HomeMy WebLinkAbout1885 HIGH RIDGE AVE; ; CB033035; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
11-05-2003 Plumbing Permit Permit No: CB033035
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1885 HIGH RIDGE AV CBAD
PLUM Status: ISSUED
11/05/2003
SB
11/05/2003
11/05/2003
Parcel No: 2073854100 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: BUSTOS 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
0
0
0
0
1
0
0
Owner:
BUSTOS VICTOR M&MEUNDA F
1885 HIGH RIDGE AVE
CARLSBAD CA 92008
$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 Payments To Date: $0.00 Balance Due: $27.00
8089 11/05/03 0002 01 02 CGP T',00
EXPIRED PER~1aT
PERMIT HAS [)(;''RED IN ACCORDANCE WITH U.B.C.
SECTION 106.4.4
DATE zl.,lo:~ s1GNATlJRE_ ci.ui __
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. 0 33o3S-
• CITY OF' CARLSBAD BUILDING DEPARTMENT
EST. VAL. __________ _
1635 Faraday Ave., Carlsbad, CA 92008
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1885 High Ridge Ave.
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
SFR
Assessor's Parcel # Existing Use Proposed Use
207 385 41 0
Name Address City State/Zip Telephone # Fax #
!~};~:::?M~([i_¢ANt::;i:t~Jltjgptr~q:r-H:11:!tfillITA9B~(P~~atWri9J9tt?:iflm~~J4i'ij1r[~t~Emiatmift~J~Aii~IB!*li~E~lli!ij~$~1t~lj[~n!lffi!1lf~):ff~~~i~~))j@l1!ldii!il!1ii[i:!,:~:[J:i:\:~[i':I·~,:·:!:'!1ti,;:mi:•u::,j!'.'.: -
Arlen FosterJCarol Foster 13706-B Hwy.8 Bus. El Cajon, Ca. 92021 (619)390-4477
Name Address City State/Zip Telephone#
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Bqstos, Vi ct.or 1885 High Ridge Ave carJ shad Ca 92QQB 760 434 3235
Name Address City S.tate/Zip Telephone #
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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 ls 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 ($5001).
A & J FG£ter Plumeiag-Name
State license # ~6L·~3a=J~2~0~-----License Class ~C~~3~6~------City Business License # ] 21 QB 36
Designer Name Address City State/Zip Telephone
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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 .
.k] r 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
11::sued. My worker's compensation insurance carrier and policy number are:
lnsurnnce Compeny aiteito;, C<:lmp, la£, Policy No. 467 Ql QQQG71] Expiration Data 04 OJ 04
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)
D 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 workers' compensation coverag Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000 n to the of c satl , damages as provided for in Section 3706 of the ~abor co a lnte t and attorney's fees.
DATE
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).
D I, es 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).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. J personally plan to provide the major labor and materials for construction of the proposed property Improvement. D 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): __________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
,·corw;P.t~Te!ttH1$::$eOTIOf{tfe08t~QN:~f$iPiN~l~~~-,tPJNQ~#ISiiM'.i:T~QN!kit~1iti!i~NJ1liJti:~i!~1Tutll~f~~~MiiilifiJl1LiiY\~j1!i~iK:W!~ti~J~l1J[~0)PI ti~::['M,,t1tl\~,~J:~.::,~'~:~t'.~ffJ::r:i;+::·'0
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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 HazardoiJs Substance Account Act? D 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 O NO
Is the facility to be constructod within 1,000 foot of the outer boundary of a ::;chool site? D 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.
,:~!,.1i!:i':¢0~:11.ta~tai~'.IijT,e.;.·q,1~;1Q'~N,~rn~t:J;1i!1rJ;':;itJ:Ji~:~;i1~;~~.1~;i::i::fl1~~;:J:fJl;J!l~1111R~~1ii~l1ti1J1!~1.l:,;j:;~;:J}~J:1;;~;•r:r~rj~~l~!il'i~11~ii.;iif1\;!FT~it:,;~~~:j:;i'Li:i:r::::,i;:
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 ADDRESS ________________________ _ LENDER'S NAME ----N:::NJs--------
,9~;.: :'.:i;~,t~Jj:QJ;;:t:ii:ibfle'lt\(11~1":%\':1i1l::t~'.\;:1s,1;:;tf:\!li~i/i'.1ii;'.it\1:)Jt~;ffj~~~t~~ltiill:~l,Tij\,il!rl.ijf~i;I~~il!l~IJ.Sf.l•i~i·~w.'il!:(tli]!fllii~l~r.tl1illt~!:i';ilijjr:fa~~;;;:;t_:~r~:~11,i i'.;),t::i~:i: ;iiU!ill':;;
I certify that I have read the application and state that the above information ls 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. 1 hereby authorize representatives of the Cltt 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.
EXPIRATrON: Every permit issued by the building Offlclal 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 within 180 days from the date of such permit or If the building or work authorized by su h permit ts suspended or abandoned
at any time after the work is commenced for 80 days ction 1 Uniform Buildlng Code).
APPLICANT'S SIGNATURE J DATE
PINK: Finance