HomeMy WebLinkAbout1555 MARITIME DR; ; CB040805; PermitCity of Carlsbad
' 1635 Faraday Av Carlsbad, CA 92008
03-10-2004 Plumbing Permit Permit No: CB040805
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1555 MARITIME DR CBAD
PLUM Status: ISSUED
03/10/2004
SB
03/10/2004
03/10/2004
Parcel No: 2150711300 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: BAKER RES NEW H20 HEATER Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
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
Inspector:
Owner:
BAKER LARRY H&ALICE M FAMILY LIVING TRUST 09-02-
0
0
0
0
1
0
0
1555 MARITIME DR
CARLSBAD CA 92009
Total Payments To Date: $0.00
$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
Balance Due:
EXPIRED PERMiT
PERMIT His EX?!RED IN ACCORDANCE WITH U.B.C
$27.00
SECTION 106.4.4 7209 03110104 0002 01
11.l \ . A CGP DATE ,;:i,t\ p '::\ SIGNATURE O:Ue 1 ,
FINAL APPROVAL
Date: 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 "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
l'mi
02
27-00
!PERMIT APPLICA T!ON
~
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. _____ _
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date _______________ _
Business Name {at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel #
~~)CC~-!
Proposed Use
ptioof Work #of Stories # of Bedrooms # of Bathrooms
Designer Name Address City State/Zip Telephone
State License # __________ _
i:6?rt:!u~M/fJ,ijjff8S.,fi~¢QMRENS.Afifnir,ii~flfh1~~1r:t!~~~.~:ltiit}l{lj~f~J:~,~itfl[i~itlli?~]~i~1in~•r~1:[~~ii1~.!~i}~,tJJI~:rt!~W~~~,l:~mffi~~;~~~1i[![jfij]J~~ti~i:~J~;~~:f1::~·:t~~:~~~]~J~lij
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 t o sei'f-insure for worker's' 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 which _this permit is
issued. My worker's~ £ens tion insure e carrier a policy number are: _ • , , Jty·
Insurance Company · Policy No.4lo"-J-OlffiX)71:) Expiration Date._,\L..:Q=..,. • ..::_=::....-1---. I {THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS)
0 CERTIFICATE OF E><EMPTION: 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.
Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
n, damages as provided for In Section 3706 of the L or cod , Inter st and attorney's fees.
SIGNATURE, __ -'~.-,c:;""""~~~-L.-:1~~-;1t~~tJ~;;;-=-::========== DATE.-:::-'--<:-1='::"""-t--=~~-
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/ 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):, ________________ .c,_ ___________________________________ _
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-:------------
I.CO MiiLErr.e!t ti:l1$!'s~_ctf.•!i!~ii=.~ll;'tlQJJ/Jj'ftsT4tNi'dAt:iiqiilpJ!'iriLfEii!Yl1:r,~roJiJ~1d..~:Ili~lil~1!fumrJii!r~~~tt1J.J1a~1,~~i~t~11i??J1:r:i11·:1;r~i~1;,1,i:~,:~:f!!it'.\~,!1~1:1,:i
Is the applicant or future building occupant required to submit a business plen, acutely hazardous materials registration form or risk managem·ent and prevention
program under Sections 25505, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 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 7 O 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 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. __________________________ _
19'J, r::1;'.1PAPitfL(C'iffiK~jc~~i31tO~i,CA1ilON;l~~'.~~~1ll;J%~l:~J:i'.tl~~a~~li~J~1f1X:f.]l~iZRiiftmi~i:~~~li~Jv~i(~1ftl'~ril~~,S~1~ifr.B~~~~~1'!:!~f(~\r:r~tt.1fill!Tt'."t~1ffitf:ltij[fl~j:~f~~t~
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. ( hereby authorize representatives of the Cit\t 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 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 lhe date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any lime after the work is commenced f f 180 d Secti .4 Uniform Building Code). • ) I ~~ J
APPLICANT'S SIGNATURE --~~.d~d~~~.L'.J-~11111:~~;;;2~~~-------DATE _.,_,_.3,.,,,__.,_J_O.;:;....,.,--~----'-------
PINK: F.inance