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HomeMy WebLinkAbout2000 HAYMAR DR; ; CB001673; Permit----~------.. .: City of Carlsbad 05-02-2000 Plumbing Permit Permit No:CB001673 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2000 HAYMAR DR CBAD PLUM Lot#: 0 Construction Type: NEW Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB WATER HEATER REPLACEMENT 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 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 TOTAL PERMIT FEES Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/02/2000 RS 05/02/2000 05/02/2000 $27.00 -. )Q-Y,.pq SIGNATURE_.,..9:::;,.;;L<-0~- FINAL APPROVAL Inspector: Date: 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 fees/exactions. 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 specified 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 vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 .. I FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoCSoo/ 0 73 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Phm Ck. Deposit _______ _ Validated By _________ _ D11te _____________ _ 1, PROJECT INFORMATION ;l_d)O 1 Hayrnar Rd Addr~n lin~lud, !!ld;/Suite II LOt No. Subdlvlslo" Name/Number Unit No. T' o,,_, f nr 11niti. $FR Arusaor's Parc•I # E~!stlng Un O-.Rcrir1io11 cl W(lrk SQ. FT. lof Storie:, t of Bedroom~ WATER HFATER REPIACEMENI' 2. CONT ACT PllliON rtf ciffwent from eppllcent) J.. 000 CA. 92008 760-724-1818 , .. --~on, Shelley l Ha}'[ll1'::"_#~~... CARLSBAD -··---·----N1mt Addre" Cl\y St,t1/Zlp Ttlftr,~on~ 11 fpx • 3. APPLICANT IJI Co,,1~0, 0 Agtl11 for Comractor O Own., D A91nt lo, Ow!ltt ARLEN FOSTER/I<RISTY FOSTER 13706-B HWY 8 BUS. EL C.AJ'ON, N~n11 Addres,s Chy -'· PROPERTY OWNlR CARLSBAD CA. CA. 92021 State/Zip 92008 (619)390-4477 ·-·-·· -Telepnont • ···- 760-724-1818 c,ron. Sbglley 1 Haymar Rd --··--------Addrft~s City Stal~/Zlp T 1l11>l>on1 I II. COl'tnu\CTOR • COMPANY NAME (SAC. 7031.5 l!luAln••~ en(I PtolenlO!'S Cocle: Anv Cltv er Countv which r1qulrt1 •· ptrmil to eonMr11Ct, alter, improve, demolish or repair eny ~H\1ct111(', 11rln, tn It< l<~"~"ca. al,o require~ the appffcant for 1ueh permit ,., fll~ ~ ~inntd stettmtnt thu ht Is llcennd puu~•nt lo thft (lfOvi,ion• of the Contnctc,r•~ Ltr.•1110. law (C:h~ptRr II, commendln!1 witlt 6Ktlon 7000 of Oivi,lon 3 of 1111 Bi.1in111 And Prof~~ions Codol or thet h, is eKemnt therefrom. an'1 tht b,~1~ for 111• •llto•n <'•r,mptlon. Any violation of Srtetlon 7031.5 by ~ny ~pplicont for~ 11~rmit subjecr~ rh~ 1pplicant to ft r.ivil fl~1,al1y nl ru,t more rh~n riv~ hund,,.d tlnll~•~ 1$!1001) A & ,r roS'TER Ptr:MBroo B:ZQ6-a ilwY a aus. EL CAJON ~-~ 92021 (619)390-.H17 .... __ _ N~mt Address Chy Stltl/Zip Telephone , State Lice11,e # 630120 Lic1nS1 Cius C-36 City llusln~" Llcanu # _ _!:~0~~-~i .. __ Oc~iSllltr N•mt Addresr. City St•te/Zlp T1ltpllor111 Sute L,c,..nn I __ _,N'-"~..,_A._ ___ _ I . WORklRS' COMPENSATION ' w .. ,k~•~· Compcn,,tlo" 01cl•mlon: I liereby 1Hlrm under penally of ,>erju,y ""' of the loHowinu decl•rations: O I have end w/1 maintain a certificate or consent to self·IMtll•t for work.,•' compenn1lon H providftd by Section 3700 ol the LAhor Coct~. 