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HomeMy WebLinkAbout2015 CHESTNUT AVE; ; CB001825; PermitCity of Carlsbad 05/09/2000 Plumbing Permit Permit No:CB001825 Building Inspection Request Line (760) 602-2725 Job Address: 2015 CHESTNUT AV CBAD Permit Type: PLUM Status: ISSUED Parcel No: 2052603000 Lot#: 0 Applied: 05/09/2000 Construction Type: NEW Entered By: RMA Reference #: Plan Approved: 05/09/2000 Issued: 05/09/2000 Project Title: FRANCISCO RES-REPLACE WATER HE Inspect Area: Applicant: Owner: A&J FOSTER, INC. STE B : 13706 HWY 8 BUS •' . EL CAJONCA 92021 619-390-4477 , , Total Fees: $27.00 . Total Payments to Date; $0.00 .. Balance Due: $27.00 Plumbing Issue Fee >(•.-' "-. •'.--',- , $20.00 Fixture or Trap t ' 0 '-",,'" ;. $'o.OO 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 i'.;:; ; ' $0.00 Vacuum Breaker " 0 ' " • $0.00 Other Plumbing Fees ' ' - - , $0.00 Master Drainage Fee " . - .,"'-' $0.00 Sewer Fee "--,. " ' $0.00 TOTAL PERMIT FEES $27.00 FINAL APPROVAL lnspector:^ftr_^j= Date: /°C/.j ~C7Q- 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION 41 ' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJlOlllFORMATION 2015 Chestnut Avenue FOR OFFICE USE O PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date ~ V / Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.SFR8'iubdivision Name/Number Unit No.Phase No.Total tt of units Assessor's Parcel tt Existing Use Proposed Use Description of Work WATER HEATER REPLACEMENT SO. FT. Chestnut Ave #of Stories # of Bedrooms # of Bathrooms CARLSBAD CA. 92008 760-434-4076 Name 3. Address City State/Zip Telephone if Fax tt CA. 92021 (619)390-4477 Name 4. PROPERTY OWNERFrancisco, Grace Address City State/Zip Telephone tt 2015 Chestnut Ave CARLSBAD CA. 92008 760-434-4076 Name Address City State/Zip Telephone tt S. CONfRACtOR;- 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 subjects the applicant to a civil penalty of not more than five hundred dolla£S[$500]). A & J FOSTER PLUMBING 13706-B HWY 8 BUS. EL CAJON CA. 92021 (619)390-4477 Name com on Address _ _. State License # 630120 License Class C~-3b City State/Zip „ _ _ -,,- ^Telephone tt City Business License # Designer Name Address State License # N/A City State/Zip Telephone W WORkERSiCOMPENSATION;;? 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. 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company ^*LM-^V~ -m^^~~,-~ Po|icy No N2007 Expiration Date_FARMERS INSURANCE CONTINUOUS (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 secure workerj^cpmpensation coverage ,isunlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in^dtfitionjj^he cost^£ompenfpfon,dafnages as provided for in Section 3706 of the Labor codejnterest and attorney's fees. SIGNATURE £*^C^6*<*' /I *£^S*S2iS^> Of 7. OWNER-BUILDER DECLARATION; I hereby affirm that I am exempt from the Contractor's license Law for the following reason: 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)*fc '. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Co'de: 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. l~l YES QNO 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): PROPERTY OWNER SIGNATURE DATE COMPLETE! THlS^SECtION FOR /V0/V-fl£S/O£/V7Mi BUILDING PERMITS 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 Hazardous Substance Account Act? C] 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? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES l~l 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 tENDINGlAGENCY '" , „ , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS • 9. APPLICANT' CERfiFICATION 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 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 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 wjp*iTTacu(ays fronvjjje date dfeden petmit or if the building or work authorized by such permit is suspended or abandoned it nnytimr nftrrthr ivnrr" I" rimmrnrrrl fyrTpfrimfffrinP/rlnjT^rrtiriii]^ oyfflp'nniiilrling Pndr) 0 O/Inn APPLICANT'S SIGNATURE DATE WHITE:YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 7/3/2000 ^f/Inspector Assignment: \y(_Permit# CB001825 Title: FRANCISCO RES-REPLACE WATER HE Description: Type: PLUM Sub Type: Job Address: 2015 CHESTNUT AV Suite: Lot 0 Location: APPLICANT A&J FOSTER, INC. Owner: SANDY PETER R&FRANCISCO GRACE B Remarks: Total Time: CD Description 25 Water Heater/Vents Act Comments AP Phone: 7604344076 Inspector: Requested By: GRACE Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments