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HomeMy WebLinkAbout2012 AVENUE OF THE TREES; ; CB004628; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 ’ 12f07/2000 Plumbing Permit Permit No:CB004628 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 1562800600 Lot #: 0 Applied: 12/07/2000 Reference #: Plan Approved: 12/07/2000 Issued: 12/07/2000 Project Title: MECKEL RES/ NEW WATER HEATER Inspect Area: 2012 AVENUE OF THE TREES CBAD Construction Type: NEW Entered By: CB Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-4477 Owner: MECKEL CAROL L TR 2012 AVENUE OF THE TREES CARLSBAD CA 92008 6144 l2/07/00 0002 Of 02 CGF 27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain InstalVRepair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee TOTAL PERMIT FEES $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 FINAL APPROVAL Inspector: L 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 ’feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. 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 specifed feeslexactions 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 feeslexactions 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 APPLfCATlON CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. cm%@l EST. VAL. Plan Ck. Deposit Validat;!qkd&y Date 2012 AVE OF THE TREES CARLSBAD.CA Address (include BldglSuite #) Business Name (at this address) Legal Description Lot No. Subdivision NamdNumber Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use WATERHEATERREPLACEMENT Description of Work SQ. FT # of Stories # of Bedrooms # of Bathrooms Sl Name Address city State/Zip Telephone # Fax # MECKEL.CAROL 2012 AVE OF THE TREES CARLSBAD CP 92008 760+434+6590 Name Address City Statelzip Telephone# (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 D on 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 [$500]). A 8 J Foster lncoroorated PO Box 2758 El Caion CP 92021 61 93904477 Name Address City Statelzip Telephone # State License # 6301 20 Designer Name Address City Statelzip Telephone State Licence # 6. WORKERS COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: I7 of the work for which this permit is issued. issued. My worker's compensation insurance carrier and policy number are: Insurance Company Mid-Centurv Ins. Policy NO. A20075651 Expiration Date 05/0112001 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SIOO] OR LESS) 0 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 coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, interest and attorney's fees. SIGNATURE *- 12/06/2000 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: I, as owner of the property or my employees with wages as their sole cornpensation, 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). 0 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 threreon, and contracts for such projects with contractor(s) licensed g I am exempt under Section 1. 2. 3. 4. number / contractors license number) <Name> <Address> <dark Phone> <State License> 5. of work): <Name> <Address> <Work Phone> <Work TvDe> PROPERTY OWNER SIGNATURE DATE License Class ~36 Ci Business License # 121 0836 ST 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 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 7. OWNER-BUILDER DECLARATION ursuant to the Contractor's License Law). Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have / have not) signed an applicant for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): <Name> <Address> <Work Phone> <State License> I plan to provide portions of the wnrk hut I have hired the fnllnwino nmon to coordinate. supervise and provide the ma.or work (include name / address / phone I will provide some of the work, but I have contracted (hired the following person to provide the work indicated (include name I address I phone number I type 0 YES NO 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 Hazardous Substance AccountAct? Is the applicant or future building occupant required to obtain a permit fmm the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of school site? 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. YES 0 NO YES 0 NO 0 YES 0 NO I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code). LENDER'S NAME LENDERS ADDRESS I certify that I have read the application and state that the above information is 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. I hereby authorize representatives of the City 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, JUDGEMENTS, 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 building 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE 12/06/2000 Gq * City of Carlsbad Bldg Inspection Request rP6 @ For: 12/19/2000 Permit# CB004628 Inspector Assignment: Title: MECKEL RES/ NEW WATER HEATER Description: Type: PLUM Sub Type: Job Address: Location: 2012 AVENUE OF THE TREES Suite: Lot 0 APPLICANT A&J FOSTER, INC. Owner: MECKEL CAROL L TR Remarks: Total Time: Phone: 7604346590 Inspector: <e, Requested By: CAROL Entered By: CHRISTINE CD Description Act Comments 25 Water HeaterNents Associated PCRs InsDection History Date Description Act lnsp Comments