HomeMy WebLinkAbout1317 GULL CT; ; CB011138; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03/26/2001 Plumbing Permit Permit No:CB011138
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1317 GULL CT CBAD
PLUM
2156421200 Lot#: 0
Construction Type: NEW
LARSEN RES/ NEW WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
03/26/2001
CB
03/26/2001
03/26/2001
A&J FOSTER, INC.
STEB
LARSEN BRIAN L& TERESA ~.36 ,)3/26/0l 0002 :JJ.
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
Total Fees: $27.00
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
TOTAL PERMIT FEES
Inspector: Atf
1317 GULL CT
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
1
0
0
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
FINAL APPfOV: L
Date: 4' /If II Clearance:
I I
CGF·
$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 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired.
''!'
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NoCf,6 I l 135
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _______ _
Plan Ck. Deposit.-,-------
Validated By ___,.( _ _..t'?"-------
Date 3 -2 &r6 f
PROJECT INFORMATION
1317 GU[[ CT Carlsoaa CA 92009 <!\Jame>
Business Name (at this address) Address (include Bldg/Suite#)
<Legal Descr> <Lot> <Subdivision Name/No> <Un it> <Phase>
Lot No. Subdivision Name/Number Legal Description
<Assessor No> <Existing Use>
Assessor's Parcel #
WATER HEATER REPLACEMENT
Description of Work
Existing Use
<SQ FT>
SQ. FT.
<Stories>
# of Stories
Unit No. Phase No.
<Proposed Use>
Proposed Use
<Bedrooms>
# of Bedrooms
<Total>
Total # of units
<Bathroom>
# of Bathrooms
If different from.;•J;P,1;.P;;,llc;.;a;;,n;,;tl1-________ _. _____ .,.. _____________________ _
<Name> <Address> <City> ST <Zio> <Phone> <Fax>
Name Address City State/Zip
3. APPUCANTr,-.. c_,,.c .. o .. nt.ra;;,;ct;,;,;o;;.r-!~i..;.A=enwert for Contractor C Owner C Agent for Owner
NetClerl< Inc 20 Dubuque 'Ave South San Fr; ST
Name Address City State/Zip
4. _P_R_O~P-E-R=TYOWNER----~-----------------..---
LARSEN ,TERESA
Name
5.
1317 G ULL CT
Address
CARLSBAD CA 92009
City State/Zip
Telephone# Fax #
8883301777
Telephone#
760-603-7953
Telephone#
(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 hundred dollars [$500]).
A & J Foster Incorporated PO Box 2758 El Cajon CA 92021 6193904477
Name Address City State/Zip Telephone#
State License# 630120 <Name> ~~~~-----License Class _c=-3=-6-=---------
<Address>
City Business License # 1210836
<City> ST <Zio> <Phone>
Designer Name Address City State/Zip Telephone
State Licence# _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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. i2J 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 Mid-Century Ins. Policy No. A2OO75651 Expiration Date 05/01/2001
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) D 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 criminal penalties and civil fines up to one hundred
thousand doll-~~-1), 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...;O::..:3::.:./..:.1::.;9/:..:2:..:O:..:O...;:1 ____ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
D 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).
D 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 threreon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1.
2.
3.
I personally plan to provide the major labor and materials for construction of the proposed property improvement. • YES O NO
I (have I have not) signed an applicant for a building permit for the proposed work.
I ha.vi! contracted with the following person {firm) to 11rqvide the proposed construction (include name ( ,u;1dr~silf phone number I contractors license number):
<Name> <Aadress:> <WorK Phone> <State License>
4. I plan to provide portions of the \YQrk, but I have hired the following person IP co.ordinate, supervise and provide the m_ajqr work (include name I address I P.hpne
number I contractors license number):<Name> <Aaaress> <work Phone> <State Licen se>
5. I will pf9vide some of the work, but I have contracted (~ir1;d) the following person to provide the work indicated (include name I address I P.l"\Qne pumber I type
of work): <Name> <Aadress> <Work Phone> <WorK I ype>
PROPERTY OWNER SIGNATURE DATE
COMPLETE THIS SECT_;,l~O~N:;.F:;,;O:;;R:.,N_;O~N;:;-R;;,E;::S:;;ID;;,E;:_;N:;T.;:IA;:;L:;:.B;;,U:;:-IL;-:D;;,l;;NG:;;:;P;:E;:;:RM::=::;IT:;S:;;O;=;;N;;LY;;:;;;;:::::::::::::;;:::::::::;__::.:;_::.::;:;:::::::::::;;::::::::::::::::::;_ ___ ....., _ __,
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 appiicant 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 school site? D YES D 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. 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. 3087(i) Civil Code).
LENDER'S NAME LENDER'S A:::D:D;_;R;_ES:S;:,_:=:::;;:::;;::;;;;:=::;;;::;;;;;:::::;;;;;;::::=::;;;-----;;;;;::-;;;;;;;;;:;:;;--::::;;:;;::;
9. APPLICANTCERTIFICATION
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 City 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,
JUDGEMENTS, 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 180 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 for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE ~-------------------DATE ...::O:.::3:.:../.c.19;::;/c.::2:.::O:.::O:..:1 ______ _
City of Carlsbad Bldg Inspection Request
For: 04/17/2001
Permit# CB011138
Title: LARSEN RES/ NEW WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address: 1317 GULL CT
Suite: Lot O
Location:
APPLICANT A&J FOSTER, INC.
Owner: LARSEN BRIAN L&TERESA M
Remarks: AM PLEASE -AM ONLY
Total Time:
CD Description Act Comments
Inspector Assignment: JC ---
Phone: 7606037953
Inspector: At
Requested By: HOMEOWNER
Entered By: CHRISTINE
25 Water HeaterNents _jfQ_ ___________________ _
Associated PCRs =F--------------------
Inspection History
Date Description
04/11/2001 25 Water HeaterNents
Act lnsp Comments
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