92021 (619)390-4477 ___
Name Address City State/Zip Telephone tt
State License tt 630120
Address
licunsaClas.4 .
Address
C-36 City Business License It 1210836
City State/Zip TelephoneDesigner Name
State license tt _______ N/.A_ ___________
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 peinnt is issued
QJ I have and will maintain woikers compensation as required by Section 3700 of the Labor Code for the peiformance of the work for which this permit is
issued My worker s compensation insurance cainer and policy number are
Insurance Company _State _Cpmp ._IllS_. ______________ _____ Policy No 467-01 0000713 ______ Expiration Date ___ 04-01-02
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100J OR LESS)
Q CERTIFICATE OF EXEMPTION I ceinfy that in the performance of the work foi which this permit is issued I shall not employ any person in any manner so as
to become subject to the Workers Compensation Laws ot California
WARNING Failure to secure workers compensation coverage is unlawful, and shall subject un employer to criminal penalties and civil fines up to one hundred
thousand dollars IS'tOO 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 _______ L-^-ji^g-^- Jj^B-^a-^t^O _____________________________________ DATE
7 OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
0 I as owner of ttie property or my employees with wages as their sola compensation will do tha work and the structure is not intended or offered for sale
(Sec 70<14 Business and Professions Code The Contractor's License Law does not apply to an owner or property who builds or improves thereon and who does
such woik 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 wnhin 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)
|~| | i,s 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 ot property who builds or impioves thereon and contracts for such projects with contractor(s) licensed
pursuant to the Contractor s License Law)
(~1 I urn 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 |~) YES (~lNO
2 I (have r1 have not) signed an application tor a building petiutt foi tl\e proposed vjorV.
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
I plan to provide pomons of the work but I have hired the following person to coordinate, supervise and provide the major work. Imctude name / address / phone
ur / contractors license number)
!) 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)
PROPEHTY OWNER SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 25605 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? (~| YES [~| NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES [~] NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? |~l YES l~l 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
fiEQUIHEMENTS 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 30970) Civil Code)
LENDER S NAME _______ 59??- ______ _______ ___ ...... LENDER S ADDRESS_ _______ ' __________________________
9. APPLICANT CERTIFICATION
I certify that I have read the application and state that th<i ubuve information is coiract and that the information on the plans is accuiate I agiae to comply wvh al\
City ordinances and State laws relating to building construction I hereby authorize representatives of the City 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 b 0 deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by the building Ofliciul under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorised by such peimit is not commenced wilhin 1UO day:, from Hie date of siicliyermil or if the building or work authorized by such permit is suspended or abandoned
at any lime aller Hie work is commenced luiajpefl&fiJiMtii) daysi^pction 1*Ui<T Uniform Building Code)
APPLICANT S SIGNATURE _____________ ^C^e**** X • *~"^ ~ DA1"E
WHITE File_/YELLOW Applicant PINK Finance
License Detail Page 1 of 2
PAIIFQRNIA rONTRACTORK STATT I IfTMSf TlOARH
License Detail
Contractor License # 630120
i DISCLAIMER
A license status check provides information l<iken from the CSLB license data base Before relying on this information you should be
aware of the following limitations
i
• CSLB is prohibited by law from disclosing complaints until they are referred for legal actioni i
• Per B£P 7071 17 only construction related civil judgments known to the CSLB are disclosed
• Arbitrations are not listed urjless the contractor falls to comply with the terms of the arbitration
• Due to workload there may'be relevant information that has not yet been entered onto the Board's license data base
i LxtractDate 11/08/2001
* * * Business Information * * *
A & J FOSTER INC
P O BOX 2758
ELCAJON.CA9202I
Business Phone Number (619) 390-4477
Entity Corporation
Issue Date 10/07/1991 Expue Date 10/31/2003
* * * License Status * * *
This license is current and active AH information below should be reviewed.
* * *Classifications * *
Class
C36
| Description
PLUMBING
* * *Certifications * * *
Cert
HIC
Description
HOME 1MPROVEMEN 1' CERTIFICATION
A * *Bonding Information A * A
CONTRACTOR'S BOND: This license filed Contractor's Bond number 1002375 m the amount
of $7,500 with the bonding company
SURETY COMPANY OF TU-EJLACLFIC.
Effective Date 07/01/1994
hup //www2 cslb ca gov/CSLB LIBRARY/License .-Detail asp 11/8/2001
License Detail Page 2 of 2
Contra^tor1 s Bonding His.Jory '
BOND OF QUALIFYING INDlVIDUAL(l): This license fileid an exemption certificate for
the Responsible Managmg'Officer (RMO) ARLEN KEITH FOSTER certifying that he/she owns
10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual
is not required
Effective Date 10/07/1991
Je * *Workers Compensation Information * * *
This license has workers compensation insinance with the
STATE COMPENSATION INSURANCi: FUNI).
Policy Number 467-0000713 Effective Date 05/01/2001 Expire Date 04/01/2002
Personnel listed on this license (current ot disassociated) are listed on other licenses.
Personnel List Other. Licenses
License Number Request ContractoiiName Reguest Personnel Name Request
Salesperson Request Salesperson Name Reguest
Q. 3»? I'mi^Ci UP
A public service of the Contidctors Suilc. License1 Board Oopyiiglil i!) 2001 A.I rights reserved
I dbt Updated 10/08/2001
//www2 cslb ca uov/CSLB 1. HORARY/I .icense i-Detail asp 11/8/2001
FEB-14-2002 THU 02:21 PM A & J FOSTER PLUMBING FAX NO, 619 390 4448 P. 10
A.J. Foster
13706 Highway 8 Business #8
EICajon.CA
92021 f\m WO643
Date
1/24/2002
Page
1of1
Location •Bill To •Quote* Q95 PC* 16781423991 RAW
MC BRIDE, JOHN, 1127 B 6
1029 DAISY AVENUE, ^
CARLSBAD, CA 'M
92009
PIV7BO-438-9284
Fax
Sears Installation
100 Puerile Hills Mall.
City of Industry, CA
91748
PM23
Fax. 123
Technician 92009,1127
Scheduled 1/25/2002
Time and
W/OType Materials
Contract
Start Time
Completed'
Equipment TBA
Problem Quote
Priority High
Status Open
Taken By Spencer, Evonne
Caller.
Auth By
Equipment Worked Oa
Item nscription |Mfg Model#Serial*||Phys Loc
«
Technician Date Qty Descnption
Qty Part it
PERMIT, CB WH
Descnption Source
Carlsbad Water Heater
Permit 'Warehouse
Service Instructions
33045 * XST- BATIQUITOS DR « GARAGE / RAISED * ""Quoted Materials1***"
PartNum] [DescUQty]
D42M33045 ] [12 year power miser water heater{C 40,8 40000;D'18J [11
QS50 ] [Earthquake strap] [1]
6IL048078 ] [61 x 7/8" ID /1/2" Wall Rpe Insulatonl [11
B342 ] [3/4" x 2" Brass Nipple] [21
F61224WV J [1/2"x 24* gas flex w/^alve] [21
""•Quofed Rag Labour*"*•Descnption]
Install 12yr 40 Gal W/H
n of Work Done
;oiiow up