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HomeMy WebLinkAbout1999 EAST POINTE AVE; ; CB021475; Permit05-16-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB021475 Building Inspection Request Line (760) 602-2725 Job Adciress: Permit Type: Parcel No: Reference #: Project Title: 1999 EAST POINTE AV CBAD PLUM 2073832300 Lot #: Construction Type: BOCK RESIDENCE WATER HEATER REPLACEMENT 0 NEW Status: ISSUED Applied: 05/16/2002 Entered By: MDP Plan Approved: 05/16/2002 Issued: 05/16/2002 Inspect Area: Applicant: Owner: A&J FOSTER, INC. HEDLUND DANIEL J STEB 13706 HWY 8 BUS 1999 E POINTE AVE (281 05/16/02 0002 01 02 ~L CAJON CA 92021 CARLSBAD CA 92008 CGP 619-390-4477 C Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee $20.00 Fixture or Trap 0 $0.00 Building Sewer 0 $0.00 ' Roof Drain 0 $0.00 Install/Repair Water Line 0 $0.00 Water Heater and/or Vent 1 $7.00 Gas Piping System 0 $0.00 Vacuum Breaker 0 $0.00 Other Plumbing Fees $0.00 Master Drainage Fee $0.00 Sewer Fee $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $27.00 27.00 mm ^ERiwiT PEB^ STHASEXPIREDWACJCORDANCEWITH U.B.C. SECTiON 106.4.4 Inspector: FINAL APPROVAL Date: Clearance: NOTICE: Please take NOTICE that approval of your project Includes ttie "Imposition" of fees, dedications, resen/atlons, or ottier exactions tiereafter collectively referred to as "fees/e)(actions.' You have 90 days from the date this permit was issued to protest Imposition of these fees/e)(actlons. If you protest them, you must follow the piotest procedures set forth In Govemment Code Section 66020(a), and file the protest and any other required Information with the City Manager for piocessing In accordance with Carlsl}ad 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 specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of yi/hich vou have Drevlou.slv been oiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv othenvise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraclay Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION 1999 E. POINTE AVE FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date Address (include BIdg/Suite #) Business Name (at this address) Legal Description Lot No. SFlf ubdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # 207-383-23-00 Existing Use Proposed Use Description ot Work SQ. FT. #ot Stories Water Heater Replacement E. POINTE AVE Carlsbad # of Bedrooms # of Bathrooms CA. 92008 76d-730-'7325 Name 3 Address City State/Zip Telephone # Fax # -ArlenTostS^C^rol ESLS'1^-64^78 Puir'Smjon, Ca. 92021 (619)390-4477 Name 4. PROfERTV OWNER BOCK, KEVIN Address City State/Zip 1999 E. POINTE AVE Carlsbad Ca. 92008 Telephone # 760-730-7325 Name Address City State/Zip Telephone # B. CONTRACTOR - COMPANY NAME (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 IChapter 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 tha9 fi^e hyri{l,i:p;J dq|lgr,^J.^5001). A&J Foster Plumbing 13706-B Hwy.8 Bus. El Cajon CA. 92021 Name State License # 630120 Address License Class C-36 City State/Zi)j>2'j^gg2^®'^P'^''"® ' City Business License # Designer Name State License H 6. WbRkiHl^lOilPlNI^ATlON N/A Address City State/Zip Telephone 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 J of the work for which this permit is issued. , 0 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 i issued. My worker's compensation insurance carrier and policy number are: ' Insurance Company State Comp. InS . Policy No 467-01 0000713 Expiration Date_ 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100| OR LESSI Q 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: Failura to secure wixkars' compensation cov|raai^ia unlawful, and shall subject an employer to criminal penaitles and civil fines up to one hundred thousand dollars ($100,00{W!'1na^im?n iaXhyf^Sx of corn^nsatigg, damages as provided for In Section 3706 of t'|pi.^<Vo[ft' ^eaBUwytyttomey's fees. SIGNATURE ^Z^'^iO'^**-' 7]'t^O^C^ DATE WAT U g 4UUc 7. OWN^R-BUILDER^ECLARATION y I herebv affirm that 1 am exempt from the ContracWr's License Law for the following reason: • I, as owner of the property or my employees with wages as their soie 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 himselif 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). Q 1, 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 nol apply to an owner of property who builds or improves thereon, and contracts for suoh projects with contractorls) licensed pursuant to the Contractor's License Law). I~l 1 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. Q YES QNO 2. 1 (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 namo / address / phone number / contractors license number): 4. 1 plan to provide portions of the work, but 1 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 1 have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE COMPLETE thig SiCTIOrl FOR N^N-RiSlOENflAL BUILDINQ I^ERlViifS 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 Hazardoiis Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • 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. 8, Cdl^STftUCTtON 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). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATlbN I certify that 1 have read the application and state that the above information is correct and that tho information on tho plans is accurate. 1 agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned propertv 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 permil issued by the building Official under Ihe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is nol commenced within 180 days from the dale of such permit or 11 the building or work authorized by such permit is suspended or abandoned al any time after the work is commenced for a ggjj(jj^fJ80 days (Sgction •yjg;^ Uniform Building Code). MAl 0 9 " ' Hp APPLICANT'S SIGNATURE _ V. "5l^-- 7 . f ~/ DATE ' ELLOW: Applicant PINK: Finance