HomeMy WebLinkAbout1566 MARITIME DR; ; CB051648; Permitj \J7,;~ \ City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-10-2005 Plumbing Permit Permit No: CB051648
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1566 MARITIME DR CBAD
PLUM Status:
Parcel No: 2150712800 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title:
Applicant:
A&J FOSTER, INC.
STEB
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-4477
BILLMEYER RESIDENCE
WATER HEATER REPLACEMENT
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
lnstalVRepair 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
0
0
0
0
1
0
0
Plan Approved:
Issued:
Inspect Area:
Owner:
BILLMEYER FAMILY TRUST 08-31-92
1566 MARITIME DR
CARLSBAD CA 92009
ISSUED
05/10/2005
MDP
05/10/2005
05/10/2005
$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 Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00
8029 05/1.1/05 0002 01 02
CGP 27 .. 00
lnspecto
FINAL APPROVAL
Date: ,,[ ~ "ZJ-c, "5 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 pennit 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 Coda 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 NOTIFIEO that your right to protest the specified fees/exactions DOES NOT APPLY lo 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 . . . . . ' . . '
PIERM !T APPUCA T~ON
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONL V
PLAN CHECK No. CA of/ I~
EST. VAL. __________ _
Plan Ck. Deposit _________ _
Validated By __________ _
Date ______________ _
Address (include Bldg/Suite II) Business Name (at this address)
Legal Description
215-071-28-00
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Description of Work SQ. FT. WATER HEAIFR REP! ACFMFNI
#of Stories # of Bedrooms # of Bathrooms
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Name Address City State/Zip Telephone # Fax #
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Name Address City State/Zip Telephone #
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Name Address City S.tate/Zip Telephone #
1~:;~~1:,c.Pl:NmR11.St1t:G:Ri~lLGj)MR~NM.lNA;M.Elnt~n~1111;a~ir~1m~1:~Jm1wm~~u~:Jiilimtrt~m~Mrnwiw:~~~D]t~i~zai~~rmiw~~ffl~~m,~~7"1iTh:r:w.rl!:l~l~Jf~~~~~
(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, end the basis tor the alleged
exemption. AnAvlajfJ~~;,i~~:~~ib~ ~gFfl~yn~l''E3M~'#t~~je~a1i'ha.pe~i8'~2M~ivil penalty of not rrrm~rs~rri dollars ($5001).
Name
State License# __ 6_3_0_1_2_0 ____ _
Address C-36 License Class __________ _
City State/Zi~210836Telephone #
City Business License # ________ _
Designer Name Address City State/Zip Telephone
State License # __________ _
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.
D I have and will maintain workers' compensation, as· required by Section 3700 of the Labor Code, for the performance of the work for which t his permit is
issued. My worker's eompensation Insurance carrier and policy number are:
Insurance Company State Fund
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) •
1732576-05 Policy No .. ____________ _ 2006/APRIL Expiration Date ________ _
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.
SIGNATURE
lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
s as provided for In Section 3706 of the Labor code, Inter t ~d attorney's fees.
DihE MAY 1 I
I hereby affirm that I am exempt from the Contractor' icense 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).
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 O NO
2. I (have / have not) signed an application tor 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 _________ _
t¢0Mfi~1;trJ;i;1JJ;/.1$i;$~¢if@™li1ia!m'f?lllffj_'fi.tJP.tiir/Ji'f:.Qii~l~@j"NGJ1R~iiM'.iJft &.fii~Yffl~!i'~~i'i\W.~/m;:.l,[iii.r~~i*,~l~i]l1~:t1!1Ji:'f.ifiliilitfj~1(:,i!~~~\111!](~~,:i\:i~,~~1\Ji
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 Act7 0 YES O NO
Is the applicant or future building occupant requirAd to obtain a permit from the sir pollution control district or air quality management distrlct7 0 YES O NO
Is the lacility 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. .
l.~1~i~t~li (tQ.N.§if:~6flQtttQ:N~ijr;Nt,f.~,ijJ(~ijp:ij~~[itli~!~Tu~i~~~1]rn~r~]l~~~t~ili!~m1i;~rJtJf.iilJ1i~~iflff!illffll1~li~~~lt~i~~l~iJ.~~,t1~1]it~~1~~~,jHJL~fj~\~J~~fft~l!~~~~[,Jif.i~i~;~~J~;
I 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 _______________ LENDER'S ADDRESS __________________________ _
,9'J;,rfJ~ijjft[G~~lfu~C~fl[ilfi:l:C:41t1Q:f;]1!~il,~~;i~J:11~1~ll~ltJm~l~)l~~~1~r~ri~1~iqrf~~1~;~~;u;~~lifut0!fJi!flWJ1ali~&ffUfDIDi~~ilii~i:fi!"ilimrru~Jj]ijik~~~~ill~~'
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 relatinJ 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 AND KEEP HARMLESS THE CITY DF 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.
ElCPIRATrON: Every permit issued by the building Official under the provisions of this Code shall expire by !imitation and become null and void if the building or work
authorized by such permit Is not commenced wi O days from t date s permit or if the building or work authorized by &uch permit Is suspended or abandoned
al any time after the work is commenced f er' 18 d .4. fa Building Code).
APPLICANT'S SIGNATURE DATE ____ r:_,..._( __ 1_2_0_05_
YELLOW: Applicant PINK: Finance
m .
•
City of Carlsbad Bldg Inspection Request
For: 05/20/2005
Permit# CB051648
Title: BILLMEYER RESIDENCE
Description: WATER HEATER REPLACEMENT
Type: PLUM Sub Type:
Job Address: 1566 MARITIME DR
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: BILLMEYER FAMILY TRUST 08-31-92
Remarks: AM PLEASE
Total Time:
CD _D_e_s-cr-ip-tio_n _______ M Comment 25 Water HeaterNents I
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
e.,oo?J"L-
lnspector ~
Requested By: ROBERT
Entered By: CHRISTINE