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HomeMy WebLinkAbout1885 BIENVENIDA CIR; ; CB001123; PermitCity of Carlsbad 03/28/2000 Plumbing Permit Permit No:CB001123 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: PLUM Status: PENDING Parcel No: 2072504600 Lot #: 0 Applied: 03/27/2000 Reference #: Plan Approved: Issued: Project Title: Inspect Area: 1885 BIENVENIDA CR CBAD Construction Type: NEW Entered By: GMF REP LAC E WATE R H E ATE R Applicant: STE B 13706 HWY 8 BUS EL CAJON CA 92021 A&J FOSTER, INC. RUST 01-21-99 61 9-390-4477 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee $27.00 TOTAL PERMIT FEES Inspector: ?-iL FINAL ArPPRPVAL Date: Hi$@ 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 feeslexactions. 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 ight to protest the specified feeslexactions DOES NOT APPLY to water and sewer connection fees and mpactiy changes, nor planning, zoning, grading or other similar applicatin processing or service fees in connection with this project NOR DOES IT APPLY to any feeslexactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 - c PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I FOR OFFICE USE ONLY 1. PROJECT INFORMATION Address (include BldglSuite #I Legal Description Assessor’s Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # nl Rntlrrnnins - ~ _._ . ~~ -. - .-e ______ 1885 Bienvenida Circle Businesshis address) -__I Total # of iinits Lot No. Subdivision Name/Number Unit No. Phase No. . . . SFR -. .... . .. -. . . . _ .. WATER HEATER REPLACEMENT 2. CONTAC PERSON if iffere fromappli a GosLano, &ar8 18%5 Bienvenida Cir CARI;SBAD CA. 92008 760-434-4703 - __ Name Address City Statelzip Telephone # Fax # 3. APPLICANT a Contractor 0 Agent for Contractor 0 Owner 0 A ent for Owner ARLEN FOSTER/KRISTy FOSTER 13706-B HWY 8 BUk. EL CAJON, CA. 92021 (619)390-4477 .- ._ .-__ Name Address City Statelzip Telephone # 4. PROPERTY OWNER Name Address City Statelzip Telephone # Goshano, Edward 1885 Bienvenida Cir CARLSBAD CA. 92008 760-434-4703 .- .. . ._ . 5. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, iniprove, demolish or repair any structure, prim 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 ILicetiv 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 allegcrl 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 IS50nll Name Address City State/Zip Telephone # 13706-B-kW 8 BUS,. EL WON @L- 92021 ( 619 ) 390-4472 __ -..AmD- City Business License # 1200354 State License # 330120 License Class - C-36 ~ ~___ -. Designer Name Address City Statelzip Telephone State License # N/A 6. WORKERS’ COMPENSATION Workers‘ Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 of the work for which this permit is issued. @ issued. My worker‘s compensation insurance carrier and policy number are: 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 pciforrnarir~ 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 coNT1Nu0us Insurance Company - FARMERS INSURANCE Policy NO. N2007-56-5-1 Expiration Date._ .. . (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$lo01 OR LESS1 0 to become subject to the Workers‘ Compensation Laws of California. 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 nianncr qn as WARNING: Failure to secure thousand dollars ~$100,0001, SIGNATURE DATE shall subject an employer to criminal penalties and civil fines up to one hundred provided for in Section 3706 of HAR $18n.zom attorney’s fees. 7. OWNER-BUILDER DECLARATION / I hereby affirm that I am exempt from the Contractor’s License Law for the following reason: 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 fnr 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 dors wch work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or irnprovernant 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 Codr. 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) lirrnspd pursuant to the Contractor’s License Law). 0 1. 2. 3. 4. number I contractors license number): 5. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm1 to provide the proposed construction (include name I address I phone number / contractors license niirnberl: 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 / addrPs7 / phnne I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phorie ntimhrr / tvpe Business and Professions Code for this reason: UNO -. ~~~ - - __ -________ -____ . __ ... - - .- of work): PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES 0 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). 0 YES NO LENDER’S ADDRESS _. NONE LENDER’S NAME 9. APPLICANT CERTIFICATION I certifv that I have read the application and state that the above information is correct and that the information on the plans is accurate. 1 agree tn comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citg 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 nr work authorized by such permit is he building or work authorized by such permit is suspenrlprl cr nhnndotwd at any time after the work is lding Code). - DATE pplicant PINK: Finance APPLICANT‘S SIGNATURE City of Carlsbad Bldg Inspection Request /5 For: 4/13/2000 Permit# CBOOl123 Title: REPLACE WATER HEATER Description: Type: PLUM Sub Type: Job Address: 1885 BlENVENlDA CR Suite: Lot 0 Location : APPLICANT A&J FOSTER, INC. Owner: MURPHY STEPHANIE L&FENILI EDWINA J Remarks: Total Time: -IC, Inspector Assignment: Phone: Inspector: ‘ii/ Requested By: ZOSANO Entered By: CHRISTINE Ja- Comments CD Description 25 Water HeaterNents Associated PCRs InsPection Historv Date Description Act lnsp Comments