HomeMy WebLinkAbout1056 GOLDENEYE WAY; ; CB050477; PermitCity of Carlsbad
' ,. 1635 Faraday Av Carlsbad, CA 92008
02-15-2005 Plumbing Permit Permit No: CB050477
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1056 GOLDEN EYE VW CBAD
PLUM
2121801300 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
BRENNAN RES REPLACE H20
HEATER
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
TOT AL PERMIT FEES
0
0
0
0
1
0
0
Owner:
BRENNAN SANDRA
1056 GOLDENEYE VW
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
02/15/2005
KG
02/15/2005
02/15/2005
$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
Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
2047 02/16/05 0002 01
C:GP
Inspector: A /t,JQJ.J(JA,O
Fl NAL APPROVAL
Date: '3-/6,-o ~ 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 '1ees/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 capacity
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 aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exoired.
O? ·-
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Li .r l'IIO!fi:C'.f"INFORMATIOI\I '~.· ' '""'
FOR OFFICE USE ONLY
PLAN CHECK No .C/JOS 0~71
EST.VAL. __________ _
Plan Ck. Deposit---------
Validated By J £
Date fl 1_ f 6-(t2J-
1056 GOLDENEYE VIEViJ Business Name (at this address) Address (include Bldg/Suite #)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
212-180-13-00
Assessor's Parcel # Existing Use Proposed Use
Replace Water Heater
Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
12. • CONTACT PERSO,N (If different from applicant)
Name
A & .J Easter lac 137Q6 Hi~bway B B11s # B El Cajon, Ca 92021 A dress City
13.-rAPPLICANT "10 Contractor O Agent for Contractor O Owner
Name A & I Foster Inc 13706A~J~~sw11y a Bu& # B el Cajon, Ca g~o21 (61Q) 39R 4477 State/Zip ~lephone #
14. • PROPERTY. OWNER
BRENNAN PEIER 1056 GOI QENEYE VIEW CARI SBAD 92009 S,tate/Zip Telephone # (760) 604-0036 Name Address City
5. . CONTRACTOR -.QOMPANY 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 epplicant 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 hundred dollars [$5001).
Name A & J Foster Inc. 139702 Fl~l:iway 8 Bus. # B El GajoA, GEt:;~2021 State/Ziif619) 39Pe1tfi&fe #
State License II _ _..6 .. 3..,0.._1...._2.,.0..__ ___ _ License Clal€,=-3 ... 6~-------City Business License # _ __,j..,.2 ... 1 ... 0,..R,#<3.,.6..,_-
Designer Name Address City State/Zip Telephone
State License # ----------
[6. '0 WO.RKEBS' COMP~SATIQN .... r'""' ..
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.
0 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 State Fund Polley No. 1732576 04 Expiration 02e~o..,5.,.,JA .... 1:1pt1ri1-I ---
(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.
WARNING: Failure to secur ge ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 ), i amages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE
7. O..WNE~R-~.~~u=,L~D~~~D~E~CLA:-::;::R~A~3~,o~N::--::;;;::=:::;=;~-=----:=--==================-=~:;;::=--=.:,:.:::..=::;:==~~~~~=-:;.,..,.';:,r-..... ,,,.... ...... -=..,..,,
I hereby affirm that I am exempt from the Contr ctor'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 / address / phone
number I contractors license number):----------------------------------------------
5. I will provide some of the work, but I have contracted (hired I the following persons to provide the work indicated (include name I address / phone number / type
of work):·--------------------------------------------------------
PROPERTY OWNER SIGNATURE-------------------------
jCOMP,LEJE THIS, SEC[ION FOR~NOf{;RESIDEN17Al,.Bl/lLDING PERMITS ONLY, ~~ ,i.il.~ J~. ~1' ~
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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. , CONST@CTION_LEI\IDIN~GEN.CY ~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ----------------
ll, APPLICANT CEFITIFiCATION, ~
I certify that I have read the application and state that the above information ls 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.
EXPIRATrON: Every permit issued by lhe building Official under lhe provisions of lhls Code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the te of such permit or If the building or work authorized by such permit is suspended or abandoned
at any time after the work is comme period o days lion .4.4 Uniform Building Code). J DATE ----E-E.-B_____._1 -""6...,,,2c:..::005=---APPLICANT'S SIGNATURE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 03/16/2005
Permit# CB050477
Title: BRENNAN RES REPLACE H20
Description: HEATER
Type: PLUM Sub Type:
Job Address: 1056 GOLDENEYE VW
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: BRENNAN SANDRA
Remarks:
Total Time:
CD Description Act
, ,,., 5'1
-, , l.7 A,~/
Comment
25 Water HeaterNents A)2
~-fr10AL a-J1J2
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7608040036
Inspector: /SA).
Requested By: PETER
Entered By: JANEAN