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~ ••-