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HomeMy WebLinkAbout2011 CUMBRE CT; ; CB021031; Permit04-04-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB021031 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2011 CUMBRECTCBAD PLUM 2164912300 Lot# Construction Type PERRY RES/NEW WATER HEATER 0 NEW Status Applied ISSUED 04/04/2002 Entered By CB Plan Approved 04/04/2002 Issued 04/04/2002 Inspect Area Applicant A&J FOSTER, INC STEB 13706HWY8BUS EL CAJON CA 92021 619-390-4477 Owner PERRY STEVE&BARBARA M 2011 CUMBRECT CARLSBAD CA 92009 Total Fees $27 00 Total Payments To Date $0 00 Balance Due $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 0 0 0 0 1 0 0 $2000 $000 $000 $000 $000 $700 $000 $000 $000 $000 $000 $000 TOTAL PERMIT FEES $2700 Inspector FINAL APPROVAL 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 capacity 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 'PERMIT APPLICATION « \ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 1 PROJECT INFORMATION 2011 CUMBRE COURT Address (include Bldg/Suite #) FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date £\ - < Business Name (at this addiess) Legal Description Lot No Subdivision Narno/Numbor SFR Unit No Phase No Assessor s Parcel ft216-491-23-00 Existing Use Proposed Use Description of Work Water Heater Replacement SQ FT #of Stories # of Bedrooms Total if of units ft of Bathrooms 2 CONT^^70siEWEr">tfIO'm'PpllC518ll CUMBRE COURT ; Carlsbad CA. 92009 760-944-1186 Name Address City State/Zip Telephone Fax ft 3 APPLICANT CPfcontrnctor [D Agent for Contractor Q Owner Q Agent for Owner n^n^i / r--t n \ ->nn A A-I-IArlen Foster/Carol Foster 13706-B Hwy.8 Bus. El Ca^on, Ca. 92021 (619)390-4477 Name Address PROPERTY OWNER PERRY, STEVE 2011 CUMBRE CT City Carlsbad Stato/Zip Ca. 92009 Telephone # 760-944-1186 Addrnss City State/Zip Telephone ftName 5 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 [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 sub|ects the applicant to a civil penalty of not more than five hundred dollars 1S500D A & J Foster Plumbing 13706-B Hwy.8 Bus. El Caion CA. 92021 (619)390-4477 Name State License 630120 Address License Class C-36 City State/Zip Telephone ft City Business License # 1210836 Designer Name Address City State/Zip Telephone State License tt N/A 6 WORKERS'COMPENSATION -, Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 [IpX 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 issued My worker s compensation insurance carrier and policy number are Insurance Company State Comp.InS.poncy NO _467-01_Op00713__ Expir3tlon DatB 04-01-02 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS100I OR LESS) 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 Failure to secu[a»workers compensatio^joyfrage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10J^8<Jo) V^Wditmn tj^me cost oK/fomGei^nlion damages as provided for in Section 3706 ol the Lsiorcode interest and attorney s fees SIGNATURE £*&*&**' fj * *~y7ZE&S* > DA^PR Q 4 2002 7 OWNER-BUILDER DECLARATION f s , • I hereby affirm that I am exempt from the Comractor s License Law for the following isason Q 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) [J I 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 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) Q 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 f~1 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) PFIOPERTY 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 harardous materials registration form or risk management and jnevention program under Sections 25505, 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES l~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~"l YES 1 1 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? rj YES Cl 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(0 Civil Code) LENDER S NAME NONE LENDER S ADDRESS 9 ' APPLICANT CERTIFICATION -' ''"•" I certify that I have read the application and state that the above information is conect and 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 the CitV 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 builcfmn Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced^ottyHRO days Jrcjj/i the daS^f^uclj permit or if the building or work authorized by such permit is suspendpd or abandoned at any time after the work is commenceAifflra i APPLICANT S SIGNATURE WHITE'File 'inform Building Code) YELLOW Applicant PINK Finance APR 04 9~ ••-