HomeMy WebLinkAbout1308 PINE AVE; ; CB022229; Permit' '
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-01-2002 Plumbing Permit Permit No: CB022229
Job Address:
Permit Type:
Parcel No:
Reference #:
Building Inspection Request Line (760) 602-2725
1308 PINE AV CBAD
PLUM
2050200800 Lot#: 0
Construction Type: NEW
MATIHEWS RESIDENCE
Status:
Applied:
Entered By:
Plan Approved:
Issued:
ISSUED
08/01/2002
MDP
08/01/2002
08/01/2002
Inspect Area: 2-~· J~; :;g Project Title:
WATER HEATER REPLACEMENT
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
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
Inspector:
Owner:
MATIHEWS JAMES D&SHEILA L
1308 PINE AVE
CARLSBAD CA 92008
Total Payments To Date: $0.00
0
0
0
0
1
0
0
FINAL APP8.0VAL
Date: 'o/ \c:J /c::fl
Balance Due:
Clearance:
$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
$27.00
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 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
. nf ... L,_L ··-·· L-··-. • -=··--" . . to thi<.' or R'l to ... L:-L •L--·-····-nf . . . L--• . • .J
,. FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. _____ _
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __ ~~~~~~~~
Plan Ck. Deposit---------
Validated By ___________ _
Date _______________ _
1. PROOECT INFORMATION
] 308 PINE AVE Business Name fat this address) Address !include Bldg/Suite #)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
SFR
Assessor's Parcel II Existing Use Proposed Use
20 5-020 08 OD Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms
Wrtter Heater Reolace..rnent .2. cON'tACT PERSON Uf dlfferei'lt from appllcont)
MA'CTHEWS, SHEILA 1308 PINE AVE carlsbad CA. 92008 760-434-8038
City State/Zip Telephone # Fax II Name Address
0 Agent for Owner (61'9)390-4477 Bus. El cajon, ca. 92021 3. APPLICANT fl Contractor
-Ar:l ~n Foster/carol
0 Agont for Contractor O Owner
Easter 13706-B awy.8
Name Address City State/Zip l elephone II
ddress
Carlsbad ca. 92008 760-434-8038
City State/Zip Telephone II
4 . PROPERTY OWNER
N~'PPilEWS, SHEILA lc308 PiblE AVE
5. CONTRACTOR • COMPANY NAME
fSec. 7031.5 Business and Professions Code: Any City or County which requires a pormit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, olso requires the applicant for such permit to file a signed stotemont that he Is licensed pursuant to tho provision.s of tho Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he ls exempt therefrom, and the basis for the alleged
oxemption. 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).
-------'6'...-=t',,...._~~~i,-,,,.,t~~·H"lt"l;-----1+~~Hr7o~sA ,6-B-Hwv.8 Bu~s~,-.EE~~1,.....1c,,ca~4~·o~n,.__-~C-A,__.....J.,.92~D=2~1-(~=6J_9~)~3=9~0_-~44=7~7--~ NAie& J F OS .?-! .c'IU1TID1ng lfdo is '.I City State/Zip Telephone#
State License II -46'}.,3~0-±1~2n0,>-----License Class ~C~--3~fi~------City Business License II 1210836
Designer Name
State License#~
6. WORKERS' COMPtNSATION
Address City
Workers' Compensation Declaration: I hereby affirm under pennlty of perjury one of the following declarations:
State/Zip Telephone
O I have and will maintain a certificate or consent to self·insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance Jar the work for which this permit Is issued.
O i have and will maintain workers' compensation, as required by Section 3700 of tho Labor Code, for tho performance of the work for which this permit is
I ihued. My worker's compensation insurance carrier and policy number are:
Insurance Company State Comp-.-IR-Policy No . ....4.67 -01 0000713 Expiration Dato 04-01..-03
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that in the performance or the work for which this permit is issued, I shall not employ any person in any man11or so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure workers' compensation cov nge Is unlawful, end shnll subject an employer to criminal penalties end civil fines up to one hundred
thousand dollars ($100,0 ltlon to atfon, damages ns provided for In Section 3706 of the Lnbor code, Interest end attorney's fees.
DATE AUG O 1 2002
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 or provi11g 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, Businoss and Professions Code: The
Contractor's License Law does not apply to an owner or property who builds or Improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License i..aw).
0 I am exempt under Section ------Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials lor 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 I phone
numbor I contractors license number):------------------------------------------------
5. I will provide some of the work, but I have contracted fhiretl) the following 1>01sons to provide the work Indicated (include name I address/ phone number I type
of work):-----------------------------------------------------------
PROPERTY 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 1ogistratio11 form or risk management and prevention
program under Sections 25505, 25533 or 25634 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 0 11 IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTR\JCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issuod (Sec. 30970) Civil Code).
LENDER'S NAME OONE LENDER'S ADDRESS--------------------------
9. APPLICANT CERTIFICATION I
I certify that I have read tho applica tion and state that the above information is correct and that the Information on the plans is accwate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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.
EXPIRATION: Every permit issued by the building Official under lhe provi ns or this Code shall expire by limitation and become n11II and void if lhe building or work
authorized by such permil is nol commenc i 180 d~y f m lhe or su permit or If the building or work authorized by AILJ~nriil I~ suspen~e~ Q')abandoned
al any time after fhe work Is commen od oJ 1 ays (Se Unllorm Building Code). I , • l l '-" • ~ v ~vv~
APPLICANT'S SIGNATURE DA TE
YELLOW: Applicant PINK: Finance
•
City of Carlsbad Bldg Inspection Request
For: 08/09/2002
Permit# CB022229
Title: MATIHEWS RESIDENCE
Description: WATER HEATER REPLACEMENT
Type:PLUM Sub Type:
Job Address: 1308 PINE AV
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, JNC.
Owner: MATTHEWS JAMES D&SHEILA L
Remarks: WILL BE HOME ON FRIDAY
Total Time:
CD Description
25 Water HeaterNents
Act Comments
l.\~ f~-o-0
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: ~
Phone: 7604348038
Inspector: SQ,
'
Requested By: SHEILA MATHEWS
Entered By: CHRISTINE