HomeMy WebLinkAbout1344 CORVIDAE ST; ; CB023093; Permit10-11-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No CB023093
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Reference #
Project Title
1344CORVIDAESTCBAD
PLUM
2156913200 Lot#
Construction Type
0
NEW
WRIGHT RESIDENCE
WATER HEATER REPLACEMENT
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/11/2002
MDP
10/11/2002
10/11/2002
Applicant
A&J FOSTER, INC
STEB
13706HWY8BUS
EL CAJON CA 92021
619-390-4477
Owner
WRIGHT JAMES B&BEVERLY J^ ^ ^^ /QO
1344CORVIDAEST
CARLSBAD CA 92009
02
27-00
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
0
0
0
0
1
0
0
$2000
$000
$000
$000
$000
$700
$000
$000
$000
$000
$000
$000
TOTAL PERMIT FEES $2700
Inspector
FINAL APPROVAL
Date /--Clearance
NOTICE Please take^JCTICPthaWpproval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions" reJhave 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 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
1344 CorvidaeSt
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite tt)Business Name (at this address)
Legal Description Lot No Subdivision Name/NumberSFR Unit No Phase No Total ff of units
Assessor's Parcel #
215-691-32-00
Existing Use Proposed Use
Description of Work SQ FT #of Stories
Water Heater Replacement
2, CONTACT PERSON (if different from applicant) ,, :^,-.Wright, James 3344 Corvidae St Carlsbad
# of Bedrooms # of Bathrooms
CA. 92009 760-476-1082
Address City
D Agenf for Contractor:' n Owners Q Agent for Owner
Arlen Foster/Carol Foster 33706-B Hwy.8 Bus. El Cajon,
Name
3 APPLICANT jO.Contraotor
State/Zip Telephone tt Fax tt
Ca. 92021 (619)390-447:
Name
4 PROPERTY OWNER
Wriaht, .Tames
Address
1144 Corvidae St
City
Carlsbad
State/Zip
Ca. 92009
Telephone tt
760-476-1082
Name Address City State/Zip Telephone tt
J5 CONTRACTOR; COMPANY NAME • A *'"••....„. •. '•"'"• :>:,. -_ '"-'"'" ,„....'; ..;<•• -.•;,•••;:... :- •••';&,» i: : i. " "p' ... .•
(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 X, .T T^o-l-Qy DlnmVvin.T 1 ~i7n£_R HMW « Rng F.I r*a-ir>r> fa. Q?0?1 f 61 9 ^ 390-4477
Name
State License tt 630120
Address
License Class C— 36
iity State/Zip Telephone tt
City Business License tt 1210836
Address City State/Zip Telephone
M/a
Designer Name
State License tt _
fr WORKERS' .COMPENSATION ". .. '. . '' .. ,'.':.= "" ,. ., ," '" ; """ ^,>"" ' ,*••• ""•**- -
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
JTI | 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 Comp.InS. _ Policy No 467-01 000071 3 _ Expiration Date 04-01-03
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
f~1 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 sepufevvg/wfs comnAliation coy/iTageiar unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (s 1 QOm^Mffn^Wf^pno^m^co^etyOVKt^^^^n. damages as provided for in Section 3706 of thej-abor code^nterest and attorney s fees
SIGNATURE ^^"^
the Labor code.jnte
\OfT\j3 2-__ _ _
7. OWNER-BUILDER DECLARATION :. f :i ; ' - y1* '..":,. si
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
[~1 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)
C3 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 contractors) licensed
pursuant to the Contractor s License Law)
l~1 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 l~l YES I""|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
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY; T ;: j ^"L , " T. .M. ,,"'••f""^ " •,-•
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? l~l YES l~l NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~l YES l~l NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~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
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
i8, CONSTRUCTION LENDING AGENCY • C ^1."- ••! : ;:f.. ••'" ' " ,. ", '•••... •'.. (--•- • 'f^-
! hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code)
LENDER'S NAME NONE LENDER'S ADDRESS
;9, APPLICANT CERTIFICATION : : ,...:.;. ": * " •.. ».y : ' '" s ^ ..-•....'" -,'V .,. ^,-•:. ~, Al-'..; ;•')•'' :'J',: .. J •• ::>:;^.
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 CitV 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
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 forjj^jefiooJgfylSO days/(§ection \Q££A Uniform Building Code)
APPLICANT'S SIGNATURE
^/"
Fil^/YELLI
DATE
WHITE File/YELLOW Applicant PINK Finance
City of Carlsbad Bldg Inspection Request
For 01/10/2003
Pemnit# CB023093
Title WRIGHT RESIDENCE
Description WATER HEATER REPLACEMENT
Type PLUM Sub Type
Job Address 1344 CORVIDAE ST
Suite Lot 0
Location
APPLICANT A&J FOSTER, INC
Owner WRIGHT JAMES B&BEVERLY J
Remarks
Inspector Assignment
Phone 7604761082
Inspector
Total Time
CD Description
25 Water Heater/Vents
Act Comment
AP
Requested By JAMES WRIGHT
Entered By ROBIN
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
\\
huu-<i-*UUK WfcU 04:58 PM A 4 J FOSTER PLUMBING FAX NO. 619 390 4448 P, (E/TJT
POUOYHOLDER COPY
P O. BOX 420807, SAN FRANCISCO, CA 94142-0807
PU N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
COMPENSATION
IN »UKANC«
MAY 14, 2002
CONTRACTORS STATS LICENSE BOARD
WOWSRS' COMPBH8ATIOH UNIT
P O »0* 26000
SACRAMENTO CA 95826
GROUP 000a«7POUCY NUMBER: nJ-3003CERTIFICATED! 6CERTIFICATE BXPIREB: o4-oi-joo>
CONTR LIC ft 630120INCBfTIOHi 4-1-02
LOS MWBfcfta 00
This la to certify ttat wo haw taiod a vaSd Worker's Compenaatfon Insurance policy In a form approved by ttio CaDfomiaInsurance Commtoelonar (o (h« amptoyw1 named Mow (or Ui« poUoy period Indicaiad
ThJ9 pohcy a not subject to canwKaton by Ot» Fund exow upon 10 days advanc* written notice to the employer,
W« wifl also glva you 10 tfays advance notice should this poflcy be cemceliml pmr to its normal expiration
Thtt cartfteate of Insuranc* (a not an fnsqrance poficy and does not amand, aktand or after th» ooverag^ aftordatf by Hiepolicies itatMJ h»r«ln. Notwithstanding any requirement, term or condition of any oontraot or ofoof document wftfirwp«ot to which tfta certinoate of Insvrftrw may b« iatuao or may pdrtaln. tfie Insuninca a(Tord«d by trie pofkstes
BMPWifttR'S LIABILZTr LIMIT IMCMJPING DEFENSP COSTSt $1,000,000 J>ER OCCURRBNCB
A 6 J FOSTBR. INC
13706 HNV e BUSINBSS 97
KL CAJON CA 93021
°N U31SOJ f "» V WVtO-8 2002