HomeMy WebLinkAbout1852 HIGH RIDGE AVE; ; CB020203; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01-17-2002 Plumbing Permit Permit No:CB020203
Building Inspection Request Line (760) 602-2725
job Address:
'Permit Type:
1852 HIGH RIDGE AV CBAD
PLUM Status: ISSUED
01/17/2002
JM
01/17/2002
01/17/2002
Parcel No: 2073840600 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: MOELLER -REPLACE WATER HEATER Inspect Area:
Applicant: Owner:
A&J FOSTER, INC.
STEB
MOELLER GLEN H&VALERlleBO 01/17/02 0002 01.
CGP 13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
1852 HIGH RIDGE AVE
CARLSBAD CA 92008
·,
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
Additional Fees
TOTAL PERMIT FEES
Inspector:
Total Payments To Date:
0
0
0
0
1
0
0
$0.00
FINAL APPROVAL
Date: _____ _
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reseivations, 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/exaciions. 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 specHied 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise e ired.
02
27-00
FOR OFFICE USE ONLY
PERMIT APPLICATION Pt.AN CHECK No.C/3621-.JUJ3
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __________ _
Plan Ck. Dep
Validated By_~'--'~___,,-4..,.....,rlc..,,..---
Date, _______ _!:µc.....!-µ.L..11=:::. __
1. PRQ!JECTJNFORMATION
1852 High Ridge Ave.
Address !Include Bldg/Suite /1) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units SFR
Assessor's Parcel II Existing Use Proposed Use
207-384-06-00
Description of Work SO. FT. //of Stories II of Bedrooms II of Bathrooms
Wat~r_ ?eat~r _ ~e,P.1,~c~n~ . i2, CONJACT,PERSON dl,dlfferent from appllebntJ : ,~
Glen Moel ler 1852 High
li>i;,
92008 .i
t\ • l •!
760'....434-2186
Name Address City State/Zip Telephone II Fax /I
~"".'"APiiE)i5Aliifl'~tJ's;ontrap~ G]Agon ,fi1r"antfiic.tor~IIr□·own~·~ · [!]'Ag'ii'rii ffifbwne(f ,.,·· ., 1
Arlen Foster/Carol Foster 13706-B Hwy.8 B u s . El CaJon,
..
Ca.
I; , .•
92021 '(61 9)39 0-4477
Name Address City State/Zip Telephone II
,,i/ ... ~JjQr.E1fr;:(ii.0Wr'feif. ?..1F'''""'-~ "'lr"',,;-i:-· · w,.;i:• 'i1!> i~ Jr"'?"'7 r "~,"~~::--.":,:'.f. "' •···~ ""•' \'ij'l ·,,
Glen Moel l er 1852 High Ridge Ave.Carlsbad Ca . 92008 760-434-3623
Name Address City State/Zip Telephone II
s'\' co1r:'tMit't'g1i;?co]lp.l@~~~m•~ ... ,.?lr :JF~!l!J" • , . ·~Ji11!~,•~-~ ":'"'\"'°"'''?,'•l'f'F!I'',, '1~t'-' ~;1 ·~it -·· '1 • . '
(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 lile a signed statement that he is licensed pursuant to the provisions of the Co~fractor'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 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 1$5001).
A & ,I Easter Pl umbing 13706 B Hwy.8 Bus, El Cajon CA. 92021 (619)390-4477
Name Address City State/Zip Telephone II
State License II 630120 License Class C-36 City Business License# 1210836
Designer Name Address City State/Zip Telephone
State License # _ _..N.,_/_.A..._ ____ _
,ii: W61llfeilsJ::ct,,MP°eflls"r(o t''"1f,fl';"'f;r '7'1· "l'!"'t", :+.II' '? •1;_:'.I ,; • "":!-~. "ii'l!i!r ·'1'.1,f r,' ,,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I . i::at,
0 I have end 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.
)4::) I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tho 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 No467-0l 0000713 Expiration Date __ 0_4_-_0_l _-_0_2_
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
0 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 worker•' compensation coverage Is unlawful, and shall subject en employer to crlmlnel penalties and civil fines up to one hundred
thousand dollars ($100,000), In addition to the cost of compensation, damages ail provided for In Section 3706 of the Labor code, Interest ond attorney's fees,
SIGNATURE DATE ________ _
,i." o.V'iNEil,aJJit15eFfioi::cL¾ifAt1d ~ ~ .. ~.'." !l'l'~•~:~1"'.'·~"".!lX-:' ;._"'."" ·q,· • ·· :'
I hereby affirm that I am exempt from the Contractor's License La"." for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, wiil do the work end 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, tho building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving !hat ho did not build or Improve for !ho purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the profect (Sec, 7044, Business and Professions Code! The
Contractor's License Law does not apply to an owner of property who builds or Improves thereon, end contracts for such prolects 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 proposecl work.
3. I have contracted _with the following person (firm) to provide tho 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 foll owing persons to provide the work indicated (include name / address / phone number / typo of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ___________________ _;_;,;_ __
fcbr.iliLEi[eii'ijt~,$E(;;(IO~Q}'iliv.Oi{,!flE'si.oENT}i4L.ii{li]~olfl.lm:_~ij'M1i'j:Ql1r,:¥2;\ff!~4it•Jt.. '.[''".. ~"tf· •, \ St~~i. 1· ' ' ' ' . \ ' ", ':",
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 26505i 26533 or 25634 of tho Presley-Tanner Hazardous Substance Account Act? 0 YES O NO . I
Is the applicant or fUtUre building occupant required to obtain a permit from the air pollution control district or air quality management district 1 O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 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.
ia. -i~~TfitJp1:1b-l'm:'1:r,ro1N~GEN1I~l'!~11 J,f,a!!t':~'.",l'Jei.il1''~""W~:,i:.:~r:,.:~"';;i1"!/•~~"-~~·''. · ,14,l'r' .~ ,:-1, ... ,. ~.
I hereby affirm that there Is a construction lending agency for the performance of tho work for which this permit Is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ~NE LENDER'S ADDRESS ----'--------'---------------19, Aii!>LICAftT CEIJTIFicAnol:,I , ,4,?ll ~·• ·~\Prt'~~~'" '' ~ . ~
I certify that I have road the applicatlon end state that the above lhformation Is correct end 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 t he Cltt of Carlsbad to enter upon the above meht.ioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINS .. SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An ·osHA permit is required for excaviltions over 6'0" deep end demolition or construction of structures over ~ stories in height.
EXPIRATION: , Every permit Issued by the building Olfi9lal under the provlslohs 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 permll Is suspended or abandoned
al any time after the work is commen~rlod cit 180 days ~on 1 .4 Unl1011
APPLICANT'S SIGNATURE --'~=--=c....c..-==...c==---r\--'---~...__.:::__________ DATE ~ /7-02__.
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