10, tho r~•fNn,•nc, of tn, WOfk lot whlch 1hls pe,mlt ~ il'5u•d. G{ r h••• ~no win ,nelnt•in worker•· comp1nsatlon, H rtquirtd by Stcllon 3700 "' thn ~3bol Code, for the performanct, of 111e war~ for which thi, o•rmit ;~ 1t1u,d. My worker's companntlon Insurance catrler end poliey nu.nber ~re: lnourence Comp1ny FARMERS INS'QFANCE Policy No. N2007-56-51 Expiration Da1A __ ~~~90s (THIS SECTION Nm NOT BE COMPLfTl!n • TH! P!AMIT IS FOR ONI HUNDRED OOLLARS (S1DOJ Oil ll!SS) 0 CERTil'ICATI! 01' l!Xl!MPnON: I c:e,tlfy thtt In tlt1> perlorm•no• ol th• work for which !Ml ptrmit i• iasu11d, I ~hell not employ any person in ~ny m•nn,r ~o n to h1com11 s1ib/eet to tho Wo,~,,.· CompmHtlo'1 L1wr of C•litornia. WAIINll'CC: Ftihltt t1> •••""' w1>rl<erl' w · r, 01>~i• uni• ' thousar,d dollan (t100,000I, In addftl o he t!J"rt'!-tl "'"" subject en empll)Vfl to crimin•l penahlH •nci clYlt ffnec up to on• hun'1red ded lot In Stc1lon 37011 of the Labor cod•, lnt.,,ut end •ttom~v·• ftt•. SIGNATURE -F----------- 7. OWN!II-BUILOe,t Cl!et.AIIATION DATMAY-5 2000 I hereby aHirm that I am AXempt flom the Co11troet0r'1 llc,n11 law lo• th, following 11110n: 0 I, •s owner of tile prooetty or my el!'Ploveea will-w•oes a, their sole cnmr~n.,Rtion, will do the wotk and tht nruc:ture i~ not lntend,,tl or <1f19re<1 ror s•IA IS~c. 7044, Bu•ine,s ind Prof11Uions Code: The Cantr,c:tor•~ l ic~n$e law does not apply to an owner of prop•fW who bua11s or Improves thereon, i nd who dM~ s11r.h wo,~ hhnstlf .,, throUOf\ hl1 own 1mploytn, provldtd that such lmprovem~nt• i,e not Intended or otrerad for ~:tie. II, how,ve,, tl1c building or l111pro110111ftnt in sold within on• year of completion, me owner-bullde, will have the burden of pro1rln9 that ha did Ill)! build or lmprov1 for the purpo11 of 8elel. 0 I, u OWM< Qf tho propc•tv, am •~olvslvely contr:ictlng with llc1'l1td conuactcr• to r.onsrn,~ the project (Sec. 7044, Bu,:n~s and Ptofc,,in," C"rl•: Th• C:l)rWtcto•·s lic1n11 Law does not apply to an own1r of prOf)ftrty who build, n, improvt• thereon, •nd contn,cts for e.uch ~•ol~cr, with contr~r.lQrl•I li'.•M~ff p11rsutM to th, Contraotor·a LlctnH L•wl. 0 I 9m toxemot under Section _____ ••·---B~ines~ and Prft(e:'1$iOn$ Code for this re11on; 1, I DtrSOfltlly plan to provld• tM ma/o, labor •~If matcri;,lr. Por construction ol the propoud prep•~ impr<>ven,~nt. 0 YES ONO , . I (have/ have not) cigntd an application for a building pArmlt ror the proposed work, 3. I have contracted wltll the following pe,aon (flrml to provide tht proposed COl\$tructlon (lncl~de name / address I phone number I comrac101s l!etP'!It P'tumh~r)• 4. I ph,n to provide portlor,e