HomeMy WebLinkAbout1579 MARITIME DR; ; CB040273; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-27-2004 Plumbing Permit Permit No: CB040273
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
1579 MARITIME DR CBAD
PLUM
2150714200 Lot#: 0
Construction Type: NEW
MARKS RES-REPLACE WATER HEATER
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
A&J FOSTER, INC.
STE B
MARKS DANIEL S&JUDITH A
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
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
0
0
0
0
1
0
0
3862 W FIR AVE
FRESNO CA 93711
ISSUED
01/27/2004
KMT
01/27/2004
01/27/2004
$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
. ..,_ ,\.
FINAL APPROVAL
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C(SQ~ D~7_3
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
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1579 Maritime Dr.
Business Neme (at this address) Address (include Bldg/Suite #)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Assessor's Parcel # Existing Use Proposed Use
215-071-42-00
Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms
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Name Address City State/Zip Telephone# Fax#
Arlen Foster~meredith galrn 13706-B Hwy.8 Bus . El Ca j on, Ca. 92021 (619)390-4477
Name Address City State/Zip Telephone #
Marks, Daniel 1579 Maritime Dr
Address
Carlsbad r.a 92009
City · S.tate/Zip Telephone# Name
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(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 I $5001) .
Name .kPOe B Hwy.S Bus, ress
State License # __,6......,3 ..... GuJ ... 2~D'-------License Class -.!f...::..3J16u.... _____ _ City Business License # ] 2] 08 36
Designer Name Address City State/Zip Telephone
State License # N A · ·
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Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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. xJ 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
,ssued. My worker's compensation insurance carrier and policy number are:
Insurance Company State Comp Ins. Policy No. 467 Ol 00007l3
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100) OR LESS)
Expiration Date _ _.,Q,..4..,-=.,Q .... l..,.--..0.,.,4-
O 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 rage ts unlawful, and shall subject an employer to criminal P,enaltles and civil fines up to one hundred
ation, damages as provided for in Section 3706 of th I L or cod , inter st and attorney"s fees.
DATE
reason:
O 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 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).:_-------------------------------------------------
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): ____________________________________________________________ _
DATE _________ _ PROPERTY OWNER SIGNATURE ______________________ _
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Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention
program under Sections 25505, 25533 or 25534 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? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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 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. 3097(i) Civil Code).
LENDER'S NAME I>] ~ LENDER'S ADDRESS, ________________________ _
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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 Citt 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 1excavations 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 .commenc · I 180 days from lhe date o uch permit or If the building or work authorized by;uch permit Is suspended or abandoned
at any time after the work is comme d 18 • s (Sec 06.4.4 Uniform Building Code). DATE l ~ ! 0(1
APPLICANT'S SIGNATURE -~~:_:::...:._:.__::___::___::_L_:.!:'-,t.~e=i~~!...:;_________ -e__Q_ l ~ I PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 02/12/2004
Permit# CB040273
Title: MARKS RES-REPLACE WATER HEATER
Description:
Type: PLUM Sub Type:
Job Address: 1579 MARITIME DR
Suite: Lot 0
Location:
APPLICANT A&J FOSTER, INC.
Owner: MARKS DANIEL S&JUDITH A
Remarks: AM PLEASE
Total Time:
CD Description
25 Water HeaterNents
)t Comment
Inspector Assignment: ~
Phone:
Inspector~
Requested By: JUDY MARX
Entered By: CHRISTINE
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Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
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