The URL can be used to link to this page

Home My WebLink About128 MAPLE AVE; ; CB042825; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 • 07-21-2004 Plumbing Permit Permit No: CB042825 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 128 MAPLE AV CBAD PLUM 2042340906 Lot #: 0 Construction Type: NEW HEDRICK RES-REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: HEDRICK MICHAEL C&LUZVIMINDA E ISSUED 07/21/2004 KMT 07/21/2004 07/21/2004 A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 128 MAPLE AVE CARLSBAD CA 92008 7064 07/21/04 0002 o:. CGF" 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 TOTAL PERMIT FEES Total Fees: $27.00 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 $0.00 $0.00 $27.00 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL DATE 1 ;~' D ~~E. __ SIGNATURE (t}il/\ $27.00 02 27 ~ 00 PERMIT APPLICJ\ TION CITY 01= CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (!/J(/·0~S- EST. VAL. __________ _ Plan Ck. Deposit-+-=------ Validated By eh& Date ______________ _ Address (include Bldg/Sui/I) Business Name (at this address) Legal Description (A 2()\\-'2.~-Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms !5i:,~1~t~_QNOOR'~~[.Gij~!~,d~MPJ):JiYiliij"e;ME~~ititt1tI~~1;~m1a~~jj.~~~!JTu¥:l~)if~f~~~~~~~~~r~~,:gi r,i~~,~~,~~~1~~lli~~~~:r~'.~i.J~eit~¥. (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 ...1-1.~..:..L_A.JnL.:~v .. io~l-a,1.·.10..:n~o3f _s_e_.c=t*io:.JnL..7~0=3c.1!.._5_bLy..J.a--,nPy'-a""pllpl<l:...i c_aJ.n,.Lf_o_Jr w,p'..le~r:.:'."::i1-t-s_u_b,1j e'-c-j~t.)h!JeLa.Lp_,l .. ic_ai.n.::t:.tLo_al.....c)i.. v .. il~p-e,_:n:,::a::i}Lty-1--o-f..in'-o""J!lm~o-re-,l-t:a=n!.fil!iv!oe:::..JhLu..lnl,,d,le.J,dL.Jd_o.JI L..al.rs~L5UO~)l.._..L.J TJ City, State/ZiP. T~efhone # City Business License # \ 2. \()~ Designer Name Address City State/Zip Telephone State License # __________ _ t¢f~ltt.~~?WGJ3J!"e)lSt1¢.QMfl~NS:1if.J~f:t]~itil~iW~Sil1~\~ai~I~=:~1i~~t,~~~Llii~~~i~~tJ~U,~~t~llI~.fil~,~~~~111:tlP~i~~~~1$~~~m~t~t~~;LJ~ft?ilit(Q;jif;~,i1~~titrt.1JJi 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 -~e 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 w hich this permit is issued. My worker's~ £ens_ tion insura policy number are: . -1 ~ ~7, __ (',U. -'/ ('-t:=,. Insurance Company ...,,_,£...LI,...,<"'-J_.:,...,:c__,.__ ..... 1-.....,_=~--------Policy No. J , ~o J 'Y_ -.:i Expiration Date_._ 4, v ....J _ (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' compensntlon covers e is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred :~:::;~::liars ($100,00 · ion tot st of nsa on, damages as provided for in Section 3::sT:f the L ;,,.i:(.d~o..?.~:e:r,".,:~,::,;,:,t~: .. ::~·:.,,:~e.:,,,.,,T•i ':.J!i;,a.'-~ ... ~~.;;i.'!)~~1;;~~•::•,e::::1:,.:i.~:,,,;:1~!~1;;,,~~;1,-r, 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 t he 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 O NO 2. I (have / 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/ 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 _________ _ !(:OMP.(~'r.e:;11i;i1si:st¢ff:i~N}liQ'il,1&QMB'i,Si(ffNJt/Jiji!"f!i~@JkG)Ri!iiMl:f.~)li:it:rc~j~!~~~i~;~~-1r!~m,~lill~~m~l'liiffii~\11~~~;~(i~]~1~~Yf~~fiJ~i;.~~ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem'ent 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? 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. i.trt~~rG:Q:~:~JfR~!P,~i.~~ij~~N~J.~]~!~G:ijN:C,~~11}J~~~,J~~~~~~~~u~1]t!~lt~~J!t~;.~m1ms1u~!ill~fi!itr~~~llJ~J~Wl~~~~~lmF~r{tJ:l;i~~~jtJ,~:~~1~'.~~t~]i~:~~:&t~;f,~~;;L,~~1];~~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _ ;9'i•rrJ:1:Aiifft1c-ANit{¢•~sit(FJ.eA'\irto:i1ii1il:tflil:!::::iflJ'~t~~1':JmB:!:1'2".Ji::::1ili,::.~..];!~t1~~~~~11.'1t!c;~;~"m.~~!l\l.:ll;~fM'ili£lii~~~:t1U;'~~ii:i:ilfiWi~~2ll!?1f.G 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 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. EXPIRATfON: Every permit issued by the building Official under the provisions or this Code shall expire by limitation and become null and void If the building or work authorized by such permil Is not commenced · · days~rom I e date s permit or if the building or work authorized by such permit Is suspended or abandoned al any time after the work is commenced 18 d • ection .4. lform Building Code). DATE ,. 712)' /,.'/'(( j APPLICANT'S SIGNATURE /.V'-'f------- WHITE: F YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request For: 08/05/2004 . Permit# CB042825 Title: HEDRICK RES-REPLACE WATER Description: HEATER Type: PLUM Sub Type: Job Address: Suite: Location: 128 MAPLE AV Lot APPLICANT A&J FOSTER, INC. 0 Owner: HEDRICK MICHAEL C&LUZVIMINDA E Remarks: or 729-1938 Total Time: CD Description Act Comment Inspector Assignment: Phone: 7ZJ;c- lnspectUi ---- Requested By: SHERLYN Entered By: CHRISTINE 25 Water HeaterNents + t' I) f,,(lr(v 'O Associated PCRs/CVs Inspection History Date Description Act lnsp Comments