oP the work, but I heve hired the following pcrsnn to eoordtr,att, 1uoerv1t1 end prcvldtt thn m~Jor work ftnclud& namP / Atli1ft-~t / phnn• mrmber I corrtrae101s lioense numberl:. _____ , ... ______________________ _ ~-I will prnvi~e aome ot 1he work, but I hava controctc,t (hlredl tha fnllowlno l)trtons tc PfCIIIO• tr1i work lndfoatod !include n;,me / eddrtct / phnn• n11m~rr / 'VI"• nt wnrk): ______ _ rROPERTY OWNER SIGNA.TVRt: ~---------------------- COMl'LliTE TlilS SECTION FOR NON-Rff/DENTIAL IIUIU>ING Pl:RMITS ONLY DATE _________ ~ I~ tn~ IJl)l)Kcant er futur& bJldlno OCC\l!>ant reouired to submit a bu~iness pl~n, acutely hnardous materla\1 registration form or ,I~~ management and pravA,ltinn to•o!l(tm Ul'der S1ctlon1 25505, 25533 or 2S534 ol th4' Pt11!110y,'l'~nner Hatardou• Substance Account Act? 0 YES O NO It the apptic•nt or fvtvro building occupant r1qulr1d to obtain a petmit r,0111 tl-c air pollution control dcstrict or air QUftl!ly m•na91m1nt district! O r e:s O NO It the l1clnty ta ba aanstrvoted wlth:n 1,000 fttt of th• Oultf bound•,y .,1 a .,chooJ •it• 7 0 Yl!S O NO IF ANY 01' Tf4! AN~IIS ARI! Yl!B. A FINAl, Cl;RTIFIOATI: 01' OCCU~ANCT MAY NOT n 1$SUliD UNLESS THI! APPLICANT HAS MiT OR IS MEETING T>iE R£QUIREMliN'f$ 01' Tift! OfflC! 01" flll!!l'Gl!NCY SERVICES AND THI! Nit ll>OLLUTION CONTIWL DHITRICT. i , tONSTIWCTIOlf latDINQ A&aiCV I hAtebv efflrm thot tl\era Is • coNltructlon t.nding 1g•ncy fo, tl10 uerfom,eflco of the wo•k fot which this permit I~ i~Mlftl IS,c. 3097(11 Civil Cotf~I- LENDER'$ NAM& ___ ~_IDNE _______ _ L!ND!ll'S AODRESS ___________________ _ 9, APPllcANT 'C!ATll'ICATION I cr.i,ify th•t I have r11d th• 1ppllcatlon •nd 5tata that tho abova inlormatiOf'I I• co,,eet •I'd t~•t th• Information on th• plen, is eccurato. I agree ,o eomoly with 111 City ordinances end !tatfl law1 relating to building eonc,ruc1lon. I horoby ;iuthorize repreaentatlvtt of 111, Cltt of Cerl«bed to Mt~, vpon the •bove m .. m,or,erl propeny for ln~pectlOP't PUIIIOSK, I ALSO ACRD TO SAV'li. INDEMNll'Y ANO Kll!l' KA.Rl4~1SS THE CITY OF CAR~SIIAO AGAINST AU. LIABILITll:S. JUDGMiNTS. COSTS AND !)(l'l!NSl!S WHIOK MAY IN ANY WAY ACCRU .. AGAINST SAID CITY IN CONSEO.VENCI OF THE GIIANTING OF nus PERMIT. OSHA: An OSHA permit Is requlrtd for 1xc1vation1 011., !'O· <1ee11 ar>d demolition or co11at1uc1IM of fttvo:turn ov,r 3 storlu in Might. EXPIRATION: E~ry permit t,su•d by tl•t building OfOclal 1indor the provisions of hla Coelo Sl'IOII tKl)irt by lfrnflatlon and ~mo null and void if thr, butlc1in11 nr w<,rk n11111orr1ed t>y ~uch permil is nol commP.nee~wllh y, ''°,'!'~•Le or 6-1 pc l or IP lhe building or worlc 11umori7.0<f by auch perm rt 1, ,u,r,enflr.n <11 Ah~r,donPri al any ~me atter 1he work Is commtneed lor trlod 't:JY7'J".'lon 1 ulldl~g Code). l.iA V ; 2,1r.r, APPLICANT'S SrGNATURE -----------------------OATF. M __ ._ V wUu 9/9 'd W~ITE: Fili 0002 ·1 'f.. ew